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Get Police Clearance Certificate Nz

Gov NEW ZEALAND POLICE CLEARANCE AUTHORIZATION Requesting Office Police Vetting Service Applicant Case Number Office of the Commissioner A New Zealand Police National Headquarters Dear Sir SURNAME First name Middle name any aliases/MAIDEN name born in on City/Country DD/MM/YYYY GENDER Nationality hereby authorize the criminal activity recorded in my name. CONSULATE GENERAL OF THE UNITED STATES OF AMERICA Immigrant Visa Section Private Bag 92022 Auckland New Zealand Ph 09 303 2724 extn 2810 Fax 09 366 0870 Email AucklandIV state. I confirm that I am aware that my full criminal record will be released even if I meet the eligibility criteria stipulated in section 7 of the Criminal Records Clean Slate Act 2004 due to the application of section 14 3 b ii of that Act as set out above. This information is to be provided to the United States Government solely for the purpose of determining visa eligibility and is not to be released to any other person or organization for any other purpose. Date Signature Present Street Address Suburb City Last N*Z* Address IMPORTANT NOTE Attach a copy of your Passport Descriptive Page and return it with this form to the U*S* Consulate General in Auckland by post or email together with the NVC BAR CODE SHEET showing your case number. DO NOT Send Directly to the New Zealand Police Department. They Do NOT Deal Directly With the Public on Clearance Requests. I confirm that I am aware that my full criminal record will be released even if I meet the eligibility criteria stipulated in section 7 of the Criminal Records Clean Slate Act 2004 due to the application of section 14 3 b ii of that Act as set out above. This information is to be provided to the United States Government solely for the purpose of determining visa eligibility and is not to be released to any other person or organization for any other purpose. This information is to be provided to the United States Government solely for the purpose of determining visa eligibility and is not to be released to any other person or organization for any other purpose. Date Signature Present Street Address Suburb City Last N*Z* Address IMPORTANT NOTE Attach a copy of your Passport Descriptive Page and return it with this form to the U*S* Consulate General in Auckland by post or email together with the NVC BAR CODE SHEET showing your case number. Date Signature Present Street Address Suburb City Last N*Z* Address IMPORTANT NOTE Attach a copy of your Passport Descriptive Page and return it with this form to the U*S* Consulate General in Auckland by post or email together with the NVC BAR CODE SHEET showing your case number. DO NOT Send Directly to the New Zealand Police Department. They Do NOT Deal Directly With the Public on Clearance Requests. I confirm that I am aware that my full criminal record will be released even if I meet the eligibility criteria stipulated in section 7 of the Criminal Records Clean Slate Act 2004 due to the application of section 14 3 b ii of that Act as set out above. This information is to be provided to the United States Government solely for the purpose of determining visa eligibility and is not to be released to any other person or organization for any other purpose. Date Signature Present Street Address Suburb City Last N*Z* Address IMPORTANT NOTE Attach a copy of your Passport Descriptive Page and return it with this form to the U*S* Consulate General in Auckland by post or email together with the NVC BAR CODE SHEET showing your case number.

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