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  Results from US Sex Offenders Database  
  0 hits from 1 zip code for City/Town Like Last Name Like , First Name Like  
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  Under new federal legislation effective March 7. 2006, Heart of Asia, is required to assist our American and Foreign clients in the relationship and communication process by asking all US Citizens or Residents for full disclosure as follows: We are mandated to collect from the US Citizen or Resident the following background information, and also conduct an electronic search on the National Sex Offender public registry and state public registry (http:.//www.nsopr.gov). This information and search result will be made available to any Foreign individuals interested in communicating with any American Citizen or Resident. In order to be able to use the services of Heart of Asia, please complete the questionaire below, sign and date.
 
     
  1. Do you have any temporary or permanent civil protection order or restraining order issued against you?;  
  Yes No    
  2. Do you have any Federal, State, or local arrest or conviction for homicide, murder, manslaughter, assault, battery, domestic violence, rape, sexual assault, abusive sexual contact, sexual exploitation, incest, child abuse or neglect, torture, trafficking, peonage, holding hostage, involuntary servitude, slave trade, kidnapping, abduction, unlawful criminal restraint, false imprisonment, or stalking?;  
  Yes No    
  3. Do you have any Federal, State, or local arrest or conviction for:  
  (I) solely, principally or incidentally engaging in prostitution;  
  (II) a direct or indirect attempt to procure prostitutes or persons for the purpose of prostitution or;  
  (III) receiving, in whole or in part, of the proceeds of prostitution?  
  Yes No    
  4. Do you have any Federal, State, or local arrest or conviction for offenses related to controlled substances or alcohol?  
  Yes No    
  5. Are you currently married?  
  Yes No    
     
  6. Have you ever been married?  
  Yes No    
  9. Have you ever sponsored the immigration to the United States of an alien to whom you were engaged or married?  
  Yes No    
     
  10. Are any of your children under the ages of 18?  
  Yes No    
  13. Please indicate all of the states in which you have resided since the age of 18  
 
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
 
  [To select more than one state, use the Control key. Remember to include the state you currently reside in]  
     
  14. Please indicate all of the countries you have resided in since the age of 18.  
 
Belarus
Canada
China
Ethiopia
Hong Kong
Japan
Kazakhstan
Korea South
Morocco
Philippines
Russia
Singapore
Taiwan (ROC)
Thailand
Ukraine
USA
Uzbekistan
Vietnam
Afghanistan
Albania
Algeria
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia & Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Chad
Chile
Cocos (Keeling) Islands
Colombia
Comoros
Congo, Democratic Republic
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Cyprus (North)
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Jordan
Kenya
Kiribati
Korea North
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau (China)
Macedonia (FYR)
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Pitcairn Island
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Samoa
Sao Tome Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
St Vincent Grenadines
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Tajikistan
Tanzania
Togo
Tokelau
Tonga
Trinidad Tobago
Tunisia
Turkey
Turkmenistan
Turks Caicos Islands
Tuvalu
Uganda
United Arab Emirates
United Kingdom
Uruguay
Vanuatu
Venezuela
Virgin Is (British)
Wallis Futuna Is
Yemen
Yugoslavia
Zambia
Zimbabwe
 
  [To select more than one Country use the Control key. Remember to select USA if you have resided here.]  
     
  15. In case you resided in a country not shown above. Please write its name(s) here.  
   
     
      
     
 
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