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yer aways 10, ul 12, 1B. 14, 17, . Name of sponsoring authority HCI Ottawa/ CGI Toronto/ CGI Vancouver lication for Police Clearance Certificate Mr/Mrs./Ms. EEEEEPPEEEEC Father's Name Spouse's name Date and Place of Occupation Present Nationality Current Passport No Date & Place of Issue Ifyou are not a citizen of India now, were you a citizen of India formerly? Ifs0 also give Indian Passport No Place of Issue Place and issue Address in India ‘Address in Canada Marital Status Telephone — Business Purpose for which the Certificate is required if any and plan scheme under which : you came to Canada . Have you received any financial help from the government of India / state government or any other institute or Organisation in India in connection with your visit to Canada? Have you ever been convicted by any court in India or abroad? 18. Have you ever served under the Central / State Government of India? If yes, have you resigned? your service (attach copy of acceptance letter) 19, Have you visited / stayed in India after acquisition of landed status / foreign 20. S.No] Address where stayed From To Date: Signature of Applicant: Time taken: Issue of Police Clearance Certificate requires references to authorities in India and elsewhere and therefore a minimum processing time of 6 weeks is required to issue.

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