ਆਪਣੀ ਜਾਣਕਾਰੀ ਭਰੋ

POLICE CLEARANCE CERTIFICATE AFFIDAVIT

I, __________, __________, resident of __________, holding __________, ordinarily resident within __________ (the "Deponent" or "I"), do hereby solemnly affirm and declare as follows:

1. 1. MY DETAILS

1.1 I was born on __________.

1. 2. WHERE I HAVE LIVED

1. 3. CRIMINAL RECORD

1. 4. PURPOSE

4.2 I undertake to inform the police and the person or office to whom this affidavit is given if any criminal case is registered against me, or any matter stated above changes, before the clearance is issued or acted upon, and I understand that the clearance may be refused or withdrawn if any statement made here is found false.

1. 5. DECLARATION

5.1 Every statement made above is true to my own knowledge and belief, and I have concealed nothing material to this application. I am aware that making a false declaration in an affidavit is an offence.

VERIFICATION

DEPONENT

Signature: ______________________________
__________

ATTESTATION

Notary Public / Oath Commissioner
Registration No. and seal: ____________________