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THCR11231003283

Office of the Dy.Commissioner of Police Special Branch, Thane

No. SB/VERFN/PVTJOB/000399405/2023
Application ID. : THCR11231003283
Date : 22/11/2023

POLICE CLEARANCE CERTIFICATE

To,
TRAINING MANAGER
THE ST. REGIS MUMBAI

Subject : Verification of Character and Antecedents of PURSHOTTAM SAMPATKUMAR PRAJAPAT


residing at E 003 navambika nagar, Murbad road, Near zojwala petrol pump, Kalyan west, Kalyan­Dombivali (M
Corp.), Kalyan, Thane, MAHARASHTRA

With reference to above, enquiries conducted through Sr.Inspector of m.f.c. p. station reveals that above
applicant is residing at the address mentioned in the Attestation Form from 01/2009 to 11/2023. There is nothing
adverse against the above applicant on police record during his/her stay at the given address as per police station
report dated 22/11/2023

Remarks :

Digitally Signed by
Santosh Tukaram Jadhav
Date:2023-12-06 12:38:55 PM

For Dy. Commisioner of Police


Special Branch,
Thane

This is a digitally signed document, hence is legally valid as per the Information Technology (IT) Act, 2000.To verify visit
https://aaplesarkar.mahaonline.gov.in

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