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Request a copy of a personal alcohol licence or change licence details
Request a copy of a personal alcohol licence or change licence details
Type of change
Purpose of notification
Required
Replacement
Change of address
Change of name
Your personal details (as they appear on your Personal Licence)
Title
Required
Forename
Required
Surname
Required
Licence Number
Required
Date of issue
Required
New details
Title
Required
Forename
Required
Surname
Required
Address
Required
Postcode
Lookup
Daytime phone number
Evening phone numbers
Mobile telephone numbers
Email
If you would prefer us to correspond with you by email
Would you like correspondence associated with this application to be sent to a different address than given above?
Required
Yes
No
Address for correspondence
Postcode
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Correspondence daytime telephone
Correspondence evening telephone
Correspondence mobile telephone
Correspondence email
Would you like to submit a new photograph?
Required
Please select
Yes
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Please upload a photograph
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