Police Clearance Application Form
To
Superintendent of Police
Bagerhat
Subject: Application for Police Clearance Certificate
I, PALASH CHANDRA SAHA, 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: 1BHKJUV
Applicants Name : PALASH CHANDRA SAHA Apply Date: 02-FEB-26
Father's / Spouse Name : PARIMAL KUMAR SAHA
Mother's Name : PROMILA RANI SAHA
Date of Birth : 02-OCT-83
Salutation : Mr.
Email : [Link]@[Link]
National ID : 7336871509
Mobile NO. : 01901320375
Passport NO. : A12078426
Issuing Country : Bangladesh
Issue Date : 10-OCT-23
Issue Place : DIP/DHAKA
Expire Date : 09-OCT-33
Verification Thana : Bagerhat Sadar
Present Address Permanent Address
Vill/Area : FATEPUR Vill/Area : FATEPUR
Post office : FATEPUR Post office : FATEPUR
Road-House/Flat : - Road-House/Flat : -
District : Bagerhat District : Bagerhat
Upazilla/P.S : Bagerhat Sadar Upazilla/P.S : Bagerhat Sadar
Post Code : 9300 Post Code : 9300
Delivery
Delivery Type: By Hand
Delivery From: SP Office, Bagerhat
Attached Documents
Passport Scan Copy National ID Scan Copy Chalan Copy
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Ward Councillor Others
Certificate
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আপনার আেবদেনর সবেশষ
� অব�া জানেত আেবদেন �দ� �মাবাইেলর মধ�েম এসএমএস ক�ন PCC S 1BHKJUV িলেখ এবং পা�ঠেয় িদন 26969 ন�ের (এখােন 1BHKJUV
আেবদেনর �রফাের� নং)। িফরিত এসএমএস এ �পেয় যােবন সবেশষ
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