Application Form For Police Clearance Certificate printable pdf download

Application Form For Police Clearance Certificate

PLEASE AFFIX YOUR

RECENT PASSPORT

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APPLICATION FORM FOR POLICE CLEARANCE CERTIFICATE (PCC)

(In respect of applications to be submitted at HCI LONDON OR at CGI BIRMINGHAM OR at CGI EDINBURGH)

1. Full Name: __________________________________________

2. Father’s Name and Nationality_______________________________________________

3. Profession of the Applicant__________________________________________________

4. (a) Nationality of the applicant ______________________________________________

(b) Country, Place and Date of Birth __________________________________________

5. Passport Particulars of the Applicant:

Passport No.: _____________________

Place of Issue: ____________________

Date of Issue: _____________________

Date of Expiry: ____________________

6. (i) Pervious nationality (if you have changed your nationality) _____________________

(ii) Particulars of previous passport:

Passport No.: _____________________

Place of Issue: _____________________

Date of Issue: _____________________

Date of Expiry: _____________________

7. Have you been to India since you changed your nationality? (Please furnish details, if Yes)

8. Address in India: __________________________________________________________

_______________________________________________________________________

9. Address in UK: ____________________________________________________________

___________________________________________________POST CODE____________

Application Form For Police Clearance Certificate