Transfer of premises or club licence Online payment receipt number Premises details Premises licence number Premises name Premises address Address Line 1 Address Line 2 City County Postcode Country Premises telephone Description of the premises Next Page Current licence holder Provide details of the current licence holder Current premises licence holder name Current premises licence holder address Address Line 1 Address Line 2 City County Postcode Country Previous PageNext Page Applicant details Details of the new licence holder In what capacity are you applying for the premises licence to be transferred to you? Please select an individual or individuals as a limited company/limited liability partnership as a partnership (other than limited liability) as an unincorporated association or a recognised club a charity a health service body Other If other state below: If you are applying as a individual or limited company select one of the following which best applies to your business: Please select I am carrying on or proposing to carry on a business which involves the use of the premises for licensable activities I am making the application pursuant to a statutory function or a function discharged by virtue of His Majesty's prerogative Prospective licence holder name Companies House registration number (If applicable) Charity number (If applicable) Prospective licence holder applicant address Address Line 1 Address Line 2 City County Postcode Country Additional individual licence holder details (If applicable): Previous PageNext Page Correspondence details This section applies if you are applying on behalf of the licence holder. This is the person in which we will send the licence to. Correspondent/agent name Correspondent/agent company name Correspondent/agent address Address Line 1 Address Line 2 City County Postcode Country Email Phone Effective date of the transfer This is the date in which you took over the licence Previous PageNext Page Document upload Consent form Proof of attempt to obtain consent Right to work (applies if you are an individual) Premises licence copy Previous PageNext Page Declaration If you are an individual you must be 18 years or over. I confirm I am over 18 If this application is granted I would be in a position to use the premises during the application period for the licensable activity or activities authorised by the licence (see section 43 of the Licensing Act 2003) I Confirm I have enclosed the consent form signed by the existing premises licence holder or my statement as to why it is not enclosed I Confirm 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. I Understand 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. I Understand Applicable to all individual applicants, including those in a partnership which is not a limited liability partnership, but not companies or limited liability partnerships] I have included documents, or my Home Office online right to work checking service share code, to demonstrate my entitlement to work in the United Kingdom I Confirm Applicable to all individual applicants, I understand I am not entitled to be issued with a licence if I do not have the entitlement to live and work in the UK (or if I am subject to a condition preventing me from doing work relating to the carrying on of a licensable activity) and that my licence will become invalid if I cease to be entitled to live and work in the UK. I Confirm Any other notes Previous Page Submit