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111VVQ - Retail Services FBI - Identity History Check

Essential Info




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apostrophes (’) are allowed in name fields). Then click ‘Next’ to check the
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organization.

 * 
 * Name / Method of Contact

Name / Method of Contact
 * 
 * UE ID / Date of Birth

UE ID / Date of Birth

NOTES:

   
 * Important! You must finish the registration process to be fingerprinted. You
   will receive an email or confirmation number when registration is complete.
   
   
 * Legal Name must match exactly on all identification documents brought to
   enrollment.
   
   
 * Remember the phone numbers and/or email address provided below, as they will
   be used to retrieve your information during your in-person enrollment.
   
   
   
 * Information provided below must match information provided during enrollment.
   

Legal Name
*Required First Name
*Required Middle Name (or NMN if no middle name)
*Required Last Name
Suffix -- Choose One --
JuniorSeniorFirstSecondThirdFourthFifthSixthSeventhEighthNinth
Date of Birth
*Required Date of Birth
*Required Method of Contact (at least one method is required)
Email
Country Code United StatesCanadaMexicoAfghanistanAland
IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarticaAntigua and
BarbudaArgentinaArmeniaArubaAshmore/Cartier
IslandsAustraliaAustriaAzerbaijanAzores IslandsBahamasBahrain/BahreinBalearic
IslandsBangladeshBarbadosBassas Da IndiaBelarusBelgiumBelize (British
Honduras)Benin (formerly Dahomey)BermudaBhutanBoliviaBosnia and
HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish
Virgin IslandsBruneiBulgariaBurkina Faso/Upper VoltaBurmaBurundiCambodia
(Kampuchea)CameroonCanary IslandsCape VerdeCayman IslandsCentrl African
RepublicChadChileChinaChristmas IslandClipperton IslandCocos (Keeling)
IslandsColombiaComoros, Federal Islamic RepublicCook IslandsCoral Sea
IslandsCosta RicaCroatiaCubaCyprusCzech RepublicDemocratic Republic of the
Congo/ZaireDenmarkDjiboutiDominicaDominican RepublicEast Timor/Timor
LesteEcuadorEgyptEl SalvadorEnglandEquatorial GuineaEritreaEstoniaEthiopiaEuropa
IslandFalkland IslandsFaroe IslandsFederated States of MicronesiaFiji
IslandsFinlandFranceFrench GuianaFrench PolynesiaFrench Southern/Antarctic
LandGabonGambiaGazaGeorgia/AbkhaziaGeorgia/AbkhaziaGeorgia/GruzinskayaGermanyGhanaGibraltarGlorioso
IslandsGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard
Island/McDonald IslandHondurasHong
KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory
CoastJamaicaJan MayenJapanJersey, Bailiwick ofJordanJuan de Nova
IslandKazakhstanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao
(Macau)MacedoniaMadeira IslandsMalagasy Republic
(Madagascar)MalawiMalaysiaMaldivesMaliMaltaMartiniqueMauritaniaMauritiusMayotteMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueNamibia
(South-West Africa)NauruNepalNetherlandsNetherlands Antilles/BonaireNetherlands
Antilles/Sint MaartenNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk
IslandNorth KoreaNorthern IrelandNorwayOkinawaOmanPakistanPalau, Republic
ofPalestinian Territory, OccupiedPanamaPapua New GuineaParacel
IslandsParaguayPeruPhilippinesPitcairn, Henderson, Ducie and Oeno
IslandPolandPortugalQatarRepublic of the CongoRepublic of the Marshall
IslandsRepublic of YemenReunionRomania/RumaniaRussiaRwandaSaint BarthelemySaint
Christopher (or St. Kitts) and NevisSaint HelenaSaint LuciaSaint MartinSaint
Pierre and MiquelonSaint Vincent and the GrenadinesSan MarinoSao Tome and
PrincipeSaudi ArabiaScotlandSenegalSerbiaSeychellesSierra
LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth
Georgia/Sandwich IslandSouth KoreaSpainSpratly IslandsSri Lanka
(Ceylon)SudanSurinamSvalbardSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of
ChinaTajikistanTanzania, United Republic
ofThailandTimor-LesteTogoTokelauTongaTongarevaTrinidad / TobagoTromelin
IslandTuamontu ArchipelagoTunisiaTurkeyTurkmenistanTurks and Caicos
IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistan,
Republic ofVanuatu, Republic/New HebridesVatican CityVenezuelaVietnamWalesWallis
and FutunaWest BankWest IndiesWestern SaharaWestern
SamoaZambiaZimbabwe-RhodesiaGlobal Mobile Satellite SystemInmarsat 'SNAC'Int'l
Premium Rate ServiceInt'l Telecom Public Corr. Svc. trial (ITPCS)International
Freephone (UIFN)International NetworksInternational NetworksShared Cost
ServicesTelecommunications for Disaster Relief/OCHAUniversal Personal
TelecommunicationsAntarticaAshmore/Cartier IslandsAzores IslandsBalearic
IslandsBassas Da IndiaBouvet IslandBritish Indian Ocean TerritoryCanary
IslandsClipperton IslandCoral Sea IslandsEnglandEuropa IslandFond du LacFrench
GuianaFrench Southern/Antarctic LandGlorioso IslandsGuadeloupeGuernseyHeard
Island/McDonald IslandHollandJan MayenJersey, Bailiwick ofJuan de Nova
IslandKazakhstanMadeira IslandsMartiniqueMorelosNetherlands
Antilles/BonaireNorfolk IslandNorthern IrelandOkinawaPalestinian Territory,
OccupiedParacel IslandsPitcairn, Henderson, Ducie and Oeno IslandReunionRussian
FederationSaint BarthelemySaint MartinScotlandSikkimSouth Georgia/Sandwich
IslandSpratly IslandsSvalbardTimor-LesteTongarevaTromelin IslandTuamontu
ArchipelagoUnknownUnlisted Country (Any foreign country not included in the
list)WalesWestern Sahara
Phone 1
Country Code United StatesCanadaMexicoAfghanistanAland
IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarticaAntigua and
BarbudaArgentinaArmeniaArubaAshmore/Cartier
IslandsAustraliaAustriaAzerbaijanAzores IslandsBahamasBahrain/BahreinBalearic
IslandsBangladeshBarbadosBassas Da IndiaBelarusBelgiumBelize (British
Honduras)Benin (formerly Dahomey)BermudaBhutanBoliviaBosnia and
HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish
Virgin IslandsBruneiBulgariaBurkina Faso/Upper VoltaBurmaBurundiCambodia
(Kampuchea)CameroonCanary IslandsCape VerdeCayman IslandsCentrl African
RepublicChadChileChinaChristmas IslandClipperton IslandCocos (Keeling)
IslandsColombiaComoros, Federal Islamic RepublicCook IslandsCoral Sea
IslandsCosta RicaCroatiaCubaCyprusCzech RepublicDemocratic Republic of the
Congo/ZaireDenmarkDjiboutiDominicaDominican RepublicEast Timor/Timor
LesteEcuadorEgyptEl SalvadorEnglandEquatorial GuineaEritreaEstoniaEthiopiaEuropa
IslandFalkland IslandsFaroe IslandsFederated States of MicronesiaFiji
IslandsFinlandFranceFrench GuianaFrench PolynesiaFrench Southern/Antarctic
LandGabonGambiaGazaGeorgia/AbkhaziaGeorgia/AbkhaziaGeorgia/GruzinskayaGermanyGhanaGibraltarGlorioso
IslandsGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard
Island/McDonald IslandHondurasHong
KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory
CoastJamaicaJan MayenJapanJersey, Bailiwick ofJordanJuan de Nova
IslandKazakhstanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao
(Macau)MacedoniaMadeira IslandsMalagasy Republic
(Madagascar)MalawiMalaysiaMaldivesMaliMaltaMartiniqueMauritaniaMauritiusMayotteMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueNamibia
(South-West Africa)NauruNepalNetherlandsNetherlands Antilles/BonaireNetherlands
Antilles/Sint MaartenNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk
IslandNorth KoreaNorthern IrelandNorwayOkinawaOmanPakistanPalau, Republic
ofPalestinian Territory, OccupiedPanamaPapua New GuineaParacel
IslandsParaguayPeruPhilippinesPitcairn, Henderson, Ducie and Oeno
IslandPolandPortugalQatarRepublic of the CongoRepublic of the Marshall
IslandsRepublic of YemenReunionRomania/RumaniaRussiaRwandaSaint BarthelemySaint
Christopher (or St. Kitts) and NevisSaint HelenaSaint LuciaSaint MartinSaint
Pierre and MiquelonSaint Vincent and the GrenadinesSan MarinoSao Tome and
PrincipeSaudi ArabiaScotlandSenegalSerbiaSeychellesSierra
LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth
Georgia/Sandwich IslandSouth KoreaSpainSpratly IslandsSri Lanka
(Ceylon)SudanSurinamSvalbardSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of
ChinaTajikistanTanzania, United Republic
ofThailandTimor-LesteTogoTokelauTongaTongarevaTrinidad / TobagoTromelin
IslandTuamontu ArchipelagoTunisiaTurkeyTurkmenistanTurks and Caicos
IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistan,
Republic ofVanuatu, Republic/New HebridesVatican CityVenezuelaVietnamWalesWallis
and FutunaWest BankWest IndiesWestern SaharaWestern
SamoaZambiaZimbabwe-RhodesiaGlobal Mobile Satellite SystemInmarsat 'SNAC'Int'l
Premium Rate ServiceInt'l Telecom Public Corr. Svc. trial (ITPCS)International
Freephone (UIFN)International NetworksInternational NetworksShared Cost
ServicesTelecommunications for Disaster Relief/OCHAUniversal Personal
TelecommunicationsAntarticaAshmore/Cartier IslandsAzores IslandsBalearic
IslandsBassas Da IndiaBouvet IslandBritish Indian Ocean TerritoryCanary
IslandsClipperton IslandCoral Sea IslandsEnglandEuropa IslandFond du LacFrench
GuianaFrench Southern/Antarctic LandGlorioso IslandsGuadeloupeGuernseyHeard
Island/McDonald IslandHollandJan MayenJersey, Bailiwick ofJuan de Nova
IslandKazakhstanMadeira IslandsMartiniqueMorelosNetherlands
Antilles/BonaireNorfolk IslandNorthern IrelandOkinawaPalestinian Territory,
OccupiedParacel IslandsPitcairn, Henderson, Ducie and Oeno IslandReunionRussian
FederationSaint BarthelemySaint MartinScotlandSikkimSouth Georgia/Sandwich
IslandSpratly IslandsSvalbardTimor-LesteTongarevaTromelin IslandTuamontu
ArchipelagoUnknownUnlisted Country (Any foreign country not included in the
list)WalesWestern Sahara
Phone 2
UE ID / Date of Birth Confirm Your Date of Birth
*Required UE ID
*Required Date of Birth
If you are human, leave this blank
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