Form

Personal licence: disclosure of convictions and declaration

Use this form to declare relevant foreign offences, and forfeiture of a personal licence in the past 5 years, before you apply for a personal licence to sell alcohol.

Document

Disclosure of convictions and declaration

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Details

To apply for a personal licence to sell alcohol, you need to declare any relevant criminal convictions using the form above, and these may impact on whether you’re found to be suitable as a licensee.

Before completing this application, please read the guidance notes at the end of the form and ensure you have signed both declarations.

Published 19 April 2012
Last updated 7 April 2017 + show all updates
  1. There is a mistake on section 3 of the form. We have published an error notice while the form is being updated.
  2. Updated form published.
  3. First published.