Vary an existing tattooing, piercing, electrolysis or acupuncture licence

Data protection
1. Fenland District Council will use the information you give on this form to process your request for service. In certain cases, your data will be shared with our trusted partners (third parties) to fulfil your request. Your information will be stored securely in accordance with our privacy and data retention policies. Please visit www.fenland.gov.uk/privacy for more information.
2. Please tick the box to consent for your data to be used:*
We hereby make application to vary our current license which was issued to carry on the business of:
1. Tattooing
2. Semi-Permanent Tattooing
3. Microblading
4. Electrolysis
5. Ear Piercing
6. Ear and Body Piercing
7. Acupuncture
8. Laser Treatments
Current information
1. Current license number:
2. Name of premises:*
3. Premises address:*
Changes
1. Please list the changes you would like to make. If your current information has not changed leave the box blank.
2. Name of your Business:
3. Address of Premises:
4. Telephone number:
5. Mobile number:
6. List changes that have been made to the premises:
7. e.g number of rooms, particulars of arrangements for cleaning of premises, fittings and equipment, sterilisation of instruments, moved business address
8. Any other changes you would like to make to your license:
Employee changes
1. Please list the changes you would like to make. If your current information has not changed leave the box blank.
2. Name(s) of new employees and what they will be doing at your premises:
3. Have you sent head and shoulder photographs of the employees to the Council?
Other information
1. Who do your premises use for clinical waste and needle collection?*
2. Have any of your licensed employees ever been convicted of any offence under the Local Government (Miscellaneous Provisions) Act 1982? *
3. Please give details:
TOTAL
1. Total to pay (£):*
2. Your name:*
3. Your email address:*
4. Please note: any personal information that you provide will be processed in accordance with the Data Protection Act 1998. It may be used by Fenland District Council and our partners to deliver and improve services and fulfil our statutory duties.

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Vary an existing tattooing, piercing, electrolysis or acupuncture licence