Psira Certificate Renewal Form PDF Details

Are you a security officer looking to renew your Psira certificate? If so, then you’ve come to the right place. In this blog post, we will go over everything you need to know about how to obtain and refill your Psira certificate renewal form. Whether it is your first time submitting one or if you are an experienced professional in the security industry, we will provide all of the information needed in order to successfully fill out and submit your Psira certification renewal form.

QuestionAnswer
Form NamePsira Certificate Renewal Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namespsira online booking for collection, psira renewal online, psira renewal online booking online, psira registration

Form Preview Example

 

 

Private Security Industry

 

THE DIRECTOR

Regulatory Authority (SIRA)

 

 

 

 

PRIVATE SECURITY INDUSTRY

Application for registration as a security service

 

REGULATORY AUTHORITY

 

provider in terms of the Private Security Industry

 

 

 

PRIVATE BAG X817

Regulation Act 56 of 2001 (“the Act”)

 

PRETORIA

 

 

 

0001

APPLICATION FOR RENEWAL OF

 

 

 

INDIVIDUAL CERTIFICATE

 

 

 

 

APPLICATION

 

 

01

RENEWAL

02

REISSUE

03

UPGRADE

/

/

/

Application Date (dd/mm/yyyy)

PARTICULARS OF APPLICANT

South African Identification Number / Permit number / Asylum papers

PSiRA Number

PLEASE TICK

MALE

FEMALE

03

 

 

 

 

Surname

 

 

 

 

 

Full Names

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

UPGRADE

 

 

 

04

CLOSE

 

 

CORPORATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PHYSICAL ADDRESS OF APPLICANT

Postal Code

POSTAL ADDRESS (if different to Physical Address)

Postal Code

TELEPHONE NUMBERS (Code/Number)

Business

____________________________________________________ Email address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IS THE APPLICANT EMPLOYED?

 

 

 

 

YES

 

 

NO

 

 

 

CURRENT EMPLOYER:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fax

EMPLOYEE NUMBER:

Cellphone

I the undersigned, ______________________________________________________________________________________

Full name and identity number

Page 1 of 3 Pages

declares that the information furnished on this form is true and complete to the best of my knowledge. I agree that Private Security Industry Regulatory Authority may summarily approve\rejects my application in case any of the information/record(s) furnished above found to be incorrect or false and I will not make any correspondence in the matter whatsoever and I will abide by the decision of the Private Security Industry regulatory Authority.

THUS DONE AND SIGNED at

 

on

 

Of 20____

SIGNATURE:

 

 

 

 

 

FOR OFFICE USE ONLY

1.

Purpose of the visit

collection of new certificate/ re issue/upgrade

2.

Confirmation of registration with PSIRA

YES/NO

3.

Confirmation of Grades or any other course

YES/NO

4.

Confirmation of ID/ Permit/passport with DHA

YES/NO

5.

Proof of employment

(Proof of Pay slip or Affidavit)

YES/NO

6.

Update of the postal and physical address

YES/NO

7.

Proof Old certificate/affidavit if case of lost, theft etc

YES/NO

8.

Total amount to be paid

R

I HAVE CONFIRMED THE ABOVE TO BE CORRECT

 

Name of PSIRA official--------------------------------

Signature--------------------------------------------

Date ------------------------------------------------------

 

 

 

Page 2 of 3 Pages

Security Industry Regulatory Authority

Renewal of certificate Checklist - Individual

Name

Date

REQUIREMENT

1.Duly completed application form (Renewal of individual certificate form)

2.Payment of prescribed amounts (R30.00 First issue / R50 Re issue)

3.Authenticated copy of first page of ID document/ Permanent/ Work permits/ Asylum papers

4.Proof of pay slip or affidavit (if employed)

5.Proof of old certificate or affidavits in case of loss , theft etc

Page 3 of 3 Pages