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FBI Criminal Record Check Assessment

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Applicant Demographic Information:

1) Why do you request to obtain for FBI Criminal Record Check? Please provide the purpose of request.

2) When do you need this certificate?

3) Do you need only electronic copy or Original hard copy or both?

4) Last Name as it appears on your Passport:

5) First Name / Given name(s) as it appears on your Passport:

6) Maiden Name: as it appears on your Passport:

7) Your current Home Address:

8) Telephone:

9) Email:

10) Your Date of Birth (YYYY-MM-DD) (DD/MM/YYYY)

11) Select your Gender

12) Are you a US Citizen or Green Card holder?

Yes

13) Did you reside in USA before?

Yes

14) If yes, for how long?

15) If you were residing in USA, What was your immigration status?

16) Which state of USA, did you reside?

17) Your current citizenship is:

18) Please provide your USA Social Security Account Number (SSAN), if you acquired while in USA. (This is optional information. Your SSAN (last 4 digits only) will be used to assist verifying your identity by FBI for this PCC process because other people may have the same name and date of birth)

11)Please select Your Race

20) Please type your mailing address, where you would like to receive the FBI Criminal Record Check document.

Upload documents

Additional Information, which you would like to provide:

1) Upload copy of Primary ID with Photo (Passport Bio-Page):

2) Upload copy of Secondary ID (Driver License / Birth Certificate or other citizenship proof):

3) Upload copy of Canadian visa on your passport, if you have any:

Note: All Documents must be in English only. If documents are in your native language, please provide certified translated copies in English of your ID documents.