FEO-LPSEMD-DL(NEW&RENEWAL)-2019
EXPLOSIVES MANAGEMENT DIVISION
DEALER’S LICENSE FC/PD
New Renewal
1. Letter Request DTI Certificate of Registration / SEC
3. Endorsement from PD and ROPD if Provincial Applicant For
Registration NCR Applicants shall file/submit through Chief, FEO, PNP
Business/Mayor’s Permit from place of business PNP Inspection Report attested by PNP Inspectors (for NCR)
Fire Safety Clearance from City or Municipality Inspection for Provincial Applicant must be duty noted by PD
Original Clearances: Police and Court Clearance Properly labeled pictures of warehouse (bodega/storage) and
2. Original Copy of Special Bank Receipt (LBP) –Php 5,000.00 Display Stall/Store
Previous Copy of License Sketch of Location and Floor Plan of warehouse
(bodega/storage) and Display Stall/Store
Certificate of Fireworks Safety Seminar
Note: Pls. submit requirements as indicated with WHITE TABBINGS.
Applicant (Company): Contact Person:
Address of Storage Facility: Contact No:
STEP 1: Receiver/Verifier REMARKS
Date/Time Received: __________AM/PM
Date/Time Released Date: __________AM/PM _____________________
Signature over Rank/Name
STEP 2: Scanned by:
Date/Time Received: __________ AM/PM
Date/Time Released Date: ___________AM/PM ______________________
Signature over Rank/Name
STEP 3: Processed By:
Date/Time Received: __________ AM/PM
Date/Time Released Date: __________ AM/PM ____________________
Signature over Rank/Name
STEP 4: Chief, License and Permit Section
Date/Time Received: ___________ AM/PM
Date/Time Released Date: ___________ AM/PM _____________________
Signature over Rank/Name
STEP 5: OIC, EMD
Date/Time Received: __________ AM/PM
Date/Time Released Date: __________AM/PM PLTCOL AL M ABANALES
Signature over Rank/Name
STEP 6: Acting Chief, FEO
Date/Time Received: __________ AM/PM
Date/Time Released Date: __________ AM/PM PCOL PAUL KENNETH T LUCAS
Signature over Rank/Name
STEP 7: Chief of Staff, CSG
Date/Time Received: __________ AM/PM
Date/Time Released Date: __________ AM/PM PCOL RAMIL R MONTILLA
Signature over Rank/Name
STEP 8: Director, CSG
Date/Time Received: __________ AM/PM
Date/Time Released Date: __________ AM/PM PMGEN EDEN T UGALE
Signature over Rank/Name
F-CSGFEOEMD-070-2011