LIQUOR LICENCE CHECKLIST - ArtisanOz Consulting

LIQUOR LICENCE INFORMATION SHEETPERSONAL DETAILS OF PROPOSED LICENCE HOLDER - CONTINUEDHOME PHONE:WORK PHONE:MOBILE PHONE:DRIVER’S LICENCE NO:HEIGHT: EYE COLOUR: BUILD:HAIR COLOUR:SKIN COMPLEXION:ANY FEATURES: (eg. Tattoo’s or scars)CRIMINAL HISTORY:SPEEDING FINES:(EG. WITHIN THE LAST 10 YEARS)PARKING FINES:(EG. WITHIN THE LAST 10 YEARS)HAVE YOU EVER BEEN BANKRUPT BEFORE? IF SO WHEN?:PERSONAL DETAILS OF OTHER PERSON/S INVOLVED IN LICENSED PREMISESNAME:ADDRESS:STREET ADDRESSDATE OF BIRTH: I ISUBURB STATE POSTCODEPLACE OF BIRTH:IF NOT BORN IN AUSTRALIA, YOUR DATE OF ARRIVAL: I IHOME PHONE:WORK PHONE:MOBILE PHONE:PAGE 4 OF 5