f) a health service body please complete section (B) g) a person who is registered under Part 2 of the Care please complete section (B) Standards Act 2000 (c14) in respect of an independent hospital in Wales ga) a person who is registered under Chapter 2 of part 1 of please complete section (B) the Health and Social Care Act 2008 in respect of the carrying on of a regulated activity (within the meaning of that Part) in an independent hospital in England h) The chief officer of police of a police force in England please complete section (B) and Wales *If you are applying as a person described in (a) or (b) please confirm: Please tick yes I am carrying on or proposing to carry on a business which involves the use of the premises for licensable activities; or I am making the application pursuant to a Statutory function or A function discharged by virtue of Her Majesty’s prerogative INDIVIDUAL APPLICANTS (fill in as applicable) Other title Mr Mrs Miss Ms (for example, Rev) Surname First names Please tick yes I am 18 years old or over Current postal address if different from premises address Post Town Postcode Daytime contact telephone number Email address (optional) (IF APPLICABLE) SECOND INDIVIDUAL APPLICANT Other title Mr Mrs Miss Ms (for example, Rev) Surname First names
f) a health service body please complete section (B) g) a person who is registered under Part 2 of the Care Standards Act 2000 (c14) in respect of an independent hospital in Wales please complete section (B) ga) a person who is registered under Chapter 2 of part 1 of the Health and Social Care Act 2008 in respect of the carrying on of a regulated activity (within the meaning of that Part) in an independent hospital in England please complete section (B) h) The chief officer of police of a police force in England and Wales please complete section (B) *If you are applying as a person described in (a) or (b) please confirm: Please tick yes I am carrying on or proposing to carry on a business which involves the use of the premises for licensable activities; or I am making the application pursuant to a Statutory function or A function discharged by virtue of Her Majesty’s prerogative INDIVIDUAL APPLICANTS (fill in as applicable) Mr Mrs Miss Ms Other title (for example, Rev) Surname First names Please tick yes I am 18 years old or over Current postal address if different from premises address Post Town Postcode Daytime contact telephone number Email address (optional) SECOND INDIVIDUAL APPLICANT (IF APPLICABLE) Mr Mrs Miss Ms Other title (for example, Rev) Surname First names