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PoliNCkaranc<AJ>PlicationFOIID

To
Supcrintcndcnl ofPolicc
Shariatpur

I, MD NAHID MIA, hereby submit an application for police clcarano::e cenificatc for the purpose of going abroad
for visit or permanent residence. The details ofmy paniculars are provided below:

RdN•: I SEE6HW
Appliun1, Namc Apply Dal~: 17-JAN-23

F11hd, 1 S"°""N1mc : BAC:CHUMlAPEDA


MOlhd, Nomc

mianahidmd200l @pnailrnm
~_7.i'i!!!\.8.?_lj_
1Umfil7_JIJ.
Pas,po,tNO.
1..uU1gCoun1,y : B1ngl1d<,h
: 09-0EC-1 9
Shariatpur
E.xpiRDat< 08-DEC-24

. PEDAKANOI.WARDNO. . PEDAKANOLWA RDNO.


. 2,G0R!BER OlOR . 2,GORIBERCIIOR
Alaolpur : AWl lpur

Shari.otpur Sl=ia!pllr
Upa.zilla/P.S Upa.zilla/P.S

Delivery From: SP Office/ Me1ro HQ

• Chalan Copy
• National ID Scan Copy
• WardCouncillorCcrtificatc
• BirthCertificatcScanCopy
• PassportScanCopy

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