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

Notification of Change of name/address


Please use this form to notify us of either a change of name or a change of registered address.

You must attach a copy of your existing Premises Licence.

The information you provide will be used fairly and lawfully and Southwark Council will not knowingly do anything which may lead to a breach of the Data Protection Act 1998.

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