ࡱ> qspe bjbj:: 8pXg\Xg\ZZ4$M4>TTTT///3333333$583r//rr3"TT4r TT3r3./0TlLj|./v340M4/W9W9(0W90/rA\///33 J^///M4rrrrW9/////////Z> : ARGYLL AND BUTE LICENSING BOARD KILMORY, LOCHGILPHEAD, ARGYLL, PA31 8RT APPLICATION FOR OCCASIONAL LICENCE Before completing this form by hand please write legibly in block capitals. In all cases ensure that your answers are inside the boxes and written or typed in black ink. Use additional sheets, if necessary. You may wish to keep a copy of the completed form for your records. 1. LICENCE DETAILS (see note 1) Premises Licence No. (if applicable) Personal Licence No. (if applicable) Name of Voluntary Organisation (if applicable)  PERSONAL DETAILS TITLE (delete as appropriate): Mr Mrs Miss Ms Other(please state)  Surname Forenames  DATE OF BIRTHDayMonth Year ADDRESS WHERE ORDINARILY RESIDENT TO BE USED FOR CORRESPONDENCE PURPOSES Post Town Post Code  TELEPHONE NUMBERSDaytime Evening Mobile   FAX NUMBER  E-MAIL ADDRESS (if you would prefer us to correspond with you by e-mail) THE PREMISES Description of premises Description of activities to be carried on in the premises Full Postal Address of Premises which this application refers to  DURATION OF LICENCE  From: To:  Is the alcohol to be sold on and off the premises Provide relevant details as to hours requested when alcohol will be sold on/off the premises YES/NOTimes for sale of alcohol for consumption on premises Times for sale of alcohol for consumption off premises Statement of times at which any activities other than the sale of alcohol will be carried on in the premises  CHILDREN (see note 2) This section must be completed where alcohol is for consumption on the premises Are children or young persons permitted entry? (if answered yes the remainder of this section must be completed) YES/NO  Ages of children or young persons permitted entry  Times at which children or young persons permitted entry Parts of premises to which children or young persons permitted entry CHECKLIST I have Please tick yes Made or enclosed payment of the fee of 10.00 for the application  Signature and Declaration by the applicant (see Note 3) DECLARATION IT IS AN OFFENCE TO MAKE A FALSE STATEMENT IN OR IN CONNECTION WITH THIS APPLICATION (Criminal Law (Consolidation) (Scotland) Act 1995 Section 44(2)(b)) The contents of this Application are true to the best of my knowledge and belief  SIGNATURE  DATE  NOTES Section 56 of the Licensing (Scotland) Act 2005 provides that only:- the holder of a Premises Licence; the holder of a Personal Licence; or a representative of any Voluntary Organisation is eligible to apply for an Occasional Licence. Premises Licence/Personal Licence Holder An Occasional Licence has effect for such period of not more than 14 days as the Licensing Board may determine. Voluntary Organisation A Licensing Board may issue an Occasional Licence in respect of a voluntary organisation in any period of 12 months:- not more than 4 Occasional Licences each having effect for a period of 4 days or more, and not more than 12 Occasional Licenses each having effect for a period of less than 4 days provided that, in any period of 12 months the total number of days on which Occasional Licences issued in respect of the organisation have effect does not exceed 56. Club Premises A Licensing Board may issue an Occasional Licence in respect of a club premises in any period of 12 months:- not more than 4 Occasional Licences each having effect for a period of 4 days or more, and not more than 12 Occasional Licenses each having effect for a period of less than 4 days provided that, in any period of 12 months the total number of days on which Occasional Licences issued in respect of the organisation have effect does not exceed 56. For any period during which an Occasional Licence has effect in respect of those premises, the Conditions of any Premises Licence issued in respect of the premises are not to have effect. Where alcohol is to be sold for consumption on the premises, the Act requires that a clear statement be made as to whether children or young persons are to be allowed entry and, if they are, a statement of the terms on which they are allowed entry. Data Protection Act 1988 The information you have supplied on this form will be used for the purpose for which you have provided it and any relevant procedures following from this. A full privacy notice, which provides information about your rights under data protection legislation and details about what will happen to your personal data, is attached for your information Applications must be submitted at least 35 days before the date of the event for which the licence is sought. 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