Form

Personal licence: disclosure of convictions and declaration

Use this form to declare relevant foreign offences, and forfeiture of a personal licence in the past 5 years, before you apply for a personal licence to sell alcohol.

• From: Home Office
• Published: 19 April 2012
• Last updated: 7 April 2017
  Show all updates

  1. 7 April 2017

     There is a mistake on section 3 of the form. We have published an error notice while the form is being updated.

  2. 3 April 2017

     Updated form published.

  3. 19 April 2012

     First published.

Documents

Disclosure of convictions and declaration

MS Word Document, 26.5 KB

Details

To apply for a personal licence to sell alcohol, you need to declare any relevant criminal convictions using the form above, and these may impact on whether you’re found to be suitable as a licensee.

Before completing this application, please read the guidance notes at the end of the form and ensure you have signed both declarations.

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