The Royal Borough of Greenwich
Licensing Department, Floor 4 The Woolwich Centre,
35 Wellington Street, London, SE18 6HQ
Tel: 020 8921 8018 | Email:
Application for the review of a premises licence or club
premises certificate under the Licensing Act 2003
PLEASE READ THE FOLLOWING INSTRUCTIONS FIRST
Before completing this form please read the guidance notes at the end of the form.
If you are completing this form by hand please write legibly in block capitals. In all
cases ensure that your answers are inside the boxes and written in black ink. Use
additional sheets if necessary.
You may wish to keep a copy of the completed form for your records.
(Insert name of applicant)
Part 1 – Premises or club premises details
Postal address of premises or, if none, ordnance survey map reference or
Name of premises licence holder or club holding club premises certificate (if
Number of premises licence or club premises certificate (if known
Part 2 - Applicant details
1) an interested party (please complete (A) or (B) below)
a) a person living in the vicinity of the premises
b) a body representing persons living in the vicinity of the premises
c) a person involved in business in the vicinity of the premises