Apply for disapplication of a DPS Application for the mandatory alcohol condition under the Licensing Act 2003 requiring a Designated Premises Supervisor in respect of a premises licence to be disapplied Fields marked with * are required Before completing this form please read the guidance notes Applicant declaration We being a board or committee of individuals with responsibility for the management of the community premises described in Part 1 below, and being the applicant for a premises licence / premises licence holder [please select below] in respect of those premises apply for the condition referred to in section 19(4) of the Licensing Act 2003 to be included in the licence instead of the conditions referred to in section 19(2) and (3) of the said Act* Applicant for a premises licence Premises licence holder Please see guidance note 2. Part 1 – Community premises details Name of premises* Postal address of premises or, if none, Ordnance Survey map reference or description* Post town* Postcode* Telephone number at premises (if any) Premises licence number (if applicable) Brief description of premises and the composition of the committee or board of individuals with responsibility for the management of the premises * Please read guidance note 3. Please describe how you will ensure that alcohol sales are properly supervised and what arrangements you have in place (if any) for hiring out the premises * Please see guidance note 4. Please upload copies of any hiring agreements Permitted file types: JPEG, PNG, PDF. Maximum file size: 2MB Please upload documents (if available) which identify the premises and how it is managed Permitted file types: JPEG, PNG, PDF. Maximum file size: 2MB Next Page Last updated: 22/05/2023 08:02:03
