c.P.R.

To
of Police,
TheCommissioner
AmritsarCitY.

Subject: Certificate.
Applicationfor Gharacter

Sir,

submittedthat:-
It is respectfully

1 1...... . .. . . . . . . . S /D
o ./,o .W
, o............. .permanent
of......
resident
. . . P S. . . . . . . . . . . . . . . . . D i s t rAi cmt r i t s aCr i t y
.
2 | do nottakenpart in any anti National/Social activities.

3 case pendingagainstme in any courtof law elsewere is india.

Thereis no Civil/Criminal

4 and respectin generalpublic'

| commanda good reputation

5 | haveneverchangedmYname.

6 M y d a t eo f b i r t hi s . . . . . . .( .i nw o r d ) . . . " ' . . . . .

7 | required Certificate
a Character for the purposeof................
fromPoliceDepartment .....

It is thereforethat may pleasebe issuedCharacterCertificate'

DocumentsAttached (Tickwhicheveris applicable)

1 4 Passportsize PhotograPh.

2. Photocopyof RationCardA/oterl-Card(Attested).

3 of BirthCertificate.
Photocopyof SchoolCertificate/Date
YoursFaithfully

(
Signature

Name............

Address........

P h o nN
e o......