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Police Verification Form

This document contains a police verification form with two parts. Part 1 is filled out by the candidate and requests personal information like name, addresses, education history, employment history, military service details if applicable, and references. Part 2 is filled out by the local police and intelligence agency, who will verify the candidate's character and background. They will mark the candidate as either "suitable" or "unsuitable" and provide reasons if unsuitable. The completed form is then passed to the district intelligence agency for further vetting before being returned to the originator.

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Atiq Hussain Hannan
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431 views4 pages

Police Verification Form

This document contains a police verification form with two parts. Part 1 is filled out by the candidate and requests personal information like name, addresses, education history, employment history, military service details if applicable, and references. Part 2 is filled out by the local police and intelligence agency, who will verify the candidate's character and background. They will mark the candidate as either "suitable" or "unsuitable" and provide reasons if unsuitable. The completed form is then passed to the district intelligence agency for further vetting before being returned to the originator.

Uploaded by

Atiq Hussain Hannan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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(Just Filled the form, Dept will fwd for further processing)

POLICE VERIFICATION FORM

PART-1
(To be filled by the candidate)

1. a. Name in full (in block letter)


With aliases, if (any)

b. Nationality

Note: Addresses in pares 2, 3, 4, 6, and 13 would be given in full indicating the exact location,
i.e house/village, Post Office, Police Station, Tehsil and District.

2. a. Father’s/husband’s Name in full !


With designation, if any and !
Present address in full !
!
!
!
b. Nationality

3. Present Residential Address in Full

4. Local and other address during the last five years where the candidate has stayed for more
than six months:-

Address in Full From To

5. Date of birth _______________________


Note: In case of Ex-serviceman the date of birth will be as per the discharge certificate/ Army list, In
case of others as Matric certificate if a matriculate or above (otherwise Municipal/School leaving
certificate)

6. Place of Birth
(Full Address) ____________________________________

7. Educational qualification showing places of education with years in educational institutions from 15 th
year of the candidate’s age:-

Name of Educational Institute ! Date of Entering ! Date of Leaving


Institution ! !
8. Office or firms with description and addresses where the candidate previously worked, and the reasons for
leaving:-

Office/firm ! From ! To ! Reasons for leaving


(with full address) ! ! !

9. if the candidate has previous services in the armed forces of Pakistan, relevant entries relating to
the length of the services, nature of the duties performed and report regarding character given in
the discharge certificate/retirement orders should be entered.

Length of Service ! Unit and Nature of Duties ! Character


From ! To ! Performed !

10. A certificate for character from the


Educational institute last attended by
The candidate to be attached

Note: The employing authority should verify that the character assessment in the discharge
certificate/ retirement orders/character certificate is satisfactory.

11. State whether

Arrested Prosecuted Convicted in any case Restricted/extorted


Political Or
otherwise

Note: If so, full particulars including dates should be furnished

Date

12. Full particulars of the candidate’s near relation if any i.e real brother, first uncle and first
relation-in-law, who are in Govt services in Pakistan and else where, specifying the posts held,
and where posted:-

Name Relation Post Held Place of Duty(full address)


13. Names with full addresses of two referees in Pakistan
Not related to the candidate, who can testify the
Candidate,s character and antecedents.

Name ! Full Address

Dated
Candidate’s Signature

AFFIRMATION

I solemnly affirm that the forgoing information is true to the best of my knowledge and belief. I fully
understand that any false statement of material omission shall render me liable to disciplinary
action and/or dismissed from services.

Dated
Candidate’s signature

Part II

(To be filled by the superintendent of police and intelligence agency concerned at the requested of the
original)

SUITABLE
UNSUITABLE (For the following reasons):-

No Date

Place Signature of Police


Superintendent

Note:- After verification of character and antecedents of the candidate concerned by the police, the
verification roll should be passed on by the superintendent of police in the case of west Pakistan to the
district CID, and in the case of east Pakistan to the intelligence branch vetting by them and return to the
originator.

No Date

Forwarded to the District CID/Intelligence Branch

*District CID/Intelligence Branch


*Delete which is not applicable
Date

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