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Police Clearance Application Form
To
Superintendent of Police
Madaripur
Subject: Application for Police Clearance Certificate
I, SUJON KHANDOKAR, hereby submit an application for police clearance certificate for the purpose of going abroad
for visit or permanent residence. The details of my particulars are provided below:
Personal Detail Ref No: 16XARNF
SUJON Apply Date: 10-NOV-24
Applicants Name :
KHANDOKAR
SHAHIN
Father's / Spouse Name :
KHONDOKAR
Mother's Name : ANOWARA BEGUM
Date of Birth : 01-JAN-95
Salutation : Mr.
Email :
National ID : 3297241543
Mobile NO. : 01740198715
Passport NO. : A05560206
Issuing Country : Bangladesh
Issue Date : 27-NOV-22
Issue Place : DHAKA
Expire Date : 26-NOV-32
Verification Thana : Shib Char
Present Address Permanent Address
GUATOLA GUATOLA
Vill/Area : Vill/Area :
JADUYARCHAR JADUYARCHAR
Post office : BARHAMGANJ Post office : BARHAMGANJ
Road-House/Flat : - Road-House/Flat : -
District : Madaripur District : Madaripur
Upazilla/P.S : Shib Char Upazilla/P.S : Shib Char
Post Code : 7930 Post Code : 7930
Delivery From: SP Office, Madaripur
Attached Documents
National ID Scan Copy Download
Passport Scan Copy Download
Chalan Copy Download
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