Item 7 Appendix 1 - Michael Docherty Application - REDACTED
West Dunbartonshire Council · 4 March 2025
Back to Licensing Board — 4 March 2025 and its agenda
Text extracted from the council's PDF. Layout and reading order may differ from the original.
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From: Online Forms <DoNotReply@west-dunbarton.gov.uk> Sent: 04 September 2024 15:14 To: Licensing <Licensing@west-dunbarton.gov.uk> Subject: Application for a personal licence - PL_643923151 Is the application a: First Application for a personal licence, Renewal of a personal licence Do you hold an accredited qualification?: Yes Please upload a copy of the qualification if available: Michael doc license .pdf Do you currently hold a personal licence?: No Do you currently have any outstanding applications for a personal licence, with this or any other Licensing Board?: No Has any personal licence held by you been forfeited in the last 5 years?: No Title: Mr First Name: Michael Surname: Docherty Previous name (e.g. maiden name) if applicable: Date of Birth: Place of Birth: National Insurance Number :
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Address: Postcode House Name Flat House Number Street Area Town Postcode Correspondence Address (if different to address above): Contact Telephone Number: Email Address: Criminal Convictions: I have criminal convictions which I will detail below Criminal Convictions: No Summary Data Declaration: I declare that the information on this form is true and accurate to the best of my knowledge. I understand that I must notify the Licensing Section immediately if my circumstances change. (please tick to confirm) Name: Michael Docherty Date: 2024-09-04 Privacy Notice: No Summary Data Amount: 50.00