Punjab Private Security Agencies Rules, 2007

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16 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’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) ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ Telephone No./Mobile No. ________________________________________ 10. Please give the date since residing at the above-mentioned address: DD MM YY ___________________________________________________________ 11. Permanent Address including Street No./Police Station, village and District (with PIN Code) ___________________________________________________________ ___________________________________________________________
17 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 additional photocopies of this Form for each additional place of stay during the last five years. Forms may be photocopied, but photograph and 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 resided for more than one year after attaining the age of twenty-one years. ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ 14. Other Details : (a) Educational Qualifications: ___________________________________________________________ ___________________________________________________________ (b) Previous positions held, if any, along with name and address of employer: ___________________________________________________________ ___________________________________________________________ (c) Reasons for leaving last employment : ___________________________________________________________ ___________________________________________________________ (d) Visible Distinguishing Mark : ______________________________________ (e) Height (cms) __________________________________________________
Page 1 and 2: 1 Section 25 Section 2 Section 3 GO
Page 3 and 4: 3 (2) A person desirous of getting
Page 5 and 6: 5 Clause (e) of Sub-Section (1) of
Page 7 and 8: 7 Sub-Section (1) of Section 7 Sub-
Page 9 and 10: 9 Sub-Section (2) of Section 14 Sub
Page 11 and 12: 11 Form I (See rule 3) Form for ver
Page 13 and 14: 13 duration (s) resided. You should
Page 15: 15 Form II (See rule 4) Form for ve
Page 19 and 20: 19 Name ___________________________
Page 21 and 22: 21 Form IV (See rule 5) Training Ce
Page 23 and 24: 23 (d) Other Detectors (i) (ii) (ii
Page 25 and 26: 25 RENEWAL (See rule 11) Date of Re
Page 27 and 28: 27 Form VIII (See rule 14) Register
Page 29: 29 Form - IX (See rule 15) Photo- I

Punjab Private Security Agencies Rules, 2007

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