TO BE FILLED BY APPLICANT IN CAPITAL LETTERS

POLICE CHARACTER CERTIFICATE

(ONLY FOR VISA/IMMIGRATION PURPOSE)
To:

The Senior Superintendent of Police,

Islamabad.

Dear Sir,

One Photo to
be pasted
here
and 2 Photo
attached back
side of this
form

Please issue a CHARACTER CERTIFICATE for the following particulars:

1. Name
2. S/O, D/O, W/O,
3. Permanent Address
4. Address in Islamabad
5. Period of stay in Islamabad at the above mentioned address
6. Profession

Date of Birth

7. Passport Number

Place & date of issue

8. National ID Card No

Place & date of issue

9. Name of Foreign Country required Police Character Certificate

10. Purpose of obtaining
Character Certificate
Date
Signature of Applicant

THE APPLICANT WILL HIMSELF PRODUCE THE FOLLOWING DOCUMENTS AND

COLLECT THE CHARACTER CERTIFICATE PERSONALLY.
I.

Three passport size photographs (01 Photo to be pasted at the above

mentioned space which will be signed and stamped by the concerned SHO and
Two Photo to be attached with the application form).
II. Photocopy of Passport, (Attested by Gazetted Officer)
III. Photocopy of National ID Card (NADRA) (Attested by Gazetted Officer).
IV. Residence Proof in Islamabad. (Copy of allotment or lease agreement)
V. Original NOC (Only for Government/Semi Govt. Servant/Corporation).
VI. Affidavit and authority letter (If applicant is living in Abroad)

ACTION BY OFFICE OF THE SENIOR SUPERINTENDENT OF POLICE

For Senior Superintendent of Police,
Islamabad
SHO

PS

S.S.P. OFFICE NO.

Dated:

Report by Lumberdars/Respectable/Gazzetted Officer

It is certified that Mr/Mrs/Ms.
S/O, W/O, D/O
Has/had been residing/resided at

From

To

i) By Name Stamp & Signature of ii)

Signature of 02 Neighbors/Respectable
Gazzetted Officer/
with NIC No.
Councilor/Lumberdar
and also obtained Photocopy of NIC
and also obtained Photocopy of NIC

ACTION BY THE POLICE

REPORT OF SI/ASI

1. Address in Islamabad.

2. Period of Stay at above address (From

To

Signature of SI/ASI

REPORT OF Moharrar;
3. Detail of Criminal Record (if any)
Period: From

To

Stamp/Signature of Moharrar
SHOs Report;
STAMP AND SIGNATURE OF SHO
SDPOs Report
STAMP AND SIGNATURE OF SDPO

Specimen Authority Letter

AUTHORITY LETTER
I, Mr. _________________________________________________________________
S/O __________________________________________________________________
CNIC # _______________________________________________________________
Hereby authorized my real Father/Brother /Son/Cousin or relative
Mr.______________________________________________________________________
S/O___________________________________________________________________
CNIC #________________________________________________________________
residentof_________________________________________________________________
_______________________________________________________________________
to process and signed my behalf and collect my Police Clearance Certificate from SSP
Office, Islamabad.

Signature _______________________
Name: __________________________
Fathers Name____________________
Passport No. ____________________
Address in Abroad________________

Specimen Affidavit
At Stamp Paper (Rs-10)
Attested by Notary Public

AFFIDAVIT
I,

S/O____________________

NIC

No.

______________________

Resident of_____________________________ do hereby solemnly affirm and declare as

under:1.

That the deponent is fully conversant with the contents of this affidavit.

2.

That _____________ S/O _____________NIC No. _______________________ is

my real _________ and was resided at _______________________________
from ____________________ to __________________________ and He/ She is
alive and presently residing abroad.

3.

That I declare on the oath that he is not involved in any extremism religious

or

ethical groups and have no concerned at all and also not involved in any
sectarianism.
4.

That there is no criminal case recorded against him in any court of law and

antecedent to be cleared by the Police Department/investigation

5.

his

agencies.

That now my above named (Father/Brother/Son or other relative) is in need of

the

Character Certificate for visa/immigration purpose.

6.

That at any stage if any thing is found adverse I will be held responsible for that.
That the contents of the affidavit are true and correct to the best of my knowledge

and belief and nothing has been concealed.

Deponent:______________________________________
Mr.

___________

S/O_________________

NIC No:________________________________________
Passport No.____________________________________
(Copy attached)

Witness # 01:-____________________ Witness # 02:-_________________________

NIC No. ________________________ NIC No. ______________________________
(Copy attached)

(Copy attached)