APPLICATION FOR A LICENCE TO KEEP DANGEROUS WILD ANIMALS

RIDING ESTABLISHMENTS ACTS 19641970 APPLICATION FOR LICENCE TO
APPLICATION FORM AND PERSONAL INFORMATION SHEET IF
EMA520992013 EMAPDCO SUMMARY REPORT ON AN APPLICATION FOR A

FRONT TO THE WORDPRESS APPLICATION THIS FILE
12 FILLING OUT DESCRIPTION OF THE APPLICATION
2013 EDUCATION AND OUTREACH GRANTS APPLICATION FORM

Dangerous Wild Animals

APPLICATION FOR A LICENCE TO KEEP DANGEROUS WILD ANIMALS

DANGEROUS WILD ANIMALS ACT 1976

Return the completed form to :Place Department, Licensing Team,10^th Floor, Zone B, Bernard Weatherill House,8 Mint Walk,Croydon,CR0 1EA. Tel no 0208 760 5466

1. APPLICANT/S

a) First Name ……………………………………………………………………..

b) Last/Family Name: …………………………………………………………….

c) Full Home Address of Applicant :………………………………………………

………………………………………………………………………………………….

d) Home Tel No : ………………………. e) Mobile No: ……………………………..

f) E mail address: …………………………………………………………………..

g) Date of Birth:……………………………

2) PREMISES WHERE ANIMALS WILL BE KEPT (if different to the above)

a) Address: ……………………………………………………………………

……………………………………………………………………………………

c) Tel No :…………………………

d) Species of animals to be kept ……………………………………………………

(a separate schedule may be attached if necessary)

……………………………………………………………………………………….

I declare that the applicant is over 18 and has not been disqualified from keeping animals . I declare that the information given on this form is accurate to the best of my knowledge.

Signature of applicant/s:…………………………………….Date ; ………………………..

Office Use only: Uniform No …………………………………….

Receipt No:……………………………….Date Received …. ……………………….

SF.C118/07/15

2018 INTERNATIONAL SUMMER SCHOOL COURSE TEACHING APPLICATION FORM
20XX WRITTEN QUESTIONS ON APPLICATION GUIDELINES AS WE
23 DATE FEBRUARY 23RD 2009 SUBJECT APPLICATION

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