Sex establishment licence

Applicant

Payment receipt reference

Applicant details

Name

Home address

Town/area

Postcode

Date of birth

Limited company name

Limited company address

Address

Town/area

Postcode

What type of company is the applicant?

Have you been resident in the United Kingdom throughout a period of six months immediately preceding the date of this application?

Yes

Provide details of residency

What is the nature of the applicant’s interest in the premises?

Freehold

Leasehold

Leaseholder details

Name

Company

Address

Town/area

Postcode

Country

Is the whole of the business owned by the applicant?

Yes

Details of joint owners including contact information