Submit layout plan

Complete the following form and upload one or more layout plans to support your premise licence application.

Premises Details
* Premises name	Premises name required
* Premises address	Premises address required
About You
Your reference
* Your name	Name required
* Contact address	Addess required
* Postcode	Postcode required
* Telephone	Telephone number required
* Email	Please enter a valid email address Email address required
* Comments
Document Details
	AttachmentFile Please select a file to upload
	AttachmentFile2
	AttachmentFile3

* Mandatory fields

Premises licence register