Application for renewal of licence of premises for skin penetration
*If you are supplying commercially sensitive or confidential information, please ensure you mark such information clearly.
If the application is made by a corporation or an incorporated association, the person signing this form must occupy a position that is legally entitled to make an application on behalf of the organisation.
I understand that the information provided in and with this application may be disclosed publicly under the Right to Information Act 2009 and the Evidence Act 1977.
I am aware that it is an offence to knowingly provide false or misleading information.