Apply to renew a licence

Applicant details
1. Title
2. First name*
3. Last name*
4. Private address
5. House name
6. House number
7. Street*
8. Town*
9. County
10. Postcode*
11. Daytime telephone number*
12. Date of birth*
13. Photographic ID - This should either be a passport or driving licence*
14. Do you have any previous convictions under this Act in the last five years?*
  
  Yes
  
  No
15. List all previous convictions under this Act in the last five years
17. The Names and positions and private addresses of the directors / people responsible for the management of the Association, Company, Society or Body
Director/person responsible 1
1. Full name*
2. Position*
3. Private address*
4. Date of birth*
Director/person responsible 2
1. Full name
2. Position
3. Private address
4. Date of birth
Director/person responsible 3
1. Full name
2. Position
3. Private address
4. Date of birth
8. No more can be added
9. Salutation