Apply for a Pet Shop licence (new or renewal) Please read the notes before completing this form. If you have answered yes to any of the statements in these guidance notes, you may not apply for a licence Please complete all the questions in the form. If you have nothing to record, please state "Not applicable" or "None" Fields marked with * are required Are you an agent acting on behalf of the applicant* Yes No Enter both applicant and agent details Applicant Details Page 1 of 12 Title* First name* Surname* Address Line 1* Address Line 2 Town* Postcode* Email address* Telephone number* Other telephone no. Date of birth (DD/MM/YYYY)* Applying as a business or organisation, including a sole trader?* Yes No Applying as an individual?* Yes No Agency Details Title First name Surname Address Line 1 Address Line 2 Town Postcode Email address Telephone number Other telephone no. Next Page Last updated: 21/11/2022 08:43:16