PCC | Jhargram Police

Police Clearance Certificate

BASIC DETAILS

First Name*

Middle Name

Last Name*

Passport Size Photo*(No Selfie)

(Photo must be of 3.5cmX 4.5cm color & less 40kb)

Gender*

Date Of Birth*

Nationality*

Father's Name*

Spouse Name

Residential certificate (by Pradhan / Councillor of locality)*

Treasury challan (Rs. 300/-)*

Age proof certificate admit card/ Board certificate/School leaving certificate/Affidavit regarding date of birth before first class judicial magistrate. *

Upload Applicant Signature (Photo must be of 3.5cmX 4.5cm color & less 40kb) *

Email Address*

Mobile Number*

Enter OTP*

CONTACT DETAILS

PRESENT ADDRESS

Address1*

Address2*

Nearest Landmark*

(Applicant should reside in present address minimum for 6 months)

Pincode*

City*

State*

Country*

Select Police Station *

PERIOD OF STAYING IN THIS ADDRESS ( BY BIRTH)

From Date*

To Date*

PERMANENT ADDRESS ( Same as Present Address)

Address1*

Address2*

Nearest Landmark*

Pincode*

City*

State*

Country*

Select Police Station *

Post Office*

ADDRESS PROOF WITH PHOTO ID

Note: Attach only scanned jpg images or PDF files of your original documents. Scanned Images must be clear and readable otherwise applications will be rejected

Please Select the document for PCC

AAadhar Card Details *

Voter Card Details *

Passport Details

Driving Licence(both side) Details

Details of two responsible citizens of the locality, knowing the applicant*

Citizen : 1

Name*

Address

Signature*

(Photo must be of 3.5cm X 4.5cm color & less 40kb)

Voter Id Card / Aadhar card*

Citizen : 2

Name*

Address

Signature*

(Photo must be of 3.5cm X 4.5cm color & less 40kb)

Voter Id Card / Aadhar card*

PURPOSE

Please select the purpose for PCC*

Passport No.*

Passport Issued on*

Valid till

Place of issue*

PCC Required From*

PCC Required To*

Remarks*

JHARGRAM DISTRICT POLICE