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Your full name
Post code
Date of birth
Contact number
Email address
Please provide details of relevant experience:
 No experience in the licenced trade
 a year or less
 2 to 5 years
 6 to 10 years
 10+ years

Please, specify what type of experience you have:

Do you hold a valid, current Scottish Personal Licence?
Please give details of any qualifications or training relevant to your application:
 Food Hygiene
 First Aid
 Cellar Management
 SIA Door Steward Qualification

Other qualifications:

What area you would consider leasing a pub:
 East Scotland
 West Scotland
 Central Scotland
 Northern Scotland
In a few words, please tell us why you would like to run your own pub:
Capital investment
 Less than £10k
 £10k to £20k
 £21k to £30k
 £31k to £50k
 Over £50k
Do you have any previous convictions?
If yes, we will require you to provide details at a later date.
Do you have any adverse credit history such as CCJ’s or being declared bankrupt?
If yes, we will require you to provide details at a later date.
Should you progress further in this process we will require to receive a copy of your credit report, will you have any objections to this?

I declare that to the best of my knowledge, the information contained on this form is true and accurate and I understand that if any information is false or has been deliberately omitted, I may be regarded as ineligible to be a leaseholder.
Please tick to confirm