RENEWAL

LTO APPLICATION EVALUATION FORM FOR PRIVATE

SECURITY AGENCY / PRIVATE DETECTIVE AGENCY

PSA/PDA NAME:___________________________________________________________________
LTO Regular Validity 2 years Expiry Date ____________________
Temporary 3 years
Temporary to Regular 4 years
Was it filed late? YES 5 years Reverted Yes
No No. of Days Lapsed ________ No
COMPLIED
DOCUMENTARY REQUIREMENTS TAB REMARKS
YES NO

Endorsement with Inspection Report from

1 C, RCSU (Applicants outside Manila) and A
Inspection Report from C, EMD (Applicants
based in Metro Manila)

LTO Application Form (AL-01) (Original Copy B

2 duly Notarized)

3 Monthly Disposition Report (MDR) (Original C

Copy Received by Records Section)
Annual Income Tax Return (ITR) with VAT
4 D
Payments for the last 3 consecutive months
(Authenticated Photocopy)
5 Surety Bond with Official Receipt (Original and E
Photocopy)
Security Industry Regulation Seminar (SIRS) of
6 F
Licensee (Original Copy validated by STMD,
SOSIA)
7 Business Permit from the LGU (Authenticated G
Photocopy)
8 Photocopy of previous LTO (Authenticated by H
Chief, Records Section)

 Certificate of Non-Pending Case _____

 Days after expiration ______________
 Total No. of SGs ______ * Total No. of Firearms in:
 Total No. of SGs in Single Post ______ MDR _______
 No. of SGs deployed in FRV _______
 Banks/Financial Institutions ________ No. of Excess Firearms _______
LESP of Licensee and Staff ____________ FRV/LRR Type 5 (On-line)______

Additional Requirements for CHANGES (Please Check if there’s any)

Business Name Business Address Change of Licensee

_____ Letter Request
(Addressed to Chief, SOSIA)
_____ Previous LTO (Original)
_____ Inspection Report
_____ DTI Cancellation and/or
SEC Certificate and/or
Amended GIS from SEC
_____ Board Resolution if SEC
_____ Affidavit of Undertakings
Remarks:
___ Letter Request
(Addressed to Chief, SOSIA)
___ Previous LTO (Original)
___ Board Resolution (if SEC)
___ Inspection Report
___ Amended GIS from SEC
___ Affidavit of Undertakings
___ Letter Request
(Addressed to Chief, SOSIA)
___ Previous LTO (Original)
___ Amended GIS/SEC
___ Board Resolution (Specifically
indicating that Licensee is
Part-Owner; Operator; and
Its designation of said PSA)
___ SIRS of Licensee
___ Bio data of Licensee
___ TOR and Diploma (Original)
___ NBI Clearance
___ DTI Cancellation of former Licensee
___ Affidavit of Undertakings

__________________________ ______________________________________
Name & Signature of Evaluator NAME & SIGNATURE of Licensee/Representative
Date of Evaluation:_____________________ Contact No. ____________________________