Application for a Licence to keep Dangerous Wild Animal(s) under the Dangerous Wild
Animals Act 1976
Notes
1. The Council’s Regulatory Services will deal with the tec
hnical aspects of this application. Address:
Regulatory Services, Guildford Borough Council, Millmead House, Millmead, Guildford, Surrey,
GU2 4BB
2. An assessment will be carried out by an authorised officer appointed by Guildford Borough Council
3. The following is required to make the application valid: completed application, correct fee, public
indemnity insurance
4. Please read the licence conditions from the downloads section of the website before completing the
form.
1. Applicant
Tit
le
Full name
Date of birth
Contact address (with postcode)
Telephone number
Mobile number
Email address
2. Premises
Nam
e (if any)
Address (with address)
Telephone number
3. Offences, Disqualification etc.
Have you (or any other person who may be involved in the control or management of
the premises) ever been:
Convicted of any offences involving animals?
Yes No
Disqualified under any animal related legislation?
Yes No
If the answer to the questions in 3 is ‘yes’, please supply full details on a separate sheet. Any information
supplied is subject to the Rehabilitation of Offenders Act 1974.
4. Accommodation
5. Species
Please describe the accommodation to be used and give the dimensions.
Please provide the species of animals (scientific name if known) and state the number of Male and Female
of each.
6. Infectious Disease and Emergencies
7. Animal Accommodation and Husbandry
What steps do you take/intend to take for securing that the animals will at all times be kept in
accommodation, suitable in respect of:
The animals will the adequately supplied
with suitable food and water
That any bedding material will be
disposed of correctly
That the animal will be adequately
exercised
How do you propose to dispose of
*waste material from the establishment
(as required under Environmental
Protection Act 1990)
*W
aste material anything that is no longer required is waste, this may include old mail, advertising materials you have
been sent and do not want, used cleaning products, remains of food eaten on your premises, cardboard, sweeping,
packaging including boxes and backs as well as animal faeces.
All Business waste must be disposed of at an approved site. Please contact the cleansing
service at Guildford Borough Council for advice, Tel. 01483 505050.
What steps do you intend to take to prevent the spread of infectious or contagious disease?
What steps will be taken to protect the animals in case of fire or other emergency?
8. Ownership
Do you own/or intend to own and possess the animals?
Yes No
If no, then please fill in the owners details on an additional sheet.
9. Declaration
I/We hereby apply for a licence under The Dangerous Wild Animals Act 1976
I/we understand my/ our responsibilities under the Act
I/we declare that I/we are over 18 years of age
I declare that the information that I/ we have given is complete and correct.
I have paid the appropriate licence fee (Please call 01483 505050 to make payment)
Signature:
Date:
The information you provide on this form will be used by Guildford Borough Council for licensing
purposes. We may share your information and make any other necessary enquiries regarding your
application with other departments and statutory organisations in relation to the application. Your
personal information will be processed in line with Data Protection legislation and we will not
disclose information about you to anyone outside the Council unless the law permits or requires us
to.
We will retain your data for as long as it is required for our administrative use, after which it will be
securely disposed of.
If you believe the data we process on you is incorrect you may request to see this information and, if
necessary have it corrected or deleted. If you wish to raise a complaint you can contact our Data
Protection Officer at the address below. If you believe we are not processing your data lawfully you
can complain to the Information Commissioner’s Office (https://ico.org.uk/). Further details
are available on our website on the data protection page, or from the Information Rights Officer,
Guildford Borough Council, Millmead House, Millmead, Guildford, GU2 4BB (email:
foi@guildford.gov.uk).
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