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APPLICATION FORM FOR PAPER BASED SECURITY …

POST BOX NO. 133, TASHICHHODZONG, THIMPHU, BHUTAN Tel: 02-326949/322141/17799552 Fax: 00975-324623, PABX: 00975-322301/322015/325173 Website: APPLICATION form FOR PAPER BASED SECURITY CLEARANCE CERTIFICATE (SCC). The PAPER BASED SCC is issued for availing education, employment, visa etc. in other countries. 1. NAME:.. 2. CITIZENSHIP IDENTITY CARD 3. PURPOSE: A.. B.. C.. 4. NAME & CID NUMBER OF THE DEPENDENT (IF ACCOMPANYING) A.. B.. 5. ANY OTHER PURPOSE FOR DEPENDENT, IF ANY. A.. (Signature of applicant) Name : Date : Contact No.: Note: 1. The applicant(s) must have their SCC approved in the online system 2.

POST BOX NO. 133, TASHICHHODZONG, THIMPHU, BHUTAN Tel: 02-326949/322141/17799552 Fax: 00975-324623, PABX: 00975-322301/322015/325173 Website: www.mohca.gov.bt

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