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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. The PAPER BASED SCC will be issued on the next working day

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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Transcription of APPLICATION FORM FOR PAPER BASED SECURITY …

1 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. The PAPER BASED SCC will be issued on the next working day


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