1. Applicant Details:

Title:	Mr Mrs Miss Ms
First Name:
Surname:
Address:
Town:
County:
Postcode:
Telephone (home):
Telephone (mobile):
Email address:
Date of birth:
National Insurance Number:
Holder of a current UK driving license?               Yes     No
Partners relationship:
Dependants, if any: (please give details)
Health: (details of any serious illness over the last 5 years):

 

Partner Details:

Title:	Mr Mrs Miss Ms
First Name:
Surname:
Address:
Town:
County:
Postcode:
Telephone (home):
Telephone (mobile):
Email address:
Date of birth:
National Insurance Number:
Holder of a current UK driving license?               Yes     No
Partners relationship:
Dependants, if any: (please give details)
Health: (details of any serious illness over the last 5 years):

 

 

2. Investment:

Fund source	Amount £ (eg. 28000)
Immediate:
Asset sale:
Loan:
Other:	Please specify
Total £:
Funds available from :	(DD/MM/YYYY)

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3. Credit History:

Have you or your partner ever had Bankruptcy or Insolvency Proceedings taken against you?	Yes   No
If made Bankrupt, have you been discharged?	Yes   No
Have you or your partner ever had a County Court Judgement made against you?	Yes   No
If yes, please give details:

 

Convictions

Do you or your partner have any criminal convictions or actions pending?	Yes   No
If yes, please give details: (It is important that you include any spent convictions or any current charges against you or your partner.)

 

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4. Present Employment:

Employers details
Full name:
Address:
Town:
County:
Postcode:
Dates:	From (DD/MM/YYYY)
	To (DD/MM/YYYY)
Position Held:
Brief description of duties and responsibilities:
When would you be available to take up a tenancy:	(DD/MM/YYYY)

 

Present Employment Partner:

Employers details
Full name:
Address:
Town:
County:
Postcode:
Dates:	From: (DD/MM/YYYY)
	To: (DD/MM/YYYY)
Position Held:
Brief description of duties and responsibilities:
When would you be available to take up a tenancy:	(DD/MM/YYYY)

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5. Previous Career History:

Company 1
Name of Company:
Dates:	From: (DD/MM/YYYY)
	To: (DD/MM/YYYY)
Position Held:
Brief description of duties and responsibilities:
Reason for Leaving:

 

Company 2
Name of Company:
Dates:	From: (DD/MM/YYYY)
	To: (DD/MM/YYYY)
Position Held:
Brief description of duties and responsibilities:
Reason for Leaving:

Previous Career History Partner:

Company 1
Name of Company:
Dates:	From: (DD/MM/YYYY)
	To: (DD/MM/YYYY)
Position Held:
Brief description of duties and responsibilities:
Reason for Leaving:

 

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6. Trade Experience:

Name of Company:
Dates:	From: (DD/MM/YYYY)
	To: (DD/MM/YYYY)
Poisition Held:
	Full Time Part Time
Brief description of duties and responsibilities:

Trade Experience Partner:

Name of Company:
Dates:	From: (DD/MM/YYYY)
	To: (DD/MM/YYYY)
Poisition Held:
	Full Time Part Time
Brief description of duties and responsibilities:

 

 

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7. Qualifications & Licence

Do you or your partner hold any of the following qualifications?		Yourself	Partner
National Certificate for Personal Licence Holders (NCPLH)		(DD/MM/YYYY)	(DD/MM/YYYY)
BIIAB Advanced Qualifications		(DD/MM/YYYY)	(DD/MM/YYYY)
BIIAB National Certificate in Licenced Retailing		(DD/MM/YYYY)	(DD/MM/YYYY)
BIIAB National Certificate for Licencees		(DD/MM/YYYY)	(DD/MM/YYYY)
Food Hygiene Certificate		(DD/MM/YYYY)	(DD/MM/YYYY)
BIIAB Award for Beer and Cellar Quality		(DD/MM/YYYY)	(DD/MM/YYYY)
Catering Qualifications (eg GNVQs): Please give details any other qualifications/training that may be relevant:

 

Personal Licence:

Name on Licence:
Licence Number:
Issuing Authority:
Date Issued:	(DD/MM/YYYY)
Valid Until	(DD/MM/YYYY)

Partner Licence

Name on Licence:
Licence Number:
Issuing Authority:
Date Issued:	(DD/MM/YYYY)
Valid Until	(DD/MM/YYYY)

 

 

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8. Business Style:

From the list below, please indicate the type of business you would feel most comfortable running:
	Town Centre Food offered during the day for shoppers and office workers; often on circuit for younger trade in evenings.
	Suburban/Local Village Used by both locals and passing trade, providing a significant food offer and often pub games.
	Traditional Community Local Mainly walked to by local regular trade, little or no food. Pub games are a feature.
	Rural Character Drive to destination pub, classic “country style”, with a major food trade; often with beer garden; may have a restaurant.
	Young Persons’ Venue Probably on a circuit; featuring live bands, discos, music; no significant food offering.
Are you interested in a business with Letting Accommodation? Yes No

 

Location

Please indicate your preferred business locations.

Berkshire

Devon

Dorset

Hampshire

Kent

Greater London

Somerset

Surrey

East Sussex

West Sussex

Wiltshire

Buckinghamshire

Hertfordshire

Specific Pub of Interest: * Undecided * Buffalo Inn, Gillingham Dolphin Inn, Gillingham Olive Branch, Horsham Ship Inn, Wareham The Chequers, Hook The Gate, Crawley The George, Old Oxted White Hart Hotel, Sturminster Newton Ye Olde Poppe Inn, Nr Chard

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9. Extra Information:

Please add any additional information you consider would support your application:

Applicant:

Partner:

 

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10. Declaration

Applicant and Partner:

I/We declare that the information on this form is correct in every respect and that I/We have not withheld any material facts. If any information is found to be incorrect or any material facts have been withheld I/We acknowledge that Hall and Woodhouse Ltd. reserves the right to withdraw any offer that may have been made. By submitting this application you are giving Hall and Woodhouse Ltd permission to take up references and undertake credit checking in relation to your application. Any offer will be conditional on satisfactory receipt of these credit checks.

By ticking this box you agree with the above statement: Please click here to state that you agree with the above statment

 

How did you hear about Hall and Woodhouse?
	Press
	Referral
	Internet
	Other (please specify)

 

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