Private land licence application form

1. Data protection

   The council will use the information you provide for the purpose of administering your private land licence, in accordance with our obligations under the London Local Authorities Act 1990 (as amended), and for managing and improving the delivery of service to you.

   We may share the information with other Council departments and external bodies such as:

   • The National Fraud Initiative, for the investigation of fraud
   • The police, for the investigation of offences or crimes
   • The Home Office, regarding right to work in UK.

   Data will be stored for a period of maximum of three years.

   Read further information about the way the council handles your information in our privacy policy.

Your details

1. First name
2. Last name
3. Date of birth

   Enter your date of birth as DD/MM/YYYY

4. National insurance number
5. Home address
6. Phone number
7. Email
8. Business name (if applicable)
9. Landlord or owner's name
10. Landlord's address
11. Landlord's telephone number
12. Can you take up employment in the UK with no immigration restrictions?
    • Yes
    • No
13. Are you registered as self-employed?
    • Yes
    • No