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State of Odisha - Section

Section 16 in The Orissa Private Security Agencies Rules, 2009

16. Other conditions.

(1)Notwithstanding whether the Agency mandates its security guards to put on uniform while on duty or not, every Agency will issue and make it obligatory for its security guards to put on (a) an arm badge clearly distinguishing the Agency;
(b)shoulder or chest badge to indicate his position in the organisation;
(c)whistle attached to the whistle cord and to be kept in the left pocket;
(d)shoes with eyelet and laces;
(e)a headgear which may also carry the distinguishing mark of the Agency.
(2)The clothes worn by the private security guards while on active duty shall be such that it would not hamper in his efficient performance. In particular it will neither too tight nor too loose so as to obstruct movement or bending of limbs.
(3)Every private security guard will carry a notebook and a writing instrument with him.
(4)Every private security guard while on active security duty will wear and display the photo identity-card issued under Section 17 of the Act on the outer most garment above waist level in a conspicuous manner.Form I(See rule 3)Form for verification of Antecedents of Applicant
Thumb Impression of the Applicant............... Passport recent Photograph attestedby GroupA Gazetted Officer
Signature of the Applicant......................
For official use only
Form number Name of the police station sent for policeverification Date
     
Fee Amount Rs........../D.D................Name of Bank.............. D.D. No..............Date of Issue.......Please read the instructions carefully before filling the form. Please fill in Block Letters : (Caution : Please furnish correct information. Furnishing of incorrect information or suppression of any factual information in the form will render the candidate unsuitable for grant of licence)
1. Name of applicant (Initials not allowed)
  Last name..............First name...........
2. If you have ever changed your name,please indicate the previous name(s) in full….....................................................
3. Sex (male/female).….........................
4. Date of Birth.................................
5. Place of Birth : Village/Town ...........................
  District...........State &Country..........................
6. Father's Full Name/Legal Guardian'sFull Name (including surname, if any):(Initials notallowed)….....................................................
7. Mother's Full Name (includingsurname, if any) :(Initials notallowed)….....................................................
8. If married, Full Name of Spouse(including surname, if any)(Initials notallowed)….....................................................
9. Present Residential Address,including Street No./Police station, village and District (withPIN code)….....................................................….....................................................
  Telephone No./Mobile No ................
10. Please give the date since residingat the above-mentioned address :DD MMYYYY….....................................................
11. Permanent Address including StreetNo./police station, village and District (with PIN code)….....................................................….....................................................
12. If you have not resided at the address given at Column (9)continuously for the last five year, please furnish the other(addresses) with duration(s) resided. You should furnishadditional photocopies of this form for each additional place ofstay during the last five year. Forms may be photocopied, butphotograph and signature in original are required on each form.
  From............To....................From................To..................….....................................................….....................................................
13. In case of stay abroad particularsof all places where you have resided for more than one year afterattaining the age of twenty-one years.….....................................................….....................................................….....................................................
14. Other Details :
  (a) Educational Qualification :
  (b) Previous positions held if any along with name and addressof employers :
  (c) Reason for leaving last employment :
  (d) Visible Distinguishing Mark :
15. Did you earlier operated any Private Security Agency or wereits partner, majority shareholder or Director ? If yes thenfurnish the name, address of the Agency and its licenseparticulars.
16. Are you a citizen of India by :Birth/Descent/Registration/Naturalisation : If you have everpossessed any other citizenship, please indicate previouscitizenship….....................................................….....................................................
17. Have you at any time been convictedby a Court in India for any criminal offence and sentenced toimprisonment ? If so, give name of the Court, case number andoffence (Attach copy of judgement)….....................................................….....................................................
18. Are any criminal proceedingspending against you before a Court in India ? If so, give name ofCourt, case number and offence.….....................................................….....................................................….....................................................
19. Self-Declaration :
  The information given by me in this form and enclosures istrue and I am solely responsible for accuracy.
  (Signature/T.I.* of applicant)
  Date
  Place ........
20. Enclosure :
  (Signature/T.I.* of applicant)
(*Left Hand Thumb Impression if Male and Right Hand Thumb Impression if Female)For Office Use OnlyFile No......................Date of issue of C&A Report..................(Signature of Police station in charge)Name of Police Station.................Name of Police district................* N.B. Cancel whatever is not applicable.Form II(See rule 4)Form for verification of Character and antecedents of Security Guard and Supervisor
Thumb Impression of the Applicant............... Passport Size recent Photograph attestedby Class I Gazetted Officer
Signature of the Applicant......................
For official use only
Form number Name of the police station sent for policeverification Date
     
Fee Amount of Rs..........Cash/D.D...............Name of Bank ........... D.D. No................Date of Issue...............Please read the instructions carefully before filling the form. Please fill in BLOCK LETTERS : (CAUTION: Please furnish correct information. Furnishing of incorrect information or suppression of any factual information in the form will render the candidate unsuitable for employment/engagement in the Private Agency.)
1. Name of applicant as should appear in the photo-identity card(Initials not allowed)
  Last name................. First name...............
2. If you have ever changed your name,please indicate the previous name(s) in full…......................................................
3. Sex (male/female..............
4. Date of Birth................
5. Place of Birth : Village/Town..................
  District.............. State & Country.............
6. Father's Full Name/Legal Guardian'sFull Name (including surname, if any) : (Initials notallowed)......................…......................................................
7. Mother's Full Name (includingsurname, if any) : (Initials not allowed)…......................................................…......................................................
8. If married, Full Name of Spouse(including surname, if any).(Initials notallowed)…......................................................…......................................................
9. Present Residential Address,including Street No./Police station,village and District (withPIN code)…......................................................…......................................................…......................................................…......................................................
  Telephone No./Mobile No........................
10. Please give the date since residingat the above mentioned address : DD/MM/YYYY…......................................................
11. Permanent Address including StreetNo./police station, village and District (with PIN code)…......................................................
12. If you have not resided at the address given at Column (9)continuously for the last five year, please furnish the otheraddress (addresses) with duration(s) resided. You should furnishadditional photocopies of this form for each additional place ofstay during the last five year. Forms may be photocopied, butphotograph and signature in original are required on each form.
  From............To...........From........To..........…......................................................…......................................................
13. In case of stay abroad particularsof all places where you have resided for more than one year afterattaining the age of twenty-one years.…......................................................…......................................................…......................................................…......................................................
14. Other Details :
  (a) EducationalQualifications…......................................................
  (b) Previous posts held alongwith name and address ofemployer…......................................................…......................................................…......................................................
  (c) Reason for leaving lastemployment…......................................................…......................................................
  (d) Visible DistinguishingMark…...................................
  (e) Height(cms)...................................
15. Are you working in CentralGovernment/State Govt/PSU/Statutory Bodies Yes/No…......................................................
16. Are you a citizen of India by :Birth/Descent/Registration/Naturalisation If you have everpossessed any other citizenship, please indicate previouscitizenship…......................................................
17. Have you at any time been convictedby a Court in India for any criminal offence & sentenced toimprisonment ? if so, give name of the Court, case number andoffence. (Attach copy of judgement)…......................................................
18. Are any criminal proceedingspending against you before a Court in India ? If so, give name ofCourt, case number and offence…......................................................…......................................................
19. Has any Court issued a warrant orsummons for appearance or warrant for arrest or an orderprohibiting your departure from India ? If so, give name ofCourt, case number and offence.…......................................................…......................................................
20. Self Declaration :
  The information given by me in this form and enclosures istrue and I am solely responsible for accuracy.
  (Signature/T.I.* of applicant)
  (*Left Hand Thumb Impression if Male and Right Hand ThumbImpression if Female)
  Date..........
  Place.........
21. Particulars of person to be intimated in the event of death oraccident:
  Name....................................
  Address.................................
  Mobile/Tel. No..........................
22. Enclosures :…......................................................…......................................................…......................................................…......................................................
  (Signature/T.I. of applicant)
* For Office Use OnlyFile No....................Date of issue of C&A Report............(Signature of Police station in charge)Name of Police Station.................Name of Police district................* N.B. Cancel entries not applicable.Form-III(See rule 4)Character and Antecedent CertificateThis is to certify that Mr./M/s.................. Son/Daughter of............... whose particulars are given below has good moral character and reputation and that the applicant has been staying at the following address continuously for the last one year.Date of Birth :Place of Birth :Educational Qualification :Profession :Present Address :Permanent Address :Issuing AuthoritySignatureNameDesignationAddress/Tel. No.Date of IssueForm IV(See rule 5)Training CertificateSerial NumberName of the Training AgencyAddress of the Training AgencyLicense No.Certified that.........................son/daughter of........................resident of ...........................has completed the prescribed training for the engagement or employment as a Private Security Guard from.............till........His signature is attested below.Signature of the Certificate HolderSignature of issuing authorityDesignationPlace of issueDate of issueForm V(See rule 8)Application for New Licence/Renewal of Licence to Engage in the Business of Private Security AgencyToThe Controlling Authority..........................................................The undersigned hereby applies for obtaining a license to run the business of operating services in the area of Private Security Agencies.