RPS 442 1b 1105 Utdrag Ur BR Utland Engelska Skriv Ut Och Fyll I
RPS 442 1b 1105 Utdrag Ur BR Utland Engelska Skriv Ut Och Fyll I
RPS 442 1b 1105 Utdrag Ur BR Utland Engelska Skriv Ut Och Fyll I
Rikspolisstyrelsen
NOTE!
You must include a copy of your birth
certificate or a copy of your passport with the
application.
Copy of driving license/ID card is not valid.
Forenames
Surname
Tel.No. (residence)
Permanent address
E-mail address
If you wish to have the extract sent to an address other than your home address, please state the delivery address here
Fee
The fee for an extract from the criminal records registry and the cost of postage must be paid in advance to the Swedish
National Police Board.
The amount due must be deposited to plus giro account 22 07 90 - 0. State your name and swedish id-number (or date of birth)
as reference.
Note that the extract will not be delivered by E-mail or fax.
Put an X in the box next to the option you prefer (The total includes the fee for the extract and postage).
For dispatch within Sweden
I wish to receive
If you require more than one extract, add SEK 180 for each additional extract.
Payment from abroad
When paying by plus giro from abroad, state:
IBAN number: SE64 9500 0099 6034 0220 7900 BIC/SWIFT: address NDEA SESS, Nordea Bank AB, 105 71 STOCKHOLM
We do not accept payment by cheque or credit card or foreign currency.
NOTE! The first section of the extract from the criminal records registry is always provided in five languages.
Criminal records (convictions) are not translated to other languages and appear only in Swedish in the extract.
Signature
(date)
(signature )
(Place)
The information you provide will be automatically processed in accordance with the
Swedish Data Protection Act (PuL 1998:204)
Rikspolisstyrelsen
Fee
Originals requested
Extracts from the registry will not be processed until payment has been received by
Swedish National Police Board
Place and date
The place and date of signature of the application
Signature
The applicant's own signature. This is imperative. If the signature is
missing, the form will be returned to applicant, which will cause a delay in the process.
Sida 2 (2)