Safety Certificate for designated Venues

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Safety Certificate for designated Venues

Guidelines

Please read the following Guidelines before applying for Safety Certificate for Designated Venues :-

Safety certificate for designated venues Guidelines

Application


Section 1
Our Reference:
User Profile
First Name:
Family Name:
Email:
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
Commercial Number:
Registration number:
Business Name:
VAT Number:
Legal Status:
Your position in the business:
Address
Building Number or Name:
Street:
District:
County or Administrative Area:
Postcode:
Country:
Home Country:
Applicant Profile (also known as the "qualified person")
First Name:
Family Name:
Email:
Main Telephone Number:
Other Telephone Number:
Indicate here if the applicant would prefer not to be contacted by telephone:
Is the applicant:	Applying as a business or organisation, including as a sole trader Applying as an individual
The Applicant's Business
Is your business registered in the UK with Companies House?: Yes No
Is your business registered outside the UK?: Yes No
Commercial Number:
Registration Number:
Business Name:
VAT Number:
Legal Status:
Your position in the business:
Address
Building Number or Name:
Street:
District:
City or Town:
County or Administrative Area:
Postcode:
Country:
Home Country:
Section 2
Name of Venue:
Name of club or organisation which operates at the venue:
Address of Venue including postcode:
Principle contact at venue and address for correspondence (if differs from 1 above)
Contact:
Address (including postcode):
Main Telephone Number::
Mobile Number:
Email:
Fax Number:
Section 3
Status/Role of proposed qualified person within the management of the venue:
Please attach a photocopy of the minute relating to the nomination of the applicant/qualified person
How was the decision made regarding the appointment of this person?:
Has the decision been included in minutes of a Committee Meeting, Board Meeting?:
How was this decision conveyed to the individual?:
Have they accepted this role?:
List of sports to be played at the venue to be included in a general safety certificate:
Section 4
Payment Details
Cost:
Attachments
Please see local guidance notes
Authority Postal Address
Building Number or Name:
Street:
District:
City or Town:
County or Administrative Area:
Postcode:
Country:
Declaration
Full Name:
Date (dd/mm/yyyy):
(Digital) Signature:

Your Council

Safety Certificate for designated Venues

Guidelines

Application

Section 1

User Profile

Your Business

Address

Applicant Profile (also known as the "qualified person")

The Applicant's Business

Address

Section 2

Principle contact at venue and address for correspondence (if differs from 1 above)

Section 3

Please attach a photocopy of the minute relating to the nomination of the applicant/qualified person

Section 4

Payment Details

Attachments

Please see local guidance notes

Authority Postal Address

Declaration

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