PERSONAL DATA
個人資料
(For Official Use Only本欄不用填寫)APPLICATION FOR CERTIFICATE OF NO CRIMINAL CONVICTION
無犯罪紀錄證明書申請表
I, the undersigned, hereby make application to the Commissioner, Hong Kong Police Force for a Certificate of No Criminal Conviction: -
本人,下列署名者,現向香港警務處處長提出申請無犯罪紀錄證明書: -
i. 請用黑色或藍色筆以正楷填寫本申請表
Please complete this form in Block letters using black or blue pen.ii 請在適當空格內填上剔號「」
Please tick as appropriate()
姓名 (英文) Name in English (SURNAME, Given Names)
姓名 (中文) Name in Chinese中文姓名商業電碼 (如有) Chinese Commercial Code (if any)
性別 Sex男 Male
女 Female出生日期 Date of Birth (YYYY/MM/DD)香港身份證(如為香港居民)/ 旅行證件號碼 HK Identity Card (for HK resident) / Travel Document no.
通訊地址 Correspondence Address
香港聯絡電話號碼 (如有) Contact no. in HK (if any)電郵地址 Email Address
Note: Applicants for Certificates of No Criminal Conviction should familiarize themselves with the "Notes to Applicants" which contain the terms and conditions for the issue of Certificates of No Criminal Conviction.