Before completing this form please read the guidance notes.
You must include a completed copy of "Consent of individual to being specified as designated premises supervisor" with this form. You will be asked to upload this as a part of this process.
You will also be required to make a payment as part of completing this form. Please have credit/debit card details ready.
By completing this form, you agree to apply to vary a premises licence to specify the individual named in this application as the premises supervisor under section 37 of the Licensing Act 2003.
Please review our privacy notice to understand how we protect your data.
