Government of West Bengal

Office of the Superintendent of Police,

District Intelligent Branch
Police line, Paschim Medinipur -721101
Gmail ID- dsp-dib-mdp@policewb.gov.in
Phone No.- 03222-263525

Memo No …………./ CA / 23 Dated.. / / 2023

TO WHOM IT MAY CONCERN

This is to certify that Shri/ Mrs. / Mis ……………………………………………………………………………………

S/O, D/O, W/O …………………………………………………………………………………………………………………………………..

is the resident of Village ………………………………………………… P.O……………………………………………………

Police Station ……………………………………………… District – Paschim Medinipur, West Bengal,

Pin No: ……………………………………….

As per report of enquiry officer of D.I.B Paschim Medinipur, there is no adverse

report found against the subject.

Signature of Department
D.I.B, Paschim Medinipur

Note : - This certificate will be valid for six months from the date of issued.