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Temporary Event Notice
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Application Details
Application Details
Your Details
Before completing this notice please read the on line guidance notes.
If you have completed an online application and paid online then you need take no further action.
If you are printing off the application form or have completed a word document application and intend to pay by cheque then you must send two copies of this notice to the licensing authority and additional copies must be sent to the chief officer of police and the local authority exercising environmental health functions for the area in which the premises are situated. In both cases the licensing authority will give you written acknowledgement of the receipt of the notice.
PLEASE NOTE
that in all cases the application fee is non refundable.
You should keep a copy of the completed notice for your records.
If you wish a word copy of the application form to complete by hand then contact licensing@horsham.gov.uk with your full name/address/contact number and email address.
I, the proposed premises user, hereby give notice under section 100 of the Licensing Act 2003 of my proposal to carry on a temporary activity at the premises described below.
The Personal Details of Premises User (Please read note 1)
Your Name
Title
mandatory field
Miss
Mrs
Mr
Ms
Dr.
Prof.
Sir
Lady
Rev
Forenames
mandatory field
Surname
mandatory field
Date Of Birth
mandatory field
Date Of Birth Day
dd
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Date Of Birth Month
mm
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Date Of Birth
Year
Place Of birth
mandatory field
NI Number
mandatory field
Fax Number
Email Address
mandatory field
Address Line 1
mandatory field
Address Line 2
Address Line 3
City / Town
mandatory field
County
Postcode
mandatory field
Telephone (Daytime)
Telephone(Evening)
Telephone(Mobile)
Previous Name(s)
(Please enter details of any previous names or maiden names, if applicable. Please continue by writing details on a separate sheet if necessary)
Title
Miss
Mrs
Mr
Dr.
Prof.
Sir
Lady
Forenames
Surname
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