Cosmetic Piercing Licence

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Guidelines

Please read the following Guidelines before applying for a Cosmetic Piercing Licence :-

Cosmetic Piercing Guidelines

Application


Section 1
Our Reference:
Licence Type:
User Profile
First Name:
Family Name:
E-mail:
Main Telephone Number:
Other Telephone Number:
Indicate here if you would prefer not to be contacted by telephone:
Are you an agent acting on behalf of the applicant?:	Yes No
Are you:	Applying as a business or organisation, including as a sole trader Applying as an individual
Your Business
Is your business registered in the UK with Companies House?: Yes No
Is your business registered outside the UK?: Yes No
Business Name:
VAT number:
Legal Status:
Your position in the business:
Business Address
Building Number or Name:
Street:
District:
City or Town:
County or Administrative Area:
Postcode:
Country:
Home Country:
Section 2
Type of Application
Application for licence or registration of: Premises People
Further Information about the Applicant

Is the applicant an individual: Yes No
Section 3
Application Details
Name of premises/trading name:
Premises Address
Is the address the same as (or similar to) the address given in section one?: Yes No
Building Number or Name:
Street:
District:
City or Town:
County or Administrative Area:
Postcode:
Country:
Contact Details
Are the contact details the same as (or similar to) the contact details given in section one?: Yes No
Email:
Telephone Number:
Other Telephone Number:
Please Describe :
The Premises, giving details of treatment rooms, other rooms used for the business, and the facilities provided:
Provision for cleaning the premises, fittings and equipment, and sterilisation of instruments:
Provision for disposal of waste, used materials, needles, etc:
Opening Times
Please give details of proposed opening hours for each day of the week
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:
Sunday:
Section 4
Directors, Partners, Owners and Managers
You must provide details of ALL company directors (if the business is a company), ALL partners (if it is a partnership), owners of the business or premises and ALL those responsible for management of the business, including day-to-day management of the premises. Check local guidance notes and conditions for clarification of exact requirements.
Does the business have any directors, partners, owners or managers (including owners and day-to-day managers of the premises) in addition to the person named in section one?: Yes No
Section 5
Previous Applications
Has the applicant, or any person named in this application, previously applied for a similar registration or licence? (please check all that apply):	No Yes - application granted and revoked Yes - application granted Yes - application refused
Section 6
Previous Applications
Has the applicant or any person named in this application been convicted of any criminal offence: Yes No
Additional Details Please check local guidance notes and conditions for any additional information which may be required.
Additional information which is required or may be relevant to the application:
Section 7
Payment Details
Fee Amount (£) 50.00:
Authority Postal Address
Building Number or Name:
Street:
District:
City or Town:
County or Administrative Area:
Postcode:
Country:
Declaration
Full Name:
Date (dd/mm/yy):
(Digital) Signature:

Your Council

Cosmetic Piercing Licence

Guidelines

Application

Section 1

User Profile

Your Business

Business Address

Section 2

Type of Application

Further Information about the Applicant

Section 3

Application Details

Premises Address

Contact Details

Please Describe :

Opening Times

Please give details of proposed opening hours for each day of the week

Section 4

Directors, Partners, Owners and Managers

Section 5

Previous Applications

Section 6

Previous Applications

Additional Details

Please check local guidance notes and conditions for any additional information which may be required.

Section 7

Payment Details

Authority Postal Address

Declaration

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