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Application for Referral Letter for

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Academic year: 2022

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Application for Referral Letter for

Certificate of No Criminal Conviction (CNCC) from Hong Kong Police

Note: Korean Consulate General accepts and issues the referral letter for Korean nationals and HKSAR passport holders only.

Name:

HKID Number:

Contact tel. no.: Email Add.:

The CNCC will be used for:

The CNCC will be submitted to:

Applying person: (By myself / By representative) Representative’s Name:

Representative’s ID card number:

Contact tel. no.: Email Add.:

If you’d like to authorize representative to collect the CNCC on behalf of you, please fill in the followings:

Representative’s Name:

Representative’s ID card number:

Contact tel. no.: Email Add.:

* The representative should bring his/her ID card (original and copy) when collect the CNCC.

Documents check list for submission:

Application form

Representative’s ID (original and copy)

Application form Power of attorney (certified by

Governmental office or Notary Public Request letter from the organization

which needs the CNCC

Request letter from the organization which needs the CNCC

Applicant’s HKID (original and copy) Applicant’s HKID (original and copy) Applicant’s passport (original and copy) Applicant’s passport (original and copy)

By myself By representative

Date: ________________(yyyy/mm/dd)

Submitted by: _____________________________________(Name and signature)

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