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    Application For Security Guardâ S License1516267971

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    shem mcnamee
    This document is an application form for a security guard's license in the Cayman Islands. It requests information such as the applicant's name, address, date of birth, nationality, and contact details. It also asks whether the applicant has a criminal record or has been refused a license before. The applicant needs to provide documents to verify their status in the country as well as details of any training, certificates or experience working as a security guard. By signing the form, the applicant declares that all information provided is true and correct.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Application For Security Guardâ S License1516267971

    Uploaded by

    shem mcnamee
    34 views3 pages
    This document is an application form for a security guard's license in the Cayman Islands. It requests information such as the applicant's name, address, date of birth, nationality, and contact details. It also asks whether the applicant has a criminal record or has been refused a license before. The applicant needs to provide documents to verify their status in the country as well as details of any training, certificates or experience working as a security guard. By signing the form, the applicant declares that all information provided is true and correct.

    Original Description:

    Application for guards

    Original Title

    Application_for_Security_Guard’s_License1516267971

    Copyright

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    This document is an application form for a security guard's license in the Cayman Islands. It requests information such as the applicant's name, address, date of birth, nationality, and contact details. It also asks whether the applicant has a criminal record or has been refused a license before. The applicant needs to provide documents to verify their status in the country as well as details of any training, certificates or experience working as a security guard. By signing the form, the applicant declares that all information provided is true and correct.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    34 views3 pages

    Application For Security Guardâ S License1516267971

    Uploaded by

    shem mcnamee
    This document is an application form for a security guard's license in the Cayman Islands. It requests information such as the applicant's name, address, date of birth, nationality, and contact details. It also asks whether the applicant has a criminal record or has been refused a license before. The applicant needs to provide documents to verify their status in the country as well as details of any training, certificates or experience working as a security guard. By signing the form, the applicant declares that all information provided is true and correct.

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    © All Rights Reserved
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    You are on page 1of 3

    FORM 3

    THE PRIVATE SECURITY SERVICES LAW 2007


    THE PRIVATE SECURITY SERVICES REGULATIONS 2008
    Application for Security Guard’s License
    (This form must be completed by the applicant for the license)

    1. Print your full name, LOCAL address and LOCAL telephone numbers

    SURNAME: MIDDLE: FIRST:

    Address:

    Phone Numbers: (H) (C)

    Print full name, address and telephone numbers of closest relative:

    SURNAME: MIDDLE: FIRST:

    Address:

    Phone Numbers: (H) (C)

    Print your full name, OVERSEAS address and OVERSEAS telephone numbers

    SURNAME: MIDDLE: FIRST:

    Address:

    Phone Numbers: (H) (C)

    2.
    Your date of birth: DD/MM/YY Country of birth:

    ARE YOU A CAYMANIAN? YES NO

    DO YOU POSSESS CAYMANIAN STATUS? YES NO

    1
    FORM 3

    DO YOU POSSESS PERMANENT RESIDENCY? YES NO

    IF NOT, WHAT IS YOUR NATIONALITY AND HOW LONG HAVE YOU BEEN RESIDING IN
    THE CAYMAN ISLANDS?

    APPLICANT MUST SUBMIT THE RELEVANT DOCUMENT (S) TO SUPPORT ANSWERS TO


    QUESTIONS 2. (a) (b) (c) or (d) AS APPLICABLE.

    3. Provide the relevant information for the following: (Mark (N/A) where question is not applicable)

    (a)
    Temporary Work Permit No. Expiry Day:
    dd/mm/yy

    (b)
    Work Permit No. Expiry Day:
    dd/mm/yy

    (c)
    Gainful Occupation Lic. No. Expiry Day:
    dd/mm/yy

    (d)
    Name of Pension Plan Provider:
    Telephone Number:
    Administrator:

    (e)
    Name of Health Insurance Provider:
    Telephone Number:
    Issued Date: Expiry Date:
    dd/mm/yy dd/mm/yy

    (f)
    Name of the Security Company:
    Address:
    Telephone Number:

    (g)
    Detail description of uniform:

    2
    FORM 3

    4.
    Have you ever been convicted of a Criminal or Traffic offence in any country? YES NO

    If yes, applicant must give details of any offence (s) the year (s) and Country in which conviction (s) were
    committed:

    OFFENCES COUNTRY YEAR OF CONVICTION

    Applicant to provide a current Cayman Police record if you are a resident in the Cayman Islands for
    more than 6 months or a Police record from a foreign country of origin if resided in for the last 6
    months.

    Applicant to provide two (2) full face passport size photographs which are to be notarized.

    5.
    Have you ever been refused a Security Guard’s License? YES NO

    If yes, state the reasons:

    List details of your training, certificates and other supporting documents regarding your experience as a
    security guard. (Certificates and supporting documents must be accompanied with application):

    I DECLARE that the information furnished in this application is true and correct to the best of my
    knowledge and belief.

    ______________________ _________________
    (Signature of applicant) (Date)

    Note: The Private Security Services Law 2007 provides penalties for false or misleading statements in
    this application. Form revised 8th November 2010.

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