Criminal Record Clearance Form
Fill in the below form as comprehensively as possible
1. Do you have a criminal record?
2. Have 10 years lapsed since you have been convicted?
3. Have you served any jail time?
4. Did you pay a fine?
5. Was the fine more than R20,000
6. Have you been convicted of any other offence and sentenced to a period of imprisonment without the option of a fine during those 10 years?
7. Have you been convicted of a sexual offence against a child or person who is mentally disabled, or of an offence where you were found to be unsuitable to work with children?
8. What is the reason that you want your criminal record expunged/cleared?
International work opportunity
Permanent Residence Certificate
Professional Driving Permit (PDP)/ Uber
Work Visa application
Please select one of the options from the drop-down menu above
9. It 'Other' was selected from the dropdown menu above, kindly explain below
Please fill in ALL the field below
Full Names as per ID document
Street Address Line 2
Provide your email address here
Please enter a valid phone number.
Already have Police Clearance Certificate. Please scan and upload for us to assess. Also Upload copy of Identity Document.
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Choose a file
By sending this questionnaire to us you hereby confirm that the information contained in this form is within your personal knowledge true and correct.
Yes, the information I provided here is true and correct to the best of my knowledge
Should be Empty: