Website accessibility options

Preview: The quick brown fox jumps over the lazy dog

Select a text view option

Aa Aa Aa Aa

Listen to this page

Listen

MySouthwark

Take a moment to register and join the thousands of other Southwark residents transforming the way we do business!

Return to your account

Return to a partially completed form or manage your southwark service accounts

Create an account

Complete a task any time of day with your dedicated, personalised account

Application for a review of a premises licence under the Gambling Act 2005

Part 1 – Applicant Details

(* Required field)

Name of Applicant

First name *
Surname *

Applicant’s address - Please enter either the home or your Business address

*

Home
Business
Postcode

Are you making the application as a responsible authority?

*

Yes No

If the answer to question is yes, indicate the type of responsible authority

If the answer to question is no, please confirm by ticking or checking the box that you are applying as an interested party

If you have ticked or checked the box in answer to question, please indicate on what basis you qualify as an interested party:

Please check the checkbox if you need to add another applicant

Form Progress

0% completed

0% 25% 50% 75% 100%

Website feedback

Privacy settings

Cookies policy

We use cookies which are small files downloaded to your computer, used to improve your site visit. Some cookies are required to make the site work properly and other optional cookies help improve your experience on the site.
We recommend keeping all cookies but you can manage your cookie preferences below.

This tool will set a cookie on your device to remember your preferences and can be changed at any time.

Review your privacy settings

Overview of data processing, data subject rights and information complaints can be read here at our corporate data privacy notice.

Necessary cookies

Necessary cookies help make a website usable by enabling basic functions like page navigation and access to secure areas of the site. The website cannot function properly without these cookies.

Show necessary cookies

Necessary cookies
Name	Cookie purpose description	Provider	Expiry
CookieNotice	Used to hold the selections you make as to which cookies you allow from the site.	southwark.gov.uk	6 months
Bridge.Auth	used to hold authentication information	southwark.gov.uk	Session
ASP.NET_SessionId	used to hold session information	southwark.gov.uk	Session
ProcessDisplayOptionsActionFilter.Pref	This cookie is used to remember display settings for colour contrast and font sizes set by the user in the accessibility options panel.	southwark.gov.uk	30 days
visid_incap_#	Preserves users states across page requests.	southwark.gov.uk	1 year
incap_ses_#	Preserves users states across page requests.	southwark.gov.uk	Session
AWSELBCORS	Used to distribute traffic to the website on several servers in order to optimise response times.	www.servmetric.com	5 minutes
local_storage_support_test	The cookie is used in context with the local-storage function in the browser. This function allows the web site to load faster by pre-loading certain procedures.	twitter.com	Persistent
CalloutDisplay	This cookie is used to record what callouts have been dismissed during a session to ensure they do not re-appear.	southwark.gov.uk	Session
ApplicationGatewayAffinityCORS	Essential cookie used for web server load balancing	southwark.gov.uk	session
ApplicationGatewayAffinity	Essential cookie for web server load balancing	southwark.gov.uk	session

Marketing

Marketing cookies are used to track visitors across websites. The intention is to display advertisements that are relevant and engaging for the individual user and thereby more valuable for publishers and third party advertisers.

Show Marketing cookies

Marketing cookies
Name	Cookie purpose description	Provider	Expiry
___utmvc#	Collects information on visitor behaviour on multiple websites. This information is used on the website, in order to optimise the relevance of advertisement.	southwark.gov.uk	1 day
tr	Used by Facebook to deliver a series of advertisement products such as real time bidding from third party advertisers.	facebook.com	Session
r/collect	This cookie is used to send data to Google Analytics about the visitor's device and behaviour. It tracks the visitor across devices and marketing channels.	google-analytics.com	Session
i/jot/syndication	Unclassified	twitter.com	Session
fr	Used by Facebook to deliver a series of advertisement products such as real time bidding from third party advertisers.	facebook.com	3 months
_fbp	Used by Facebook to deliver a series of advertisement products such as real time bidding from third party advertisers.	Facebook.com	3 months
__widgetsettings	Unclassified	twitter.com	Persistent
Basis Pixel	Used by Centro (Basis DSP) to deliver targeted online advertising	<a href="https://dspsupport.basis.net/hc/en-us">Basis DSP</a>	180 days
Facebook Pixel	Used by Centro (Basis DSP) to deliver targeted online advertising	<a href="https://dspsupport.basis.net/hc/en-us">Basis DSP</a>	180 days
Google Pixel	Used by Google to deliver targeted online advertising	<a href="https://tagmanager.google.com/#/home">Google</a>	540 days

Statistics

Statistic cookies help site owners understand how visitors interact with websites by collecting and reporting information anonymously.

Show Statistics cookies

Statistics cookies
Name	Cookie purpose description	Provider	Expiry
_dc_gtm_UA-#	Used by Google Tag Manager to control the loading of a Google Analytics script tag.	google-analytics.com	1 day
_ga	Registers a unique ID that is used to generate statistical data on how the visitor uses the website.	google-analytics.com	2 years
collect	Used to send data to Google Analytics about the visitor's device and behaviour. Tracks the visitor across devices and marketing channels.	google-analytics.com	Session
_gid	Registers a unique ID that is used to generate statistical data on how the visitor uses the website.	southwark.gov.uk	1 day

Use recommended settings

We have a problem!

It appears that your web browser does not support JavaScript, or you have temporarily disabled scripting. Either way, this site won't work without it. Please take a look at our browser support page for more help.