Police Clearance Application Form

To
Superintendent of Police
Shariatpur

Subject: Application for Police Clearance Certificate

I, SIABUN SAKIB, 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: 15N8FAV

Applicants Name : SIABUN SAKIB Apply Date: 08-MAY-23
Father's / Spouse Name : ABDUL MANNAN SARDER
Mother's Name : SAHANAJ BEGUM
Date of Birth : 25-JAN-01
Salutation : Mr.
Email : sakibislam573@gmail.com
National ID : 6010622220
Mobile NO. : 01795154949
Passport NO. : EH0216527
Issuing Country : Bangladesh
Issue Date : 23-NOV-20
Issue Place : SHARIATPUR
Expire Date : 22-NOV-25
Verification Thana : Damudya
   
   
Present Address Permanent Address
Vill/Area : TILOY Vill/Area : TILOY
Post office : KANESWAR Post office : KANESWAR
Road-House/Flat : - Road-House/Flat : -
District : Shariatpur District : Shariatpur
Upazilla/P.S : Damudya Upazilla/P.S : Damudya
Post Code : 8040 Post Code : 8040

Delivery From: SP Office/ Metro HQ

Attached Documents
Passport Scan Copy Download
National ID Scan Copy Download
Ward Councillor Certificate Download
Birth Certificate Scan Copy Download
আপনার আবেদনের সর্বশেষ অবস্থা জানতে আবেদনে প্রদত্ত মোবাইলের মধ্যমে এসএমএস করুন PCC S 15N8FAV লিখে এবং পাঠিয়ে দিন 26969 নম্বরে (এখানে 15N8FAV আবেদনের
রেফারেন্স নং)। ফিরতি এসএমএস এ পেয়ে যাবেন সর্বশেষ স্ট্যাটাস