警察刑事紀錄證明書/申辦作業


警察刑事紀錄證明書申辦作業
APPLICATION FORM FOR POLICE CRIMINAL RECORD CERTIFICATE

訊息列:

說明(Notes):

  1. 核發證明需2.5個工作天,但須向司法或軍法機關查詢者,不在此限。
    It takes 2.5 working days to issue a certificate. However, it may take longer if court inquiries are required.
  2. 依警察刑事紀錄證明核發條例第8條規定:申請人有下列情形之一者,不予核發警察刑事紀錄證明:
    (1)受通緝尚未撤銷者。
    (2)判決確定之刑事案件尚未執行或執行中者。
    According to the Act Governing Issuance of Police Criminal Record Certificates, Police Records will not be issued to applicants who remain on a wanted list or whose prison sentences haven’t been served or are being served.
  3. 領證及繳費事項請洽受理之縣市警察局,非本人申請需另外檢附委託書正本,受委託人於領件時須出示其證件。
    Regarding information on pick-up-records and payment for a processing fee, please check with the police agency in charge; if an application is made by a proxy, an authorization letter must be submitted (original only). Personal ID of the proxy is required when picking up a certificate.
  4. 網路申請者,於上網申請後第3日起30日內攜帶應備證件(受托領件者亦須攜帶身份證明文件)至受理單位外事課櫃台驗證及繳費領件,逾期且未繳費之申請案件作廢,請重新申辦。
    For online applicants, please pick up your certificate and pay the processing fee at the foreign affairs section service counter of the police agency in charge within the next 30 days from the third day of application. Applicants and proxies (if applicable) should present proof of identity for verification while picking up certificates. The application will be declared void if the applicant fails to pick up the record before the deadline.
  5. 若您於網路系統申請經點選送出後,發現輸入之個人資料有誤,請再重新輸入正確資料並送出即可。
    If you find errors in your application after clicking the submit button, please key in the correct information and submit it again.

申辦作業之應繳文件(Required Documents):

  1. 臺灣地區有戶籍國民:申請人國民身分證正本及影本各1份(正本驗畢歸還),或戶口名簿正本及影本各1份(正本驗畢歸還,另需出示有相片之證件);需於國外使用或登載英文姓名者,應另檢附中華民國護照基本資料頁影本1份(Not for Foreigners)。
  2. 臺灣地區無戶籍國民、大陸地區人民及香港澳門居民:中華民國臺灣地區居留證或內政部入出國及移民署核發之其他相關證件正本及影本各1份(正本驗畢歸還)(Not for Foreigners)。
  3. 外國人:護照或外僑居留證(永久居留證)正本及影本各1份(正本驗畢歸還)。
    Foreigner: Original passport or A.R.C. /A.P.R.C. and one copy. (The original will be returned after verification).
  4. 證書費:每份新臺幣100元;自102年9月1日起調整國際航空掛號資費,國外申請者,請檢附美金7元現鈔(香港、澳門地區請檢附美金6元現鈔)。
    Processing Fee: NT$100 per certificate. Due to increases in international air mail postage rate beginning on September 1st, 2013, overseas applicants should remit 7 US dollars in cash (applicants from Hong Kong and Macau should remit 6 US dollars in cash).
*領證方式 自取郵寄 *申請份數
*受理縣市 (領證地點) *付費方式 一般
*中文姓名
(NAME IN CHINESE)
曾更改姓名者請註明原名
英文姓名
(NAME IN ENGLISH)
姓(SURNAME) 名(GIVEN NAME)
*國籍
(NATIONALITY)
*出生地
(PLACE OF BIRTH)
*出生日期
(DATE OF BIRTH)
(格式:yyyy/mm/dd) *性別
(SEX)
男(MALE)  女(FEMALE)
*戶籍所在地 *身分證字號(外國人請填護照號碼)
(ID OR PASSPORT NO.)
*戶籍地址
(ADDRESS)
通訊地址
(MAIL ADDRESS)
*聯絡電話
(CONTACT TEL)
在台連絡人、電話、地址
(PERSON TO CONTACT
NAME, TEL, ADDRESS IN TAIWAN)
姓名(NAME)
電話(TEL)
地址(ADDRESS)
證明期間 全部期間  部分期間 (格式:yyyy/mm/dd)
上一次申請期間(未申請者免填) 文號
電子郵件(E-mail) (如以電子支付付費,請填入電子郵件)
*繳費證明備註
(請註明匯款日期、匯款金額、匯款機構或取件時繳費,匯款方式請洽受理之縣市警察局)

本人不克親自申辦警察刑事紀錄證明,委託他人代辦時,須填具委託書。受委託人代為申辦時,應同時出具委託書正本及雙方身分證明文件供查驗。
If you are unable to submit the application or pick up the Police Criminal Record Certificate in person and will authorize someone in your stead, you should fill out a   
power of attorney.When the authorized person acts on your behalf in the process of application, he/she should show the power of attorney and his/her proof of identity
along with yours for verification.