ALL FIELDS MARKED WITH A * ARE REQUIRED ENTRIES
Licensing Act 2003
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Declaration for a club premises certificate to be granted under the Licensing Act 2003
Isle of Wight Council
Isle of Wight
to view the fee structure under the Licensing Act 2003.
You may wish to keep a copy of the completed form for your records.
An Application for a Club Premises Certificate
must also be submitted along with this form.
(include area code)
Fields marked '*' are required entries.
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