Section 22 in The Private Security Agencies Central Model Rules, 2006
22. Enclosures :
.................................................................................................................................................... .................................................................................................................................................... .................................................................................................................................................... ....................................................................................................................................................(Signature/thumb-impression* 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 and A report..............................................................................................................(Signature of Police Station In-charge)Name of Police Station : ..........................................................................................Name of Police District : .........................................................................................FORM III(See rule 4)Character And Antecedent CertificateThis is to certify that Mr./Ms. .............................................................................., son/daughter of .............................................................................. ...................................Whose particulars are given be low 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 authority:Signature :Name :Designation:Address/Telephone No.:Date of issue:FORM IV(See rule 5)Training CertificateSerial number:...........................................Name of the Training AgencyAddress of the Training AgencyLicence No.:.........................................................................................Certified that Mr./Ms. .................................................................................................., 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 holder.Place of issue :Signature of issuing authority:FORM 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 licence to run the business of operating services in the area of Private Security Agencies.
