Application for a personal licence

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.
Your personal details
1. Title (optional)
2. First name(s)*
3. Surname*
4. Add any previous names
5. Previous names (Please enter details of any previous names or maiden names, if applicable.)
6. Title (optional)
7. First name(s)
8. Surname
10. Date of birth*
  
  Day
  
  Month
  
  Year
11. Nationality*
12. I am 18 years old or over*
  
  Yes
  
  No
Address where ordinarily resident
1. We will use this address to correspond with you unless you complete the separate correspondence box below.
2. 1. Enter the postcode in the postcode lookup box, click the 'find address' button and then select the correct address from the list.
  2. Address
    
    Postcode lookup
    
    Address
    
    If your address isn't in the list and doesn't automatically populate the fields below then you can enter it manually.
  3. Address line 1*
  4. Address line 2*
  5. Address line 3
  6. Town*
  7. Postcode*
3. Label
  1. Telephone*
  2. Mobile
  3. Email*
4. Add alternative address for correspondence
Alternative address for correspondence
1. If you complete the details below, we will use this address to correspond with you.
2. 1. Enter the postcode in the postcode lookup box, click the 'find address' button and then select the correct address from the list.
  2. Address
    
    Postcode lookup
    
    Address
    
    If your address isn't in the list and doesn't automatically populate the fields below then you can enter it manually.
  3. Address line 1
  4. Address line 2
  5. Address line 3
  6. Town
  7. Postcode
3. Alternative contact details
  1. Telephone
  2. Mobile
  3. Email
Your licensing qualifications
1. Please read Note 1 for more information on licensing qualifications
2. Please indicate which of these statements applies to you*
3. Name of qualification
4. Date of issue
5. Issuing body
6. There is a maximum limit of 7MB for all files uploaded to this form. If your files are larger than 7MB we will not receive all your documents and it may cause a delay in processing your application.
7. Upload a copy of your qualification
8. Upload evidence you are a person of prescribed description
Previous or outstanding applications for a personal licence
1. Note: You may only hold one personal licence at a time.
2. Do you currently hold a personal licence?*
  
  Yes
  
  No
3. Do you currently have any outstanding applications for a personal licence, with this or any other licensing authority?
  
  Yes
  
  No
4. Has any personal licence held by you been forfeited in the last 5 years?
  
  Yes
  
  No
5. Licensing authority
6. Licensing number
7. Date of issue
8. Any further details
  You can enter up to 1000 characters
Supporting documents
1. Upload passport size photograph of yourself*
2. Upload a signed photograph declaration
3. The photograph should be a true likeness of you. To confirm this a solicitor or notary, a person of standing in the community or any individual with a professional qualification should complete and sign a declaration
4. Upload criminal records check*
  This must be issued less than one month before the date of this application.
5. This should be a criminal conviction certificate or a criminal record certificate or the results of a subject access search of the police national computer by the National Identification Service
6. Upload proof of my right to work in the UK*
7. Please read Note 2 for more information on right to work/ immigration status
Checklist
1. I have*
  
  uploaded a photograph of myself and uploaded the photograph declaration
  
  enclosed any licensing qualification I hold or proof that I am a person of prescribed description
  
  enclosed a criminal conviction certificate or a criminal record certificate or the results of a subject access search of the police national computer by the National Identification Service
  
  payment will be made using the online payment system on submission of this form
Declaration
1. I am entitled to work in the UK and am not subject to a condition preventing me from doing work relating to the carrying on of a licensable activity. I understand that my licence will become invalid if I cease to be entitled to live and work in the UK.
  
  The information contained in this form is correct to the best of my knowledge and belief.
  
  It is an offence knowingly or recklessly to make a false statement in or in connection with an application for the grant of a personal licence. (A person is to be treated as making a false statement if he produces, furnishes, signs or otherwise makes use of a document that contains a false statement). To do so could result in prosecution and a fine of any amount. It is an offence under section 24B of the Immigration Act 1971 to work illegally.
2. Signature*
3. Date*

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Application for a personal licence

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