APPLICATION FOR CERTIFICATE OF NO CRIMINAL CONVICTION (CNCC) Applicants are to apply in person to CNCC Office, Blk D Police Cantonment Complex, #02-01A, 391 New Bridge Road, Singapore 088762 between 9.00am to 12 noon, Monday to Friday (closed on public holidays). Applicants who are overseas may apply by post. All correspondences pertaining to CNCC are to be addressed to: Head Criminal Records, CID (CNCC), 391 New Bridge Road, Blk C Police Cantonment Complex, Singapore 088762. The application process takes about 2 weeks. The following requirements are to be fulfilled by all applicants: 1. This application form must be completed in full. 2. A set of applicant s fingerprint impressions must be submitted with the application. Applicants applying in person can be fingerprinted at CNCC office at the time of application. For application by post, the applicant must submit a set of his/her fingerprint impressions taken by a qualified Fingerprint Officer at a local Police Station of the country he/she is now residing. 3. Applicant must produce a current international passport at the time of application. Non- Singapore citizen applicants must furnish documentary proof for the period of stay in Singapore, i.e. arrival and departure endorsement on old/current passports or other relevant documents. Photocopies of the mentioned documents must be enclosed with the application form for all application by post. 4. Two recent passport size photographs (size 3.5cm x 3cm).[Instant photo machine is available outside CNCC office for your convenience. S$7 for 4 passport size photos.] 5. A fee of S$45.00 for each application submitted and collected in person. Fee for application by post is S$50.00 inclusive of postage. Payment for application by post is to be made via bank draft payable to Head Criminal Records CID. 6. Applicant must produce documentary proof from foreign immigration/government bodies or embassies to show proof that the certificate is required by such authority. 7. Applicants must declare that they have or have not been convicted of any criminal offences in Singapore. (i) I HAVE NOT BEEN CONVICTED OF ANY CRIMINAL OFFENCE DURING MY STAY IN SINGAPORE. SIGNATURE OF APPLICANT OR (ii) I HAVE THE FOLLOWING CONVICTIONS IN SINGAPORE: OFFENCE SIGNATURE OF APPLICANT OFFICIAL USE ONLY REF : REC: FORM CRO 57 - This form contains 5 pages. ACK : : - 1 -
A. PERSONAL DATA OF APPLICATION 1. IDENTIFICATION NO. (NRIC/FIN/UIN)* 2. CURRENT PASSPORT NO. 3. EXIT PERMIT NO. (IF APPLICABLE) 4. NAME IN FULL (AS IN PASSPORT) MR/MRS/MDM/MISS 5. SEX 6. RACE 7. PRESENT OCCUPATION 8. SALARY (P.M.) 9. PLACE OF BIRTH 10. OF BIRTH 11. NATIONALITY 12. ARE YOU A SINGAPORE PERMANENT RESIDENT? YES/ NO/ N.A. 13. MARITAL STATUS [ ] SINGLE [ ] MARRIED [ ] SEPARATED [ ] DIVORCED [ ] WIDOWED 14. NATIONALITY OF SPOUSE 15. NO. OF CHILDREN 16. TELEPHONE NO. 17. RESIDENTIAL ADDRESS 18. POSTAL ADDRESS (if different from residential address) 19. HIGHEST EDUCATION ATTAINED [ ] NO EDUCATION [ ] PRIMARY [ ] SECONDARY [ ] GCE O LEVEL [ ] GCE A LEVEL [ ] DIPLOMA [ ] DEGREE (BASIC/HON) [ ] MASTERS [ ] PhD [ ] OTHERS (PLEASE SPECIFY) 20. LANGUAGE STREAM IN SECONDARY SCHOOL FIRST LANGUAGE SECOND LANGUAGE 21. PERIOD OF STAY IN SINGAPORE (SHOW DOCUMENTARY PROOF) FROM TO (DD/MM/YY) (DD/MM/YY) WORK PERMIT/ EMPLOYMENT PASS / STUDENT PASS / DEPENDANT PASS NO. * Non-Singapore citizen is to provide the Foreigner Identification Number (FIN No.) stated in his/her work permit, employment pass or dependant pass issued by the Singapore Immigration Authorities, if any. - 2 -
B. REASONS FOR APPLICATION 22. DESTINATION 23. OF INTENDED DEPARTURE 24. PURPOSE [ ] MIGRATION (GO TO Q25) [ ] EDUCATION (GO TO Q26) [ ] BUSINESS [ ] EMPLOYMENT (GO TO Q27) [ ] MARRIAGE [ ] ADOPTION [ ] OTHERS (Please specify) 25. What are your reasons for emigrating? (please select only 3 boxes as the most important reasons and rank them in order of importance, with 1 indicating as the most important) High cost of living in Singapore Singapore is too regulated and stifling Better career/ business prospects overseas Better and less stressful education opportunities for your children Prefer a more relaxed lifestyle To be united with close family members who migrated earlier Do not want your son/s to serve National Service Retirement abroad Marriage to a foreign national Uncertain future of Singapore Others (specify) 26. EDUCATION PURPOSE: A. LEVEL OF STUDY (EG. A LEVEL, DIPLOMA, DEGREE) B. FIELD OF STUDY (EG. ECONOMICS, COMPUTER SCIENCE ETC) C. YEAR OF STUDY (EG. FIRST YEAR) D. DURATION OF COURSE 27. EMPLOYMENT PURPOSE: A. OCCUPATION B. FOR HOW LONG? YEARS MONTHS - 3 -
C. FOR SINGAPORE CITIZENS AND PERMANENT RESIDENTS ONLY. 28. DO YOU HAVE ANY SINGAPORE RELATIVES CURRENTLY STAYING IN YOUR COUNTRY OF DESTINATION? [ ] YES HOW MANY? [ ] NO 29. HAVE YOU EVER STUDIED / WORKED ABROAD? [ ] NO [ ] YES STATE NUMBER OF YEAR COUNTRY LEVEL OF EDUCATION NATURE OF WORK - 4 -
D. FOR SINGAPORE CITIZENS AND PERMANENT RESIDENTS ONLY PARTICULARS OF APPLICANT S ACCOMPANYING FAMILY MEMBERS RELATIONSHIP TO APPLICANT NAME SEX NRIC/BC NO. AGE CITIZENSHIP EDUCATIONAL LEVEL SPOUSE CHILDREN 1. 2. 3. 4. 5. - 5 - CURRENT COUNTRY OF RESIDENCE APPLYING FOR CERTIFICATE OF NO CRIMINAL CONVICTION? EMIGRATING/ TRAVELLING WITH APPLICANT?