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Police Clearance Certificate Application

MD Sumon Mia has submitted an application for a Police Clearance Certificate to the Superintendent of Police in Tangail for the purpose of traveling abroad. The application includes personal details such as his father's name, mother's name, date of birth, and contact information, along with attached documents like a National ID and passport copies. The application reference number is 1CVQAVR, and applicants can check the status via SMS.

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0% found this document useful (0 votes)
13 views1 page

Police Clearance Certificate Application

MD Sumon Mia has submitted an application for a Police Clearance Certificate to the Superintendent of Police in Tangail for the purpose of traveling abroad. The application includes personal details such as his father's name, mother's name, date of birth, and contact information, along with attached documents like a National ID and passport copies. The application reference number is 1CVQAVR, and applicants can check the status via SMS.

Uploaded by

mdk561649
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

10/20/25, 8:00 AM Print

Police Clearance Application Form


To
Superintendent of Police
Tangail

Subject: Application for Police Clearance Certificate

I, MD SUMON MIA, 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: 1CVQAVR


Applicants Name : MD SUMON MIA Apply Date: 20-OCT-25

Father's / Spouse Name : MD BULBUL


Mother's Name : MST REHENA KHATUN
Date of Birth : 12-SEP-04
Salutation : Mr.
Email :
National ID : 5132311886
Mobile NO. : 01614615165
Passport NO. : A20448286
Issuing Country : Bangladesh
Issue Date : 11-OCT-25
Issue Place : DIP/DHAKA
Expire Date : 10-OCT-35
Verification Thana : Madhupur

Present Address Permanent Address


Vill/Area : MAHISHMARA Vill/Area : MAHISHMARA
Post office : SUNAMGANJ BAZAR Post office : SUNAMGANJ BAZAR
Road-House/Flat : - Road-House/Flat : -
District : Tangail District : Tangail
Upazilla/P.S : Madhupur Upazilla/P.S : Madhupur
Post Code : 1996 Post Code : 1996

Delivery From: Madhupur Thana, Tangail

Attached Documents
Ward Councillor Certificate Download
National ID Scan Copy Download
Passport Scan Copy Download
Chalan Copy Download

আপনার আবেদনের সর্বশেষ অবস্থা জানতে আবেদনে প্রদত্ত মোবাইলের মধ্যমে এসএমএস করুন PCC S 1CVQAVR লিখে এবং পাঠিয়ে দিন 26969 নম্বরে (এখানে 1CVQAVR
আবেদনের রেফারেন্স নং)। ফিরতি এসএমএস এ পেয়ে যাবেন সর্বশেষ স্ট্যাটাস

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