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Declaration of consent for a criminal record check

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In connection with an application for the issuing of a service certificate, see section 153(1), para. 2 of the Danish Public Procurement Act, I, the undersigned, hereby grant written consent for the Danish Business Authority to obtain a criminal record certificate for private use, see section 11 of Ministry of Justice Executive Order no. 881 of 4 July 2014, as amended.

Declaration of consent for a criminal record check:

A false declaration is punishable with a fine or imprisonment for up to four months, see section 163 of the Danish Penal Act.

Solemn declaration pursuant to section 153(2) of the Danish Public Procurement Act

I, the undersigned, hereby solemnly declare that within the last four years I have not been convicted by final judgment or accepted a fixed-penalty notice in respect of one or more of the following offences which are not listed in the criminal record certificate for private use, see section 11 of Ministry of Justice Executive Order no. 881 of 4 July 2014, as amended.

  1. criminal offences related to participation in a criminal organisation as defined in Article 2 of Council Framework Decision 2008/841/JHA of 24 October 2008 (Official Journal of the European Union 2008, no. L 300/42);
  2. bribery as defined in Article 3 of the Convention on Combating Bribery involving civil servants working for the European Communities or in any one of the member states of the European Union, and Article 2(1) of Council Framework Decision 2003/568/JHA of 22 July 2003 on combating corruption in the private sector (Official Journal of the European Union 2003, no. L 192/54) and bribery as defined in national law in the member state or home country of the applicant or the tenderer, or in the country in which the applicant or the tenderer is established;
  3. fraud as defined in Article 1 of the Convention on the Protection of the European Communities’ Financial Interests;
  4. terrorist offences or crimes linked with terrorist activities as defined in Articles 1, 3 and 4 of Council Framework Decision 2002/475/JHA of 13 June 2002 on combating terrorism (Official Journal of the European Union 2002, no. L 164/3), as amended by Council Framework Decision 2008/919/JHA of 28 November 2008 amending Framework Decision 2002/475/JHA on combating terrorism (Official Journal of the European Union 2008, no. L 330/21),
  5. money laundering or terrorist financing as defined in Article 1 of Directive 2005/60/EC of the European Parliament and of the Council of 26 October 2005 on the prevention of the use of the financial system for the purpose of money laundering and terrorist financing (Official Journal of the European Union 2005, no. L 309/15); or
  6. violation of section 262a of the Danish Penal Act, or, as concerns a judgment rendered by a foreign country’s court regarding child labour and other kinds of trafficking in human beings as defined in Article 2 of Directive 2011/36/EU of the European Parliament and of the Council of 5 April 2011 on preventing and combating trafficking in human beings and protecting its victims, and replacing Council Framework Decision 2002/629/JHA (Official Journal of the European Union 2011, no. L 101/1).

I, the undersigned, do hereby solemnly declare that

A false solemn declaration is punishable by imprisonment for up to two years, see section 161 of the Danish Penal Act.

Name
Street, number, floor, postal code and city
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Please notice: The declaration of consent is valid for 3 months after the signature date.