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PE e et NANA mer AAAARNE EE NON 


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ae S BRADFORD 


e W METROPOLITAN DISTRICT COUNCIL 





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Appendix 1 


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Licensing Team, Argus Chambers, Hall Ings, Bradford, BD1 1HX 


Application for a premises licence to be granted 
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 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. 


Wer..... lseare... NAGS PEETRE ( CHA Cha Ghaid L caamauaee (insert name(s) of applicant) 


apply for a premises licence under section 17 of the Licensing Act 2003 for the premises described in 
Part 1 below (the premises) and I/we are making this application to you as the relevant licensing 
authority in accordance with section 12 of the Licensing Act 2003 


Part 1 — Premises Details 





Onr 6 ; 
Chea chA Chf! 


IN GLABYO ROPA 


_ Non domestic rateable value of premises £ 3,460 


Part 2 — Applicant Details 


Please state whether you are applying for a premises licence as: 


Please tick as appropriate 
a) an individual or individuals* L] please complete section (A) 


b) a person other than an individual" 

i. asa limited company/limited liability partnership please complete section (B) 
ii. as a partnership (other than limited liability) please complete section (B) 
iii. as an unincorporated association or please complete section (B) 
iv. other (for example a statutory corporation) please complete section (B) 


- c) a recognised club please complete section (B) 


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d)  acharity please complete section (B) 


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f) a health service body [] please complete section (B) 


e) the proprietor of an educational establishment please complete section (B) 


g) a person who is registered under Part 2 of the Care C] please complete section (B) 
Standards Act 2000 (c14) in respect of an independent 
hospital in Wales 


ga) a person who is registered under Chapter 2 of Part 1 [] please complete section (B) 
of the Health and Social Care Act 2008 (within the 
meaning of that part) in an independent hospital in 
England 


h) the chief officer of police of a police force in England [C] please complete section (B) 
and Wales 


“If you are applying as a person described in (a) or (b) please confirm (by icking yes to one box below: 


e lam carrying on or proposing to carry on a business which involves the use of the C] 
premises for licensable activities; or 


e | am making the application pursuant to a 


o statutory function or 
o a function discharged by virtue of Her Majesty’s prerogative 


LI 
LI 


(A) INDIVIDUAL APPLICANTS (fill in as applicable) 


Other title 


Mo L] ms C] miss C] ms [_] (for example, Rev) 


Surname First names 


penn || 


Please tick yes 


Date of Birth fF l | am 18 years old or over [| 


Current postal 
address if different 
from premises 
address 


16 














Where applicable (if demonstrating a right to work via the Home Office 
online right to work checking service), the 9 digit ‘share code’ provided to 
the applicant by that service (please see note 2 for information) 


SECOND INDIVIDUAL APPLICANT (if applicable) 


Other title 


Mr C] Mrs C] Miss C] Ms C] (for example, Rev) 


Surname First names 


_ | 


Please tick yes 


Date of Birth fF | am 18 years old or over C] 
Nationality | 


Current postal 
address if different 
from premises 
address 


Where applicable (if demonstrating a right to work via the Home Office 
online right to work checking service), the 9 digit 'share code' provided to 
the applicant by that service (please see note 2 for information) 





(B) OTHER APPLICANTS 


Please provide name and registered address of applicant in full. Where appropriate please give any 
registered number. In case of a partnership or other joint venture (other than a body corporate), please give 
the name and address of each party concerned. 


Address CHA ChA ChM 


unit Ko. 
INe Road 
ARMO ESD ADK GAN 











CHA CHA chAi INGRI LTO 
Comand Rezisag Als 11642216 


Registered number (where applicable) 





17 








Description of applicant (for example, partnership, company, unincorporated association etc.) 


Limited Cam Pani 


E-mail address (optional) 





Part 3 Operating Schedule AS Son Ak Asi Rte 


Da Month Year 





When do you want the premises licence to start? 


Da Month Year 
If you wish the licence to be valid only for a limited period, 
when do you want it to end? 


Please give a general description of the premises (please read guidance note 1) 
Siete ADe G0 fr DEPA RLANG LOCA aulitiual 
A fost fader oF FUE anm foo dal. LE CARR ak 
OVER Aco VEHICLES . 
CALE 1S THE MAIN USE SUNE Hat links AND Lint SNAS . Ana 
REERAWMEN TS. l 







If 5,000 or more people are expected to attend the premises N Ja 
at any one time, please state the number expected to attend 


What licensable activities do you intend to carry on from the premises? 
(Please see sections 1 and 14 of the Licensing Act 2003 and Schedules 1 and 2 to the Licensing Act 2003) 
Please tick M yes 


Provision of regulated entertainment 
a) plays (if ticking yes, fill in box A) 


b) films (if ticking yes, fill in box B) 

c) indoor sporting events (if ticking yes, fill in box C) 

d) boxing or wrestling entertainment (if ticking yes, fill in box D) 
e) live music (if ticking yes, fill in box E) 

f) recorded music (if ticking yes, fill in box F) 

g) performance of dance (if ticking yes, fill in box G) 


h) anything of a similar description to that falling within (e), (f) or (g) 
(if ticking yes, fill in box H) 


Provision of late night refreshment (if ticking yes, fill in box l) 


Sale by retail of alcohol (if ticking yes, fill in box J) 


Ey SE ELITES 


In all cases complete boxes K, L and M 


18 











Plays Will the performance of a play take place indoors or 
Standard days and timings outdoors or both — please tick (please read guidance note 


(please read guidance note 7) ‘| 3) 


Please give further details here (please read guidance note 4) 


State any seasonal variations for performing play (please read guidance note 5) 


Non standard timings. Where you intend to use the premises for the performance of plays 
at different times to those listed in the column on the left, please list (please read guidance 
note 6) 




















Films Will the exhibition of a films take place indoors or 
Standard days and timings outdoors or both — please tick (please read guidance note 


(please read guidance note 7) 3) 









fons | 


Please give further details here (please read guidance note 4) 









Tue 







State any seasonal variations for the exhibition of films (please read guidance note 5) 








Non standard timings. Where you intend to use the premises for the exhibition of films at 
different times to those listed in the column on the left, please list (please read guidance note 
6) 


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indoor sporting events Please give further details (please read guidance note 4) 
Standard days and timings 


(please read guidance note 7) 


State any seasonal variations for indoor sporting events (please read guidance note 5) 





Non standard timings. Where you intend to use the premises for indoor sporting events at 
different times to those listed in the column on the left, please list. (please read guidance note 


Boxing or wrestling Will the boxing or wrestling entertainment take place 


entertainment indoors or outdoors or both — please tick (please read [maos | O | 
Standard days and timings guidance note 3) i Outdoors 
(please read guidance note 7) 


Please give further details here (please read guidance note 4) 


State any seasonal variations for the boxing or wrestling entertainment (please read 
guidance note 5) 


Non standard timings. Where you intend to use the premises for boxing or wrestling 
entertainment at different times to those listed in the column on the left, please list. (please 
read guidance note 6) : 





20 














Live music 
Standard days and timings 
(please read guidance note 7) 


Day 


Recorded music 
Standard days and timings 
(please read guidance note 7) 


Will the performance of live music take place indoors indoors = | O 
or outdoors or both — please tick (please read guidance 


Please give further details here (please read guidance note 4) 
State any seasonal variations for the performance of live music (please read guidance note 5) 


Non standard timings. Where you intend to use the premises for the performance of live 
music at different times to those listed in the column on the left, please list. 
(Please read guidance note 6) 


Will the playing of recorded music take place indoors 
or outdoors or both — please tick (please read guidance 


Please give further details here (please read guidance note 4) 
State any seasonal variations for the playing of recorded music (please read guidance note 5) 


Non standard timings. Where you intend to use the premises for the playing of recorded 
music at different times to those listed in the column on the left, please list. (please read 
guidance note 6) 





21 











Performance of dance 
Standard days and timings 
(please read guidance note 7) 


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la 
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Anything of a similar 
description to that 
falling within (e), (f) or 


Standard days and timings 
(please read guidance note 7) 





Will the performance of dance take place indoors or | Indoors | 
outdoors or both — please tick (please read guidance note 
: 


Please give further details here (please read guidance note 4) 
State any seasonal variations for the performance of dance (please read guidance note 5) 


Non standard timings. Where you intend to use the premises for the performance of dance 
at different times to those listed in the column on the left, please list. (please read guidance 
note 6) 


Please give a description of the type of entertainment you will be providing 


Will the entertainment take place indoors or outdoors 
or both — please tick (please read guidance note 3) 


Please give further details here (please read guidance note 4) 


State any seasonal variations for the entertainment of a similar description to that falling 
within (e), (f) or (g) (please read guidance note 5) 


Non standard timings. Where you intend to use the premises for the entertainment of a 
similar description to that falling within e), f) or g) at different times to those listed in the 
column on the left, please list. (please read guidance note 6) 





22 

















Late night refreshment Will the provision of late night refreshment take place 
oa days and timings indoors or outdoors or both — please tick (please read 


= ie PEN 0Ô Please give further details here (please read guidance note 4) 


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41.66 |23-06 | SEfRwE nade ale telat ANNO bå Hot Marks Love 
SNAKES AND AeAzAtnmant 


14.60 State any seasonal variations for the provision of late night refreshment (please read 
4400 | “PE? me onne <A Wie BE BL ALL MoumMs 
mw [14.00 


EFA 60 23 -DO | Non standard timings. Where you intend to use the premises for the provision of late night 


refreshment at different times to those listed in the column on the left, please list. (please 
22-00 | 00 | 11.06 | read guidance note 6) 


Pico tae fae TIMINS ARE FOL ZW AS AL Columns 
23.66. 


11.00. 00| 24-00 


Supply of alcohol Will the supply of alcohol be for consumption on or off | On the premises fe se 
Standard days and timings the premises or both — please tick (please read guidance 
(please read guidance note 7) note 8) Off the premises DO | 


State any seasonal variations for the supply of alcoho! (please read guidance note 5) 


Non standard timings. Where you intend to use the premises for the supply of atcohol at 


different times to those listed in the column on the left, please list. (please read guidance note 
6) 





23 














State the name and details of the individual whom you wish to specify on the licence as the 
designated premises supervisor (please see declaration about the entitlement to work in the 
checklist at the end of the form) 


Name 


N la Na ALChòtol 


Address 


Postcode 
Personal licence number (if known) 


Issuing licensing authority (if known) 


Please highlight any adult entertainment or services, activities, other entertainment or matters 
ancillary to the use of the premises that may give rise to concern in respect of children (please read 
guidance note 9) 


MTA 





24 











Hours premises are State any seasonal variations (please read guidance note 5) 
open to the public 


Standard days and timings is S6Adonlae Unt tATIOAAS 
(please read guidance note 7) 


[Day [sun [rmen 


Tue 
11.56 Non standard timings. Where you intend to open the premises to be open to the public at 
Thur S times from those listed in the column on the left, please list. (please read guidance 
DIN Me Mantani as Mal coomas 














Describe the steps you intend to take to promote the four licensing objectives: 


a) General — all four licensing objectives (b, c, d, e) (please read guidance note 10) 
WE WAJE PUL CAMA 24h ReLoaMné mo MAIDNE cary 
fivenité HYochen Wite BE on Sie I2hs Pat OM Ano Attoes 
LIS MEN L mie Kwit Mou Siré. 





Non AL CUdakal  LICONSÉ. 


b) The prevention of crime and disorder 


INE UNE Z SY Moadez2s mat kon ak An at mained 
Pa aloltmalk IN Tad OM PAK. : AS mene IS nb SiAanlo 


AYO we AE A TALÈ ikh AND Go SICE. we Meroe FANS 
AND lure IS AMALÉ ONING AND Cot AIO None IN lm WG 





COMMS BOF «mis. 





CM PARI ATM DANE au adh EASI aime S mw Here Modiiz ANO 
ASSIST IN PAIGE. WE DPMAE A bone wet Sisam min ME 
CAMP MIC ANO LAUG Mam me iM CABAL A Miia A 
Smiti Plone 

we hive Kase mab ak AAL AWA S AMDAN Ar Ade Tuck. 





d) The prevention of public nuisance 
Aase ANa music Add APUCAMLE to ode vse. 
nic hhc A OU TIME OME WULE cles lLanaz 


No Coats OR OUIrd6 ON STE wa AZ Poccotionas 





The protection of children from harm 


Nan APArcedtic DWE tru CAG AND hion” SNAS 





Save GUEA ISA BALAA ATINDANT, To RE Peer Burt 
MUDA SATUCOAT SUAAI in NN VIS AZBZAMAG PMKING Conte 


Ar ve MAJ ENTRANCE 26 


























Checklist Please tick to indicate agreement 


e | have made or enclosed payment of the fee ea 
e | have enclosed the plan of the premises 


e | have sent copies of this application and the plan to responsible authorities and others 
where applicable 

e | have enclosed the consent form completed by the individual | wish to be designated 
premises supervisor, if applicable 

e | understand that | must now advertise my application 

e | understand that if | do not comply with the above requirements my application will be 
rejected 


WV RRA 


Applicable to all individual applicants, including those in partnership which is not a limited liability 
partnership, but not companies or limited liability partnerships 


e | have included documents demonstrating my entitlement to work in the United Kingdom or 
my share code issued by the Home Office online right to work checking service 
(please read note 15) 


IT IS AN OFFENCE, UNDER SECTION 158 OF THE LICENSING ACT 2003 TO MAKE A FALSE 
STATEMENT IN OR IN CONNECTION WITH THIS APPLICATION. THOSE WHO MAKE A FALSE 
STATEMENT MAY BE LIABLE ON SUMMARY CONVICTION TO A FINE OF ANY AMOUNT. 


IT IS AN OFFENCE UNDER SECTION 24B OF THE IMMIGRATION ACT 1971 FOR A PERSON TO 
WORK WHEN THEY KNOW, OR HAVE REASONABLE CAUSE TO BELIEVE, THAT THEY ARE 
DISQUALIFIED FROM DOING SO BY REASON OF THEIR IMMIGRATION STATUS. THOSE WHO 
EMPLOY AN ADULT WITHOUT LEAVE OR WHO IS SUBJECT TO CONDITIONS AS TO EMPLOYMENT 
WILL BE LIABLE TO A CIVIL PENALTY UNDER SECTION 15 OF THE IMMIGRATION ASYLUM AND 
NATIONALITY ACT 2006 AND PURUANT TO SECTION 21 OF THE SAME ACT, WILL BE COMMITTING 
AN OFFENCE WHERE THEY DO SO IN THE KNOWLEDGE, OR WITH REASONABLE CAUSE TO 
BELIEVE, THAT THE EMPLOYEE IS DISQUALIFIED. 


Part 4 — Signatures (please read guidance note 11) 


Signature of applicant or applicant’s solicitor or other duly authorised agent. (See guidance note 
12). If signing on behalf of the applicant please state in what capacity. 





Applicable to individual applicants only, including those in a partnership which is not a 
limited liability partnership 

e | understand | am not entitled to be issued with a licence if | do not have the 
entitlement to live and work in the UK (or if | am subject to a condition preventing 
me from doing work relating to the carrying on of a licensable activity) and that 
my licence will become invalid if | cease to be entitled to live and work in the UK 
(please read guidance note 15). 

e The DPS named in this application form is entitled to work in the UK (and is not 
subject to conditions preventing him or her from doing work relating to a 
licensable activity) and | have seen a copy of his or her proof of entitlement to 
work, or have conducted an online right to work checking service which 
confirmed their right to work (please see note 15). 


cain — eee 
Date ax- OBA- Is62h 
Capacity 


Declaration 









































For joint applications signature of 2" applicant or 2" applicant's solicitor or other authorised agent. 
(please read guidance note 13). If signing on behalf of the applicant please state in what capacity. 


some [ 
w e 


Contact Name (where not previously given) and address for correspondence associated with this 
application (please read guidance note 14) 


ISZLAR NARI 
[ES Asa kaa 




























Post town Rezo men Post code ROE a ap 
Telephone number (if any) me nn 


Ifyou would prefer us to correspond with you by e-mail, your e-mail address (optional) 


L enn 


28