For Office Use Only/HH001
Licence Number:
Date Issued:
HOUSE TO HOUSE COLLECTIONS ACT 1939
HOUSE TO HOUSE COLLECTIONS REGULATIONS 1947
FORM OF APPLICATION FOR LICENCE
PLEASE USE BLOCK CAPITALS – ALL SECTIONS MUST BE COMPLETED
PLEASE RETURN TO: The Licensing Section, Torbay Council, Roebuck House, Abbey Road, Torquay, TQ2 5EJ
TITLE
SURNAME
FIRSTNAMES
ADDRESS
POSTCODE
CONTACT TELEPHONE NUMBER
ORGANISATION
CHARITY REGISTRATION NUMBER
WHICH AREAS IN TORBAY DO YOU
WISH TO COLLECT
WHAT PERIOD OF THE YEAR DO YOU
WISH TO COLLECT
IS IT PROPOSED TO COLLECT MONEY
IS IT PROPOSED TO COLLECT OTHER
PROPERTY? IF SO, OF WHAT NATURE
IS IT PROPOSED TO SELL SUCH PROPERTY
OR TO GIVE IT AWAY OR TO USE IT?
Y/N
APPROXIMATE NUMBERS OF
COLLECTORS
IS ANY COLLECTOR BEING PAID FOR
THEIR SERVICES
Y/N
IF SO, WHAT AMOUNTS AND TO WHOM
dkd
ARE YOU COLLECTING IN OTHER
AREAS
Y/N
IF SO, WHICH AUTHORITIES
HAS ANYONE ASSOCIATED WITH THE
COLLECTION BEEN REFUSED A
LICENCE OR HAD A LICECE REVOKED
IF SO, GIVE PARTICULARS
IS IT PROPOSED TO PROMOTE THIS
COLLECTION IN CONJUNTION WITH A
STREET COLLECTION
Y/N
Y/N
IF SO WILL THE ACCOUNTS BE
COMBINED
Y/N
IS THE COLLECTION FOR A WAR
CHARITY
Y/N
IF YES, NAME OF REGISTRATION
AUTHORITY AND DATE OF
REGISTRATION OR EXEMPTION
DECLARATION
I, THE APPLICANT WHOSE DETAILS APPEAR ON THIS FORM, DECLARE THAT THE INFORMATION
SUPPLIED IS TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF AND HEREBY APPLY FOR THE
ISSUE TO ME OF THE APPROPRIATE LICENCE.
SIGNED ……………………………………………………………………………………………………………………….
POSITION IN ORGANISATION …………………………………………………………………………………………
DATE …………………………………………………………………………………………………………………………
Information held by Torbay Council complies with and is stored in accordance with the UK Data Protection Act, 1998. The information you provide on this
form will be used to process the application only, and will only be disclosed where necessary under any applicable legislation. You have a right of access to
your personal information. If you wish to access your personal information or exercise any of your rights under the legislation then please contact the
Information Governance Team on 01803 207466
If you have difficultly in completing this form in English, then
help will be offered. Please ring on 01803 208126 or email
Licensing@torbay.go.uk.