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New MDR Format

This document is a monthly disposition report submitted by a security agency. It provides information such as the number of clients, guards, and firearms for the reported month. It also lists the names and details of individual guards such as their license numbers, assigned clients, and issued firearms. Newly assigned and terminated guards are also noted, along with certifications by the operations manager and authorized officer.

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Jayarr Llagas
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4K views3 pages

New MDR Format

This document is a monthly disposition report submitted by a security agency. It provides information such as the number of clients, guards, and firearms for the reported month. It also lists the names and details of individual guards such as their license numbers, assigned clients, and issued firearms. Newly assigned and terminated guards are also noted, along with certifications by the operations manager and authorized officer.

Uploaded by

Jayarr Llagas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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NAME OF SECURITY AGENCY Font 18 ( Arial)

BUSINESS ADDRESS
E-MAIL ADDRESS
TELEPHONE/FAX NOS. Font 14 ( Arial)
LTO PSA NO.
EXPIRY DATE OF LTO

TO : _________________________
SUBJECT : MONTHLY DISPOSITION REPORT
DATE : _____________________________

Submitted herewith is the Disposition of Clients, Guards & Firearms for the month of ______________________________.

1. RECAPITULATION

NO. OF CLIENTS- _____________________


NO. OF GUARDS- _____________________ MALE GUARDS: ______________ LADY GUARDS: ________________
NO. OF SECURITY OFFICER- ____________
NO. OF PRIVATE DETECTIVE- ___________
NO. OF SECURITY CONSULTANT- ________
NO. OF SPECIAL PROTECTION AGENT _____
NO. OF TRAINING DIRECTOR ___________ NO. OF TRAINING INSTRUCTOR ________ NO. OF TRAINING OFFICER __________

TOTAL:

2. NUMBER OF FIREARMS: LIGHT WEAPON SMALL ARMS


M16 .357 AK 47 .44 etc. SUB TOTAL .9mm .38 .380 .32 12 GA .22 45 SUB TOTAL
ISSUED TO SG /DEPLOYED
TURNED OVER TO POLICE
STATION/RCSU/FEO
NR OF EXCESS FA AND OR DEP
IN THE VAULT
GRAND TOTAL

Page 1 of _ pages
SAMPLE FORMAT
3. FONT 12 (Arial) Name of Security Agency Font 18 ( Arial)

NAME OF GUARDS FIREARMS ISSUED


LICENSE NR INSURANCE POLICY
CLIENTS ADDRESSES (FAMILY NAME, FIRST EDUCATIONAL (BASED ON DDO) SSS MONTHLY
& SSS NR
AND CONTACT NOS. NAME, MIDDLE NAME, & ATTAINMENT CONTRIBUTION
EXPIRYDATE KIND MAKE SN NUMBER AMOUNT
Qualifier (if any) )
1 1
2 2
3 3

4. LIST OF OFFICERS AND THEIR RESPECTIVE DESIGNATION:

NO. NAME OF OFFICER & STAFF DESIGNATION HOME ADDRESS CONTACT NUMBERS

5 . GAINS AND LOSSES:

a. GAINS:

NAME OF GUARDS (FAMILY NAME, FIRST NEWLY ASSIGNED ADDRESS AND CONTACT NUMBER
NO. PREVIOUS EMPLOYER/AGENCY
NAME, MIDDLE NAME & QUALIFIER (if any) ) DATE REPORTED OF PREVIOUS EMPLOYER/AGENCY

b. LOSSES:

NAME OF GUARDS (FAMILY NAME,FIRST NAME, DATE CAUSE (S) OF


NO. LAST POSTING PLACE
MIDDLE NAME & QUALIFIER (if any) ) TERMINATED TERMINATION

I HEREBY CERTIFY the correctness disposition report for the month of ___________________________

PREPARED BY: APPROVED BY:

_________________________________________ _________________________________________________
OPERATION /ADMINISTRATIVE MANAGER OWNER/ GENERAL MANAGER/AUTHORIZED OFFICER

SUBSCRIBED AND SWORN to before me this ________day of ______________, Affiant exhibiting to me his/her Residence Certificate Nr__ _________
issued at ____________________ on __________________2011.

(NOTARY PUBLIC)
SAMPLE FORMAT
Page 2 of _ pages

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