Gambling Act 2005 application forms

Download and print the following applications forms. If you are not sure which form to use please email licensing@rbkc.gov.uk.

Use this form for converting an existing licence
Conversion: Application for premises licence [PDF file] (File size 340 Kb)
Use this form for the grant of a new premises licence
Standard: Application for premises licence [PDF file] (File size 340 Kb)
Use this form for the grant of a new premises licence
Notice of application premises licence to be published [PDF file] (File size 340 Kb)
Use this form for the grant of a premises licence – single applicants
Notice of application for premises licence Form A [PDF file] (File size 340 Kb)
Use this form for the grant of a premises licence – multiple applicants
Notice of application for premises licence Form B [PDF file] (File size 340 Kb)
Use this form for applications for a provisional statement
Standard:Application for provisional statement [PDF file] (File size 340 Kb)
Use this form for application for a provisional statement
Notice of application provisional statement to be published [PDF file] (File size 340 Kb)
Use this form for application for a provisional statement – single applicants
Notice of application provisional statement Form A [PDF file] (File size 340 Kb)
Use this form for application for a provisional statement – multiple applicants
Notice of application provisional statement Form B [PDF file] (File size 340 Kb)

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