Please indicate the type of licence which you are applying for … Application for a Licence Application for a variation of an existing Licence Renewal of a Licence Please indicate the type of property for the application is being made … House in multiple occupation Flat in multiple occupation Property converted into units of accommodation which are not contained flats [although there may also be self-contained flat(s)] Please indicate how the HMO is operating … Shared facilities Bedsits with some shared facilities A dwelling-house with lodgers A hostel Supported lodgings PART 2: DETAILS OF PROPOSED LICENCE HOLDER 2.1 Name and address of proposed licence holder: The address provided for an individual should be their permanent residence address and adequate proof must be provided. Examples would include: driving licence; recent bank or building society statement or recent tax correspondence; recent utility bill. Mr Mrs Miss Ms Other Last name: First name: Residential address: Postcode: Home telephone no: Work telephone no: Mobile telephone no: e-mail address: Proof of address enclosed: Interest in property:
Please indicate the type of licence which you are applying for … Application for a Licence Application for a variation of an existing Licence Renewal of a Licence Please indicate the type of property for the application is being made … House in multiple occupation Flat in multiple occupation Property converted into units of accommodation which are not flats [although there may also be self-contained flat(s)] Please indicate how the HMO is operating … Shared facilities Bedsits with some shared facilities A dwelling-house with lodgers A hostel Supported lodgings PART 2: DETAILS OF PROPOSED LICENCE HOLDER 2.1 Name and address of proposed licence holder: The address provided for an individual should be their permanent residence address and adequate proof must be provided. Examples would include: driving licence; recent bank or building society statement or recent tax correspondence; recent utility bill. Mr Mrs Miss Ms Other Last name: First name: Residential address: Postcode: Home telephone no: Work telephone no: Mobile telephone no: e-mail address: Proof of address enclosed: Interest in property: contained
application_for_a_new_hmo_licence_2016_0.docx