SECTION 4. TO BE COMPLETED IF APPLYING FOR A COLLECTOR’S LICENCE N.B- A collector’s licence authorises the licensee to carry out business as a mobile collector in the authority’s area only. Details of prospective licence holder Title (please tick): I am 18 old or over. Please tick Mr Mrs Miss Ms Other Yes No (please state): Date of Surname: Forenames: Please also state your maiden name or any other surnames you have previously been known by: I attach a Disclosure Certificate issued for the applicant by Disclosure Scotland: Yes No If you do not provide a disclosure certificate your application may be delayed or rejected. I attach a recent passport size photograph of myself . Yes No Contact details (we will use your business address to correspond with you unless you indicate we should use your home address) Business Address: Telephone numbers: House name or number: Daytime: Evening: First line of address: Mobile: Town/City: Postcode: Home address: Email address (if you would prefer us to correspond with you by email): House name or number: line of address: Town/City: Postcode: Please use my home address for Please note that you must provide us with correspondence a postal address SECTION 5. MOTOR SALVAGE (For all applicants)
SECTION 4. TO BE COMPLETED IF APPLYING FOR A COLLECTOR’S LICENCE N.B- A collector’s licence authorises the licensee to carry out business as a mobile collector in the authority’s area only. Details of prospective licence holder Title (please tick): Mr Mrs Miss Ms Other (please state): I am 18 old or over. Please tick Yes No Date of Surname: Forenames: Please also state your maiden name or any other surnames you have previously been known by: I attach a Disclosure Certificate issued for the applicant by Disclosure Scotland: Yes No If you do not provide a disclosure certificate your application may be delayed or rejected. I attach a recent passport size photograph of myself . Yes No Contact details (we will use your business address to correspond with you unless you indicate we should use your home address) Business Address: House name or number: First line of address: Town/City: Postcode: Telephone numbers: Daytime: Evening: Mobile: Home address: House name or number: line of address: Town/City: Postcode: Please use my home address for correspondence Email address (if you would prefer us to correspond with you by email): Please note that you must provide us with a postal address SECTION 5. MOTOR SALVAGE (For all applicants)
sdc-scrap-metal-application-form.docx