Punjab Private Security Agencies Rules, 2007
Punjab Private Security Agencies Rules, 2007
Punjab Private Security Agencies Rules, 2007
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11<br />
Form I<br />
(See rule 3)<br />
Form for verification of Antecedents of Applicant.<br />
Thumb impression of the Applicant __________________________<br />
Signature of the Applicant _________________________________<br />
For official use only<br />
Passport Size<br />
recent<br />
photograph<br />
attested by<br />
Gazetted<br />
Officer<br />
Form Number<br />
Name of the police station to which sent for<br />
police verification<br />
Date<br />
Fee Amount Rs. ______________________ Cash/<br />
D.D.____________________<br />
Name of Bank ______________________ D.D. No.<br />
______________________<br />
Date of Issue ________________________<br />
Please read the instructions carefully before filling the form. Please fill in BLOCK<br />
LETTERS: (CAUTION: Please furnish correct information. Furnishing of incorrect<br />
information or suppression of any factual information in the Form will render the<br />
candidate unsuitable for grant of licence.<br />
1. Name of the applicant (initials not allowed)<br />
Last Name _________________ First Name ___________________<br />
2. If you have ever changed your name, please indicate the previous<br />
name(s) in<br />
full ______________________________________________________.<br />
3. Sex (male/female) ______________________
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