Proper Pubs | Operator Application Form

Pub Details

Pub Name

Location

How did you hear about Proper Pubs?(Required)

e.g. website, to-let board, social media

Who is applying?(Required)

Applicant 1

Surname(Required)

Maiden Name

Forenames(Required)

Address(Required)

Postcode(Required)

Email(Required)

Contact Number 1(Required)

Contact Number 2

Previous Address

If less than 3 years in existing.

Date of Birth(Required)

Do you have any pets?(Required)

* Please note an extra bond of £1000 is required for any animal to live on site.

Applicant 2

Surname(Required)

Maiden Name

Forenames(Required)

Address(Required)

Postcode(Required)

Email(Required)

Contact Number 1(Required)

Contact Number 2

Previous Address

If less than 3 years in existing.

Date of Birth(Required)

Do you have any pets?(Required)

* Please note an extra bond of £1000 is required for any animal to live on site.

Limited Company Information

Limited Company Name

Company Number

Personal Guarantor

Personal License - Applicant 1

Licence No

Issuing Council

Place of Birth

If Yes, Please Provide Information:(Required)

Personal License - Applicant 2

Licence No

Issuing Council

Place of Birth

If Yes, Please Provide Information(Required)

Financial Information - Applicant 1

If you have ticked yes for any of the above questions, please provide details:(Required)

What level of capital are you intending to invest in your business?

Please provide details on how this will be funded?

If you have answered ‘Yes’ to any of the above, please provide full details below:(Required)

Financial Information - Applicant 2

If you have ticked yes for any of the above questions, please provide details:(Required)

What level of capital are you intending to invest in your business?

Please provide details on how this will be funded?

If you have answered ‘Yes’ to any of the above, please provide full details below:(Required)

Experience Level

If yes, how many pubs do you operate and state the pub company?

Sharing Your Details

Proof of Identity

Upload Proof of ID(Required)

Applicants must include a photograph of a driving licence or passport or birth certificate.

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 32 MB, Max. files: 6.

Proof of Residency

Upload Proof of Address (Utility bill or bank statement dated within the last three months )(Required)

Applicants must include proof of residency dated within the last three months.

Drop files here or

Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 64 MB, Max. files: 6.

I / We declare that the information provided on this form is correct in every respect and that I/We have not withheld any material facts. If any information is incorrect or material facts are withheld I/We acknowledge that Admiral Taverns or its agents reserve the right to withdraw any offer that may have been made. I/We acknowledge that Admiral Taverns will need to carry out a credit check and that the credit reference agencies will also be searched if deemed necessary. The information we may search at credit reference agencies includes information on your business or you as an individual, public information on your Directors personal credit behaviour and it may include information on the conduct of Directors credit accounts. You have the right to refuse Admiral Taverns to carry out the credit check however if you chose to exercise this right, we cannot, unfortunately proceed with your application. We will use your personal data in accordance with our Privacy Notice which is available on the Admiral Taverns website.

Applicant 1 - Signature(Required)

Applicant 1 - Date(Required)

Applicant 2 - Signature(Required)

Applicant 2 - Date(Required)

Name

This field is for validation purposes and should be left unchanged.