Check Check Check

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Ver 1.0 April 1, 2015.

Guide Guide Guide Guide

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Check Check Check

Check Check Check Check Check Check Check Check Check Check Check Check Check Check (Criminal (Criminal (Criminal (Criminal (Criminal (Criminal (Criminal (Criminal (Criminal (Criminal (Criminal (Criminal (Criminal (Criminal (Criminal (Criminal (Criminal Records) Records) Records) Records) Records) Records) Records) Records) Records) Records) Records) Records) Records) Records) Records) Records) Records) Certificate Certificate Certificate Certificate Certificate Certificate Certificate Certificate Certificate Certificate Certificate Certificate Certificate Certificate Certificate Certificate Certificate Check (Criminal Records) Certificate

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Korean

Korean Korean Korean Korean Korean Korean Korean Korean National National National National National National National National National National Police Police Police Police Police Police Police Police Police Police Agency Agency Agency Agency Agency Agency Agency Agency Agency Agency

Korean National Police Agency

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Guide to the Application for a Background Check (Criminal Records) Certificate

The Criminal Records Certificate was changed to the Background Check (Criminal Records) Certificate in April 2015. The Certificate is classified into the Foreign Visa Application, Citizenship Application, and Background Check for those who have overseas visas (permanent residence) or citizenship and issued after their background has been checked (7 days).

1. Requirements

Application for a Background Check (Criminal Records) Certificate is only by those for whom it is necessary (in-person application for Koreans or foreigners who are allowed to stay in Korea for a specific period).

※ The government worker receiving the application verifies the applicant with the passport (passport must be presented for foreign applicants) or identification card.

2. Basic Documents

• Application Form (Appendix No. 1-1, 1-2 or 1-3)

(to be written in the applicant's own handwriting)

• Bust shot without a hat taken within 6 months, one photo (3x4cm)

• A copy of the passport (copy the page containing nationality, name and date of birth)

2-1. The following applicants must submit additional documents - [Basic and Additional Documents] to be submitted.

• Foreigners: CERTIFICATE OF ALIEN REGISTRATION or Copy of ALIEN-CARD

• Koreans born abroad (Whose resident registration number starts with 1, 2, 3 or 4) - Basic Certificate

※ Koreans who moved to foreign countries before 1975 (Resident Registration Act revised) or those who have not registered for resident registration.

• Minors (younger than 19) : Basic certificates

※ Certificate of Parents/Legal Representative/Guardian to be presented (not required for submission)

3. General Application and Check Procedure [See Guide on Filling Out an Application Form and Civil Application Form]

• The applicant must make an in-person visit to any police station (including Police Agency) or diplomatic office and apply for a Background Check (Criminal Records) Certificate.

※ For your convenience, please call the foreign affairs department at your nearest police station (including Police Agency) before visiting to make an appointment.

• The officer responsible will verify the application form and the applicant with the identification card and will receive the documents.

• After a 7-day background check, a Background Check (Criminal Records)

Certificate will be issued.

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3-1. Application by International Carrier Service (fees to be paid by applicant) – [Basic and Additional Documents] to be submitted.

• Application via an international carrier service is allowed only when a diplomatic office is far away while the applicant is residing in a foreign country.

Fingerprint Identification Form (Appendix Form 12), Background Check (Criminal Records) Certificate (Appendix Form 1-3), and Letter of Attorney if needed (Appendix Form 13-3) must be filled in the applicant's own handwriting with an accompanying fingerprint.

※ It will take about 30 days from the receipt of the application to the background check including a fingerprint check.

• If the applicant can visit a diplomatic office while residing in a foreign country but needs to ask others to apply in Korea, the applicant fills out the application form and Letter of attorney (Appendix Form 13-1), receives approval from a consul, and submits documentation by an international carrier service.

3-2. Application at a diplomatic office in a foreign country and request a person in Korea to get the certificate from a police station (including Police Agency) in Korea - [Basic and Additional Documents] to be submitted.

• The application form is submitted to a diplomatic office in a foreign country and sent to Korea and an authorized person in Korea receives the certificate in Korea

1) Basic documents. Letter of Attorney (Appendix Form 13-1) needs to be certified by a consul.

2) The certificate can be received only in a police station in Korea designated by the applicant in a diplomatic office.

4. Guide for Filling Out an Application Form and Civil Application Form [ Distribution in Minwon-sil (Civil Services Center), Police Station (including Police Agency) ]

• How to Fill Out a Background Check (Criminal Records) Certificate Application Form.

［Download and fill out the relevant application form]

- How to Fill Out the Application Form for a Diplomatic Office[Appendix Form 1-1] and Sample [Download]

- How to Fill Out the Application Form for a Police Station (including Police Agency) [Appendix 1-2] and Sample [Download]

- How to Fill Out the Application Form for a international carrier service (Including Fingerprint Identification Form) [Appendix Form 1-3] and Sample [Download]

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• Application Form download : Police Petition Website→ Customer Center

→ Forms→ Click Foreign Affairs Department.

- Application Form [Appendix Form 1-1] - for Diplomatic Offices [Download]

- Application Form [Appendix Form 1-2] - for Police Stations [Download]

- Application Form [Appendix Form 1-3] - for international carrier service (Including Fingerprint Identification Form) [Download]

- Letter of Attorney [Appendix Form 13-1] - exclusively for diplomatic offices (including notarization by a consul) Distribution in diplomatic office

- Letter of Attorney [Appendix Form 13-2] - exclusively for police stations (including Police Agency) Distribution in Minwon-sil (Civil Services Center) - Letter of Attorney [Appendix Form 13-3] - exclusively for international

carrier service (including fingerprint by oneself)[Download]

5. Inquiry

If you have more inquiries, Dial ‘182’ without area code (when the caller is in Korea), ‘+82-2-182’ (when the caller is overseas)

6. Information on Background Check (Criminal Records) Certificate

(Relevant Act: Act on the Lapse of Criminal Sentences)

Applicant Purposes Certificates

(Relevant Acts) Issued by Remarks

Applicant

･ For visa (permanent residence) application

※ Marriage visa for a spouse (Except invitation visa to

Korea)

･ For citizenship application (including USA)

･ For checking background (for usage abroad)

Background Check (Criminal Records) Certificate

(Paragraph 5, Clause 1, Article 6)

Any police stations (including Police Agency) in Korea (dealing with foreign affairs)

Submission in Korea is not allowed

※ To be submitted to a diplomatic office of a foreign country in Korea

Diplomatic Office

When required for suits or criminal investigation

Official Criminal Records Bulletin

(Paragraph 1, Clause 1, Article 6)

Foreign Affairs Department, National Police Agency (Background Check Team in the Foreign Affairs Department)

Visa of Korea (F-6) for a spouse of a Korean in accordance with the

"International Marriage Program"

acknowledged by the Ministry of Justice

Issuance to an individual is not allowed because of no specified form for individual issuance in accordance with the Immigration Control Act

By submitting the application form to the Foreign Affairs Department, National Police Agency or by official notice from a diplomatic office

A diplomatic office must make a request by official notice because of the different scope of the bulletin.

Individual

For checking an applicant (Submission or presentation for other purposes is subject to punishment)

Criminal or Investigation Record Inquiry Bulletin (Paragraph 4, Clause 1, Article 6)

Data Processing Center of Police Station

Judicial action or accusation for applicants who use the certificate for other purposes

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Ver 1.0 April 1, 2015.

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Korean Korean Korean Korean Korean Korean Korean Korean National National National National National National National National National National Police Police Police Police Police Police Police Police Police Police Agency Agency Agency Agency Agency Agency Agency Agency Agency Agency

Korean National Police Agency

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Guide to Fill Out the Application Form for the Diplomatic Office [Appendix 1-1] and Sample Form

When Koreans (Koreans Nationals Residing Abroad, Permanent Residence), those who have lost nationalities (citizens of other countries) or foreigners require a Background Check (Criminal Records) Certificate to apply for a visa for a foreign country or citizenship or those who have visas from other countries (permanent residence) or are the citizens of other countries who must prove their identity, the Foreign Affairs Police Department checks the applicant's background (7 days) and issues the Background Check (Criminal Records) Certificate while the applicant is in residence in Korea.

How to Fill Out the Form for Foreigners (previously, residing in Korea)

※ Foreigners whose surname and name are not clearly divided

○ Country or organization to which the Certificate is to be submitted (abbreviation not allowed) and purpose of the Certificate

① Write 'country/organization' for submission (e.g. embassy, consulate or immigration office for visa application)

E.g., USA / Immigration Office (citizenship application)

Australia / Research Institute at 00 University (background check) China / Chinese Consulate in Korea (visa application)

①-① Put a check mark in the box on the status you have in the country to which the document is to be submitted ｢☐ Visa, ☐ Citizenship, ☐ Not relevant｣

①-② Select Background Check, Citizenship Application or Visa Application.

- Those who have citizenship or visa

→ Select Background Check and fill out the field.

E.g., employment, appointment, various kinds of licenses and approvals, real

estate contracts, securities, overseas investment.

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- Those who must have citizenship in the country to which the Certificate will be submitted

→ Fill out the Citizenship Application field.

- Those who must have a visa in the country to which the Certificate will be submitted

→ Put the most similar purpose in the Visa (including permanent residence) Application field by referring to the List of Visa Application Purposes on the next page.

E.g., select the proper application purposes including tourism, business investment, resident employees, trade, professor, and accompanying.

○ Foreigners whose surname and name are not clearly divided (name on the passport at the time of Korea residence)

② Enter the full name as it is on the passport ②-①, ②-② Put "NONE"

③ Enter the name as it was prior to a change of name (Permission for Change of Name or Standard Certificate to be attached) or nickname.

④ Place of Birth: Enter the place of birth

★(application will be returned if this field is blank)

⑤ Resident Registration No.: Not required.

⑥ Alien Registration No.: Enter the alien registration number and attach the Alien Registration Certificate or attach the Alien Registration Card.

★(application will be returned if this field is blank)

⑦∼⑩ Fill out without leaving any blanks.

⑪ Address in the country where the applicant currently resides (in English)

⑫ Most recent address registered in Korea.

⑬ First address for alien registration in Korea: Do not leave blank ★(application will be returned if this field is blank)

⑭ Fill out the relevant fields.

⑮~⑰ Fill out the fields even if parents are deceased.

○ ⑱∼㉑ Agree with the Privacy Notice for the processing of personal

information and fill out the form in the applicant's own handwriting.

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※ Foreigners whose surname and name are not clearly divided

①제출할 국가 / 제출할 기관

COUNTRY/AGENCY YOU WILL SUBMIT THE CERTIFICATE HONG KONG / HONG KONG POLICE FORCE

①-② 발급목적 PURPOSE OF THE CERTIFICATE 신원확인

FOR IDENTIFICATION

시민권 신청 FOR CITIZENSHIP

비자(영주권 등)신청 FOR VISA ①-①제출할 국가의(□비자, □시민권)있음, □해당 없음

I HAVE A (☑VISA, □CITIZENSHIP) IN THE ABOVE (①) COUNTRY. □NONE

DRIVER’S LICENSE ②성 명 FULL NAME

TRUONG CUNG NGHIA

③한자성명 CHINESE CHARACTERS CHINESE ONLY

사진 (3 x 4cm)

PHOTO ②-①성 SURNAME (LAST NAME) ②-②이름 GIVEN NAMES (FIRST NAME / MIDDLE NAME)

NONE NONE

③ 다른(개명 전) 이름 ALIAS or BEFORE NAME

TRUONG CUNG TOM ④ 출생지 PLACE OF BIRTH

★

CITY : HO CHI MINH COUNTRY : VIETNAM

생년월일 DATE OF BIRTH (DD/MONTH/YYYY) DATE : 05 MAR 1989

⑤ 주민등록번호 RESIDENT REGISTRATION NO.

NONE

⑥ 외국인등록번호 ALIEN REGISTRATION NO.

890305-5801011

★

⑦ 성별 GENDER [ √ ] M / [ ] F

⑧국 적 NATIONALITY VIETNAM

⑨직 업 OCCUPATION TEACHER

⑩연락처 MOBILE PHONE NO.

+ 84 - 555 - 888 - 0000 ⑪ 집 주소(현재 살고 있는 국가) HOME ADDRESS (IN CURRENT COUNTRY)

2F 204HO, NAMSEONG-DONG, JINJU-SI, GYEONGSANGNAM-DO, 660-030, KOREA ⑫ 한국에 등록된 최종 주소지 PRESENT (LATEST) ADDRESS IN KOREA)

100 TONGILO, SEODAEMUN-GU, SROUL, 120-700 KOREA

⑬ 등록기준(본적)지 PERMANENT (FIRST ALIEN REGISTRATION) ADDRESS IN KOREA

★

#333-25, BUJEON-DONG, BUSANJIN-GU, BUSAN, 614-030 KOREA ⑭배우자 성명 NAME OF SPOUSE

NONE

⑮아버지 성명 NAME OF FATHER TRUONG QUOC VAN

⑯어머니 성명 NAME OF MOTHER TRUONG THI NGAN HANG ⑰가족사항 NAME OF FAMILY MEMBERS 관계 RELATION 생년월일 DATE OF BIRTH

(DD / MONTH / YYYY) 직업 OCCUPATION 1 TRUONG QUOC VAN FATHER 15 / MAY / 1955

2 TRUONG THI NGAN HANG MOTHER 19 / APR / 1958 RETIRED

3 TRUONG TINH BROTHER 22 / DEC / 1989 DOCTOR ⑱ 신원조사(범죄경력)증명서 작성을 위한 개인정보제공에 동의하고, 목적에만 사용할 것을 굳게 서약합니다.

I AGREE TO PROVIDE MY PERSONAL INFORMATION FOR BACKGROUND CHECK (CRIMINAL RECORDS) AND PLEDGE TO USE THE CERTIFICATE FOR THE PURPOSE OF ISSUANCE ONLY.

첨부 ATTACHED PAPERS :

⑲일 DATE: 1 / 월 MONTH: APR / 년 YEAR: 2015

⑳성명 NAME

TRUONG CUNG NGHIA

서명 SIGNATURE

TRUONG CUNG

공용란 FOR OFFICIAL USE ONLY

㉒ 개인정보 취급 및 확인자 담당공무원 확인자 신청매수: 매

소속 : 직위 : : 성명 서명

㉓ 담당 경찰관서 확인란

담당 경찰관서

접수번호 :

신원조사(범죄경력)증명 신청서 성과 이름이 구분이 없는 외국인(체한 경력자) 견본

APPLICATION FOR BACKGROUND CHECK (CRIMINAL RECORDS) CERTIFICATE

INSTRUCTION :

- 반드시 검정색 또는 파란색 펜으로 작성하세요. Please fill out this form by handwriting with black or blue ink.

- Attach a photo(3 x 4cm) taken within the last 6 months.

- If you obtain a new passport after you departed from Korea, you should present the old passport you had in Korea.

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No. Classification Purposes of

Application

^Reference

1

^Diplomacy Members or families of foreign government's

diplomatic corps or consulate general

Diplomacy A-1 2

Official Mission

Those who execute official missions of a foreign government or an international

organization

Official Mission A-2

3

Agreement Those who are exempted from alien

registration by agreements and their families

Agreement A-3 4

Visa Exemption

Citizens of countries executing a Visa Waiver Agreement with the government of the

Republic of Korea

Visa Exemption B-1

5

Transit for Tourists

Those who are entering Korea for tourism or

transit without visa.

Tourism, Transit B-2

6

Temporal Journalism

Those who want to stay for temporary news coverage or reporting

Temporal

Journalism C-1

7

Temporary Visit Those who will stay for less than 90 days.

Temporary Visit C-3

8

Temporary

Employment Those who are seeking temporary employment

Temporary

Employment C-4

9

Culture and Art Academic or artistic activities without any

intention to make a profit

Culture and Art D-1

10

Study Abroad Full-time programs at educational institutions

higher than colleges

Study Abroad D-2

11

Industrial Training

Those who will receive on-the-job training as specified by the Ministry of Justice and who meet all requirements for such training

Industrial

Training D-3

12

General Training

Those who will receive on-the-job training at

educational institutions or companies

General Training D-4 13

Journalism

Those who will stay for news reporting or coverage as an employee of a foreign media

outlet

Reporting D-5

14

^Religion Those who are engaged in specific religious activities as recognized by the Ministry of

Justice

Religion D-6

List of Visa Application Purposes

The purposes of overseas visa application are classified for applicants (Field ①-② on the Application Form) on the basis of the visa types of Korea in order to prevent the visas from being used for other purposes apart from the purposes specified in Clause 1, Article 6, Act on the Lapse of Criminal Sentences.

※ If the exact description for your purposes of visa application cannot be found,

please select the purposes that are the closest in description.

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15

Resident Employee

Those who work in public or government organizations or the head office of a company abroad for more than 1 year

Resident

Employee D-7

16

Business Investment

Indispensable experienced worker engaging in foreign investment companies

Business

Investment D-8

17

_Management^Trade Those who have established and are managing a company in Korea and who execute trade business

Trade and

Management D-9

18

Visa Extension Those who have a visa for stay and want to

work in Korea

Visa Extension D-10

19

^Professor Those who work at educational institutions

Employment E-1

20

Foreign Language

Instructor

Those who work in educational institutions higher than elementary schools and foreign

language institutes

Employment E-2

21

Research

Those who are engaged in technology development and invited by public or private

organizations in Korea

Employment E-3

22

Technology Transfer

Those who are invited by public or private

organizations in Korea for technology transfer

Employment E-4 23

Professional

Employment

Those who seek to work for professional fields including laws, accounting, and

medicine.

Employment E-5

24

Performances^{Arts and}

Those who want to engage in artistic activities for profit

Arts and

Performances E-6 25

Special

Occupation

Those who want to engage in specific activities as designated by the Ministry of

Justice

Employment E-7

26

Non-professional Employment

Those who satisfy the requirements for non-professional employment in accordance with the laws in the relevant fields

Non-professional Employment E-9 27

Vessel Crew

Those who manage or work in the fishing industry or crews in accordance with the Fisheries Act.

Employment as

Crews E-10

28

Family Visit Those who stay to visit relatives, who are

living with family or for similar purposes.

Family Visit F-1 29

^Residence Minors, spouses or spouse's children of

foreigners

Residence F-2

30

Dependent Family

Spouses or minors of foreigners satisfying one of the visa qualifications from No. 9 to 25

Dependent

Family F-3

31

Marriage Immigration

Those who will stay in the country of their spouse (foreigner)

Marriage

Immigration F-6 32

Working

Holiday

Those who seek a work and tourism stay in accordance with a working holiday

agreement with the Republic of Korea

Working Holiday H-1

33

Visa Extension Visa extension for those who have no visa

Visa Extension

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How to Fill Out the Form for Foreigners (previously, residing in Korea)

※ Foreigners whose the surname and the name are clearly divided

○ Country or organization to which the Certificate is to be submitted (abbreviation not allowed) and purpose of the Certificate

① Write 'country/organization' for submission (e.g. embassy, consulate or immigration office for visa application)

E.g., USA / Immigration Office (citizenship application)

Australia / Research Institute at 00 University (background check) China / Chinese Consulate in Korea (visa application)

①-① Put a check mark in the box on the status you have in the country to which the document is to be submitted ｢☐ Visa, ☐ Citizenship, ☐ Not relevant｣

①-② Select Background Check, Citizenship Application or Visa Application.

- Those who have citizenship or visa

→ Select Background Check and fill out the field.

E.g., employment, appointment, various kinds of licenses and approvals, real estate contracts, securities, overseas investment.

- Those who must have citizenship in the country to which the Certificate will be submitted

→ Fill out the Citizenship Application field.

- Those who must have a visa in the country to which the Certificate will be submitted

→ Put the most similar purpose in the Visa (including permanent residence) Application field by referring to the List of Visa Application Purposes on the next page.

E.g., select the proper application purposes including tourism, business

investment, resident employees, trade, professor, and accompanying.

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○ Foreigners whose the surname and the name are clearly divided (name on the passport at the time of Korean residence)

② Enter "NONE"

②-① Enter the surname on the passport in English.

②-② Enter the name on the passport in English (including middle name if any)

②-③ Name of the Chinese applicant

③ Enter the name as it was prior to a change of name (Permission for Change of Name or Standard Certificate to be attached) or nickname.

④ Place of Birth: Enter the place of birth

★(application will be returned if this field is blank)

⑤ Resident Registration No.: Not required.

⑥ Alien Registration No.: Enter the alien registration number and attach the Alien Registration Certificate or attach the Alien Registration Card.

★(application will be returned if this field is blank)

⑦∼⑩ Fill out without leaving any blanks.

⑪ Address in the country where the applicant currently resides (in English)

⑫ Most recent address registered in Korea.

⑬ First address for alien registration in Korea: Do not leave blank ★(application will be returned if this field is blank)

⑭ Fill out the relevant fields.

⑮~⑰ Fill out the fields even if parents are deceased.

○ ⑱∼㉑ Agree with the Privacy Notice for the processing of personal

information and fill out the form in the applicant's own handwriting.

(16)

※ Foreigners whose the surname and the name are clearly divided

COUNTRY/AGENCY YOU WILL SUBMIT THE CERTIFICATE USA / IMMIGRATION OFFICE

FOR IDENTIFICATION

비자(영주권 등)신청 FOR VISA ①-①제출할 국가의(□비자, □시민권)있음, □해당 없음

I HAVE A (□VISA, □CITIZENSHIP) IN THE ABOVE (①) COUNTRY. ☑NONE FOR A JOB ②성 명 FULL NAME

NONE

③한자성명 CHINESE CHARACTERS CHINESE ONLY

사진 (3 x 4cm)

BATES MELISSA AMY

LUCIA BATES ④ 출생지 PLACE OF BIRTH

★

CITY : MANCHESTER COUNTRY : UK

NONE

880310-6801021

★

⑦ 성별 GENDER [ ] M / [ √ ] F

⑧국 적 NATIONALITY

UNITED KINGDOM

⑨직 업 OCCUPATION TEACHER

+44 - 777 - 888 - 0000 ⑪ 집 주소(현재 살고 있는 국가) HOME ADDRESS (IN CURRENT COUNTRY)

2F 204HO, NAMSEONG-DONG, JINJU-SI, GYEONGSANGNAM-DO, 660-030, KOREA ⑫ 한국에 등록된 최종 주소지 PRESENT (LATEST) ADDRESS IN KOREA)

100 TONGILO, SEODAEMUN-GU, SROUL, 120-700 KOREA

★

#333-25, BUJEON-DONG, BUSANJIN-GU, BUSAN, 614-030 KOREA ⑭배우자 성명 NAME OF SPOUSE

NONE

⑮아버지 성명 NAME OF FATHER ANTHONY FUNG BATES ⑯어머니 성명 NAME OF MOTHER MOICA BATES

⑰가족사항 NAME OF FAMILY MEMBERS 관계 RELATION 생년월일 DATE OF BIRTH

(DD / MONTH / YYYY) 직업 OCCUPATION 1 ANTHONY FUNG BATES FATHER 15 / MAY / 1941

2 MOICA BATES MOTHER 19 / APR / 1960 RETIRED

3 PHILIP NERI BATES BROTHER 22 / DEC / 1989 DOCTOR ⑱ 신원조사(범죄경력)증명서 작성을 위한 개인정보제공에 동의하고, 목적에만 사용할 것을 굳게 서약합니다.

⑳성명 NAME

MELISSA AMY BATES

㉑ 서명 SIGNATURE

MELISSA AMY

담당 경찰관서

접수번호 :

신원조사(범죄경력)증명 신청서 성과 이름 구분되는 외국인(체한 경력자) 견본

APPLICATION FOR BACKGROUND CHECK (CRIMINAL RECORDS) CERTIFICATE

INSTRUCTION :

(17)

No. Classification Purposes of

Application

^Reference

1 Diplomacy A-1 2

Official Mission

organization

Official Mission A-2

3 Agreement A-3 4

Visa Exemption

Republic of Korea

Visa Exemption B-1

5 Tourism, Transit B-2

6

Temporal Journalism

Temporal

Journalism C-1

7 Temporary Visit C-3

8

Temporary

Employment C-4

9 Culture and Art D-1

10 Study Abroad D-2

11

Industrial Training

Industrial

Training D-3

12

General Training

General Training D-4 13

Journalism

outlet

Reporting D-5

14

Justice

Religion D-6

List of Visa Application Purposes

The purposes of overseas visa application are classified for applicants (Field ①-② on the Application Form) on the basis of the visa types of Korea in order to prevent the visas from being used for other purposes apart from the purposes specified in Clause 1, Article 6, Act on the Lapse of Criminal Sentences.

※ If the exact description for your purposes of visa application cannot be found,

please select the purposes that are the closest in description.

(18)

15

Resident Employee

Resident

Employee D-7

16

Business Investment

Business

Investment D-8

17 Trade and

Management D-9

18

work in Korea

Visa Extension D-10

19 Employment E-1

20

Foreign Language

Instructor

language institutes

Employment E-2

21

Research

Employment E-3

22

Technology Transfer

Employment E-4 23

Professional

Employment

medicine.

Employment E-5

24 Arts and

Performances E-6 25

Special

Occupation

Justice

Employment E-7

26 Non-professional Employment E-9 27

Vessel Crew

Employment as

Crews E-10

28 Family Visit F-1 29

foreigners

Residence F-2

30

Dependent Family

Dependent

Family F-3

31 Marriage

Immigration F-6 32

Working

Holiday

Working Holiday H-1

33 Visa Extension

(19)

How to Fill Out the Form for Dual Citizenship or for Those who have Lost Their Citizenship (previously, Korean Nationals)

○ Country or organization to which the Certificate is to be submitted (abbreviation not allowed) and purpose of the Certificate

① Write 'country/organization' for submission (e.g. embassy, consulate or immigration office for visa application)

E.g., USA / Immigration Office (citizenship application)

Australia / Research Institute at 00 University (background check) China / Chinese Consulate in Korea (visa application)

①-① Put a check mark in the box on the status you have in the country to which the document is to be submitted ｢☐ Visa, ☐ Citizenship, ☐ Not relevant｣

①-② Select Background Check, Citizenship Application or Visa Application.

- Those who have citizenship or visa

→ Select Background Check and fill out the field.

E.g., employment, appointment, various kinds of licenses and approvals, real estate contracts, securities, overseas investment.

- Those who must have citizenship in the country to which the Certificate will be submitted

→ Fill out the Citizenship Application field.

- Those who must have a visa in the country to which the Certificate will be submitted

→ Put the most similar purpose in the Visa (including permanent residence) Application field by referring to the List of Visa Application Purposes on the next page.

E.g., select the proper application purposes including tourism, business

investment, resident employees, trade, professor, and accompanying.

(20)

○ Dual citizenship or those who have lost citizenship (previously, Korean nationals)

② Name in Korean as registered in the family register in the past (Family Relationship Register)

E.g., Enter only "이창훈” when 이창훈 (in Korean), LEE PETER CHANGHOON (in English) are written on the passport.

②-① Enter the surname as it is on the passport in English.

②-② Enter the name as it is on the passport in English (including middle name for Korean nationals residing abroad)

②-③ Enter the name in Chinese characters (leave blank only when the name has only Korean characters)

③ Enter the name as it was prior to a name change (Permission for a Change of Name or Standard Certificate to be attached) or nickname.

④ Place of Birth: Enter the place of birth

★(application will be returned if this field is blank)

⑤ Resident Registration No.: This field must be filled out ★(application will be returned if this field is blank)

⑥ Alien Registration No.: Enter the address registration number for Korean nationals residing abroad

⑦∼⑩ Fill out without leaving any blanks.

⑪ Address in the country where the applicant currently resides (in English)

⑫ Most recent address registered in Korea.

⑬ Place of Permanent Registration (Place of Family Register): Do not leave blank ★(application will be returned if this field is blank)

⑭ Fill out the relevant fields.

⑮~⑰ Fill out the fields even if parents are deceased.

○ ⑱∼㉑ Agree with the Privacy Notice for the processing of personal

information and fill out the form in the applicant's own handwriting.

(21)

※ Dual citizenship or those who have lost citizenship (previously, Korean nationals)

①제출할 국가 / 제출할 기관 COUNTRY / AGENCY YOU WILL SUBMIT THE CERTIFICATE

미국 / 국무성

FOR IDENTIFICATION

비자(영주권 등)신청 FOR VISA ①-①제출할 국가의(□비자, ☑시민권)있음, □해당없음

I HAVE A (□VISA, □CITIZENSHIP) IN THE ABOVE (①) COUNTRY. □NONE 공무원 취업 ②성 명 FULL NAME ※ 과거 한국호적 등록된 이름

이 연 옥

②-③한자성명 CHINESE CHARACTERS

李玉軟

사진 (3 x 4cm)

LEE MONICA / YEONOK

이 순 자 ④ 출생지 PLACE OF BIRTH

★

CITY : NONSAN COUNTRY : KOREA

930310-2754815

★

930310-6123454 ⑦ 성별 GENDER

[ ] M / [ √ ] F

UNITED STATES OF AMERICA

⑨직 업 OCCUPATION 학생

서울시 성북구 보문동1가 231-9 대성연립 102호

⑫ 한국에 등록된 최종 주소지 PRESENT (LATEST) ADDRESS IN KOREA) 서울시 서대문구 연희동 321번지 연희 아파트 502동 708호

★

충청남도 논산시 연무읍 234-12번지 ⑭배우자 성명 NAME OF SPOUSE

없음

⑮아버지 성명 NAME OF FATHER 이 기 상 (사망) ⑯어머니 성명 NAME OF MOTHER

한 아 름 ⑰가족사항 NAME OF FAMILY MEMBERS 관계 RELATION 생년월일 DATE OF BIRTH

(DD / MONTH / YYYY) 직업 OCCUPATION

1 한 아 름 모 15 / MAY / 1941 무직

2 이 태 희 동생 30 / APR / 2002 학생

3 이 수 현 동생 22 / DEC / 2005 학생

⑱ 신원조사(범죄경력)증명서 작성을 위한 개인정보제공에 동의하고, 목적에만 사용할 것을 굳게 서약합니다.

⑳성명 NAME

이 옥 연

Okyeon LEE

담당 경찰관서

접수번호 :

신원조사(범죄경력)증명 신청서 이중국적자, 국적상실자(과거 한국국적)견본

APPLICATION FOR BACKGROUND CHECK (CRIMINAL RECORDS) CERTIFICATE

INSTRUCTION :

(22)

No. Classification Purposes of

Application

^Reference

1 Diplomacy A-1 2

Official Mission

organization

Official Mission A-2

3 Agreement A-3 4

Visa Exemption

Republic of Korea

Visa Exemption B-1

5 Tourism, Transit B-2

6

Temporal Journalism

Temporal

Journalism C-1

7 Temporary Visit C-3

8

Temporary

Employment C-4

9 Culture and Art D-1

10 Study Abroad D-2

11

Industrial Training

Industrial

Training D-3

12

General Training

General Training D-4 13

Journalism

outlet

Reporting D-5

14

Justice

Religion D-6

List of Visa Application Purposes

The purposes of overseas visa application are classified for applicants (Field ①-② on the Application Form) on the basis of the visa types of Korea in order to prevent the visas from being used for other purposes apart from the purposes specified in Clause 1, Article 6, Act on the Lapse of Criminal Sentences.

※ If the exact description for your purposes of visa application cannot be found,

please select the purposes that are the closest in description.

(23)

15

Resident Employee

Resident

Employee D-7

16

Business Investment

Business

Investment D-8

17 Trade and

Management D-9

18

work in Korea

Visa Extension D-10

19 Employment E-1

20

Foreign Language

Instructor

language institutes

Employment E-2

21

Research

Employment E-3

22

Technology Transfer

Employment E-4 23

Professional

Employment

medicine.

Employment E-5

24 Arts and

Performances E-6 25

Special

Occupation

Justice

Employment E-7

26 Non-professional Employment E-9 27

Vessel Crew

Employment as

Crews E-10

28 Family Visit F-1 29

foreigners

Residence F-2

30

Dependent Family

Dependent

Family F-3

31 Marriage

Immigration F-6 32

Working

Holiday

Working Holiday H-1

33 Visa Extension

(24)

How to Fill Out the Application Form for Koreans (including Korean nationals residing abroad)

○ Country or organization to which the Certificate is to be submitted (abbreviation not allowed) and purpose of the Certificate

① Write 'country/organization' for submission (e.g. embassy, consulate or immigration office for visa application)

E.g., USA / Immigration Office (citizenship application)

Australia / Research Institute at 00 University (background check) China / Chinese Consulate in Korea (visa application)

①-① Put a check mark in the box on the status you have in the country to which the document is to be submitted ｢☐ Visa, ☐ Citizenship, ☐ Not relevant｣

①-② Select Background Check, Citizenship Application or Visa Application.

- Those who have citizenship or visa

→ Select Background Check and fill out the field.

E.g., employment, appointment, various kinds of licenses and approvals, real estate contracts, securities, overseas investment.

- Those who must have citizenship in the country to which the Certificate will be submitted → Fill out the Citizenship Application field.

- Those who must have a visa in the country to which the Certificate will be submitted

→ Put the most similar purpose in the Visa (including permanent residence) Application field by referring to the List of Visa Application Purposes on the next page.

E.g., select the proper application purposes including tourism, business

investment, resident employees, trade, professor, and accompanying.

(25)

○ Applicants (Korean, Korean Nationals residing abroad, Permanent Residence )

② Name in Korean registered in the family register in the past (Family Relation Register)

E.g., Put only "이창훈” when 이창훈 (in Korean), LEE PETER CHANGHOON (in English) are written on the passport.

②-① Enter the surname that is on the passport in English.

②-② Enter the name that is on the passport in English (including middle name for Korean nationals residing abroad)

②-③ Enter the name in Chinese characters (leave blank only when the name has only Korean characters)

③ Enter the name prior to any name changes (Permission for Change of Name or Standard Certificate to be attached) or nickname.

④ Place of Birth: Enter the place of birth

★(application will be returned if this field is blank)

⑤ Resident Registration No.: This field must be filled out or Basic Certificate to be attached

★(application will be returned if this field is blank)

⑥ Alien Registration No.: Enter the address registration number for Korean nationals residing abroad

⑦∼⑩ Fill out without any blanks.

⑪ Address in the country in which the applicant currently resides (in English)

⑫ Most recent address registered in Korea

⑬ Place of Permanent Registration (Place of Family Register): Do not leave blank ★(will be returned if this field is blank)

⑭ Fill out the relevant fields.

⑮~⑰ Fill out the fields even if parents are deceased.

○ ⑱∼⑳ Agree with the Privacy Notice for processing of personal

information and fill out the form in the applicant's own handwriting.

(26)

※ Applicants (Korean, Korean Nationals residing abroad, Permanent Residence ) 신원조사(범죄경력)증명 신청서 한국인, 영주권자, 재외국민 견본

APPLICATION FOR BACKGROUND CHECK (CRIMINAL RECORDS) CERTIFICATE

COUNTRY/AGENCY YOU WILL SUBMIT THE CERTIFICATE 미국 / 이민국

FOR IDENTIFICATION

비자(영주권 등)신청 FOR VISA ①-①제출할 국가의(☑비자, □시민권)있음, □해당없음

I HAVE A (□VISA, □CITIZENSHIP) IN THE ABOVE (①) COUNTRY. □NONE 시민권신청 ②성 명 FULL NAME

김 옥 연

②-③한자성명CHINESE CHARACTERS

金玉軟

사진 (3 x 4cm)

KIM MONICA OKYEON

김 순 자 ④ 출생지 PLACE OF BIRTH

★

CITY : 부산 COUNTRY : 한국

생년월일 DATE OF BIRTH (DD/MONTH/YYYY) DATE :10 MONTH/ MAR YEAR/ 1993 ⑤ 주민등록번호 RESIDENT REGISTRATION NO.

930310-2754815

★

※ 거소자(재외국민)은 작성 ⑦ 성별 GENDER

[ ] M / [ √ ] F

REPUBLIC OF KOREA

⑨직 업 OCCUPATION 학생

서울시 중랑구 신내동 131-11 시영아파트 201동 1103호 ⑫ 한국에 등록된 최종 주소지 PRESENT (LATEST) ADDRESS IN KOREA) 서울시 중구 필동 123번지 현대아파트 502동 708호

★

부산시 영도구 청학동 234번지

⑭배우자 성명 NAME OF SPOUSE 없음

⑮아버지 성명 NAME OF FATHER

김 기 상 (사망) ⑯어머니 성명 NAME OF MOTHER

이 아 름 ⑰가족사항 NAME OF FAMILY MEMBERS 관계 RELATION 생년월일 DATE OF BIRTH

(DD / MONTH / YYYY) 직업 OCCUPATION

1 이 아 름 모 15 / MAY / 1941 무직

2 김 태 희 동생 30 / APR / 2002 학생

3 김 수 현 동생 22 / DEC / 2005 학생

⑱ 신원조사(범죄경력)증명서 작성을 위한 개인정보제공에 동의하고, 목적에만 사용할 것을 굳게 서약합니다.

⑳성명 NAME

김 옥 연

Okyeon KIM

담당 경찰관서

접수번호 :

INSTRUCTION :

(27)

No. Classification Purposes of

Application

^Reference

1 Diplomacy A-1 2

Official Mission

organization

Official Mission A-2

3 Agreement A-3 4

Visa Exemption

Republic of Korea

Visa Exemption B-1

5 Tourism, Transit B-2

6

Temporal Journalism

Temporal

Journalism C-1

7 Temporary Visit C-3

8

Temporary

Employment C-4

9 Culture and Art D-1

10 Study Abroad D-2

11

Industrial Training

Industrial

Training D-3

12

General Training

General Training D-4 13

Journalism

outlet

Reporting D-5

14

Justice

Religion D-6

List of Visa Application Purposes

The purposes of overseas visa application are classified for applicants (Field ①-② on the Application Form) on the basis of the visa types of Korea in order to prevent the visas from being used for other purposes apart from the purposes specified in Clause 1, Article 6, Act on the Lapse of Criminal Sentences.