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Form AL – 01 (Revised September 2016) (THIS FORM IS FREE OF CHARGE AND CAN BE REPRODUCED)

IMPORTANT: ALL ENTRIES MUST BE FILLED OUT ACCURATELY AND LIGIBLY


APPLICATION FORM FOR LICENSE TO OPERATE

BUSINESS PROFILE
BUSINESS NAME: EMAIL ADDRESS:
CONTACT NUMBER:
SECURITY SERVICES PROVIDED: [ ] PRIVATE SECURITY [ ] ARMORED SECURITY [ ] PRIVATE DETECTIVE [ ] COMPANY SECURITY FORCE
NATURE OF OWNERSHIP: [ ] SOLE PROPRIETORSHIP [ ] CORPORATION [ ] PARTNERSHIP
INDICATE NUMBER OF BRANCHES IF ANY: _______Luzon _______Visayas ______ Mindanao
LICENSE TO OPERATE APPLIED FOR: [ ] NEW [ ] RENEWAL NUMBER OF YEARS IN BUSINESS:
NAME OF LICENSEE: SO LICENSE NUMBER VALIDITY
HOME ADDRESS TEL /CELLULAR PHONE NUMBER:
MANAGEMENT PROFILE
A. ADMINISTRATION/OPERATION
NAME POSITION SO LICENSE NUMBER VALIDITY

B. BOARD OF DIRECTORS (For Corporation Only)


NAME POSITION

SECURITY PERSONNEL PROFILE FIREARMS PROFILE


LESP CATEGORY (SG, SO, PA, PD & Consultant) Number Caliber Number

Total Total
LICENSE PROFILE (For old Applicant only)
License to Operate Number Authority and Date Granted Expiry Date

CRIMINAL/ ADMINISTRATIVE CASE PROFILE


Has licensee/agency been charged criminally/administratively/civilly in any court or quasi-judicial body within the Philippines?________ (If yes, please specify below)
Nature of Case Where and When Filed Status/Disposition

CERTFICATION
I hereby certify that, all statements provided and documentary requirements attached herein are true, correct, valid and authentic and any
misdeclaration/falsity stated therein shall be a basis for the cancellation/revocation of my License to Operate (LTO) without prejudice to the filing of criminal
and/or civil case against me.

SUBSCRIBED AND SWON TO before me this ____ day of


______________ 2016. Applicant exhibited to me LICENSEE NAME & SIGNATURE
His/ her TIN No. ________________________ issued in
__________________________on_______________
DOC NO: ______________
PAGE NO:_____________
BOOK NO:_____________
SERIES: ______________ NOTARY PUBLIC

IMPORTANT : SEE BACK PAGE FOR INSTRUCTIONS


======================================================================================================================
CLAIM STUB
Application Nr:________________________
Request for Application of License to Operate (LTO) ____ New ____ Renewal
Others:___________________________________________________________________________________________________________________________
BUSINESS NAME: ___________________________________________________________________________________________________________________
DATE FILED:_________________________ DATE OF RELEASE:_____________________________ ISSUED BY: ___________________________
NOTE: FOR INQUIRIES, please call (02) 7230401 local 4338
FOR PSA & PDA LIST OF LTO REQUIREMENTS
NEW RENEWAL
SOSIA LTO Application Form (AL-01 Revised Sep 2016) A SOSIA LTO Application Form (AL-01 Revised Sep 2016) A
DTI or SEC (Original) B Pag-IBIG Clearance and Proof of Payment B
Biographical Data of the Licensee & Incorporators C SSS Clearance & Proof of Payment C
College Diploma (authenticated) or TOR (original) D BIR Tax Clearance or Annual Income Tax Return D
Certificate of Bank Deposit E DOLE & NLRC Clearance/Certification E
PNP DI Clearance F Business Permit F
NBI Clearance G Surety Bond with Official Receipt G
Neuro-Psychiatric Clearance H DI Clearance or RID Clearance H
Drug Test Result I Neuro-Psychiatric Clearance I
Surety Bond and Official Receipt J Drug Test Result J
K
Endorsement from Chief, Regional Civil Security Unit K Latest Monthly Disposition Report
(RCSU) (ONLY FOR APPLICANTS BASED OUTSIDE L
OF METRO MANILA) Endorsement from Chief, Regional Civil Security Unit
(RCSU) (ONLY FOR APPLICANTS BASED OUTSIDE
OF METRO MANILA)

FOR CSF LIST OF LTO REQUIREMENTS


NEW RENEWAL
SOSIA Application Form (AL-01 Revised Sep 2016) A SOSIA Application Form (AL-01 Revised Sep 2016) A
DTI or SEC (Original) B Pay Slips of Security Guards B
Company Profile (with organizational structure) C Monthly Disposition Report C
Biographical Data of the Licensee D D
Endorsement from Chief, Regional Civil Security Unit
(RCSU) (ONLY FOR APPLICANTS BASED OUTSIDE
OF METRO MANILA)
Company Endorsement Designating the Head of its E
Security Force as the Licensee
College Diploma (authenticated) or TOR (original) F

PNP DI Clearance G
NBI Clearance H
Neuro-Psychiatric Clearance I
Drug Test Result J
K
Endorsement from Chief, Regional Civil Security Unit
(RCSU) (ONLY FOR APPLICANTS BASED OUTSIDE
OF METRO MANILA)

LICENSEE QUALIFICATIONS STANDARD:


1. Filipino citizen;
2. Must NOT be less than 25 years of age;
3. College graduate and /or commissioned officer in the inactive service or retired from the PNP or AFP;
4. Has completed her/his attendance in the Private Security Management Seminar conducted by SOSIA;
5. Have possess a valid Security Officer’s License; and
6. Good moral character

IMPORTANT INSTRUCTIONS:

Who shall file: Licensee or any authorized representative of a company (sole proprietorship) / corporation who is part of the
management staff may submit an application for License to Operate (LTO).

When to file:Monday to Friday, 8:00 AM to 5:00 PM, except Holiday, application folder must be filed two (2) months before the
expiration of the LTO. Application which is filed after the expiration of LTO will incur administrative fine in the amount of one hundred
pesos (P100.00) per day.

Where to file: For NCR applicant, file your application folder to Agency Licensing Section (ALS), SOSIA in Camp Crame, Quezon
City. For applicants outside Metro Manila, file your application to Regional Civil Security Unit (RCSU) at the different Police Regional
Office (PRO).

How to file: Fill out this LTO application Form AL-01 and Go to the ALS, SOSIA in Camp Crame/RCSU in the different PRO for initial
briefing and assistance. Complete all the necessary documentary requirements as listed in the attached list of requirements; check its
validity and review whether these documents conform to the descriptions indicated therein, and submit it for evaluation. Only
application folder with COMPLETE, VALID and AUTHENTIC documents shall be accepted for processing. The applicant or its
representative will receive an acknowledgement receipt and claim stub indicating the date of release of the LTO.

PAYMENT OF FEES
Annual National Licensing Fee: Php 2,500.00 Surety Bond
Annual Registration Fee for each Security Guard employed: Php 50.00 No. of Guards Minimum Coverage Amount
199 – below P 50,000.00
200 – 499 P 100,000.00
500 – 799 P 150,000.00
800 – 1,000 P 200,000.00

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