Consent to be designated from Telford & Wrekin Council

Step 2 of 3 Submit the application

Please provide your email address, so the licensing authority can let you know if your application has been successful or not.

Email address Confirm email address

Please attach the completed application form below.

Application form

I confirm that I give my consent to be specified as the Designated Premises Supervisor in relation to the premises specified in my application and that I am applying for, intend to apply for, or currently hold a personal licence.

Ticking this box indicates you have read and understood the above declaration

By continuing, you're giving the Cabinet Office permission to pass the information you're supplying to the relevant authority.

For more details on how your information is used please refer to the Government Digital Service privacy notice (opens in new tab) and the Telford & Wrekin Council privacy notice (opens in new tab).