APPLICATION FOR POLICE CLEARANCE FOR THE PERIOD

OF STAY IN PAKISTAN

PHOTO

The Ministry of Interior,
Islamabad.

I hereby Request for……………………………………         for period………………………

(1)    Name………………………………………………………………………………

(2)    Father’s/Husband Name……………………………………………………………..

(3)    Date of Entry to Pakistan………………………………………………………….

(4)    Purpose of Visit to Pakistan……………………………………………………….

(5)    Passport No………………                                   (6)    Issued at……………………………………

(7)    Valid Up to……………….                                   (8)    Profession…………………………………

(9)    Date & Place of Birth………………………………………………………………..

(10)    Present Nationality………………………………………………………………..

(11)    Former National (if any)………………………………………………………….

(12)    Address (a) Abroad (Home Country)……………………………………………..

(b) In Pakistan……………………………………………………………………..

(13)    Visa No……………………                                   (14)    Issued By…………………………………..

(15)    Date of Expiry……………                                  (16)    Type of Visa……………………………….

(17)    Period of Overstay (if any)……………                 (18)    Residential Permit No. ……………

(19)    Date of expiry of R.P……………………..

(20)     Last Extension Granted (if any)………….

Applicant Signature