Personal licence application pack (PDF 159kb)

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3. RELEVANT OR FOREIGN OFFENCESRead Note 1Have you been convicted of any relevant offence or foreign offence?Please tick aYes NoIf you have been convicted of any relevant offences you must provide details for each conviction, the date ofconviction, the name and location of the convicting court, offence of which you were convicted and thesentence imposed.If you have been convicted of any foreign offences you must provide details for each conviction of the date ofconviction, the name and location of the convicting court, offence of which you were convicted and thesentence imposed.4. DECLARATIONI declare that I have not been convicted of any relevant offence or any foreign offenceSignatureDate5. DECLARATIONThe information contained in this form is correct to the best of my knowledge and beliefIt is an offence knowingly or recklessly to make a false statement in or in connection with an application forthe grant or renewal of a personal licence. (A person is to be treated as making a false statement if heproduces, furnishes, signs or otherwise makes use of a document that contains a false statement) To do socould result in prosecution and a fine not exceeding level 5 on the standard scale [£5000].SignatureDateNotesInformation on the Licensing Act 2003 is available on the website of the Department for Culture, Media andSport (http://www.culture.gov.uk/alcohol_and_entertainment/default.htm) or from your local licensingauthority.1. Relevant or Foreign OffencesRelevant offences are the offences listed in Schedule 4 to the Licensing Act 2003.The meaning of foreign offence is dealt with in section 113 of the Licensing Act 2003.If you are the holder of a justices’ licence and you are applying for a personal licence under regulation 8 ofthe Licensing Act (Personal Licence) Regulations 2005, see paragraphs 23 and 28 in Part 3 of Schedule 8 tothe Licensing Act 2003 for the information you are required to give.If you are convicted of any relevant or foreign offence during the period between when your application ismade and when your application is determined or withdrawn, you must notify the authority to which yourapplication was made. Failure to do so without reasonable excuse could lead to prosecution and a fine notexceeding level 4 on the standard scale [£2500].
LICENSING ACT 2003MAIN FEES – PREMISES LICENCE AND CLUB PREMISES CERTIFICATEBand A B C D ENon domestic rateablevalueNone-£4,300£4,301-£33,000£33,001-£87,000£87.001-£125,000£125,001+Premises Licence*New application andvariation£100 £190 £315 £450 £635Multiplier applied topremises usedexclusively or primarily forthe supply of alcohol forconsumption on thepremises (Bands D & Eonly)N/A N/A N/A X2(£900)X3(£1905)Annual Charge* £70 £180 £295 £320 £350Annual charge multiplierapplied to premises usedexclusively or primarily forthe supply of alcohol forconsumption on thepremises (Bands D & Eonly)N/A N/A N/A X2(£640)X3(£1050)Club Premises CertificateNew application andvariation£100 £190 £315 £450 £635Annual Charge £70 £180 £295 £320 £350To find out how much the non-domestic rateable value of your premises is, the easiest way is toenter your postcode into the Valuation Office’s website, www.voa.gov.uk*There are additional fees for premises licence applications and annual fee, for exceptionally largescaleevents (5,000 people+), unless certain conditions apply. Please read regulation 4(4) & 4(5)of The Licensing Act 2003 (Fees) Regulations 2005Exemptions exist for certain premises such as church halls, community halls, schools and collegesand where the application relates to the provision of regulated entertainment only.
Page 4: NotesInformation on the Licensing A
Page 7 and 8: (i)(ii)(iii)(iv)is transmitted by e
Page 9 and 10: APPENDIX ALICENSING ACT 2003PERSONA
Page 11 and 12: Further information about the BIIAB
Page 13 and 14: APPENDIX BMeaning of “relevant of
Page 15 and 16: (a)(b)(c)section 3A (causing death
Page 17 and 18: APPENDIX CFor the purposes of this
Page 19: LICENSING ACT 2003DISCLOSURE OF CON

Personal licence application pack (PDF 159kb)

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