I will give a copy of this form to the existing premises supervisor, if any
I would like this application to have immediate effect under
section 38 of the Licensing Act 2003
I have enclosed the premises licence or relevant part of it.
I have enclosed the consent form completed by the proposed premises supervisor.
I understand that if I do not comply with the above requirements my application will be rejected.
It is an offence, under section 158 of the licensing act 2003, to make a false statement in or in connection with this application. those who make a false statement may be liable on summary conviction to a fine of any amount.
It is an offence under section 24b of the immigration act 1971] for a person to work when they know, or have reasonable cause to believe, that they are disqualified from doing so by reason of their immigration status. those who employ an adult without leave or who is subject to conditions as to employment will be liable to a civil penalty under section 15 of the immigration, asylum and nationality act 2006 and, pursuant to section 21 of the same act, will be committing an offence where they do so in the knowledge, or with reasonable cause to believe, that the employee is disqualified.