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

Part 1 – Applicant Details

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Name of Applicant
Applicant’s address - Please enter either the home or your Business address
  1. *


Are you making the application as a responsible authority?
  1. *
       
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:

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