APPLICATION FORM FOR APPEAL FOR

CERTIFICATE OF CLEARANCE

APPLICATION FOR APPEAL

To:

Head CRIMINAL RECORDS

CRIMINAL INVESTIGATION DEPARTMENT
SINGAPORE POLICE FORCE

Address: Police Cantonment Complex

Criminal Records Office
Criminal Investigation Department
391 New Bridge Road

I would like to appeal for the Certificate of Clearance (COC) and submit
herewith the following particulars with all necessary supporting
documents:
A

PERSONAL PARTICULARS
(To be completed by application in block letters)

Full Name:
*Mr/Mrs/Miss Madam: ______________________________________
______________________________________
NRIC/FIN/Passport No.: ______________________________________
Home Address:

Postal Address:

Telephone Numbers:

_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
Home:_______________HP________________

Email: _____________________________________________________

REASONS FOR APPEAL:

______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________

SUPPORT DOCUMENTS
a)

_______________________

b)

_______________________

c)

_______________________

d)

_______________________

PERIOD OF STAY IN SINGAPORE

From: ____________ (DD/MM/YY) To: __________(DD/MM/YY)

_____________________

_____________________

Signature of application

Date

Notes:
1. Applicants are reminded to provide all necessary supporting
documents for this appeal. Incomplete appeals without any
necessary supporting documents will be rejected.
2.

Processing of this appeal take about 10 working days. You may

call at the COC office at 12, Police Cantonment Complex, 391
New Bridge Road, Singapore for the result of your appeal.
2