Download as doc, pdf, or txt
Download as doc, pdf, or txt
You are on page 1of 2

REPUBLIC

OF CYPRUS

MINISTRY OF JUSTICE
AND PUBLIC ORDER
CYPRUS POLICE
APPLICATION FOR THE ISSUANCE OF A CLEAR CRIMINAL RECORD CERTIFICATE

1. Full name...........................................................................................................................
(Capital letters)

2. Present residence and since when..


(Quote village/Town, street, number, & Post code)

3. Nationality (Only for aliens)..............................................................................................


4. Passport Number................................................ Date of issue.........................................
Place of issue.......................................................................................................................

5. Object of certificate required...............................................................................................


6. Identity Card /ARC Number...............................................................................................

Date ................................................

........................................................
Signature of applicant

Application forms can be obtained from any Police Station, or through the Internet from
the Official Police website www.police.gov.cy
Every application must be accompanied by:

2.

1. An official Receipt for the payment of the amount of 17,09. The payment could be made:
(a) in cash at any Divisional Police Headquarters or at any Embassy or Consulate of the
Republic of Cyprus,
(b) remittance to the Central Bank of Cyprus in the name of the Chief of Cyprus Police
(SWIFT CODE: CBCYCY2NACC, Government General Account, account
CY16001000010000000006001010) only in Euro, or
Identity Card /Passport /Alien Book /Pink Slip or Yellow Slip.

no.

REPORT OF CRIMINAL RECORD OFFICE


A. Checking of Particulars:
I. Date of receipt..
II. The particulars contained in the application have been checked and found correct /
incorrect.

Date.

.
Signature

B. Result of Criminal record check:

I. The applicant has no convictions.


II. The applicant has convictions.
( vide C.R. No.)
Conviction

Date.

..
Signature

C. Certificate details
Certificate No issued on . with the following
endorsements:
Date

.
Signature

You might also like