Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 1K views

    Police Clearance Certificate (PCC) Application Form Kerala Police

    Uploaded by

    Sayyid Ibrahim.P
    This document is an application form for a Police Clearance Certificate (PCC) from the Kerala Police. It requests basic personal information such as name, date of birth, addresses, contact details, and details of any criminal cases. The applicant must declare that the information provided is true and correct, and that no criminal cases are pending against them. The non-refundable application fee of Rs. 500 must be paid upon submission.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Police Clearance Certificate (PCC) Application Form Kerala Police

    Uploaded by

    Sayyid Ibrahim.P
    1K views2 pages
    This document is an application form for a Police Clearance Certificate (PCC) from the Kerala Police. It requests basic personal information such as name, date of birth, addresses, contact details, and details of any criminal cases. The applicant must declare that the information provided is true and correct, and that no criminal cases are pending against them. The non-refundable application fee of Rs. 500 must be paid upon submission.

    Original Title

    annexure1.pdf

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is an application form for a Police Clearance Certificate (PCC) from the Kerala Police. It requests basic personal information such as name, date of birth, addresses, contact details, and details of any criminal cases. The applicant must declare that the information provided is true and correct, and that no criminal cases are pending against them. The non-refundable application fee of Rs. 500 must be paid upon submission.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    1K views2 pages

    Police Clearance Certificate (PCC) Application Form Kerala Police

    Uploaded by

    Sayyid Ibrahim.P
    This document is an application form for a Police Clearance Certificate (PCC) from the Kerala Police. It requests basic personal information such as name, date of birth, addresses, contact details, and details of any criminal cases. The applicant must declare that the information provided is true and correct, and that no criminal cases are pending against them. The non-refundable application fee of Rs. 500 must be paid upon submission.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    POLICE CLEARANCE CERTIFICATE (PCC)

    APPLICATION FORM
    KERALA POLICE

    1. Name and aliases :


    Passport size
    2. Father’s/Mother’s Name : Colour Photo

    3. Date of Birth :

    4. Aadhaar No. :

    5. Passport No. & Validity :

    6. Gender (M/F/TG) :

    7. Permanent Address :

    8. Present Address :

    9. Address of residence in the last 5 years:


    1.

    2.

    3.

    10. Phone No (Mobile and Land) :

    11. Email ID :

    12. Purpose of visit :


    (Details to be mentioned)

    13. Name, address with phone no. of a :


    reference person.
    (to mention how connected to
    the applicant)
    14. Criminal cases involved in : 1.
    Police Station, Case No.,
    Section of law, brief of allegations, 2.
    under investigation or under trial)
    3.

    Declaration

    I…………………………………………..S/o or D/o….....................................................
    residing at………………………………………………………………………………………………………………..
    ……………………………………………………………………………………………………………………………….
    have gone through and understood the contents as above and do hereby declare that all
    the details mentioned above are true to the best of my belief and knowledge. There is no
    crime case pending in any Police Station/Law Enforcement Agency/Court against me. I
    understand that, I am liable for action as per rules/law if any information furnished above
    is found false/incorrect.

    Signature

    Name………………………………….
    Date…………………………………..

    Payment details Rs.500/- to be paid at the Office/Police station to which application is


    submitted.

    Signature

    Name………………………………….
    Date…………………………………..

    You might also like