Application for renewal of accommodation (hotel, motel, bnb and hostel) approval

(no spaces)

(no spaces)
Premises type
Will food be be sold or provided in conjunction with the accommodation
Does the facilities have a swimming pool

Applicant's agreement and signature*

If applicant is Corporation/Association

Proprietor, Director, Manager
Date Signed

*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.