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Item 6.2 - NISA Local - Application REDACTED

West Dunbartonshire Council · 12 May 2026
Back to Licensing Board — 12 May 2026 and its agenda

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Page 1

West Dunbartonshire Licensing
Board
APPLICATION FOR PROVISIONAL PREMISES LICENCE
Licensing (Scotland) Act 2005, section 20
APPLICANT INFORMATION Licensing (Scotland) Act 2005, section 20(1)
Question 1
Name, address and postcode of premises to be licensed.
Nisa Local, 44 Glasgow Road, Clydebank G81 1BT.
Question 2
Particulars of applicant
2(a) Where applicant is an individual, provide full name, date and place of birth, and home
address including postcode.
Mr Khalid Javed,

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2(b) Where applicant is a partnership, please provide full name, and postal address of
partnership.
2(c) Where applicant is a company, please provide name, registered office and company
registration number.
2(d) Where the applicant is a club or other body, please provide full name, and postal address
of club or other body.
2(e) Where applicant is a partnership, company, club or other body, please provide the names,
dates and places of birth, and home addresses of connected persons.*
* Connected person is defined in section 147(3) of the Licensing (Scotland) Act 2005.
Question 3

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Previous applications
3 Has the applicant been refused a premises licence under section 23 of the Licensing
(Scotland) Act 2005 in respect of the same premises?                           NO
If YES – provide full details
Question 4
Previous convictions
4      Has the applicant or any connected person ever been convicted of
a relevant or foreign offence (1)
NO
*If YES – provide full details
For the purpose of this Act, a conviction for a relevant offence or foreign offence is to be
disregarded if it is spent for the purpose of the Rehabilitation of Offenders Act 1974
Name &
position (if
applicable)
Date of
conviction or
sentence
Court Offence Penalty
DESCRIPTION OF PREMISES Licensing (Scotland) Act 2005, section 20(2)(a)
Question 5
5 Description of premises (where application is submitted by a members’ club, please also
complete question 6)
Convenience store located within the Queens Quay Development, Clydebank.
Question 6
(1) In addition to any convictions held by the applicant at the time of application, applicants should also familiarise themselves with the
contents of section 24(1) of the Licensing (Scotland) Act 2005 in respect of any convictions for relevant or foreign offences which they
may receive during the period beginning with the making of the premises licence application and ending with determination of the
application.

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6 To be completed by members’ clubs only
Do the club’s constitution and rules
conform to the requirements of regulation 2
of the Licensing (Clubs) (Scotland)
Regulations 2007?
YES/NO*
* Delete as appropriate
DECLARATION BY APPLICANT OR AGENT ON BEHALF OF APPLICANT
If signing on behalf of the applicant please state in what capacity.
The contents of this Application are true to the best of my knowledge and belief.
Signatur ………………………………… * (see note below)
Date …02/02/2026………………………………………
Capacity …………………………………….AGENT (delete as appropriate)
Telephone number and email address of signatory Hill Brown Licensing, The Forsyth Building, 5
Renfield Street, Glasgow, G2 5EZ, 
I have enclosed the relevant documents with this application – please tick the
relevant boxes
Operating plan x
Layout plan x
Planning certificate x
Building standards certificate N/A
Food hygiene certificate N/A
* Data Protection Act 1998
The information on this form may be held on an electronic public register which may be available
to members of the public on request.
Contact Us:
West Dunbartonshire Licensing Board
Council Offices
16 Church Street
Dumbarton
G82 1QL
Phone: 01389 738741
Email: licensing@west-dunbarton.gov.uk

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For use by the Licensing Board only
Application checklist
Date received
Fee amount
Receipt number
Received by (INITIALS)
Consideration date
Last date for consideration
Date of initial hearing
Date of any modification hearing
Date granted/refused
(delete as appropriate)
For use by the Licensing Board only
If application is for a premises licence
Documents required
Operating plan
Layout plan
Planning certificate
Building standards certificate
Food hygiene certificate
For use by the Licensing Board only
If application is for a provisional premises licence
Documents required
Provisional planning certificate
Operating plan
Layout plan

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