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This is an application for registration under The Deer (Scotland) Act 1996, Sections 33 – 36, and The Licensing of Venison Dealers (Prescribed Forms Etc) (Scotland) Order 1984.

Applicant's Details

Full Name of Applicant

Title

First Name(s)

Surname

Address

Address 2

City/Town

Post Code

Email

Phone Number

Applicant's Date of Birth

Applicant's Place of Birth

Details of Premises

Name of Premises to be Registered

Address

Address 2

City/Town

Post Code

Declaration

Submitted by

If signed on behalf of Company or Partnership, state position

The information you supply on this form will be used for the purpose for which you have provided it, and appropriate measures are in place to protect your personal data. A full privacy notice, which provides information about your rights under current data protection legislation and details about what will happen to your personal data can be found here:

Privacy Notice - Animal Health