The Licensing Act 2003 (Personal licences) (Amendment) Regulations 2014

Regulation 2(4)

SCHEDULE

[Insert name and address of relevant licensing authority and its reference number (optional)] Application to renew a personal licence

Before completing this form please read the guidance notes at the end of the form.

If you are completing this form by hand please write legibly in block capitals. In all cases ensure that your answers are inside the boxes and written or typed in black ink. Use additional sheets if necessary.

You may wish to keep a copy of the completed form for your records.

GUIDANCE NOTES

Information on the Licensing Act 2003 is available on the gov.uk website or from your local licensing authority.

Please submit the completed form to the licensing authority which granted the licence. The application for the renewal of your licence does not need to be accompanied by a fee or a criminal conviction certificate, criminal record certificate or the results of a subject access search of the police national computer. The licensing authority will acknowledge receipt of your form by e-mail unless you request acknowledgement by post.

Please note that sections 123 and 132 of the Licensing Act 2003 require personal licence holders to notify the relevant licensing authority of a conviction in respect of a relevant or foreign offence (defined in section 113 of the Licensing Act 2003). Please provide this information in section 2 in the box, “Any further details (including any relevant or foreign convictions)”.