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Section 1
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User Profile
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| Are you an agent acting on behalf of the applicant?: |
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| Are you: |
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Your Business
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| Is your business registered in the UK with Companies House?:
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| Is your business registered outside the UK?:
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Business Address
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Section 2
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Premises to be Registered
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Address
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| Is the address the same as (or similar to) the address given in section one?:
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Premises Contact Details
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| Are the Contact details the same as (or similar to) the contact details given in section one?:
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Section 3
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Previous Registrations
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| Have you previously been registered?:
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Section 4
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Attachments
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Please check local guidance notes and conditions for any additional information which may be required
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Authority Postal Address
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Declaration
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