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Background For
  Results from US Sex Offenders Database  
  0 hits from 1 zip code for City/Town Like Last Name Like , First Name Like  
  Full Name :      
  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  
  [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.  
  [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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