Application Form

Application for: Tenancy Management Either

Name in Full
Date of Birth Religion
Nationality

Partner's Name in Full
Partner's Date of Birth Partner's Religion
Partner's Nationality

Date if Married
Children Ages 1: 2: 3: 4: 5: 6:
Present Address
Owned Rented Duration Tel No
E-mail Address
Present Occupation
Notice required by present employer

Previous Employment
Company Title Duration/Dates
1
2
3
4

Experience in Trade
Location Job Duration

Partner's present employment
Partner's required notice

Partner's Experience of the Trade
Location Job Duration
What is your capital available?
State whether this is in cash, securities or borrowings:
Does it include the value of your house?
Have you ever held a Justices/Personal licence?
Have you and your partner always enjoyed good health? Yes No
If 'No', please
give details
Have you at any time been convicted of any criminal offence including any motoring offence? Yes No
If 'Yes', please
give details
Have you ever had difficulties in the licencing trade? Yes No
If 'Yes', please
give details
Have you ever been the subject of a formal or informal warning by the Police in connection with the running of any premises holding a Club Registration Certificate or Personal Licence? Yes No
If 'Yes', please
give details
Will you co-operate with any initiatives such as the Identity Card and Pub Watch Schemes? Yes No
Have you any qualifications or have you attended any courses in connection with the serving of food and/or drink?
Have you ever been bankrupt or entered into any composition or arrangement with creditors?
Leisure Interests
Inside the Trade
Outside the Trade
References
Name Occupation
Address
Name Occupation
Address

Please note:

1. Should we proceed further with your application, we will require you to sign a statement that the above information is correct and complete.

2. Please send us a photograph to accompany your application - either as an attachment to an e-mail message (click on the e-mail button below), or you may post it to us at: Arkell's Brewery Limited, Kingsdown Brewery, Swindon, SN2 7RU.

the form
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