Security Detail: Please Attach Latest 2x2 Photo (Taken Within The Last Six Months)

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All information stated is this application are subject to Resolution No.

2048-a and the Data Privacy Act of 2012 (R.A. No. 10173), and are deemed confidential and no access by the public is authorizes.

All authorized recipients of any personal data, personal information, privileged information and sensitive personal information contained in this document, including other pertinent documents attached thereto that are
shared by the Commission on Elections in compliance with existing laws and rules, and in conformity with the Data Privacy Act and its Implementing Rules and Regulations, as well as the pertinent circulars of the
National Privacy Commission, are similarly bound to comply with said laws, rules and regulations, relating to data privacy, security, confidentiality, protection and accountability.

CBFSC FORM NO. 2022-06


Security Detail
Republic of the Philippines
COMMISSION ON ELECTIONS
Intramuros, Manila

COMMITTEE ON THE BAN ON FIREARMS AND SECURITY CONCERNS


(CBFS C)

National and Local Elections


May 09, 2022

APPLICATION FOR AUTHORITY TO EMPLOY/AVAIL/ENGAGE


SECURITY PERSONNEL AND BODYGUARDS
with AFFIDAVIT OF UNDERTAKING

I, __________________________________________ of legal age, Filipino, and a resident of


____________________________________________ after having been duly sworn to in
accordance with law, hereby voluntary undertakes that:
1. I am a (please check appropriate box)
□ a. Public Official
Please attach Latest
Position and Office: _____________________________
2x2 photo
□ b. Candidate
Position: _______________________________________ (Taken within the last six
City/Municipality/Province______________________ months)
□ c. Private Individual
□ d. With request for Issuance of Temporary CA-SD

2. I am applying for a Certificate of Authority-Security Detail under COMELEC


Resolution No. 10728;
3. I am availing/engaging security personnel and bodyguard for the following
reason/s:
JUSTIFICATION/S
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
(Attach, if any, document to support the above justification. You may use
separate sheet/s, if necessary. Annex “A”.)

4. The name/s and licenses of the security personnel I am engaging including the
details of their authorized firearms are in CBFSC Form No. 2022A-06DA (for
LEA) or CBFSC Form No. 2022A-06SP (for Private Security personnel) attached
hereto. The data therein are real, true and correct.;

5. All the necessary requirements for the security personnel or bodyguard are
complied with and the licenses/permits applicable to them and the firearms that

Page 1 of 3
2022-06 SD
All information stated is this application are subject to Resolution No. 2048-a and the Data Privacy Act of 2012 (R.A. No. 10173), and are deemed confidential and no access by the public is authorizes.

All authorized recipients of any personal data, personal information, privileged information and sensitive personal information contained in this document, including other pertinent documents attached thereto that are
shared by the Commission on Elections in compliance with existing laws and rules, and in conformity with the Data Privacy Act and its Implementing Rules and Regulations, as well as the pertinent circulars of the
National Privacy Commission, are similarly bound to comply with said laws, rules and regulations, relating to data privacy, security, confidentiality, protection and accountability.

they carry are valid, updated and will not expire during the election period
from January 9, 2022 to June 8, 2022;

6. The 4” x 5” colored picture with full description of the authorized uniform for
the security personnel is in CBFSC Form No. 2022B-06 which is attached hereto;

7. In support of this application, the following documents are submitted:

a. Threat assessment or such other document to support the existence of threat;


and
b. Copies of all the valid licenses and permits including the LESPS and DDOs of
the private security personnel;

8. I acknowledge that payment of corresponding administrative fees is required


and non-refundable;

9. I acknowledge that the CBFSC has the discretion to grant or deny authority to
employ/avail/engage security personnel/body guard;

10. I understand that in case the CBFSC approves my application for engaging the
services of security personnel, each security personnel shall be allowed to carry
only one (1) small firearm.

11. I understand that any misrepresentation or false statement in this Undertaking or


its attachments or any violation of the conditions stated in Comelec Resolution
No. 10728 shall be a ground for the denial of the application or the revocation of
an approved Certificate of Authority. This is without prejudice to the filing of the
appropriate criminal and/or administrative charge/s;

12. The statements stated herein are all willingly, freely and voluntarily executed to
attest to the truth of the foregoing facts in connection with this application.

IN WITNESS WHEREOF. I have hereunto affixed my signature and seal


of my office on this_____day of __________, 202___, in the City of ________, Philippines.

____________________________________
(Name and Signature)
Applicant

Republic of the Philippines)


________________________ )S.S.

SUBCRIBED AND SWORN TO BEFORE me this ___ day of __________202____,


in the City/Municipality of ___________, Republic of the Philippines, affiant personally
appeared before me ____________________ with Identification No. ________ issued by
_____________ on __________________ in _________________.

Page 2 of 3
2022-06 SD
All information stated is this application are subject to Resolution No. 2048-a and the Data Privacy Act of 2012 (R.A. No. 10173), and are deemed confidential and no access by the public is authorizes.

All authorized recipients of any personal data, personal information, privileged information and sensitive personal information contained in this document, including other pertinent documents attached thereto that are
shared by the Commission on Elections in compliance with existing laws and rules, and in conformity with the Data Privacy Act and its Implementing Rules and Regulations, as well as the pertinent circulars of the
National Privacy Commission, are similarly bound to comply with said laws, rules and regulations, relating to data privacy, security, confidentiality, protection and accountability.

Notary Public/Administering Officer

Document No :_____:
Page No. :_____:
Book No. :_____;
Series of 202 _____.

N.B. Please attach CBFSC Form No. 2002A-06DA (for LEA)/ CBFSC Form No. 2022A-
06SP for Private Security Providers, CBFSC Form No. 2022B-06 and Annexes

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2022-06 SD

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