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Police Clearance Application Form

To
Superintendent of Police
Chattogram

Subject: Application for Police Clearance Certificate

I, MD SAHED, 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: 15YTNPV


Applicants Name : MD SAHED Apply Date: 11-DEC-23

Father's / Spouse
: ABDUL BAKER
Name
Mother's Name : DILHARA BEGUM
Date of Birth : 01-JAN-87
Salutation : Mr.
Email : mdsahed1987hossain@gmail.com
National ID : 2837041546
Mobile NO. : 01833085459
Passport NO. : A04260789
Issuing Country : Bangladesh
Issue Date : 16-JUN-22
Issue Place : CHATTOGRAM
Expire Date : 15-JUN-32
Verification Thana : Sandwip

Permanent Address
Present Address MITE
Vill/Area :
BHANGA
Vill/Area : MITE BHANGA
MITE
Post office : MITE BHANGA Post office :
BHANGA
Road-House/Flat : -HOSEN ER GO BARI
-HOSEN ER
District : Chattogram Road-House/Flat :
GO BARI
Upazilla/P.S : Sandwip District : Chattogram
Post Code : 4300 Upazilla/P.S : Sandwip
Post Code : 4300

Delivery From: SP Office/ Metro HQ

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