APPLICATION FOR LICENCE TO KEEP A BOARDING ESTABLISHMENT FOR Animal Boarding Establishment Act 1963
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APPLICATION FOR LICENCE TO KEEP A BOARDING ESTABLISHMENT FOR
Animal Boarding Establishment Act 1963
Please read the following licence conditions policy document as appropriate

CAT BOARDING CONDITIONS
DOG BOARDING CONDITIONS
* The Licence fee is not refundable should the application be withdrawn or refused.

(a) the licence fee does not include the cost of the veterinary inspection and this will be recovered from me after the issue of the licence; and

(b) the issue of an Animal Boarding Establishment licence does not convey or imply any rights under planning permission.

This application fee is not refundable in the event of the application being refused or otherwise.

Personal details
* Title
* Forename
Middle name/Initials
* Surname
* Building/house name/number
* Street
* Town
* County
* Postcode
Home telephone number
(include area code)
Mobile number
* Email address
The Licence fee of £315.00 will be required when submitting this application

The giving of false information may result in registration being refused or revoked, and the local authority reserve the right to make such further enquiries arising out of this application as they may consider desirable.
Accommodation details
Please give the following information about the accommodation in which the animals will be held. (Please refer to the conditions (Cat Boarding Conditions, Dog Boarding Conditions) for further information)
* Construction (include fencing and security arrangements)
* Size
Arrangements for:-
* temperature control
* lighting
* ventilation
* cleanliness
* the provision, storage and preparation of food and drink
* bedding material
* ensuring adequate exercise
* prevention and control infectious diseases (please identify the veterinary surgeon you intend to use)
* dealing with fire or other emergencies (include details of arrangements to be made for supervision in the absence of the licensee)
* visiting at suitable intervals
* disposal of excreta
Previous Convictions
Please indicate whether you have ever been convicted of any offence under the following legislations:
* Protection of Animals Acts 1911-1964

Protection of Animals (Scotland) Acts 1912-1964

Pet Animals Act 1951

Animal Boarding Establishments Act 1963

Riding Establishment Acts 1964 and 1970

Breeding of Dogs Act 1973

Dangerous Wild Animals Act 1976

Any other animal welfare legislation

If 'Yes' please give details:
I understand that:

(a) the licence fee does not include the cost of the veterinary inspection. 

NOTE: You are responsible for the payment of the fee for the vet inspection. Note: the licence will not be issued until the vet’s fee is paid in full.

(b) the issue of an Animal Boarding Establishment licence does not convey or imply any rights under planning permission.
Declaration
I declare that I have checked the information given on this application form and to the best of my knowledge and belief it is correct.

I understand that a false or misleading statement, or that withholding relevant information, may result in the refusal or revocation of the licence and\or may render me liable to prosecution.



Signed...............................................................



Name................................................................



Date..................................................................
This form must be signed and presented to the licensing section before a decision is made and the licence may be granted. Either print off the completed form, sign and post to the licensing department or attend council offices to sign after you have submitted the form online.

The application fee is not refundable in the event of the application being refused or otherwise.
Data Protection Act 1998

This application may be monitored by the Isle of Wight Council for regulatory, quality control or crime detection purposes. Information from this application will be processed in accordance with the Data Protection Act 1998 for the purpose of processing your particular enquiry/request. The Isle of Wight Council ("the Council") is the data controller. By completing this form you consent to the Council contacting you by email or nominated contact method in relation to your enquiry/request.

The information contained in this application may, in exceptional circumstances, be subject to disclosure to third parties under either the Data Protection Act 1998 or the Freedom of Information Act 2000 to the extent the law allows and in accordance with the Isle of Wight Council's Access to Information Policy . Disclosure will only be made where in all the circumstances it would be fair to do so and in the public interest.

Please note that the Council may process your information in the absence of consent for the purpose of crime prevention or detection so far as is in accordance with the law.


Sometimes we may use your information to keep you informed about services, goods or relevant issues that we believe may be of interest to you. If you wish to receive this information for these purposes please tick this box
To improve the quality of other services that we provide to you the Council wishes to hold your non-sensitive personal information on a secure central database. This will enable all Council services to use this information when they are providing a service to/for you. If you wish your non-sensitive personal information to be held by the Council please tick this box
ProductCostVAT codeGL Code
Boarding Establishment Licence Fee£315.00AN67605732501

Date printed: 07/03/2013