Yours Free Certificate of Police Clearence

To

          The Office In Charge

          Hajigonj Police Station

          Chandpur.

Subject : Prayer for General Diary.

Dear Sir,

          With due respect I the undersigned SOLAYMON MIAHAMAN son of Abdur Rouf, Village – Kadla, Police Station- Kachua, District – Chandpur do hereby complain in written that on last 05/12/06 while I was coming back to my house from my relation’s house, that means on the way to Hajigonj Bazar to Sonaimuri I have lost my Passport No. R-0011007. After long time search I could not find out it. It is necessary to file General Diary to your Police Station.

Therefore, I pray and hope that you would be king enough to file the matter of losing my passport for future and oblige thereby.

Ref: Hajigonj Police Station Case No. 289 Dated: 6/12/06 Sd/- Illegible 6/12/06 Duty Officer Hajigonj Police Station Chandpur.

Applicant- Sd/- Solaymon Miahaman Dated: 06/12/06