Application Details

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3/5/24, 11:00 AM Application Details

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Police Clearance Application Form


To
Superintendent of Police
Cumilla

Subject: Application for Police Clearance Certificate

I, SANJOY CHANDRA DAS, 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: 16FP3WX


Applicants Name : SANJOY CHANDRA DAS Apply Date: 05-MAR-24
Father's / Spouse Name : JAGODIS CHANDRA DAS
Mother's Name : POTUL RANI DAS
Date of Birth : 24-SEP-90
Salutation : None
Email : avirhasan03@gmail.com
National ID : 5103095336
Mobile NO. : 01984995543
Passport NO. : A01414136
Issuing Country : Bangladesh
Issue Date : 28-FEB-23
Issue Place : DIP/DHAKA
Expire Date : 27-FEB-33
Verification Thana : Muradnagar

Present Address Permanent Address


Vill/Area : JATRAPUR Vill/Area : JATRAPUR
Post office : JATRAPUR Post office : JATRAPUR
Road-House/Flat : - Road-House/Flat : -
District : Cumilla District : Cumilla
Upazilla/P.S : Muradnagar Upazilla/P.S : Muradnagar
Post Code : 3542 Post Code : 3542

Delivery From: SP Office, Cumilla

Attached Documents
Passport Scan Copy Download
National ID Scan Copy Download

https://pcc.police.gov.bd/ords/pcc2/r/pcc/28?p28_pid=6164542&clear=28&session=3827849890667&cs=1QHtzidJTf1U47HwkE6kSYEYAoj0 1/2
3/5/24, 11:00 AM Application Details

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Birth Certificate Scan Copy Download
Chalan Copy Download

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আপনার আবেদনের সর্বশেষ অবস্থা জানতে আবেদনে প্রদত্ত মোবাইলের মধ্যমে এসএমএস করুন PCC S 16FP3WX লিখে এবং পাঠিয়ে দিন 26969 নম্বরে (এখানে
16FP3WX আবেদনের রেফারেন্স নং)। ফিরতি এসএমএস এ পেয়ে যাবেন সর্বশেষ স্ট্যাটাস

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https://pcc.police.gov.bd/ords/pcc2/r/pcc/28?p28_pid=6164542&clear=28&session=3827849890667&cs=1QHtzidJTf1U47HwkE6kSYEYAoj0 2/2

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