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Form V (See Rule 8) Application For New Licence/Renewal of Licence To Engage in The Business of Private Security Agency

This document contains an application form for obtaining a new license or renewing an existing license to operate a private security agency. It requests information such as the applicant's name, address, details of the security agency like facilities, staff, and equipment. The applicant needs to provide details of training facilities, uniforms, and enclosures like an income tax clearance and affidavit. The form needs to be submitted to the controlling authority to apply for a private security agency license.

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157 views

Form V (See Rule 8) Application For New Licence/Renewal of Licence To Engage in The Business of Private Security Agency

This document contains an application form for obtaining a new license or renewing an existing license to operate a private security agency. It requests information such as the applicant's name, address, details of the security agency like facilities, staff, and equipment. The applicant needs to provide details of training facilities, uniforms, and enclosures like an income tax clearance and affidavit. The form needs to be submitted to the controlling authority to apply for a private security agency license.

Uploaded by

Zaidpzaid
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Form V

(See Rule 8)

APPLICATION FOR NEW LICENCE/RENEWAL OF LICENCE TO ENGAGE IN THE
BUSINESS OF PRIVATE SECURITY AGENCY


To

The Controlling Authority

___________________________
___________________________

The undersigned hereby applies for obtaining a licence to run the
business of operating services in the area of Private Security Agencies.
1. Full name of the applicant :
2. Nationality of the applicant:
3. Son/wife/daughter of :
4. Residential Address:
5. Address, where the applicant desires
to start his Agency:

6. Name of the Private Security Agency:

7. Name and addresses of Proprietor, Partner, Majority, Shareholder, Director and
Chairman of the Agency:

________________________________________________________________
__________________________________________________________

8. Name and extent of facilities available:
____________________________________________________________

9. Qualifications of staff engaged for imparting instructions;
Name ______________________________________

Age _______________________________________

Designation __________________________________

10. Equipments which will be used for Security Services

(a) Door Framed Metal Detector (DFMD)
(b) Hand Held Metal Detector (HHMD)
(c) Mine Detector
(d) Other Detectors
(i) Wireless Telephones
(ii) Alarm Devices
(iii) Armored Vehicles
(iv) Arms.

11. The particulars of the uniform including colour in case the applicant intends to
use any uniform for the Private Security Guards and Supervisors of the Agency:

_____________________________________________________________

12. Does the applicant possesses the training facility in its own or will get it on
outsourcing basis? The name and address of training facility should be furnished.

_____________________________________________________________


Signature
Name of the applicant
Address of the applicant
Telephone number of the applicant
Date of application


Enclosure :

1. Copy of latest Income tax Clearance Certificate.
2. Affidavit as prescribed under Section 7 sub section (2) of the Act.
3. Other enclosures.

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