Denumire societate/Adres

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Nr. nregistrare

DECLARATIE
I. 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 SOCIETII

Numr 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,