New Mexico Applicant Fingerprint Registration Receipt
Step 1 - Please Enter Your Information
Program Selected:    Program Description:
Transaction Information     
Payment Type:    *
No unemployment cards, child support cards or gift cards are accepted.
Fingerprint Card User    (Out of State Applicants ONLY, all other cards will be returned)    
Agency Billing ID (ABID):    *    
Agency Password:    *(case sensitive)    
Evoucher No.:    *    
  *You must use the ORI lookup to enter an ORI and Reason
**For Concealed Carry - CCW: Click ORI Lookup and type "DPS" as the Agency Name
ORI:    *
Reason:    *
Controlling Agency:    *
User Defined Field:       
Personal Information     
First Name:    * *Name must be the same as shown on your DL/ID Middle Name:   
Last Name:    * *Remove any spaces in registration Suffix:   
Aliases:    Date of Birth:    (MMDDYYYY)*
Social Security No SOC:    Reenter SOC:   
Place of Birth POB:    * Country of Citizenship CTZ:    *
Sex:    * Race:    *
Weight:    * Height:    *
Hair Color:    * Eye Color:    *
Driver License No:    Driver License State:   
Address Information   Alphanumeric characters (alphabet letters and numbers) only*      
Address 1:    * Address 2:   
City:    * State:    *
Zip:    * Phone:    *
Email:    *
I don't have email address
Employer Information         
Your No OCA:    FBI No FBI:   
Armed Forces No MNU:    Miscellaneous No MNU:   
Type of Transaction TOT:    * Designation Agency ID DAI:    *
Employer Name:    Employer Address 1:   
Employer Address 2:    Employer City:   
Employer State:    Employer Zip:   

Note: Highlighted fields are required and marked by a *.