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3/2/2021 application form FOR PCC1/3 CONSULATE GENERAL OF INDIALEVEL 1, 265 CASTLEREAGH STREET SYDNEY, NSW 2000, AUSTRALIA00-61-2-92232702, form FOR POLICE CLEARANCE CERTIFICATEG enerated On: 3/2/2021, 5:21:23 AMSERVICE REQUIREDA pplication Reference Number21-2000765940 Purpose of PCCRESIDENCE PERMITC ountry for which PCC is requiredAUSTRALIAPASSPORT DETAILSP assport NumberN00000 Date of Issue (DD/MM/YYYY)24/11/2018 Date of Expiry (DD/MM/YYYY)24/11/2027 Place of IssueSYDNEYFile Number00000000 APPLICANT DETAILSA pplicant's NameTEST TESTDate of Birth (DD/MM/YYYY)05/05/1990 Place of Birth (Village/Town/City)

SAMPLE APPLICATION FORM FOR PCC APPLICATION FORM FOR POLICE CLEARANCE CERTIFICATE SAMPLE FORM ONLY SAMPLE FORM ONLY SAMPLE . 3/2/2021 APPLICATION FORM FOR PCC 2/3 Address TEST, TEST ... and use of an Indian passport. I affirm that the information and particulars given by me in this form are true and correct. I …

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