1. Name in full (in Block capitals) with aliases, if any.*
Upload Passport Size Photo
( Note: Photograph Background should be White )
6. Present Residential address *
7. Permanent Address with police station limits *
7a. If any previous addresses
9. Whether applicant is applying from abroad
Details of person authorised to collect certificate on behalf of applicant
10. Applicant's Passport Information*
11. References*
12. More Details
a) Have you ever been arrested/convicted in a court of law?
b) Have you ever detained under any state/central preventive detention laws for any offence?
c) Whether such conviction was sustained in the court of appeal or set aside by the appellate court if appealed against
d) If any answer is YES the full particulars of the arrests, convictions, sentences and detention should be given.
13. A declaration should be signed by the candidate
I hereby declare that the information furnished in this form is true to the best of my knowledge and belief
Challan Details
Attachments
