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Application for a Personal Licence

Type of Application
Applicant's Details
Full Name
Title
Address
Do you hold an accredited licensing qualification?
One file only.
8 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, rtf, pdf, doc, docx, xls, xlsx.
Criminal Convictions
Has any party named above been convicted of any crime or offence in the United Kingdom?
Conviction 1
Conviction 2
Conviction 3
First Application
Do you currently hold a personal licence with any other Licensing Board
Do you currently have any outstanding applications for a personal licence with this or any other licensing board
Has any personal licence been forfeited by you in the past 5 years?
Renewal Application - Current Personal Licence Details
One file only.
8 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, rtf, pdf, doc, docx, xls, xlsx.
Photographs

Please provide 2 passport sized photographs one of which should be endorsed on the back. This endorsement should contain the words "I certify that this is a true likeness of ......." followed by the full name of the person endorsing the photograph. .

Name of the person who has endorsed the photograph
Title
Address of the person that has endorsed the photograph
Please upload the back and front of the photograph so the endorsement is included.
Maximum 10 files.
8 MB limit.
Allowed types: gif, jpg, jpeg.
Checklist
I have

The information you have supplied on this form will be used for the purpose for which you have provided it, and appropriate measures are in place to protect your personal data.  A full privacy notice, which provides information about your rights under current data protection legislation and details about what will happen to your personal data can be found here:

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