51³Ô¹ÏÃâ·ÑApp

Application for extended hours

Premises Details
Address
Licence Holder Details
Name
Title
Is the licence holder's address different from the premises address noted above
Licence holders Address
Current Licensed Hours
Proposed Extended Hours
What is the proposed period during which the extended hours will apply?
Please Note: This must not exceed one month
Does the extended hours proposal affect existing provisions for children /young persons?
Declaration
 The fee of £10.00 must be submitted with this application.

The information you have supplied on this form will be used for the purpose for which you have provided it, and appropriate measures are in place to protect your personal data.  A full privacy notice, which provides information about your rights under current data protection legislation and details about what will happen to your personal data can be found here:

Did you find what you were looking for?

Why wasn't this information helpful

Limit to 250 characters.