Indian Police Clearance Certificate for Foreign Nationals Form

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PCC for Foreign Nationals

Step 1 of 2

Applicant Given name*
Surname
Purpose of PCC*
Birth Details*
District State Pincode of Birth Place
Marital Status*
Educational Qualification*
Length of residence abroad/out of India*
Adhaar Number (If any)
Father Name as per passport
Given Name*
Surname
Mother Name as per passport
Given name*
Surname
Spouse Name as per passport
Given name
Surname
Police Station (As per Indian passport address)*
Police Station
Local Address (Australia)*
Street Address City State / Province / Region ZIP / Postal Code Country
Permanent Indian Address*
Street Address
Indian Contact Number*
Australian Contact Number*
Employment type*
Employer Name
Employer address*
Street Address
Employer Contact Number*
Email Id*
Duration of stay in India (Last Visit)*
Type of Visa during Stay (Last Visit)*
Visa number*
Passport number on which Visa was issued*
Length of residence Outside India (in years)*
Two references in India (other than family member)
References in India
e.g. Neighbors/Friends/Relatives living in the Same Area. House Number should be DIFFERENT.
1. Reference person Details (in India)
e.g. Neighbors/Friends/Relatives living in the Same Area. House Number should be DIFFERENT.
Contact name*
Address*
Street Address Address Line 2 District State / Province / Region ZIP / Postal Code Country
Mobile Number*
2. Reference person Details (in India)
e.g. Neighbors/Friends/Relatives living in the Same Area. House Number should be DIFFERENT.
Contact Name*
Address*
Street Address Address Line 2 District State / Province / Region ZIP / Postal Code Country
Mobile Number*

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	Land Line: 03 9088 0486
Email:	[email protected]

Indian Police Clearance Certificate for Foreign Nationals Form

PCC for Foreign Nationals

Step 1 of 2

Father Name as per passport

Mother Name as per passport

Spouse Name as per passport

Two references in India (other than family member)

References in India

1. Reference person Details (in India)

2. Reference person Details (in India)

Consular Mitra

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