Questionnaire for China Police CertificatesStep 1 of 8 - Instructions12%InstructionsThanks for your interest in hiring Chodorow Law Offices to help apply for a China police certificate, also known as a certificate of no criminal conviction (CNCC).Please fill this questionnaire so we can determine how best to help you and give you a quote.Before you start:Gather your passports and other documents that may be needed to apply for the police certificate. See this list. When you've finished the questionnaire, we will ask you to provide us scans of the documents.Find the exact addresses (preferably written in Chinese) for where you lived during the periods you want covered by the police certificate. You may find these addresses on the documents you have collected, or on old leases or correspondence, or you may be able to refresh your memory by browsing Baidu and Google maps. We will rely on you to tell us the periods you want covered by the police certificates and the addresses where you lived during those periods.We will keep your information confidential. We won't disclose it to the government or others without your consent. We can advise you best if you provide truthful, complete, and accurate information.Contact InfoName as written in your passport* Given Names SURNAME Name in Chinese (or write "none")*Current home address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Should the police certificate be mailed to your current home address?YesNoAddress where the police certificate should be mailed* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Email* WeChat ID (or write "none")*Skype ID (or write "none")*Specifications for the Police CertificateWhy do you need the police certificate?*U.S. immigrant visa applicationU.S. K-1 fiancé(e) visa applicationCanada permanent residence applicationAustralia visa application for myselfAustralia visa application for my partnerNew Zealand visa applicationBackground check for employmentOtherHave you already filed with the U.S. State Department online the Form DS-260, Immigrant Visa Application?*YesNoHave you already filed with the U.S. State Department online the Form DS-160, Nonimmigrant Visa Application?*YesNoIf you chose "Other," explain in more detail why you need the police certificate*Do you have an attorney or immigration specialist helping with that visa application?*YesNoIn China, have you ever been arrested, detained, or convicted by any law enforcement officer for any crime, offense, or administrative violation?*NoYesPlease explain the circumstances*How many originals do you need of each police certificate?*Please enter a number from 1 to 4.Do you need the police certificate(s) to be authenticated by the China Ministry of Foreign Affairs and a foreign Embassy in China?*YesNoThis is NOT needed in connection with visa applications for most countries, such as the U.S., Canada, Australia, or New Zealand. For more information about authentication of documents in China, see http://cs.mfa.gov.cn/wgrlh/lsrz/lsrzjjs/.Enter the following info for each address where you resided in China during the period to be covered by the police certificate(s). Start with your earliest address.Address #1Address*The accuracy of this address is very important. Write it in Chinese if you can. Street Address City Province Postal Code Date you moved in to that address* Date Format: YYYY dash MM dash DD Date you moved out of that address* Date Format: YYYY dash MM dash DD Is this a hotel or on a school/university campus?* Hotel School/university campus NeitherDuring the period you resided at that address, did you complete the temporary residence registration process each time required by law?*AlwaysSometimesNeverI don't rememberNot applicable because I was a Chinese citizen holding a hukou (户口)Each time you completed the process, you should have received a temporary residence registration form (TRRF). Learn more about temporary registration at https://lawandborder.com/temporary-residence-registration-for-foreign-nationals/.Do you have at least one TRRF for this address?*YesNoDo you have a second address in China you want covered by a police certificate?*NoYesAddress #2Address*The accuracy of this address is very important. Write it in Chinese if you can. Street Address City Province Postal Code Date you moved in to that address* Date Format: YYYY dash MM dash DD Date you moved out of that address* Date Format: YYYY dash MM dash DD Is this a hotel or on a school/university campus?* Hotel School/university campus NeitherDuring the period you resided at that address, did you complete the temporary residence registration process each time required by law?*AlwaysSometimesNeverI don't rememberNot applicable because I was a Chinese citizen holding a hukou (户口)Each time you completed the process, you should have received a temporary residence registration form (TRRF). Learn more about temporary registration at https://lawandborder.com/temporary-residence-registration-for-foreign-nationals/.Do you have at least one TRRF for this address?*YesNoDo you have a third address in China you want covered by a police certificate?*NoYesAddress #3Address*The accuracy of this address is very important. Write it in Chinese if you can. Street Address City Province Postal Code Date you moved in to that address* Date Format: YYYY dash MM dash DD Date you moved out of that address* Date Format: YYYY dash MM dash DD Is this a hotel or on a school/university campus?* Hotel School/university campus NeitherDuring the period you resided at that address, did you complete the temporary residence registration process each time required by law?*AlwaysSometimesNeverI don't rememberNot applicable because I was a Chinese citizen holding a hukou (户口)Each time you completed the process, you should have received a temporary residence registration form (TRRF). Learn more about temporary registration at https://lawandborder.com/temporary-residence-registration-for-foreign-nationals/.Do you have at least one TRRF for this address?*YesNoDo you have a fourth address in China you want covered by a police certificate?*NoYesAddress #4Address*The accuracy of this address is very important. Write it in Chinese if you can. Street Address City Province Postal Code Date you moved in to that address* Date Format: YYYY dash MM dash DD Date you moved out of that address* Date Format: YYYY dash MM dash DD Is this a hotel or on a school/university campus?* Hotel School/university campus NeitherDuring the period you resided at that address, did you complete the temporary residence registration process each time required by law?*AlwaysSometimesNeverI don't rememberNot applicable because I was a Chinese citizen holding a hukou (户口)Each time you completed the process, you should have received a temporary residence registration form (TRRF). Learn more about temporary registration at https://lawandborder.com/temporary-residence-registration-for-foreign-nationals/.Do you have at least one TRRF for this address?*YesNoDo you have a fifth address in China you want covered by a police certificate?*NoYesAddress #5Address*The accuracy of this address is very important. Write it in Chinese if you can. Street Address City Province Postal Code Date you moved in to that address* Date Format: YYYY dash MM dash DD Date you moved out of that address* Date Format: YYYY dash MM dash DD Is this a hotel or on a school/university campus?* Hotel School/university campus NeitherDuring the period you resided at that address, did you complete the temporary residence registration process each time required by law?*AlwaysSometimesNeverI don't rememberNot applicable because I was a Chinese citizen holding a hukou (户口)Each time you completed the process, you should have received a temporary residence registration form (TRRF). Learn more about temporary registration at https://lawandborder.com/temporary-residence-registration-for-foreign-nationals/.Questions about Your DocumentsDo you have a current, unexpired passport?*Yes. It contains China stamps (visas, residence permits, or entry/exit stamps).Yes. It does NOT contain China stamps.No.Do you have all the original passports used in China during the periods you want the police certificate(s) to cover?*YesNoNot applicable because I was a citizen of mainland China during those periods.Not applicable because I entered China with a Taiwan Compatriot Permit (台胞证) or Hong Kong/Macau Home Return Permit (回乡证)If you answered "no," why not? For example, was a passport stolen, lost, destroyed, or taken by the government when you applied for a renewal? If lost or stolen, do you have a police report? Do you have a photocopy of all pages with China stamps?*Did you hold a visa or residence permit for STUDY during the periods to be covered by the police certificate(s)?*YesNoNot applicable because I was a Chinese citizen during those periods.List the schools you were authorized to attend*School name (in Chinese, if you can)Date attendance started (YYYY-MM-DD)Date attendance ended (YYYY-MM-DD)Did you get a diploma or completion certificate? If you CANNOT provide us with the following documents, why not? (a) your diploma or transcripts; and (b) your student ID.*EmploymentDid you hold a residence permit for WORK during the period for which you are seeking a police certificate?*YesNoNot applicable because I was a Chinese citizen during those periods.List the employers for which you were legally authorized to work:*Employer name (in Chinese if you can)Date employment started (YYYY-MM-DD)Date employment ended (YYYY-MM-DD) Please do not list any periods when you were not authorized to work for the particular employer.If you cannot provide us with your labor contract(s) with each employer, why not?*If you cannot provide us with ONE of the following original documents for each employer, why not? (a) alien employment permit (外国人就业证), (b) foreign expert permit (外国专家证), (c) work permit (工作许可), or (d) notice of cancellation of one of these documents.*ReferralHow did you hear about our law firm?*Referred by a lawyerReferred by a client or another personWebsite mentioned our firmSearch engineOtherName of the person who referred you:*Name of the website:*Search terms used:*Explain:*Thank you for completing this Client Questionnaire. Upon clicking the "submit" button, we will direct you to complete payment, and we will send you a confirmation email.
