Application for registration to carry on the practice of Acupuncture Ear-piercing Electrolysis Tattooing Body Piercing/Cosmetic Piercing
*	Before completing this form please click on the links below to read the Guidance Notes and Byelaws relating to your application. Body Piercing Guidance Notes Ear-piercing Guidance Notes   Electrolysis Guidance Notes Tattooing Guidance Notes General Skin Piercing Guidance Notes   MBC Byelaws With respect to Ear Piercing, Electrolysis, Acupuncture, Tattooing   Please tick this box to confirm you have read and accept the MBC Byelaws

	I/we hereby make application under the provisions of the above Act for registration to carry on the practice of Acupuncture Ear-piercing Electrolysis Tattooing Body Piercing/Cosmetic Piercing  at the premises detailed below.
	A fee of  for registration of premises and  for registration of each person ( 1 2 3 4 5 6 7 8 9 10 , please give number of people you are applying for) accompanies this application.
	This application fee is not refundable in the event of the application being refused or otherwise.

Applicant Details

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Name of applicant / Company name

Address details (if company or firm, the registered or principal office)

*	Building/house name/number
*	Street
*	Town
*	County
*	Postcode
	Name(s) and address(es) of further applicants