Notification of Change of Address and/or Name of Licence Holder - Premises Licence

Change of Address and/or name of Licence Holder

After completing this online form, please can you send your Premises Licence and Summary to:

Licensing Team
The Gateway
Gatehouse Road
Aylesbury
Buckinghamshire
HP19 8FF

I would like to update:

select all that apply *

The Premises Name
The Licence Holder’s Name
The Licence Holder’s Address

Premises Details

Current Name of Premises *
New Name of Premises (if applicable)
Premises Licence Number *
Email address *

Current Details

Name of Licence Holder *
Address line 1 *
Address line 2
Town/City *
Postcode *

New Details - please complete as applicable

New Name of Licence Holder
Address line 1
Address line 2
Town/City
Postcode

By clicking submit you are confirming that the information contained in this form is correct to the best of your knowledge and belief.

You will now be taken to the payment system where you will be required to make a payment of £10.50 for a replacement licence.

Should you require any further information please contact the Licensing Team by email to: licensing@buckinghamshire.gov.uk