Form FD-353 Personal Identification Card

PERSONAL IDENTIFICATION
SEE REVERSE SIDE FOR FURTHER INSTRUCTIONS

TYPE OR PRINT ALL INFORMATION IN BLACK
LAST NAME

NAM

LEAVE BLANK

FBI

MIDDLE NAME

FIRST NAME

FD-353 (Rev. 5-15-17) 1110-0046
SIGNATURE OF PERSON FINGERPRINTED

FINGERPRINTS SUBMITTED BY

DATE OF BIRTH DOB
Month
Day
Year

RESIDENCE OF PERSON FINGERPRINTED

SEX

DATE FINGERPRINTED

RACE

HGT.

WGT.

EYES

HAIR

PLACE OF BIRTH

PERSON TO BE NOTIFIED IN CASE OF EMERGENCY
NAME

LEAVE BLANK

SOCIAL SECURITY NO.

ADDRESS

CLASS

MISCELLANEOUS NO.
FINGERPRINTED BY

REF.

SCARS AND MARKS

1. R. THUMB

6.L. THUMB

2. R. INDEX

7. L. INDEX

LEFT FOUR FINGERSTAKEN SIMULTANEOUSLY

3. R. MIDDLE

4. R. RING

8. L. MIDDLE

9. L. RING

L. THUMB

R. THUMB

5. R. LITTLE

10. L. LITTLE

RIGHT FOUR FINGERS TAKEN SIMULTANEOUSLY

POB

FEDERAL BUREAU OF INVESTIGATION
UNITED STATES DEPARTMENT OF JUSTICE

CRIMINAL JUSTICE INFORMATION SERVICES DIVISION, CLARKSBURG, WV 26306

PERSONAL IDENTIFICATION
To obtain classifiable fingerprints:
1. Use printer’s ink.
2. Distribute ink evenly on inking slab.
3. Wash and dry fingers thoroughly.
4. Roll fingers from nail to nail, and avoid allowing fingers to slip.
5. Be sure impressions are recorded in correct order.
6. Notate in the appropriate finger blocks if applicant is missing one or more fingers for any reason. If not missing, all ten impressions must
be provided with scars and deformities notated.
7. If some physical condition makes it impossible to obtain perfect impressions, submit the best that can be obtained.
8. Examine the completed prints to see if they can be classified, bearing in mind the following:
Most fingerprints fall into the patterns shown below. Other patterns occur infrequently and are not shown here.

FD-353 Personal Identification Privacy Act Statement

PASTE
PHOTO HERE
(OPTIONAL)

FD-353 (Rev. 5-15-17)

The FBI's acquisition, preservation, and exchange of fingerprints and associated information is
generally authorized under 28 U.S.C. 534. The fingerprints and associated information that you
have voluntarily provided may be used for humanitarian and identification purposes. Your
fingerprints and associated information will be retained in the FBI's Next Generation Identification
(NGI) system or its successor systems and will be searched against civil, criminal, and latent
fingerprints in the NGI system. As long as your fingerprints and associated information are
retained in NGI, they may be disclosed pursuant to your consent and may be disclosed without
your consent as permitted by the Privacy Act of 1974, and all applicable Rountine Uses for the
NGI System. Submission of your Social Security Account Number on this form is voluntary but
will assist the FBI to confirm your identity.