Form PL - 1

Revised JANUARY 2020

( THIS FORM IS FREE OF CHARGE AND CAN BE REPRODUCED.)
APPLICATION FORM FOR NEWLICENSE TO EXERCISE SECURITY PROFESSION

2 PIECES LATEST
Please check (√) the license you are applying for: 2” X 2” PICTURE
WITH WHITE
Security Guard SPECIALISTS: BACKGROUND
Government Guard Protection Agent K9 Administrator & NAME TAG
Security Officer Aviation Guard K9 Trainer
Private Detective Bank & Armor Guard K9 Handler
Security Consultant Mall & Commercial Guard K9 Evaluator
DATE FILED SSS/GSIS NO

I.GENERAL INFORMATION:
LAST NAME FIRST NAME MIDDLE NAME QUALIFIER

PRESENT COMPLETEADDRESS (HOUSE NO.,STREET, BRGY., TOWN /CITY ,PROVINCE) TELEPHONE NO. /CELL NO.

NAME OF PERSON TO BE NOTIFIED IN CASE OF EMERGENCYCONTACT NUMBER:

SECURITY TRAINING SCHOOL & ADDRESS AGENCY EMPLOYER&ADDRESS(if none, write not applicable or NA)

BIRTH DATE ( month/day/year) BIRTH PLACE (Town/ City,Province)

SEX CIVIL STATUS EDUCATIONAL ATTAINMENT RELIGION

[ ] MALE [ ] SINGLE [ ] WIDOW/ER [ ] HIGH SCHOOL GRADUATE[ ] COLLEGE GRADUATE
[ ] FEMALE [ ] MARRIED [ ] SEPARATED [ ] COLLEGE UNDERGRADUATE[ ] POST GRADUATE

II. COMMON REQUIREMENTS FOR ALL APPLICANTS except for Retired AFP/PNP
1. High School Diploma(Certified True Copy by Issuing School) –For SG only 4. NBI Clearance (Original)
2. College Diploma or Transcript of Record ( any Baccalaureate degree) For SO only 5. Drug Test Result(Original)
(Certified True Copy by issuing School) 6. Neuro-PsychiatricTest Result(Original)
3. Birth Certificate (NSO Original )except security consultant and k9 administrator 7. Barangay Clearance (Original)
8. City/Municipal Police Clearance
(Original)

III. ADDITIONAL REQUIREMENTS:

SECURITY GUARD– Pre- Licensing Training Course Certificate K9 ADMINISTRATOR, K9 TRAINER, K9 HANDLER, K9 EVALUATOR
or NC1 of TESDA (Original) Training Certificate given by SOSIA - Accredited K9 Training
SECURITY OFFICER– Basic Security Supervisory Course Certificate School/Center (Original)
or PSEMS(Original)
GGOVERNMENT GUARD – Pre- Licensing Training Course Certificate SECURITY CONSULTANT
O or NC1 of TESDA (Original ) 1. Master’s Degree Diploma (Certified True Copy by Issuing School)
- Plantilla from government agency 2. Transcript of Records ( Certified True Copy by Issuing School)
(Certified True Copy)
P PRIVATE DETECTIVE – Private Detective Course Certificate (Original )

IV.RETIRED AFP / PNP:

a. Retirement order (Certified True Copy)
b. Personal Security Protection Course Certificate or related training- ForPA only
c. K9 Handler’s Course Certificate or related training- For K9 personnnel only

I HEREBY CERTIFY that all entries I made herein are true and all documents I have attached are genuine and valid to the best of my knowledge.

“I read and understand the provision under Rule VIII of the rights of the data subject Sec 34 to 37 of Data Privacy Act of 2012 and I am voluntarily
giving my consent on the use and processing of my personal data”

______________________
SIGNATURE

________________________________________
PRINTED NAME

LEFT THUMBMARK RIGHT THUMBMARK

WARNING: Applications with incomplete or false entries and with fake or invalid documents will not be processed andmay be used by SOSIA as
basis in filing Administrative and / or Criminal complaintagainst the applicant.

CONTROL NO. ____________

IMPORTANT: SEE BACK PAGE for instructions.
Tear here _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
LESP CLAIM STUB

Please claim/receive your LESP card on

___________________________________________________________________at________________________________________________________________________
_______________________________________.

Received by: Date received:

_______________________________________ ________________________________
OP # _____________ Date: ________________
SBR # ____________ Date: ________________
CONTROL NO. _____
 TABLE OF CONTENTS
NEW
SECURITY GUARD PROTECTION AGENT SECURITY CONSULTANT
GOVERNMENT GUARD AVIATION GUARD TAB
SECURITY OFFICER BANK & ARMOR GUARD FILLED-OUT SOSIA APPLICATION FORM-------------- A
PRIVATE DETECTIVE MALL & COMMERCIAL GUARD MASTER’S DEGREE DIPLOMA----------------------------- B
TAB TRANSCRIPT OF RECORDS ------------------------------ C
FILLED-OUT SOSIA APPLICATION FORM----------------- A NBI CLEARANCE ----------------------------------------------- D
HIGH SCHOOL DIPLOMA OR COLLEGE DIPLOMA/ DRUG TEST RESULT ----------------------------------------- E
TRANSCRIPT OF RECORDS ---------------------------------- B NEURO-PSYCHIATRIC TEST RESULT ----------------- F
BIRTH CERTIFICATE -------------------------------------------------- C BARANGAY CLEARANCE ------------------------------------ G
NBI CLEARANCE -------------------------------------------------------- D CITY/MUNICIPAL POLICE CLEARANCE ---------------------------- H
DRUG TEST RESULT----------------------------------------------- E
NEURO-PSYCHIATRIC TEST RESULT --------------------- F
BARANGAY CLEARANCE -------------------------------------------- G
CITY/MUNICIPAL POLICE CLEARANCE ---------------------------H
TRAINING CERTIFICATE----------------------------------------- I

CANINE ADMINISTRATOR CANINE EVALUATOR

TA
TAB TAB
FILLED-OUT SOSIA APPLICATION FORM -------------------- BA FILLED-OUT SOSIA APPLICATION FORM ------------------ A
SECURITY OFFICER’S LICENSE/ A CANINE TRAINER LICENSE --------------------------------- B
SECURITY CANINE EVALUATOR’S LICENSE---------------- BB CERTIFICATION FROM ACCREDITED
CERTIFICATION FROM ACCREDITED OR RECOGNIZED CANINE ORGANIZATION
OR RECOGNIZED CANINE ORGANIZATION C BY SOSIA OR OTHER GOVERNMENT AGENCIES
BY SOSIA OR OTHER GOVERNMENT AGENCIES D THAT THE APPLICANT HAS MINIMUM OF 5 YEARS
THAT THE APPLICANT HAS COMPLETED E EXPERIENCE AS CANINE HANDLER AND TRAINER------
RELEVANT SEMINARS / TRAININGS ON F CANINE EVALUATOR COURSE CERTIFICATE------------------ C
CANINE SECURITY--------------------------------------------- GC BIRTH CERTIFICATE -------------------------------------------- D
NBI CLEARANCE --------------------------------------------------------HD NBI CLEARANCE --------------------------------------------------- E
DRUG TEST RESULT------------------------------------------------------ I
E DRUG TEST RESULT------------------------------------------------------
F
NEURO-PSYCHIATRIC TEST RESULT------------------------------ JF NEURO-PSYCHIATRIC TEST RESULT------------------------ G
BARANGAY CLEARANCE -------------------------------------- G BARANGAY CLEARANCE -------------------------------------- H
CITY/MUNICIPAL POLICE CLEARANCE ------------------ H CITY/MUNICIPAL POLICE CLEARANCE ---------------------------- I
J
CANINE TRAINER CANINE HANDLER
TAB TAB
FILLED-OUT SOSIA APPLICATION FORM ------------------- A FILLED-OUT SOSIA APPLICATION FORM ----------------- A
CANINE HANDLER’S LICENSE -------------------------------- B SECURITY GUARD LICENSE--------------------------------- B
CANINE TRAINER’S COURSE CERTIFICATE-------------------C BASIC CANINE HANDLER’S COURSE CERTIFICATE-- --- C
BIRTH CERTIFICATE ----------------------------------------------- D BIRTH CERTIFICATE----------------------------------------------- D
NBI CLEARANCE --------------------------------------------------- E NBI CLEARANCE --------------------------------------------------- E
DRUG TEST RESULT-----------------------------------------------------F DRUG TEST RESULT---------------------------------------------------- F
NEURO-PSYCHIATRIC TEST RESULT------------------------- G NEURO-PSYCHIATRIC TEST RESULT----------------------- G
BARANGAY CLEARANCE ---------------------------------------- H BARANGAY CLEARANCE --------------------------------------- H
CITY/MUNICIPAL POLICE CLEARANCE----------------------------- I CITY/MUNICIPAL POLICE CLEARANCE -----------------------------I

Who shall file: Any Filipino citizen not less than 21 nor more than 50 years of age
after complying with academic/scholastic and skills/training
requirements as prescribed herein by SOSIA.
How to file : Fill out this LESP Application Form PL – 1 and submit application
folder together with the prescribed documentary requirements in
proper tabbings as shown above.
Where to file :For NCR, submit application folder to SOSIA Camp Crame,
Quezon City;
For outside NCR, submit application folder to Regional Civil Security
Unit(RCSU) at the different Police Regional Offices(PRO).
When to file : Mondays to Fridays, 8:00AM to 5:00PM, except holidays

For complaints and inquiry, please contact SOSIA ___________ and RCSU _______.

LICENSE FEES
License License Fee ID Card Fee TOTAL License License Fee ID Card Fee TOTAL

Security Guard Php300.00 Php200.00 Php500.00 Bank & Armor Guard Php300.00 Php200.00 PPhp500.00P
Security Officer Php450.00 Php200.00 Php650.00 Mall & Com Guard Php300.00 Php200.00 Php500.00
Security Consultant Php450.00 Php200.00 Php650.00 K9 Handler Php450.00 Php200.00 Php650.00
Government Guard Php15.00 Php200.00 Php215.00 K9 Evaluator Php450.00 Php200.00 Php650.00
Private Detective Php450.00 Php200.00 Php650.00 K9 Administrator Php450.00 Php200.00 Php650.00
Protection Agent Php450.00 Php200.00 Php650.00 K9 Trainer Php450.00 Php200.00 Php650.00
Aviation Guard Php300.00 Php200.00 Php500.00