Personal Licence Change of Name Before you start... This form is required if a personal licence holder changes their name by way of marriage or deed poll. To submit this form you will be required to provide these documents: A new passport style photograph and a copy of your Marriage or Deed Poll certificate. A fee of £10.50 will be required, however, a payment link will be sent to you via email when the Licensing Officer has checked your application. Licence Number New Name First name Last name Previous Name First name Last name Address Address Line 1 Address Line 2 City County Postcode Country Email Phone Next Page Other Correspondance Address (if Any) This section applies if you are a solicitor or company applying on behalf of the licence holder. Name First name Last name Address Address Line 1 Address Line 2 City County Postcode Country Email Phone Previous PageNext Page Upload documents Upload: Marriage or Deed Poll Certificate Upload: New Passport Style Photograph Previous PageNext Page Declaration I am entitled to work in the UK and am not subject to a condition preventing me from doing work relating to the carrying on of a licensable activity. I understand that my licence will become invalid if I cease to be entitled to live and work in the UK. The information contained in this form is correct to the best of my knowledge and belief. It is an offence knowingly or recklessly to make a false statement in or in connection with an application for the grant of a personal licence. (A person is to be treated as making a false statement if he produces, furnishes, signs or otherwise makes use of a document that contains a false statement). To do so could result in prosecution and a fine of any amount. It is an offence under section 24B of the Immigration Act 1971 to work illegally. Yes, I declare Previous Page Submit