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288 (23) Raipur, the 12th June 2008 ·, NOTIFICATION FNo. 4-325/Home-C/2005.-In exercise of powers confe~ed by Section 25 of the Private Security Agencies (Regulation) Act, 2005 (Central Act No. 29 of 2005), the Government of Chhattisgarh hereby makes the following rules namely :- RULES
1. · Shori title, extent and Commencement: - (l)' These Rules may be called the Chhattisgarh State Private Security Agencies (Regulation) Rules, 2008.
(2) It extends to the whole State of-Chhattisgarh.
(3) It shall come into force from the date of its publication in the Chhattisgarh • Gazette.
2. Definitions : - In these Rules, unless the context otherwise requires -
(a) "Act" means the Private Security Agencies (Regulation) Act, 2005 (Central Act 29 of2005).
(b) ''Agency" means the Private Sercurity Agency.
(-c-}-i'Controlling Authority" means, the Controlling Authority so declared under the Act.
"' . (d) "Form" means, a Fotm append_ed to these Rules. ~ .
(e) "License" means a license grnnted under the Act.
(f) The Words and expressions used about not defined in these regulation shall carry the meaning· as have been assigned to them in the Private Security Agencies (Regulation) Act, 2005 (Central Act No. 29 of 2005).
(g) "State Government!' means the State Government of Chhattisgarh.
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288 ( 2-' 1
3. Verification of the antecedents of the applicants :- (1) Every applicant while making an application to the Controlling A:uthority for the issue of a fresh license or renewal shall enclose the Form · I for verification of his antecedents. If the applicant is a company, a firm or an association of person~, the application shall be accompan1ed· by· Form i for every proprietor or majority shareholder, partner or director of the company, as if they were also the applicants. -
(2) On receipt of such application, the Controlling Authority shall make such inquiries, as it considers necessary to verify the contents of the application an"d the particulars of the applicant. ·
(3) The Controlling -Authority shall obtain a no objection certificate from the District Superintendent of Police of the concerned District where the Agency intends to commence its activities. For this purpose it will send to him a copy of the application for license and its attachments for verification · and report. ' ( 4)The Dist!ict . Superintendent of Police in addition to the causing of verification · of antecedents of every individual i ,.. whose name ·. the ·' antecedent form is filled up, shall also furnish the following information:
(i)Whether the applicant or the company earlier operated. any Private · Security Agency, either individually or in p~rtnership of others and if so, the details thereof; and
(ii)Whether the applicant possesses any special qualification or skill, which · n:iay_ facilitate his operations of Private Security Agency. -
4. Verification of character and antecedents of the private security guard and · supervisor:- (1) Before any person is employed or· engaged as a security guard or supervisor, the Agency shall satisfy itself about the character and antecedents of such person in any one or more of the following manners: -
(a) by verifying the character and antecedent of the person by ~tself,
(b) by relying upon the character and antecedent verification certificate produced by the person:
Provided that the character and antecedent certificate ·shall. be valid · and the Agency does not have any adverse report regarding the person's character and antecedents from any other source; as prescribed· herein under, produced by the person. -
(c),.by relying on the report received from the police authorities signed under the authority of the District Superintendent of Police or an officer of the equivalent or higher rank.
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¥.Hfl{-1•1~ ~. ~ 12 ~ 2008 288 (25)
(2) The person desirous of getting employed or ·engaged as security guard or · supervisor shall subll).it Form II to the Agency. If the person has stayed in more than one District during the last five years, the Number of forms will be as many as Districts.
(3) The Agency shall cause an inquiry into the correctness of the particulars filled in either by itself or by sending the form to the respective District Superintendent of Police.
( 4) The State Government may prescribe the form-antl the manner in which the fee is to be deposited for the service of character ·and antecedent verification by Police.
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(5) The police will establish identity of the indivioual and .verify the character and antecedents of the person by making a visit to the locality where the person claims to have resided or residing· and . ascertains his identity and reputation from the respectable residents of the locality. They will also consult the police station record of the concerned police station and other records at the District Police Headquarter before preparing the character & antecedents verification report. This report will contain the comments of the police 011 every claim. of the person in character and antecedent Form and also a ge.µeral report about his activities including mean~ of livelihood .
in the period of verification. The police wi11 specially state if there is a criminal case registered against the person at any point of time or if he has ever been convicted of criminal offence punishable with imprisonment.
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(6) The police will specially comment if the engaging or employing the person under verification by the Private Security Agency will pose a threat to National Security.
(7) The police authorities shall ensure that character and antecedent verification report is issued within ninety days of the receipt of the character and antecedent form.
(8) The report of the police regarding character and antecedents of a person will be graded as confidential. It will be addressed in named cover to a designated officer of the · Security Agency requesting for character and · antecedents .
(9) Character· and antecedents verification .report once issued will remain" valid for three year&.
...
' 288 (26) (lO)On the. basis of police verification and on the basis of their own · verification, the Agency shall issue in Form· III a character· certificate and this certificate will not be taken back by such Ag~ncy even if the person ceases to be the employee of that Agency. · ·
5. Security training :-(1) The Con~rolling Authority shall ·frame the detailed . training syllabus required for training the security ·guards. This training sh~ll be for a ininimµm period of hundred hours of classroom instruction and sixty hours of field training,, spread over at least twenty working days ..
• · The ex-serviceman and former police personnel shall however- be required to attend a condensed course only, of minimum forty hours of classroom . · · instructions and sixteen hours of field training spread over at least seyen working days.
(2) The training will include the following subjects,_namely: -
(a) conduct in public. and correct wearing of uniform;
(b) physical fitness training;
( c) physical security, security of the assets, security of the building or apartment, personnel security, household security;
(d) fire fighting;
(e)·crowd control;
(f) examining identification papers including identity cards, _passports and ' smart cards; · · · (g). should be able to read and und~rstand ·English alphapets and Arabic numerals as normally encountered in the identification documents, arms license, travel documents and security inspection sheet;
(h)'identification of improvised explosive devices;
(i)° first-Aid; . ·
(j) crisis response and disaster managerrient;
(k) defensive driving ( compulsory for the driver of Armored vehicle and optional for others));
(I) handling and operation of non-prohibited weapons and firearms ( optional);
(m) rudimentary knowledge of· Indian Penal Code, right to private defense, procedure for lodging first information report in the police . station, Arms Act (only operative sections), Explosives Act (operative . sections);
(n) badges of rank in police and militai:y forces; .
( o) identification of" different types of arms in use in public and Police;
(p) use of Security equipments and devices (for example~ security alarms and screening.equipments); and · (q)leadership and management (for supervisors only).
t , • 288 (27)
(3) The security" guard will have to successfully undergo the training prescribed by the competent Authority. On completion of the training each successful trainee will be awarded a certificate "i"n Form IV by the training institute of .
organisation.
( 4) The competent Authority will inspect the functioning of training facility· from time of time either by itself or through its own officers. Normally such inspection will be conducted at least twice every year. _
(5) All the ·Agencies shall submit a list of successful trainees to the Controlling Authori~y in the manner prescribed by it.
6. Standard of physical fitness for security guards :- (1) A person shall be eligible for being engaged or employed as security guard if he fulfill the · standards of physical fitness a& specified below: - ·
(i) Height 160 ems (for Female 150 ems), -Weight according to standard table of height and weight, chest 80 ems with and expansion of 4 ems (for females no minimum.requirement for chest measurement)
(ii) Eye sight: far sjght vision 6/6, · near vision 0.6/0.6 witl;l or without . correction, free from • color blindness should be able to _identify and distinguish . color display in security equipments and read . and unders~d display in English alphabets and Arabic numerals. .
(iii) Free from knock-knee and flat foot and should be able to run one Kilometer in eight minutes.
(iv) Hearing: free from defect; should be able to hear and respond to the spoken voice and alarms generated by security equipments ..
(v) The candidate should have dexterity and st~ength to perform searches, handle objects and use force for restraining the individuals in case of need.
· (2) A candidate should be free from evidence of any ·contagious or infectious disease. He should not be suffering from any disease which is likely to be · . aggravated · by service or · is likely to render hirri unfit for service or endanger the health of the public.
(3) Agency shall ensure that every security guard working for it undergoes a medical examination after every twelve months from his last such .
examination so as to ensure his continued maintenance of physical standard as pres~ribed for the entry level. . · ' .
7. Provision for Supervisors :~ (1) There shall be -one supervisor to supervise the work of not ~ore than fifteen private security g~ards.
'· / 288 (28} . . . . .
(2} In case the private security guards are on security duty in different premises . and it is not practical to supervis.e their work by one supervisor, the Agency.
shall depute more number of supervisors so that at least for every six private security guards there is one supervisor available for assistance, . ~ ~dvice and supervision.
. .
8. Manner of making application for grant of license :- (1) Every application . by an. Agency for the grant of a license under clause (i) of Section 7 of the Act, shall be made to the Controlling Authority in the format pre~cribed in . Form V.
(2) Every application referred to in sub-rule (1) shall be accompanied by a . -demand draft or banker's cheque showing the payment of fees as prescribed ·under clause (3) of Section 7, payable to the Controlling Authority of the state concerned where the application is being made.
(3) Every applfoation referred to in .~uh-rule (1). shall be either personally delivered to the Controlling Authority or sent to· him by registered post.
(4) On receipt of the application referred to in sub-rule (1), the Controlling Authority shall after noting thereon the date of receipt by him of application, grant an acknowledgement to the applicant.. r
9. Grant of license :- (1) The Controlling Authority, after receiving an application under sub-rule (1) of rule 8 shall grant a license to the private security , agency in Form VI after completing an the formalities and satisfying itself · about the suitability of the applicant and also the need for granting· the license -for the area of operation applied for.
(2) The Controlling Authority either by itself or through its officers may verify the training and skill imparted to the private security guards and supervisor · of any private security agency.
(3) The Controlling Authority. may review the continuation , or otherwise of license of such security agencies which may. not have adhered to the.
conditions of ensuring the required training.
10. Condit.ions for grant of license :- (1) The licensee shall ·successfully undergo a training relating to the private security services as prescribed by the Controlling Authority within the time frame fixed by it. / ,
(2) The licensee shall intimate the J\ame, parentage, date of birth permanent address,· address for correspondence and the principle profession of each ) , . , i§'ffi;g•1~ ~, ~ 12 "l1' 2008 288 (29) person forming the Agency within fifteen days of receipt of the license to the Controlling Authority.
(3) The licensee shall inform the controlling authority regarding any change. in the address of person forming the Agency, change of management within seven_ days of such change.
( 4) The licensee shall immediately intimate to the controlling authority about any criminal charge framed against the. persons . forming the agency or against the private security guard. or supervisors or employed by the Agency, in the ·course of their performance of dutie~ .as private security agency. A copy of such communication shall also be sent to the officer in charge of the police station where the person charged against resides.
'
(5) Every licensee shall abide by the requirements of physical standards for the private security guard and their training as prescribed. in these rules as the condition on which the lice1_1se 1s granted'. ·
(6) Save as provided in these rules, the fees paid for the grant of license shall be non-refundabl~
11. Renewal of license :- (1) Every Agency shall apply to the Controlling . · Authority for renewal of the license.
(2) The fees- chargeable for renewal of the license shall be the same as for the grant thereof.
12. Conditions for renewal of license :-(1) The renewal of ljcense will be granted · subject to the following conditions: -
(i) The applicant continues to maintain his principle place of business in the jurisdiction of the controlling Authority.
(ii) The applicant continues to ensure the availability· of the training for its private security guards and supervisors required under subsection (2) of· ~he Section. 5 of the Act.
(iii) The applicant continues to ·adhere to the license condi_tions. . .
(iv) The police have no objection to the renewal of the license to the applicant. · ·
(2) The form for applicatiQn of renewal of licens_e will be saine as the form for the application or original license.
"'>
13. Appeals and procedure :- (1) Every appeal under· sub-section (1) of Se~tion · · 14 of the Act shall be preferred in Form VII signed by the aggrieved person ~ ·.
' .
288 (30) ' 1 ?H1lftll~ ~, ~ 12 ~ 2008 or his authorised advocate and presented to the appellate officer in ·person or sent to him by registered post.
(2) The Controlling Authority may prescribe a fee or the appeal to be· filed under Section 14 of the act and the manner in whieh such fee will be paid.
. .. . .
14~ Register to be maintained by the Agency :- The register required to be maintained under the Act by the lgency shall be in Form VIII.'
15. Photo identity card :- (1} Every photo identity card issued by the Agency under sub-section (2) of Section 17 shall be in Form IX.
. .
(2) The photo.identity card shall convey a full~face image in colour, full name of the private security guard, name of tlie Agency _and the identification number of the individual to whom the photo identity card is issued.-
(3) The photo identity card shall dearly indicate the individual's position in the Agency and the date up to·which the photo-identity card is valid.
( 4) The Photo identity card shall be maintained up to date and any change in the particulars shall be entered therein.
(5) The photo-identity card issued to the private security guard will be returned, to the Agency issuing it, once the private security guard. is no longer engaged or employed by it.
(6) Any loss or theft of photo-identity card will be immediately brought to the notice of the Agency that_issued it.
16. Other conditions :- (1) Notwithstanding whether the Agency mandates its . .
private security guards to put on uniform while on duty or not, ev~ry · private security agency will issue and make it obligatory for its security guards to put on: . ' ·
(a) an arm badge distinguishing the Agency;
(b) shoulder or chest badge fo indicate his position in the organization;
. ( c) whistle attached to the whistle cord and to be kept in the left pocket;
( d) shoes with eyelet and laces;
(e) a headgearwhich·may ~lso carry the distinguishing mark of the Agency;
. .
(2) The clothes worn by the private security guard, while ori active duty shall be such that they ~o not hamper in his efficient performance. In particular they will neither be too tight nor too loose as to obstruct movement or bending of limbs.
,,_ ( - \ , .)
' gfilft•I~ m, ~ 12 ~ 2008 288 (31)
(3) Every private security guard will carry a notebook and a writing instrume.nt with him.
, ( 4) Every private. security guard while on active security duty will wear and display photo-identity card issued under Section 17·ofthe Act, on-tb~ outer most garment a1?ove waist level on his person in a conspicuous manner .
✓ By order and in the name of the Governor of Chhattisgarh, SANJAY ~lLLAY, Secretary.
,.
288 (32) Form I (See rule 3) Form for verification of Antecedents of Applicant Thumb Impression* of.the Applicant ................................. ::·: ..
Signature of the Applica!lt ....... : ................................. ~··········.' ..
\ For official use on(v Form number Name of the police station sent for police verification . . (
(1) (2) I Date
(3) Fee Amount 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 grant of license)
1. Name of applicant (Ini_tials not allowed) .
Last name ........................................ First name_ ....................................... .
2. If you have ever changed your name, please indicate the previous nanie (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's Full Name (Including surname, if any): (Initials not allowed) ........................................................................... .
7. Mother's Full -name (Including surname, if any): (Initials not allowed)
8. If married, full name of Spouse (Including surname, if any): (Initials not allowed) ........... : ................................................... : .. · .................................... : ..
9. Present Residential Address, including Street No. / police station, village and District'(with PIN Code} "\ ..
€9'ffi{-l•I~ ~, ~ 12·~ 2008 288 (33) ..... ~...... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....................................... .
. . . . . . . . . . . . . . . . . ·.: ....................•................................. ~ ~. . ....................................... .
Telephone no./Mobile No ........................................................................ .
10. Please give the date sin~e residing at the above-mentioned address: .
DDMMYYYY .
. ... . . . . . ~ .................................................................. -.... : ....... · ..................... ~ ....... .
- 11. Permanent Address including Street No. ./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 address (addresses) wjth duration(s) resided. You should furnish additional photocopies of this form for each additional place of stay during the last five years. Forms may be ·photocopied, but photograph and .sign~ture in original are required on each form. - From ....... ~ ....... ; ...... .' ..... To ............... : ............... From .................... To .... , .......... .
. , •••••••• ,; •••••••••••••••••••••••• ~ •••••••••• _.. !' ••••••••••••••••••••••••••••••••• ! ••••••••••••••••••••••••••••••••••••••• ··············••.•···••,•················································· ...................................................... .
. . ' .
················································••-: .. ••·········.;······················~····························· .. ······
13. In case of stay abroad particulars of all places where you have resided for more than one ye~r after attaining the age of twenty-one years .... •••••••••••••••••••••••••••••••• .................... ••••••••e .. ••~• .. • .. •••••••••••••••••••••••••••••••••• .. ••••••••••••••••••••• .............................................................................................................. ~ ............... • ............... .
...............................................................................................................................................
, 14. · Other Details: -
(a) Educational Qualifications:
(b) Previous positions held if any along with name and address of employers:
( c) Reason for leaving last employment:
( d) Visible Distinguishing Mark:
. . .
l.5. Did you earlier operated ·any Private Security Agency or were its partner, > majority shareholder or Director? If yes then furni$h the name, address of the Agency and its license particulars. . .
. . .......... · ................................................................ _ ............................................. . . . .
"I ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••
16. Are,y{l'u -a citizen of India by: Birth/Descent/Registration/Naturalisation : If you· have ever_ possessed. ~Y- other citizenship, please indicate previous citizenship.
························································································································· . . . ··························································•······························································ /I "°"' •· 288 (34) 0-ffifl•I~ ~, ~ 12 "ff 2008
17. Have you at any time been convicted by ~ court in India for any criminal offence and sentenced to imprisonment? If so, give name of the court, case number and offence. (Attach copy of judg~ent) · · .......................................................................................................................... . .
............................................. ; ...................................... ~-·· ................................... .
18. Are any crimjnal proce~dings pern;ling against you before a court in India?
If so, give name of court, case number and offence;
·' ·······••·••······••,•································ .. ···································•·1\••····························· .
.............. ~ ............................................... · .............................................................. .
.............................................................................................................. , .......................................................... .
. ········· .. ····· .......................................................................................................................................................... .. . ~
19. Self - Declaration:
The information given by me in this form and enclosures is true arid I am solely respons.ible for accuracy.
. (Signature IT.I. * Applicant) Date· · Place .......... .
20. Encl9sures:
~ ...................................................................................................................... !' ....................................... J ............ ': •• . ' .................. / .... , ............................................................................................................................................................................. ..
. . . . . .. ... .. . . .. . . .. .. . .. . . . . . . . . . . .. . . . . . .. . . .. .. . . .. . . . .. ... . . .. . . . . . . . . .. . . . .. . . . . .. . . . . .. .. .. .. . . : ...... , .................................................... .
• • • .. .... • ~ ...................................... ' ......................... ,. ......................................................... IJ, ...................... .
• ........... <I ......................................... : ...................................................................................................... .
. . . . . . . . . . .. .. . . . .. . . . . .. . .. . . . .. .. . . .. . . . .. .. .. . . . . . . .. .. .. . . .. . . . . . . .. . .. .. . .. .. ~ ...................................................... ., ................. .
(* Left Hand thumb impression if Male and Right Hand Thumb Impression if Female) · ' FOR OFFICE USE ONLY File No ...................... : ....... ; .... · ............................................. · ................ .' ............ ..
Date of issue ofC & A Report············:·················· (Signature of Police Station In Charge) .
Name of Police Station ...................... .
. Name of Police district ........................ .
* N.B. Cane.el whatever is not applicable.
,, r (.
r I ., I ' Form II (See rule 4) Form for verification of Character and antecedents Of Security Guard ~nd Supervisor 288 (35) Thumb Impression* of the Applicant ........... ~ ...................... : ... .
Signature of the Applicant·········'.·· .. ·······: ................................. .
For official use oniv I Form number Name of the police station sent for police Date , verification
(1) (2) ., (3) I .
fee Amount 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 LETT-::RS: (CAUTION: Please furnish correct information.
Furnishing of incorrect - information or suppression of any factual information in the form will render the c~ndidate unsuitable for employment/engagement in the Prlvate Agency.) .
1. Name of applicant as should appear in the photo-identity card (Initials not allowed) Last _name ................ · ....................... First name ................. .................... .. ·
2. Ifyou 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 ........................ · ............ ..
(;. Father's Full name/Legal ·ouardian's Full Name (Including ~umame, if any): (Initials not allowed) .... ~ ............................ : .......................... ~ .......... ..
7. Mother's Full name (Including ~umame, if any): (Initi~ls not allowed) ......................................................................................................................
~. If married, full name of Spouse (Including surname, if any): (Initials not allowed).~ .................................................................................... ~ .. ~············.···· J 288 (36)
9. · Present Res.jdential Address, including Street No. I police station, village and District (with PIN Code) ............................................... ; ..............•...................... ; ................. ~ .... ~ ........ .
························ ........................................................................................................... .
Telephone no./Mobile No ................................ ; ............. : ........................ ..
10. Please give the date since residing at the above-mentioned address, DD/MM/YYYY .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ ...... ~ ........................... ·• . . . ........................................ .
11. Permanent Address including Street No. /Police station, VHlage and District (With PIN Code) . . . .................................................................................. .......................................... .
12. If you have not resided at the address given at COLUMN (9) continuously for the last five years, please furnish the other address (addresses) with duration( s) resided~ You should furnish addition.al photocopies of this form for each additional place of stay during the last five years. Forms may be photocopied, but ph(?tograph al)d signature in original are required on each form ..
From .. .< .......................... To ............................... From .................... To ............... .
··························~················································· ......................................... .
. . .................. " ........................................ "....... . . . . . . . . . . ~ ....................................... .
13. In case of stay abroad.·particulars of all places where you have ;esided for more than one year after attaining the age oftwenty-one years .
. ........................................................................................................................
. . . . . . . . . . . . . . . . . . . . . . ~ ........................................................................•.. • ..................... .
14. Other Details: - ·
(a) Educational Qualifications: ....... ; ................................... : .................. .
(b) Previous posts held if any along with name and address of employers:· ............................................................... ··:··········,············ f .
. . . . . . . . . . . . '"· ........................................................ ~ ..................................... .
-······••'••······································· ························································ ( c) · Reason for leaving last employment: .......................... : ............... : ..
. . . . . . . . . . . . · ......................................... ~ ................................................... .
. . . . . . . ... . . . . ,• ............................. •.• ..................... ~ ..................................... .
(d) Visible Distinguishing Mark: .......... , ............ : ............................. .
·(e) · Height (ems): ............... .' .............................................................. ..
15. Are yo~ working in Central Government /State Govt/P~U/Statutory Bodies Yes/No.
j r - • - 0'ffifl•i~ ~. ~ 12 ~ 2008 288 (37)
16. Are you a citizen of India by: Birth/Descent/Registration/Naturalisation : If you have ever possessed any other .citizenship, please indicate previous citizenship
17. Have you at any time been convicted by a court in India for any criminal offence and sentenced to imprisonment? If so, give name of the court, case number and offence. (Attach copy of judgment) ' . . ................. ···.·· ....... ················· .......................... ·\············· .................................. •·.• ..
···························································•.•····························································· r J • 18. Are any crifi1:inal proceediJlgs pending against you befor~ a court in India?
I . I ! ,~ I 1~ If so; give name of court, case number and offence.
·····················································································································•!>••· .
. . . . . . . . . .. . . . . " ............................................................................................................ .
19. • Has any court issued a warrant of summons for appearance or warrant for arrest or an order prohibiting your departure from India? It so, name of comi, case number and offence. · ... • ...................................................................... ':. ........... • ............. •.• .................... .
20. · Self - Declar~tion:
The information given by me in this fqrm and enclosures is true and I am solely responsible for accuracy:
(Signature IT.I. * Applicant) Date Place........... . .
(* Left Hand thumb impression if :tvlale and Right Hand Thumb Impression if Female)
21. Particulars of person to be intimated in the event of death or accident:
·Name ........ ; ...................•..................... , ........................................................... ~.
Address ................................................................................ .' .......... ;• .......................... .
Mobile ITeJ No .. ~ ........................ · ..... .' .............................. ; ............................. ~ ... · ........ .
22. Enclosures:
.................................................................................................................. _ ................ .
. . . ......................................................................... _ ......................................................... .
........................ • .............................. ~ ......................................................................... .
(Signature IT.I. * Applicant) FOR OFFICE USE ONLY ·1 . . . F1 e No . ......................................................•.......................................... ~ ....... · .. .
Date of1ssue ofC & A Report ......... : ........ ;· ........... .
(Signature of Police Station In Charge) ..
' 288 (38) -0~1fl11~ ~, ~ 12 ~ 2008 Name of Pofice Station ...................... .
Name of Police district ........................ .
* N.B. Cancel whatever is not applicable.
Form III (See rule 4) CHARACTER ANG ANTECEDENT CERTIFI_CATE • This is to certify that Mr./Ms ........... , .......................... ,. Son/Daughter of ,.,- . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . ... . .. . Whose particulars are given beiow has good moral character and reputation and that the applicant has been staying at the fqllowing. ' '· address continuously for the last one year.
( Date of Birth:
I Place of Birth:
Educational Qualification:
Profession:
Present Address:
Permanent Address:
Date of Issue / Issuing Authority Signature Name· Designation Address I TelNo.
,.
.· :J I.
r l · r ., I Serial number i§'cll{i•i~ ~. ~ 12 ~ 2008 Form IV (See rule 5) Training Certificate Name of the Training Agency ---- ' Address of the Training Agency ' License· No. · -288 (39) 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 attesteH below.
Signature of the Certificate Holder Place of issue Date of issue .J Signature of issuing authority.
Designation ., ,_ .,.
.
288 ( 40) @'ffifftl~ m, ~ 12 ~ 2008 To, ,Form V (See rule 8) APPLICATION FOR NEW LICENSE/ RENEWAL OF LICENSE TO -ENGAGE IN THE BUSINESS OF PRIVATE SECURITY AGENCY The Controlling Authority, (Private Security Agencies) Government of Chhattisgarh Home Department, .
Mantrafaya, RAIPUR The und~rsigned here by applies for obtaining a lice~se t~ ru~ the business ' of operating services in the area of Private Security Agencies.
1.
2.
3.
4.
5.•
6.
7.
Full name of applicant:
Nationality of the applicant:
Son/wife/daughter of: · Residential Address:
.
Address, where the applicant desires to start his agency:
Name of the Private Security Agency:
Name and addresses of Proprietor, partner, Majority, s4areholder,. Director and Chairman of the Agency:
8. Name and extent of facilities available:
9. Qualification of staff engaged for imparting instructions; · N8.me ~ ... : ........... , ...................... ,.
Age ............................. ; ........ .
Des1gnation ......................... .
10. Equipments which will be used for Security services
(a) .. Door Framed Metal Detector (DFMD)
(b) Hand Held Metal Detector (HHMD) 1 !'
I - I ( r ) l ( c) Mine Detector ( d) Other Detectors
1. Wireless Telephones n. Alarm Devices ,. iii,. Armored Vehicles iy. Arms 288 ( 41)
11. The particulars of the uniform including color in case the applicant intends to use any uniform for the Private Security Guards arid Supervisors of the Agency:
12. Does the applicant intend to operate in more than one district? If so the name of the Districts l . ___ ,___2 ____ 3 ____ 4 ___ 5 ___ _
13. Does the applicant intend to operate in the entire state?
14. · 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.
Enclosure:
Signature Name of Applicant Address of the Applicant T eiephone number of the applicant Date of application l. Copy of current Income tax Clearance Certificate.
2. Affidavit as prescribed in Section 7 sub-section (2) of the Act '3. Other enclosures.
. . ;• t'-' ., .. ..,,:i =~-c1:::n-1"'":i2!•=1~ m, ~ 12 ~ 2008 1288 ( 42) . ! .
Form VI (See rule 8) GOVERNMENT OF CHHATTISGARH ..
' License to engage in the business of Private Security Agency Serial No. -------- Date -------- Sh r i ___________ ~ ____ (Name of the Applicant) S/o r/6 ---------- ---,--_____________ (Fu 11 Address)_'-----~ is grnnted the license by the Controliing Officer for the State of Chhattisgarh to · run the business of Private Security Agency in the ,district(s )·of /State of (Strike of the ·inapplicable words)---~---_-... ___________ _ with office at _____________ (address of the office) . Place of Issue -------- Date of Issue -------- 'f his License is valid up to ___________ _ Date of Renewal
1.
2.
3.
4.
RENEWAL (See rule 8) Signature Name of granting Authority Designation Official Address Date of Expiry Signature Name of renewing Authority .
Designation Official Address .() ( r ) ...
., \· 0-01t1•1~ m, ~ 12 ~ 2008 288 (~3) , Form VII (See rule 9) Form for Appeal · An Appeal under section 14 of the Act .
Appellant __ ~------ S/o r/o :, ---------- ---------~ Versus .
Controlling authority ______________ _ The ---------~ above named appeal to the. _____ (State Home Secretary) __________ from the order- of (Controlling·· Authority) dated _____ day of ____ and against refusal of license to · run . Private .Security Agency __________ and sets forth the following grounds of objection toJhe order appeal from namely _____ _
1.
2;
3.
4.
' Enclosed list of documents Date Place ,, • Signature Name and DesigQ.ation of the Appellant .....
\.
288 (44) S.No. Name of person(s) managing the 1 Form VIII (See rule 10) Register of Particulars _(Part -I Management details) Parent's Present Permanent Father's · Address Address name & p'hone no.
3 4 • Si Nationality Date of joining· /leaving the ·6 · (Part -II Private Security Guards and Supervisor) S.No. Name of Father's Date of Permanent Photograph Badge Salary Guard/Supervisor name joining Address No. with· ,. /leaving date the ·. A2ency '
(1) (2) (3) (4) (5) (6) (7). (8) ·.
1 ..
2.
(Part -Ill Cusbimers) .
. S.No. Name of Address Number Date of Date of the ofthe and commencement · discontinuation Customer place ranks of of services r & Phone where Secudty no. Sec)!f'ity Guards is provided ))rovid~d ·
(1) (2) (3) (4) ,(5) (6) l.
. '.
, ( ,.
/ (f ' r 288 (45) (Part-IV Duty Roster) S.No.- Name of Address Whether Date and time · Date and the ofthe provided of time of Private place of with any commencement ending of Security duty arms/ of d~ty duty Guard/ ammunition Supervisor
(1) (2) (3) . (4) (5) (6)
1. . - ...
.).
, 288 (46) / Form IX (See rule 11) Photo-Identity card for Private Security Guard/Supervisor (Name of the Private Security Agency) . .
Name ....................................................................... , ....................... .
(),fficial Designation .......... ; ...... , ............ · ............................................. · .. .
Identification.No ....... : ........ .". ........................................................ : ... :
Date of issue ····························•·.·"···:····: ... · ....... : ... _. ... : ......................... .
• Validup to ....... , ....................... · .................... · ............................ , ........ : • Signature of the cardholder ......................... : ..... : ....... ~ ........................ .
Official seal '.
Signature of the issuing authority · ( (J