Transcription of Application for Police Clearance Certificate
1 HCI Ottawa/ CGI Toronto/ CGI Vancouver Application for Police Clearance Certificate 1. :_____ 2. Father's Name :_____ 3. Spouse's name :_____ 4. Date and Place of Birth :_____ 5. Occupation :_____ 6. Present Nationality :_____ 7. Current Passport No :_____ 8. Date & Place of Issue 9. If you are not a citizen of India now, were you a citizen of India formerly? :_____ If so also give Indian Passport No :_____ Place of Issue :_____ Place and issue :_____ 10. Address in India :_____ 11. Address in Canada :_____ 12. Marital Status :_____ 13. Telephone Business :_____ 14. Purpose for which the Certificate is required :_____ 15. Name of sponsoring authority :_____ if any and plan scheme under which :_____ you came to Canada 16. Have you received any financial :_____ help from the government of India / _____ state government or any other _____ institute or Organisation in India in _____ connection with your visit to _____ Canada?
2 _____ 17. Have you ever been convicted by any court in India or abroad? :_____ 18. Have you ever served under the :_____ Central / State Government of _____ India? If yes, have you resigned? _____ your service (attach copy of _____ acceptance letter) 19. Have you visited / stayed in India :_____ after acquisition of landed status / foreign _____ 20. S. No Address where stayed From To Date: _____ Signature of Applicant: _____ Time taken: Issue of Police Clearance Certificate requires references to authorities in India and elsewhere and therefore a minimum processing time of 6 weeks is required to issue.
