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Change of address for licence holders
Change of address for licence holders
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Fair Processing Notice
To find out how we will process and use your personal information in connection with this request please see our
Privacy Statement.
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Please note only the licence holder can complete this form.
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Personal Details
First name
*
Surname
*
Date of birth
*
Contact phone number
*
Email
*
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New Address
New Address 1
*
New Address 2
New Address 3
New Town/City
*
New Postcode
*
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I advise the Licensing Authority that I have changed my address to the above noted from:
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Old Address
Old Address 1
*
Old Address 2
Old Address 3
Old Town/City
*
Old Postcode
*
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