Denumire societate/Adres

Telefon, Fax, E-mail

J- CUI

Nr. nregistrare

DECLARATIEI. PRIVIND DOVADA ACTIVITII N DERULARE, NUMR CONTRACTE, OBIECTIVE, PERSONAL CALIFICAT SI ATESTAT, DOTAREA TEHNICO MATERIAL

Licen nr.____________ din_____________

Asociai______________

Persoane fizice__________________________________________________

Persoane juridice________________________________________________

Reprezentant___________________________________________________Sediul social____________________________________________________

Sediul administrativ______________________________________________

Punct de lucru__________________________________________________

Telefon, fax_____________________________________________________

Administrator___________________________________________________Director general_____________________________, aviz nr._____________

Director executiv_____________________________, aviz nr._____________

Numr obiective asigurate cu paz__________ din care:

narmat_____________

Nenarmat___________Numr contracte transport valori___________, din care:

nterjudeene_________________________Dispecerate de preluare a alarmelor_______ aviz nr._______

Numr contracte de monitorizare i intervenie____________Numr ageni de paz____________ din care:

Calificai_______________________

Atestai________________________ n curs de calificare_______________ Avizai port arm_________________Numr armament deinut___________, din care:

Armament letal______: pistoale_______ pusti________ Armament neletal___________________

Numr contracte nchiriate____________, valabilitate___________________

Pistoale cu gaze iritant lacrimogene_________________________________

Pistoale cu gaze iritant lacrimogene + Bile de cauciuc___________________Numrul sustragerilor constatate de agenii de paz_____________________

Persoane depistate i predate poliiei________________________________

Valoarea bunurilor sustrase________________________________________Numr ageni de paz recompensai_________________________________

Numr ageni de paz sancionai contravenional______________________

Numr ageni de paz trimii n judecat______________________________

Numr ageni de paz agresai n timpul serviciului______________________

Numr sanciuni aplicate conducerii societii__________________________Dac exist cazuri n care conductorul societii nu a pus la dispoziia organelor de poliie competente documentele, datele i informaiile solicitate de acestea n exercitarea atribuiilor prevzute de Lege sau de prezentele norme metodologice?(DA/NU)_____. Dac exist se vor preciza motivele:_________.

Numarul de cazuri n care personalul de paz a fost implicat n fapte de furt din unitile asigurate cu paz de ctre societatea specializat de paz i protecie?_____. II. DOTAREA TEHNICO MATERIAL A SOCIETIINumr autovehicule___________ din care:

nscripionate________________

Autospeciale transport valori____

Autoturisme_________________

Motociclete__________________

A.T.V.- uri___________________

e.t.c._______________________

Staii emisie recepie_________

Numr________ tip___________

Frecvena radio_______________

Uniform specific de var________, iarn________

Total______________________

Numr bastoane din cauciuc____

Numr tomfe________________

Numr lanterne______________

Detectoare de metale_________

Spray-uri iritant lacrimogene____

Documente tipizate___________

Fax-uri_____________________

Xerox______________________

Computere__________________

Certificat

I.S.O.______________________

Cini______________________

Cai________________________

Numr puncte de lucru declarate la O.R.C.______:1. Sediu:_______________________________ telefon____________

ef punct de lucru________________________ aviz nr.____________

Numr angajai___________

Numr contracte__________

Dotare______________________________________________________

Not se completeaz toate punctele de lucru existente n forma de mai sus.

ADMINISTRATOR,