Private land licence application form

This form is used to apply for a new private land licence, or renewal of an existing private land licence.

You have been notified of the private land administration fee which is payable with this form and is non-refundable.

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

First name

Last name

Date of birth

Enter your date of birth as DD/MM/YYYY

National Insurance number

Home address

Phone number

Business name (if applicable)

Landlord or owner's name

Landlord's address

Landlord's telephone number

Can you take up employment in the UK with no immigration restrictions?

Are you registered as self-employed?