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“Certificate of Case Reporting Record” Application Form

1.Applicant’s Personal Information

* Name：
*
 
*
* Place of Issue：
* Date of Issue：
* Contact number：
* Email：

2. Apply

*   Chinese Certificate     Set(s)
  Portuguese Certificate     Set(s)
Theft  Robbery  Assault  Blackmail  Arson   Missing Person   Fraud  Use of Counterfeit Currency  Abuse of Credit Card  Abuse of Trust  Usury  
Others：
*
A. Certificate to be submitted to (Name of Entity)：
B. Personal Use
C. Other Purposes：
(Fill in at least one item of items A, B and C above)
1. Proof of filing a case with the Judiciary Police
2. List of stolen items and the relevant value
3. Insurance Claim (Name of Insurance Company)：
4. Replacement of Document：
    B.I.R.M.
    Mainland Travel Permit for Hong Kong and Macao Residents (Home Return Permit)
    B.I.N./ Portuguese Passport
    Macao SAR Passport
    Driving Licence/ Vehicle Registration Booklet
    Special Stay Permit/ Non-resident Worker’s Identification Card
    Other Documents：
5. Cancellation of Vehicle：
    Motorcycle/ Automobile (Car plate number)：
(Choose at least one of the 1 to 5 items above)
* Verification Code

3. Satisfaction Level Survey

* Do you agree with the Judiciary Police’s usage of the information on this application form to contact you for satisfaction level survey?
    

Entrusted Collection of Certificate of Case Reporting Record

* If the applicant or legal agent cannot come to the Judiciary Police to collect the Certificate of Case Reporting Record in person, please complete the column below and attach an ID copy of the applicant or legal agent. To collect the Certificate, the entrusted party is required to present the original ID document. Please download authorization

    
Privacy Terms
The personal data entered by the applicant shall only be used within the system and printed on the electronic receipt. This online application service uses Secure Sockets Layer(SSL) to maintain the confidentiality of the above-mentioned information.
Terms of Use
 
Note :
1. * represents a required field.
2. The applicant of Certificate of Case Reporting Record must be the person reporting the case or an interested party.
3. As the Certificate of Case Reporting Record involves important personal information and confidential criminal case information, the applicant/ interested party must maintain the confidentiality of the information concerned.
4. The personal information collected by our Bureau from this application form will be strictly handled in accordance with the stipulation of Law no.8/2005, Personal Data Protection Act.