Temporary Event Notice Application

1. Before completing this notice please read the guidance notes. The licensing authority will give to you written acknowledgement of the receipt of the notice. 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.
  
  Personal details
  
  Personal details of the premises user (Please read note 1)
3. Title
4. First name*
5. Last name*
6. Do you have a previous title, first name or last name*
  
  Yes
  
  No
7. Previous details
  1. Previous title
  2. Previous surname
  3. Previous first names
8. House name
9. House number
10. Street*
11. City or town*
12. County*
13. Postcode*
14. Would you like to use an alternative address for correspondence*
  
  Yes
  
  No
15. Alternative address
  1. Address
  2. Postcode
16. Date of birth*
17. Place of birth
18. National Insurance number*
19. Telephone*
20. Mobile
21. Fax number
22. Email address*
23. Salutation