Skip to Content
Skip to Content
Central Bedfordshire Council
Accessibility Help
Application for a premises licence to be granted under the Licensing Act 2003
Premises licence
Go To Section
Premises licence
Applicant details
Applicants
Operating schedule
A - Plays
B - Films
C - Indoor sport events
D - Boxing
E - Live music
F - Recorded music
G - Dance
H - similar to E/F/G
I - Late night
J - Alcohol supply
K - Adult
L - Premises hours
M - Objectives
Signatures
Checklist
Notes
Premises licence
Items marked
must be completed
Skip to Form
Premises licence
Application for a premises licence to be granted under the Licensing Act 2003
Before you complete this form please be aware that you will be unable to submit the application online as legislation states that original signatures are required. Please check you are able to print this form, as some PCs may not have the appropriate software to do this. To test, select the button below.
If you encounter problems, please email licensing@centralbedfordshire.gov.uk and we will send you the application form.
Once you have tested the print option, before you complete the form, please read the guidance notes at the end of the form.
If you prefer to complete this form by hand please print off, and write legibly in block capitals. In all cases ensure that your answers are inside the boxes and written in black ink. Use additional sheets if necessary. You may wish to keep a copy of the completed form for your records.
Name of applicant
Above named applies for a premises licence under section 71 of the Licensing Act 2003 for the premises described in Part 1 (the premises) and I/we are are making this application to you as the relevant licensing authority in accordance with section 12 of the Licensing Act 2003
Part 1 - Premises details
Postal address of premises (inc Town and Postcode or, if none, ordnance survey map reference or description
Telephone number(s) of premises (if any)
Daytime Telephone Number
Evening Telephone Number
Mobile Telephone Number
Non-domestic rateable value of premises
Skip to Top of Page
must be completed