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Notification of Change of Name or Address of Premises Licence Holder

Before completing this application form please check the Premises Licence page for details about this licence to ensure that this is the licence you require and to check on any local requirements that the London Borough of Richmond upon Thames may have.

If you would like more information about how this online application process will work please read the instructions for online applicants page.

User Profile

Indicate here if you would prefer not to be contacted by telephone
Are you an agent acting on behalf of the applicant?
Are you an agent acting on behalf of the applicant?
Are you *
Are you
Your Business
Is your business registered in the UK with Companies House? *
Is your business registered in the UK with Companies House?
Is your business registered outside the UK? *
Is your business registered outside the UK?

Registered Business Address

Registered Address

Business Address

Your Address
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