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 — See all updates

Documents

Disclosure of convictions and declaration

MS Word Document, 39.8 KB

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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.

We are aware this publication may have accessibility issues. We are reviewing it so that we can fix these. Read more about our accessible documents policy

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.