Get documents about "Return Address PIs and Security Guards Private Bag 92020
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Employment Application for Security Guards document sample
Document Sample
Return Address: PIs and Security Guards
Private Bag 92020
AUCKLAND
Courier Address: Occupational Licencing
5th Floor, 69 Albert Street
Auckland District Court
To whom it may concern,
Please find enclosed an application kitset for a Security Guards Licence by a
Individual.
The Act provides for the licensing of security guards, either as individuals or as
limited liability companies. Licenced security guards (individual or company) can
apply to this office for the issue of Certificate of Approvals for any employees of that
security guard. The Certificate of Approval allows the security guard holding the
licence to employ a person as a responsible employee of that guard. If you have any
employees, use Form 11, found at the back of this kitset.
Applicants must advertise twice. There is a one month objection period following the
date of first advertisement. You must publish the company’s advertisement twice
within a fourteen day period (e.g. on consecutive days) in a main daily newspaper
where the company operates. Immediately this is done and within the one
month objection period, the company must return the full pages of both
advertisements (please highlight the company’s advertisement) along with the
application. Do not cut/clip the advertisement out as clippings are not permitted.
Once your application is received and accepted, it will take approximately 6 weeks to
process. This includes the one month objection period outlined above, and assumes
that no objections are received. If an objection is received, the process will take
longer.
Once licences are issued, they will expire on the 31st March of the next year
following when the application was received by this office. If an application is
received in June, when granted it will expire 31st March year following. If it is
received in January, when granted it will expire 31st March year following.
The Act provides for renewal of licences and associated certificates of approval. The
company is only permitted to renew during the months of January and February. It
must advertise its intention to renew, and submit the application to renew during
these months only.
Renewal kitsets are available for download from our website
www.justice.govt.nz/pisg from November each year. If you do not have access to
the internet please contact us during November and December so that we may
forward you a renewal kit. The directors of the company are encouraged to be aware
of when it must renew the licence in order for it to remain valid.
For your own information, a copy of the Private Investigators and Security Guards
Act 1974 can be obtained from any Government Bookshop. Alternatively it is
available on the internet at www.justice.govt.nz/pisg.
It may help if you read the Private Investigator and Security Guards Act 1974 as it
contains important information for the company as a prospective security guard. The
Act defines what a security guard does (section 4), the responsibilities and duties of
security guards and their employees (sections 45, 46 and 47) and the procedures for
hearing complaints and objections (sections 53, 56, 58, 59 and 62). It is the
Director‟s responsibility for ensuring that all concerned are familiar with
all aspects of the Act as a Security Guard.
Make sure that you send in only complete applications. Please use the forms as
provided and don’t type up your own applications. Use the checklist on the following
page. Incomplete applications will be returned.
For help with this application, please contact this office on (09) 916 – 9045 or
(09) 916 – 9265 or email us at pisghelp@justice.govt.nz.
APPLICATION FOR A SECURITY GUARDS LICENCE BY A COMPANY
Application Form 4 to be filed in duplicate. (A photocopy will be sufficient)
Filing fee of $122.66 (inclusive of GST) is to be paid on application. Cheques to be made out
to “Ministry of Justice”. Applications filed from 1st. October to 31st. December are $112.44
(GST inclusive).
Two testimonials are required for each active director of the company.
The experience of the active directors of the company is to be stated (Curriculum vitae or
Resume), Please refer to Section 17 (1) (b) below, and (4) of the Act (copy attached).
SECTION 17: (Repelled and amended 1995,no.14.)
Section 4. Presumption against granting application in certain cases –
In any case where the applicant for a licence (or, if the applicant for a licence is a
company, in any case where any officer of the company) -
(b) Has not had, in the period of 3 years immediately preceding the date
of the application, at least 12 months experience as a licensee or
responsible employee in the type of business to which the application
relates;
The Registrar shall not grant the application unless, having regard to all the
circumstances of the case, he is satisfied that there are special factors that would
justify the granting of the application.
(If applying under section 17, please specify what are the special factors that would allow the
Registrar to justify the granting of a licence to the company. Note – special factors are not
specified in the Act, and generally are defined by the applicant company)
Declaration of non-involvement to be filed by those directors of the company who are not
taking an active part in the Security side of the company. (A letter stating so is sufficient)
Photocopy of the Certificate of Incorporation.
Latest balance sheet and/or statement of assets and liabilities.
A memorandum stating the need for the licence. (A letter outlining why the company is
applying for the licence is sufficient)
Advertisement form enclosed. Please complete the blanks following the example and publish
as indicated. If the advertisement fails to follow the format of the provided example, the
company will be required to publish again.
Please state under which subsection of section 4 of the Act you require the licence to be
granted under. Section 4 is attached for your reference.
Please supply contact numbers, and email address if available.
All active directors of the company are deemed to be employees of the company (Section 2(2)
of the Act) and therefore require certificates of approval (Form 11).
Definition: “Active” – those directors who are operating the security side of the company, i.e.
as in Section 4 of the Act.
Private Investigators and Security Guards Act 1974
Note: this is an extract from the Act. It defines what a Security Guard does. Please
read through this and indicate in the application which subsection (a,b,c,d or e) the
company is applying for.
Section 4: Meaning of “Security Guard”:
1. In this Act, Security Guard means a person who carries on any business,
either by himself or in partnership with any other person, whereby for
valuable consideration he:
(a) Guards, elsewhere than on premises owned or occupied by himself or his firm
or any of his partners, any real or personal property belonging to another
person; or
(b) Installs on, repairs on, or removes from any part of any premises that are not
owned or occupied by himself or his firm or any of his partners -
(i) Any burglar alarm or similar warning device; or
(ii) Any locking device for a safe or a strongroom; or
(c) Installs on, operates on, causes to be operated on, repairs on, or removes
from any part of any premises that are not owned or occupied by himself or
his firm or any of his partners, for the purpose of detecting the commission of
an offence by a person on those premises, any camera or similar device; or
(d) Enters any premises that are not owned or occupied by himself for the
purpose -
(i) Of selling or attempting to sell any device of the kind referred to in
subparagraphs (I) or (ii) of paragraph (b) or paragraph (c) of this
sub-section; or
(ii) Of advising the owner or occupier of the premises on the desirability of
having installed on the premises any or any further such device; or
(iii) Of advising the owner or occupier of the premises on the desirability of
having guarded the premises or any other property that may from time
to time be on the premises or dispatched from the premises; or
(e) Monitors any burglar alarm or similar warning device, or camera or similar
device, that is on any premises that are not owned or occupied by himself or
his firm or any of his partners.
(Advertisement)
APPLICATION FOR A LICENCE UNDER THE PRIVATE
INVESTIGATORS AND SECURITY GUARDS ACT1974
TAKE NOTICE that ________
(company name)
a duly incorporated company having its registered office at
___________________________________________________________________
(physical address)
has applied to the Registrar of Private Investigators and Security Guards, (c/o
District Court, Auckland) for a Security Guards Licence.
Any person wishing to object pursuant to Section 23(2) of the Act must give written
notice of the objection to the Registrar no later than one month after the first
publication of this notice.
A copy must also be served on me at the above address (or at the following
address: )
within seven days of notification to the Registrar.
This is the first publication of this notice.
OR
The notice was first published on the ____day of__________ 20____
Directors
(All directors names are
to be listed)
(Advertisement Example)
APPLICATION FOR A LICENCE UNDER THE PRIVATE
INVESTIGATORS AND SECURITY GUARDS ACT1974
TAKE NOTICE that ABC Security Limited
(company name)
a duly incorporated company having its registered office at
45 Smith Street, Rosetown, Auckland
(physical address)
has applied to the Registrar of Private Investigators and Security Guards, (c/o
District Court, Auckland) for a Security Guards Licence.
Any person wishing to object pursuant to Section 23(2) of the Act must give written
notice of the objection to the Registrar no later than one month after the first
publication of this notice.
A copy must also be served on me at the above address (or at the following
address: )
within seven days of notification to the Registrar.
This is the first publication of this notice.
OR
The notice was first published on the ____day of__________ 20____
Directors
Mary Jane Doe
John Joe Bloggs
(All directors names are to be listed)
(Note that this advertisement shows three important elements – a company name,
a physical address (not a PO Box number) and all directors names. These are
required in the advertisement).
PISG Form 4
APPLICATION FOR SECURITY GUARD'S LICENCE BY A COMPANY
To:
The Registrar of Private Investigators and Security Guards,
Private Bag 92020, Auckland.
Note: The fee for this application is $122.66 (GST inclusive) and the
application is to be filed in Duplicate. Applications filed from 1st.
October to 31st. December are $112.44 (GST inclusive)
PURSUANT to section 18 of the Private Investigators and Security Guards Act 1974
__________________________________________________________________
Name of company
a duly incorporated company having its registered office at
hereby applies for a security guard’s licence.
Dated at __________________ this_______ day of ____________________200
Signature of Director ______________________________________
Name of Director _________________________________________
Witness ________________________________________________
SUPPORTING DECLARATION BY DIRECTOR
I, ________________________________________________________________
Full name
of_________________________________________________________________
Residential address Occupation
solemnly and sincerely declare as follows:
1. That I am a director of
__________________________________________________________________
Name of applicant company
a duly incorporated company having its registered office at
__________________________________________________________________
and as such am authorised to make this declaration.
2. That the officers of the company are:
Full Name, Residential Date of Birth Place and Officer's
Address, and Occupation of Country of Designation
Officer Birth
1.
2.
3.
4.
3. That within the last 3 years the said officers have carried on business as security
guards (or worked as responsible employees of security guards) as follows: [Give
details of the previous experience of each officer within the last 3 years. If any
officer has had no such experience, state that fact]
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
4. That the company has not previously held a security guard’s licence that has been
cancelled within the last 5 years.
or (delete the statement that is not applicable)
That a security guard's licence held by the company was cancelled
on the _______ day of __________________________ 20____
5. That no officer of the company has previously held a security guard's licence or a
certificate of approval to be a responsible employee of a security guard that has
been cancelled at any time within the last 5 years.
or (delete the statement that is not applicable)
That the following officer(s) of the company previously held a security guard's
licence or a certificate of approval to be a responsible employee of a security guard
that was cancelled within the last 5 years: [Give details]
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
6. That the company has not been convicted of a crime involving dishonesty or a
specified offence at any time within the last 5 years.
or (delete the statement that is not applicable)
That the company has been convicted of a crime involving dishonesty or a specified
offence at any time within the last 5 years: [Give details]
___________________________________________________________________
7. That no officer of the company has been convicted of a crime involving dishonesty
or a specified offence within the last 5 years.
or (delete the statement that is not applicable)
That the following officer(s) was (were) convicted of the following crimes involving
dishonesty or a specified offence within the last 5 years: [Give details]
___________________________________________________________________
8. That no officer of the company has been detained in a penal institution within the
last 5 years.
or (delete the statement that is not applicable)
That the following officer(s) was (were) detained in a penal institution within the last
5 years: [Give details of sentence(s) served and the nature of the offence(s) which
the officer(s) was(were) convicted]
____ ______________________________________________________________
9. That at the date of this application the company satisfies the solvency test as set
out in section 4 of the Companies Act 1993.
10. That no officer of the company is a bankrupt, and at the date of this declaration
each officer is able to pay his or her debts.
11. That in addition to the business of a security guard, the company carries on or
proposes to carry on business as: [Give details]
__________________________________________________________________________
__________________________________________________________________________
12. That if a licence is granted to the company it intends to carry on business as a
security guard at each of the following addresses:
(a)____________________________________________________________
(b)____________________________________________________________
(c) ____________________________________________________________
(d)____________________________________________________________
and to have its registered office at: ______________________________________
__________________________________________________________________
13. That the company's address for service of notices relating to this application is:
And I make this solemn declaration conscientiously believing the same to be true
and by virtue of the Oaths and Declarations Act 1957.
Declared at ________________this ________day of ______________20_____
Signature of Director ___________________________________________
Before me___________________________
Justice of the Peace, Solicitor or other person
authorised to take statutory declarations.
NOTES
1. If the company or an officer of the company has been convicted of a crime involving
dishonesty or a specified offence within the previous 5 years, you must list these
convictions under clause 6 or clause 7 of this form. For your information,
(a) Crimes involving dishonesty are those crimes described in sections 108 to 117
and section 217 to 292 of the Crimes Act 1961. The crimes described in
these sections are
(i) Misleading justice (in particular, perjury, false oaths, false statements or
declarations, fabricating evidence, use of a purported affidavit or
declaration, conspiring to bring a false accusation, conspiring to defeat
justice, and corrupting juries and witnesses):
(ii) Theft (including theft of animals, theft by a person required to account,
theft by a person holding power of attorney, theft by misappropriating
proceeds held under direction, theft by a co-owner, and theft by a
husband or wife):
(iii) Crimes resembling theft (in particular, conversion or attempted
conversion of motorcars etc., possession of instruments for conversion,
taking or dealing with certain documents with intent to defraud,
criminal breach of trust, fraudulently destroying a document, fraudulent
concealment, and bringing stolen things into New Zealand):
(iv) Robbery and extortion (including aggravated robbery, compelling
execution of documents by force, assault with intent to rob, extortion
by certain threats, and demanding with intent to steal):
(v) Burglary (including entering with intent, being armed with intent to
break or enter, and being disguised or in possession of instruments for
burglary):
(vi) False pretences (in particular, obtaining by false pretence and obtaining
credit fraudulently):
(vii) Personation and acknowledging an instrument in a false name:
(viii) Fraud (in particular, false statement by a promoter, falsifying accounts
relating to public funds, false accounting by an officer or member of a
body corporate, false accounting by an employee, false statement by a
public officer, issuing false dividend warrants, concealing deeds and
encumbrances, and conspiracy to defraud):
(ix) Receiving (in particular, receiving property dishonestly obtained,
receiving property of a husband or wife, and taking a reward for
recovery of stolen goods):
(x) Forgery (including uttering forged documents, altering or reproducing a
document with intent to defraud, using an altered or a reproduced
document with intent to defraud, counterfeiting public or corporate
seals, sending a false telegram, procuring execution of a document by
fraud, possessing forged bank notes, drawing a document without
authority, using probate obtained by forgery or perjury, paper or
implements for forgery, counterfeiting stamps, falsifying registers,
falsifying extracts from registers, uttering false certificates, forging
certificates, and imitating authorised marks or customary marks):
(xi) Coinage (in particular, preparations for coining, counterfeiting coin,
altering coin, impairing coin, defacing coin, melting coin, possessing or
uttering counterfeit coin, buying and selling counterfeit coin, and
importing and exporting counterfeit coin):
(b) Specified offences are those crimes described in sections 104, 105B, 158 to
181, 188 to 204, and 216B to 216D of the Crimes Act 1961. The crimes
described in these sections are
(i) Corruption and bribery of a law enforcement officer and use or
disclosure of personal information disclosed under section 105A of the
Crimes Act 1961:
(ii) Murder and manslaughter offences (including attempt to murder,
counselling or attempting to procure murder, conspiracy to murder,
being an accessory after the fact to murder, infanticide, aiding and
abetting suicide, suicide pacts, and concealing the dead body of a
child):
(iii) Assaults and injuries to the person (in particular, wounding with intent,
injuring with intent, injuring by an unlawful act, aggravated wounding
or injury, aggravated assault, assault with intent to injure, assault on a
child, cruelty to a child, common assault, disabling, discharging a
firearm or doing a dangerous act with intent, using any firearm against
a law enforcement officer, commission of a crime with a firearm, acid
throwing, poisoning with intent, infecting with disease, setting traps,
possession of offensive weapons or disabling substances, endangering
transport, and impeding rescue):
(iv) Crimes against personal privacy (in particular, prohibition on the use of
listening devices, prohibition on the disclosure of private
communications unlawfully intercepted, and prohibition on dealing etc.,
with listening devices):
(c) Specified offences are also those crimes described in sections 3, 5, 5A, 6, 9,
10, 14, 15, 18, 19, 20, or 21 of the Summary Offences Act 1981. The crimes
described in these sections are
(i) Offences against public order (in particular, disorderly behaviour,
disorderly behaviour on private premises, disorderly assembly, and
associating with convicted thieves):
(ii) Offences against persons and property (in particular, common assault,
assault on a police, prison or traffic officer, and possession of burglary
tools):
(iii) Offences resembling forgery or fraud (in particular, seeking donations
by false pretences, imitation of Court documents, imitation of official
documents, false claim of qualifications, and intimidation).
2. Clause 9 of this form must be completed by all applicants, as it applies to all
companies governed by the Companies Act 1955 and all companies governed by the
Companies Act 1993.
3. This application must be accompanied by the prescribed fee of $122.44. Applications
filed from 1st. October to 31st. December are $112.44 (GST inclusive).
4. If you have any queries ask the Registrar who will be pleased to assist you
APPLICATION FOR APPROVAL OF RESPONSIBLE
EMPLOYEE OF SECURITY GUARD
Please staple
Photo here
FORM 11
To: The Registrar of Private Investigators and Security Guards SG(e) No:
Private Bag 92020, AUCKLAND
IMPORTANT NOTES
1. This application is to be filed in duplicate together with the application fee of $81.77. For
applications filed from 1 October to 31 December the fee is $71.55. Cheques to be made
payable to „Ministry of Justice‟.
2. 3 passport sized photographs (each photograph to have applicants name noted on the
back).
3. The Statutory Declaration must be completed by deleting one of the options in questions 2,
3 and 4.
4. If you have any enquiries you are invited to seek the advice of the Registrar who will be
pleased to assist you. Phone (09) 916-9045 or (09) 916 9265
PURSUANT to section 36 of the Private Investigators and Security Guards Act 1974,
I/We, ........................................................................................................ ....................
(Full name Licensee) (SG Number)
(MUST BE SHOWN)
of ..............................................................................................................................................
(Address of registered office) Please give phone contact details
being the holder of a security guard's licence, seek your approval to the employment, in my business
as a security guard, of ......................................................................................., of
[Full name of proposed employee]
.................................................................................................. Date of Birth..... /...../........
(Residential address)
as a responsible employee.
The postal address I require the certificate, if approved, to be forwarded
to is (please include the name of the person the envelope is to be made
attention to if applicable):
(NOTE: The Certificate can only be mailed to the employer, not to the employee)
Signed at ................................................. this .................. day of .................................... 20……
.......................................................
Signature of Employer.
OFFICE USE ONLY
App received To Police Granted
Fee Paid Certificate sent
Cheque Number Police report
received
SUPPORTING DECLARATION BY PROPOSED EMPLOYEE
I, (First Names) ...............................................................................(Surname)............................................
(Full name – please include Maiden name, known name or any alias)
of.............................................................................................................................................. ................
(Residential address) (Contact Phone No.s)
solemnly and sincerely declare as follows:
1. That I was born on ..................../................/ .................
(Specify date of birth)
at................................................................................................................................
(Specify place and country of birth).
2. That I have not previously held a security guard’s licence or a certificate of approval to be a
responsible employee of a security guard that has been cancelled at any time within the last 5 years.
OR (delete the statement which is not applicable)
That a security guard’s licence or a certificate of approval to be a responsible employee of a security
guard held by me was cancelled on the ................day of ......................... 19...... .
3. That I have not been convicted of a crime involving dishonesty or a specified offence at any time
within the last 5 years.
OR (delete the statement which is not applicable)
That I have been convicted of a crime involving dishonesty or a specified offence at any time within
the last 5 years: [Give details.]
....................................................................................................................................................
4. That I have not been detained in a penal institution at any time within the last 5 years.
OR (delete the statement which is not applicable)
That I have been detained in a penal institution within the last 5 years as follows:
[Give details of sentence(s) served, and the nature of the offence(s) of which you were convicted. ]
....................................................................................................................................................
And I make this solemn declaration conscientiously believing the same to be true and by virtue of the Oaths and
Declarations Act 1957.
Declared at ..................................................... this .............. day of ................................, 20.........
Signature of Proposed Employee
...........................................................................................................................
Before me......................................................... .....
Justice of the Peace, Solicitor or other person Authorised to take statutory
declarations.
NOTES
1. If you have been convicted of a crime involving dishonesty or a specified offence within the
previous 5 years, you must list these convictions under clause 3 of this form. For your
information,
(a) Crimes involving dishonesty are those crimes described in sections 108 to 117 and
section 217 to 292 of the Crimes Act 1961. The crimes described in these sections
are
(i) Misleading justice (in particular, perjury, false oaths, false statements or
declarations, fabricating evidence, use of a purported affidavit or declaration,
conspiring to bring a false accusation, conspiring to defeat justice, and
corrupting juries and witnesses):
(ii) Theft (including theft of animals, theft by a person required to account, theft
by a person holding power of attorney, theft by misappropriating proceeds
held under direction, theft by a co-owner, and theft by a husband or wife):
(iii) Crimes resembling theft (in particular, conversion or attempted conversion of
motorcars etc., possession of instruments for conversion, taking or dealing with
certain documents with intent to defraud, criminal breach of trust, fraudulently
destroying a document, fraudulent concealment, and bringing stolen things into
New Zealand):
(iv) Robbery and extortion (including aggravated robbery, compelling execution of
documents by force, assault with intent to rob, extortion by certain threats,
and demanding with intent to steal):
(v) Burglary (including entering with intent, being armed with intent to break or
enter, and being disguised or in possession of instruments for burglary):
(vi) False pretences (in particular, obtaining by false pretence and obtaining credit
fraudulently):
(vii) Personation and acknowledging an instrument in a false name:
(viii) Fraud (in particular, false statement by a promoter, falsifying accounts relating
to public funds, false accounting by an officer or member of a body corporate,
false accounting by an employee, false statement by a public officer, issuing
false dividend warrants, concealing deeds and encumbrances, and conspiracy
to defraud):
(ix) Receiving (in particular, receiving property dishonestly obtained, receiving
property of a husband or wife, and taking a reward for recovery of stolen
goods):
(x) Forgery (including uttering forged documents, altering or reproducing a
document with intent to defraud, using an altered or a reproduced document
with intent to defraud, counterfeiting public or corporate seals, sending a false
telegram, procuring execution of a document by fraud, possessing forged bank
notes, drawing a document without authority, using probate obtained by
forgery or perjury, paper or implements for forgery, counterfeiting stamps,
falsifying registers, falsifying extracts from registers, uttering false certificates,
forging certificates, and imitating authorised marks or customary marks):
(xi) Coinage (in particular, preparations for coining, counterfeiting coin, altering
coin, impairing coin, defacing coin, melting coin, possessing or uttering
counterfeit coin, buying and selling counterfeit coin, and importing and
exporting counterfeit coin):
(b) Specified offences are those crimes described in sections 104, 105B, 158 to 181, 188
to 204, and 216B to 216D of the Crimes Act 1961. The crimes described in these
sections are
(i) Corruption and bribery of a law enforcement officer and use or disclosure of
personal information disclosed under section 105A of the Crimes Act 1961:
(ii) Murder and manslaughter offences (including attempt to murder, counselling or
attempting to procure murder, conspiracy to murder, being an accessory after
the fact to murder, infanticide, aiding and abetting suicide, suicide pacts, and
concealing the dead body of a child):
(iii) Assaults and injuries to the person (in particular, wounding with intent, injuring
with intent, injuring by an unlawful act, aggravated wounding or injury,
aggravated assault, assault with intent to injure, assault on a child, cruelty to
a child, common assault, disabling, discharging a firearm or doing a dangerous
act with intent, using any firearm against a law enforcement officer,
commission of a crime with a firearm, acid throwing, poisoning with intent,
infecting with disease, setting traps, possession of offensive weapons or
disabling substances, endangering transport, and impeding rescue):
(iv) Crimes against personal privacy (in particular, prohibition on the use of
listening devices, prohibition on the disclosure of private communications
unlawfully intercepted, and prohibition on dealing etc., with listening devices):
(c) Specified offences are also those crimes described in sections 3, 5, 5A, 6, 9, 10, 14,
15, 18, 19, 20, or 21 of the Summary Offences Act 1981. The crimes described in
these sections are
(i) Offences against public order (in particular, disorderly behaviour, disorderly
behaviour on private premises, disorderly assembly, and associating with
convicted thieves):
(ii) Offences against persons and property (in particular, common assault, assault
on a police, prison or traffic officer, and possession of burglary tools):
(iii) Offences resembling forgery or fraud (in particular, seeking donations by false
pretences, imitation of Court documents, imitation of official documents, false
claim of qualifications, and intimidation).
2. This application must be accompanied by the application fee of $81.77 and by 3 identical
photographs of the proposed employee. The photographs must be of good quality, show the
head and shoulders of the proposed employees, and measure between 2.5 and 4 centimetres
in width and between 2.5 and 5 centimetres in height.
3. If the applicant or the responsible employee has any queries he or she should ask the
Registrar who would be pleased to assist him or her.
(THIS PAGE IS NOT PART OF THE APPLICATION KIT BUT
HAS BEEN INCLUDED AT THE REQUEST OF THE POLICE)
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