Application for copy of premises licence or summary

Privacy Statement

The personal information you supply will be used to process your request for a copy of your premises licence . In order for SSDC to do this you will be required to supply certain information – without this information we will not be able to process your request. The law allows us to use your personal information for this purpose as it is necessary for us to perform our statutory duties.

Before progressing please refer to our Privacy Notice which explains in more details how we will use your personal information and how we protect your privacy. It also provides you details of who you can contact if you need to speak to someone about your Privacy.

I/We
Full name of prospective premises supervisor(s): *
being the holder(s) of a Premises Licence dated: *
Show Calendar
in respect of premises known as: *
hereby apply for: *

Which has been: *



The circumstances of which are as follows: *
A copy of this form will be sent to you by e-mail. Please provide an e-mail address for this below:
E-mail Address: *