Personal Licence application form - England & Wales

ENGLAND & WALES

PERSONAL LICENcE APPLICATIOn

Have your passport, driving license and NI number to hand and details of your living addresses over the last 5 years and the form usually takes about 10-15 minutes to complete. Our advice is to have this detail at hand before you start.

Do not wait until you pass your exam to start your application process.

Complete this form and post your supporting documents immediately.

You must also post a copy of the documents listed below to our office:

2 X passport photographs - both of which must be signed by the applicant and one of which must be endorsed as a true likeness of you by a solicitor or notary, or person of standing in the community or any individual with a professional qualification AND MUST STATE “I certify that this is a true likeness of …..”)

Click here for full counter signatory guidelines

1 X copy of passport

1 X copy of driving license

Post to: APLH Personal Licence Services, 12 Beacon Lane, Heswall, Wirral, CH60 0DD

THE PROCESS AND HOW IT WORKS

All you need to do is complete this one online form and post the documents above to us - DONE!

You then concentrate on completing the course and passing the exam. We take care of the rest!

We are a registered agent and will complete a Disclosure and Barring Service (DBS) check on your behalf

We will complete the Disclosure of convictions and civil immigration penalties and declaration on your behalf

You took your exam through us so we automatically hold a copy of your certificate once you pass the exam

We pay all associated fees as these are included in your fee

We will complete the Personal Licence application on your behalf

We will then collate all the relevant application forms and supporting documents and compile your application

This will then be sent to you to electronically sign through DocuSign - you review and sign

We then submit your application to the relevant Local Authority

Any queries contact us on info@pubcoach.co.uk

Personal Licence application form - England & Wales

Is this Personal Licence application for England / Wales?

If NO then you are completing the wrong application form

Name the Local Authority to which you want to apply

Personal details

Title

Other - please state:

Name

First Name

Last Name

Middle Name(s)

Previous Name (if applicable)

First and middle names

First Name

Last Name

Date known by previous name from:

Note - date format is month/day/year

YYYY

Date known by previous name to:

Note - date format is month/day/year

YYYY

Gender

I confirm I am over 18 years old

Date of birth

Note - date format is month/day/year

YYYY

Country of birth

Town or City of birth

County of birth

Nationality

Nationality - if other

Mother's Maiden Name

Recent addresses

Are you currently living in England or Wales?

Current address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date you moved to this address?

Enter date of first occupancy

YYYY

Is this your correspondence address?

If NO - enter correspondence address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Is this your only address in last 5 years?

If no - then please list further addresses below

Other address in last 5 years (if applicable)

If only one address in last 5 years then skip

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date you moved to this address?

YYYY

Other address in last 5 years (if applicable)

Enter further addresses and to and from dates in additional information box at bottom of form if necessary

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date you moved to this address?

YYYY

Contact details

Email confirmation

Mobile number

Telephone number

Passport details

Do you own a valid passport?

If yes please give passport details below

Passport Number

Passport issue date

Note - date format is month/day/year

YYYY

Passport expiry date

Note - date format is month/day/year

YYYY

Date of birth on passport

Note - date format is month/day/year

YYYY

Passport country of issue

Passport country of issue if other

Driving Licence details

Do you have a valid UK photo card driving license - full or provisional?

If yes please give driving license details below

Driving Licence Number

Section 5 - 16 digit number

Issue No

Section 5 - 2 digit number at the end of your 16 digit driving license number

Where was it issued?

Section 2

Date of issue

Section 4a Note - date format is month/day/year

YYYY

Driving Licence expiry date

Section 4b Note - date format is month/day/year

YYYY

National Insurance details

National Insurance Number

Checklist

Confirm that copies of the following items have been sent to LJD Pub Coach at the following address: LJD Pub Coach, 12 Beacon Lane, Heswall, Wirral, CH60 0DD

2 X passport style photographs

One of which is endorsed as a true likeness of you by a solicitor or notary, or person of standing in the community or any individual with a professional qualification AND MUST STATE “I certify that this is a true likeness of …..”

Copy of passport

Copy of page showing photograph, passport no, signature, expiry date etc.

Copy of driving licence

If applicable

Any other additional information

Legal Disclosures

Confirm that you are taking your Personal Licence training and exam through the Pub Coach APLH on-line course

Do you currently hold a personal licence?

You may only hold one license at a time

Has any personal licence held by you been forfeited or revoked in the last 5 years?

Do you currently have any outstanding applications for a personal licence with this or any other licensing authority?

Licencing Authority

If you answered yes to any of the 3 previous questions

Licence Number

If you answered yes to any of the 3 previous questions

Date of issue

If you answered yes to any of the 3 previous questions Note - date format is month/day/year

YYYY

Date of expiry

If you answered yes to any of the 3 previous questions Note - date format is month/day/year

YYYY

Any further details:

Have you been convicted of any relevant offence or foreign offence or been required to pay a civil immigration penalty?

If you have been convicted of any relevant offence you must provide details for each conviction of the date of conviction, the name and location of the convicting court, offence of which you were convicted and the sentence imposed:

If you have been convicted of any foreign offence you must provide details for each conviction of the date of conviction, the name and location of the convicting court, offence of which you were convicted and the sentence imposed:

If you have received an immigration penalty you must provide details, including the reference, date and company name:

Declarations

I confirm that I give authorisation for a Personal Licence application to be conducted on my behalf to the local licensing authority

I confirm that I give authorisation for a DBS check to be completed on my behalf through this process

ENGLAND & WALES

PERSONAL LICENcE APPLICATIOn

THE PROCESS AND HOW IT WORKS

For enquiries call 07776099557