Notification of change of Name or Address Licensing Act 2003 – Personal Licence

Introduction

Please use this form to notify us of either a change of name or a change of address or both if you are a holder of a Personal Licence issued by London Borough of Southwark.

Please use this form if you have lost your Personal Licence card to get a replacement. Please note there is a cost of £10.50

You must attach both parts of your Personal Licence or else make a statement as to why you cannot.

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