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    Application to vary a premises licence - Gambling 2005

    Use this form to apply to vary a premises licence under the Gambling Act 2005.

    This form consists of 6 pages and will take approximately 20 minutes to complete. Fields marked with a * are mandatory and require completion.

    The fee for this form is between £300.00 and £650.00 and is payable upon completion of this form.


    Before you start

    Please ensure you have:

  1. a plan of the premises (where change relates to a change of the premises layout)
  2. the existing licence, or
  3. a statement explaining why it is not reasonably practicable to produce the licence, and
  4. an application under Section 190 of the Gambling Act 2005 for the issue of a copy of the licence
  5. a valid email address to receive confirmation of payment
  6. your debit or credit card details, as after completing this form you will be taken to the payment portal.
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