Declaration for a club premises certificate

This form is a declaration that your club meets qualifying club status and must accompany your application for a club premises certificate.

This form is available in Welsh - click on 'Cymraeg' in the top right corner of your screen.

Swansea Council is the data controller for the personal information you provide on this form. We are collecting this information as part of our obligation under Licensing Act 2003. Your information will be used to help us fulfil our legal obligation and will not be used for any other purpose. We will not share your data with third parties unless we are required or permitted to do so by law.

Data protection law describes the legal basis for our processing your data as necessary for compliance with a legal obligation. For further information about how Swansea Council uses your personal data, including your rights as a data subject, please see our corporate privacy notice on our website.
Club Premises details
1. Postal address of club, if any or, if none, ordnance survey map reference or description
2. Name of club*
3. Label
  1. Building and street (optional)
  2. Address line 2 (optional)
  3. Town or city (optional)
  4. County (optional)
  5. Postcode (optional)
  6. Detailed description if no address (optional)
    You can enter up to 2000 characters
4. Telephone*
5. Email*
1. If you want to save this form, please ensure you have entered your email address above to receive the link in order to continue it later.

Last modified on 15 February 2024

Session timeout