Your First name/Last name

Address

Postal code/ CITY

National Criminal Record Office

44317 Nantes Cedex 3

Done in [your city], on [specify the date].

Subject: Request for a criminal record extract

Madam, Sir,

By this letter, I kindly request that you send me an extract of my criminal record to the address indicated in the letterhead. For your information, I was born on [indicate your date of birth] in [indicate your place of birth].

While awaiting your reply, please accept, Madam, Sir, the expression of my best regards.

[Your signature]