1 APPLICATION FOR POLICE CLEARANCE FOR THE PERIOD OF STAY IN PAKISTAN The Ministry of Interior, ISLAMABAD. I hereby request for For period (1) Name (2) F_Name/Husband Name: (3) Date of Entry to Pakistan: (4) Purpose of Visit to Pakistan: (5) Passport No. (6)Issued at (7) Valid upto (8) Profession (9) Date & Place of Birth: (10) Present Nationality: (11) Former National (if any) (12) Address (a) Abroad (Home Country) (b) Contact details in Canada: Cell No. And email address is compulsory. (c) In Pakistan address and phone if any (13) Visa No.
2 (14) Issued by (15) Date of Expiry (16) Type/Category of Visa (17) Period of Over Stay (18) Residential Permit No. (19) Date of Expiry of (20) Last Extension Granted (If so please quote authority/reference) APPLICANT SIGNATURE REQUIREMENT OF POLICE VERIFICAITON REPORT i) Original APPLICATION of the applicant duly signed and dated ii) Period of stayed in Pakistan. iii) Three sets of photographs for issuance of Original POLICE CLEARANCE Certificates. iv) Copies of Passport/CNIC/NICOP. v) Attested copies of enclosed documents.