POLICE DEPARTMENT APPLICATION FOR STUDY PERMISSION 1. Name of the applicant : 2. Designation and office in which working : 3. Date of appointment : 4. Court of study : 5. Academic year : 6. Month & Year in which the examination is to be held : 7. Name of the University/College : 8. Nature of study (Regular / Correspondence / Part-time) : DECLARATION I hereby declare that my preparation for the examination will not affect my normal official duties. SIGNATURE OF THE APPLICANT Place : Date :