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Z.R.

P FORM 71
APPLICATION FOR DISCHARGE
INSTRUCTIONS
This form to be submitted in single copy by all member when applying for their discharge, and is to be forwarded through the
usual channel to Police General Headquarters, Harare, with the minimum delay.

Force Number C/D Date of Birth Rank

Surname and Initials

Branch:

Station:…………………………………………… District:………………………………………Province:………………………..

Date of attestation Date of Discharge (i.e last working day)

Future Postal address:………………………………………………………………………….

Reason for submitting application:……………………………………………………………………………………………………


…………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………
(NB. If the space above is too small, attach annexure)

Date ……………………………………………
(Signature of applicant)
._______________________________________________________________________________________________________

The Officer Commanding Police

1. Exit interview conducted on………………………………………………….(date)…………………………

2. Comments:

3. Member is currently pending trial for a criminal offence:-

Yes No

4. If (3) above is Yes, give brief circumstance and Crime Register Reference

5. Conduct Classification is

Recommended Not Recommended


6.

Date:
……………………………..
(Officer-In-Charge)
The Officer Commanding Police

………………………………Province

Recommended Not Recommended

Comments………………………………………………………………………………………....................................

………………………………………………………………………………………………………………………....

…………………………………………………………………………………………………………………………

Date

………………………………………….
(Officer Commanding Police)

………………………………..District

The Commissioner General of Police


Z.R. Police General Headquaters

Referred please,

Recommended Not Recommended

Comments…………………………………………………………………………………………………………….....
...........................................................................................................................................................................................
...........................................................................................................................................................................................

Date
…………………………………………..
Officer Commanding Police

…………………………....Province

APPROVED NOT APPROVED

Date:

………………………………………………...
(Commissioner General of Z.R. Police)
(N.B.*=tick appropriate box)

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