HOTELS AND GUEST HOUSES ACT 1973

APPLICATION FOR THE GRANT/RENEWAL OF HOTEL LICENCE

1. (i) .................................................................................................................................................................................................................................................................................................................................................................... of .................................................................................................................................................................................................................................................................................................................................................................... (ii) hereby apply for a licence to be issued with effect from the .................................. day of.................................................................................................................. 20.................................. (iii) in the name of .................................................................................................................................................................................................................................................................................................................................................................... (iv) under the provisions of the abovenamed Act to keep and manage the following premises as a hotel, as defined in the Act—

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...................................................................................................................................................................................................................................................................................................................................................................................................................................................... (v)

2. [To the best of my knowledge and belief, the said.................................................................................................................................................................................................................................................................................................................................................................... (vi)

has not at any time either been sentenced (whether or not the sentence has been suspended) to any period of imprisonment following his or her conviction on a criminal charge or been convicted of any offence arising out of or in connection with the operation or running of any premises as a hotel as defined in the Act, except for the following–

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...................................................................................................................................................................................................................................................................................................................................................................................................................................................... (vii)

3. The maximum number of persons for whom sleeping accommodation will be available at the premises in respect of which this application is being made on the said .................................. day of.................................................................................................................. 20.................................. (iii) be .................................................................................................................. (viii)

4. I enclose the following with this application. (xi)

• (a)3 copies of a detailed block plan of the premises showing the use to which each separate room or portion of the premises is being put or is to be put; (ix)
• (b)3 copies of a site plan of the premises with sufficient details of the surroundings (including roads etc) to enable them to be readily located; (ix)
• (c)a copy of any permit held in respect of the premises under the Public Health Act 1935 authorising its use as a hotel; (ix)
• (d)$50 (VAT Exclusive) non-refundable application fee; and
• (e)in the case of and application for renewal only, the existing licence or a copy of it. (ix)

Dated this .................................................................................................................. day of.................................................................................................................., 20 ..................................

Signed ......................................................................................................................................................................................................................................................................................................................................................................................................................................................

for and on behalf of (i)

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NOTES—

• (i)Here insert full names and, where appropriate, capacity of the applicant. In the case of an applicant company, the “I” should be crossed out and the application should be signed by a director or secretary on behalf of the company who should add his or her qualification (ie director or secretary) and the name of the company after his or her signature. In the case of individual applications, all the words after the signature at the end of the application should be deleted;
• (ii)Here insert the full postal address of the applicant (or registered address in the case of an applicant company);
• (iii)Here insert the date (not less than 90 days after the date of this application) from which the grant/renewal is to commence;
• (iv)Here insert the full names of the proposed licensee. If the applicant and the proposed licensee are the same person the words “the applicant” may be inserted here instead;
• (v)Here insert name and address or location of the hotel;
• (vi)Here insert the fullnames of the proposed licensee. In cases where the applicant and the proposed licencee are the same person, delete the words “To the best of my knowledge and belief ” and insert instead the words “I have”, also delete the word “has” immediately following the space;
• (vii)Here insert details of any known appropriate prison sentences or convictions;
• (viii)Here insert the maximum number of people for whom sleeping accommodation will be available at the appropriate date;
• (ix)Delete if inappropriate.
• 2.All insertions in the above form (other than the signature) should be either typed or written in block capitals.
• 3.Any further information which the applicant considers may assist the Board may be sent with the application and the Board may call for further information before the hearing of the application.