Temporary event notice

Current

About you

Receipt reference

I, the proposed premises user, hereby give notice under Section 100 of the Licensing Act 2003, of my proposal to carry on a temporary activity at the premises described below.

I confirm

Applicant

First name

Last name

Phone

Home address

Postcode

Previous name (if any)

First

Last

Birth place

Date of birth

I am over the age of 18

National Insurance number

Do you hold a personal licence?

Yes

Personal Licence Number

Issuing authority

Date issued