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[Insert name and address of relevant licensing authority and its reference number (optional]Application to vary a club premises certificate to be granted under the Licensing Act 2003 PLEASE READ THE
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Anyone who is required to provide their name and address for a variety of reasons such as filling out a form, applying for a job, registering for a service, or sending mail.
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Insert name and address refers to the details of a person or entity's name and physical location.
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The individuals or entities that need to provide their name and address information are required to file it.
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