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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 outside the UK?:
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Business Address
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Section 2
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Type of Application
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| Type of Application:
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| Is the applicant an individual applicant:
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Section 3
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Premises to be Licenced
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| Type of Premises:
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Home Address
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Premises to be Licenced Contact Details
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| Are the contact details the same as (or similar to) the address given in section one?:
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| Will the sex establishment occupythe entire premises:
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| Are the premises currently in use as a sex establishment?: |
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Section 4
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Ownership of the Premises and the Business
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| Applicant's Interest in the Premises:
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| Is the applicant sole owner of the business?:
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| Is the applicant sole owner of the business?:
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Opening Times
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Type of Sex Establishment
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| Type of sex establishment (tick all that apply):
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Section 5
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Directors, Partners, Owners and Managers
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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.
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| 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?:
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Section 6
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Previous Applications
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| Has the applicant or any person in this application, previously applied for a similar registration or licence? (please check all that apply):
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Section 7
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Convictions
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Has the applicant or any person named in this application been convicted of any criminal offence?:
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Additional Details
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Section 8
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Payment Details
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Authority Postal Address
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Declaration
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