Designed & Printed by Slough Borough Council TL/3640/02-08-18
Application date Badge fee
Receipt number DBS fee
Licence start date Knowledge test fee
Licence expiry date
OFFICE USE ONLY
I hereby certify that to the best of my knowledge and belief that the information I have given is correct. I have given it
knowing that I shall be liable to prosecution if I have knowingly or recklessly made a false statement or omitted any material
particular to this application. I accept that Slough Borough Council (SBC) reserves the right to clarify any of my answers or
require further information in accordance with the provisions of the Town Police Clauses Act 1847, the Local Government
Miscellaneous Provisions Act 1976 and any other modification or re-enactment thereof.
I acknowledge that the licence issued to me, remains the property of SBC and must be returned to the council on demand. I
understand I must return the licence (including the ID badge) within seven days following the revocation or suspension of the
licence under section 61 of the Local Government (Miscellaneous Provisions) Act 1976.
I confirm I give SBC the authority to use the information detailed in this application to check the status of my DBS certificate
via the on-line ‘update service’. I understand that, if necessary, SBC may request further information from other agencies
such as the Police.
Policy booklet issued
Signature of applicant
I understand that my right to work and live in the UK may be checked with the Home Office as part of my licence application or at
any other time for SBC to confirm my immigration status. I understand that I must produce a Home Office approved document(s)
such as a valid passport or biometric residence permit, a copy of which will be securely kept by SBC. Where there are restrictions on
the length of time I have to work and live in the UK, I understand that a licence will only be issued to the visa expiry date. If I do not
comply with UK Immigration laws, I understand that the licence will lapse and that I must return it to SBC. Failure to do so is a