Application Form

(compulsory fields marked with *)

Agreement Type:
Tenancy:   Lease:   Franchise:   Temporary Holding:   Any: 
 

Personal Details
Title:
First Name:*
Middle Name:
Last Name:*
Maiden Name (If applicable):
Date Of Birth:*
Birth Place:*
NI Number:*
Current Occupation:
 

Contact Details
Phone Number:
Mobile Number:*
Email Address:*
Repeat Email Address:*
House Number:*
Postcode:*
Address1:*
Address2:
City:*
County:*
Postcode:*
Country:*
Time at address Years:*
Time at Address Months:*
Previous Address:*
House Number:*
Postcode:*
address1:*
Address2:
City:*
County:*
Postcode:*
Country:*
Time at address Years:*
Time at Address Months:*
Previous Address:*
House Number:*
Postcode:*
address1:*
address2:
City:*
County:*
Postcode:*
Country:*
Time at address Years:*
Time at Address Months:*
How did you hear about us?*
 

Preferred Method Of Contact
Email:   Post: 
 

Your Business*
 

Your Experience
Recent business or trade experience:*
CV Attachment:
Have you completed the BII Pre-Entry Awareness Training?* Yes: No:
BII PEAT Certificate attachment:
 

Your Licensing
Do you hold a Personal Licence (APLH/ SCPLH)? Yes: No:
Country*
Name*
License Number*
Issuing Authority*
Expiry Date*
Have you forfeited or been suspended from holding a Personal Licence? Yes: No:
Please provide details and dates:*  
 

Your Investment
Capital available to invest*
 
Capital source*
 
Have you ever been declared bankrupt?* Yes: No:
Do you have any County Court Judgements against you?* Yes: No:
 

Other Information
Do you have any criminal convictions? Yes: No:
Date:
Offence:
Date:
Offence:
Date:
Offence:
 

Is there a Pub you are interested in?
County
Pub
Haven't found the right pub yet? Let us know what you're looking for and we'll send you pub details which we think you might like.
 
Select Country to Choose Counties from:
England:   Scotland:   Any:  *
England Counties
  Bedfordshire:   Berkshire:
  Buckinghamshire:   Cambridgeshire:
  Cheshire:   County Durham:
  Cumbria:   Derbyshire:
  Devon:   Dorset:
  East Sussex:   Essex:
  Gloucestershire:   Greater Manchester:
  Hampshire:   Hertfordshire:
  Kent:   Lancashire:
  Leicestershire:   Lincolnshire:
  London or Greater London:   Merseyside:
  Middlesex:   Norfolk:
  North Yorkshire:   Northamptonshire:
  Northumberland:   Nottinghamshire:
  Oxfordshire:   Shropshire:
  Somerset:   South Yorkshire:
  Staffordshire:   Suffolk:
  Surrey:   Tyne and Wear:
  Warwickshire:   West Midlands:
  West Sussex:   West Yorkshire:
  Wiltshire:   Worcestershire:
   
Scotland Counties
  Aberdeenshire:   Angus:
  Argyll_&_Bute:   Ayrshire:
  Clackmannanshire:   Dumfries and Galloway:
  Dunbartonshire:   East Ayrshire:
  East Lothian:   Edinburgh:
  Fife:   Glasgow:
  Highlands:   Inverness-shire:
  Kinross-shire:   Lanarkshire:
  Moray:   Perth_&_Kinross:
  Renfrewshire:   Scottish Borders:
  Stirling:   Tayside:
  West Dumbartonshire:   West Lothian:
   
 
Pub Location *
  City Centre:   Town Centre:
  Suburban:   Estate:
  Village / Rural:   Coastal:

 
Trading Style *
  Family:   Sport:
  Drinks Led:   Food Led:
  Young / Lively:   Live Music:
  Hotel / Inn:   Mixed Food / Drink:

Number of Private Bedrooms:*
Additional Info:
 

Declaration
Declaration and Credit Check Consent acceptance:*
**Please note we will only perform a Credit Check once an offer has been made.
Declaration Date/ Acceptance Date:*

Partner Personal Details
Title:
First Name:*
Middle Name:
Last Name:*
Maiden Name (If applicable):
Date Of Birth:*
Birth Place:*
NI Number:*
Current Occupation:
 

Partner Contact Details
Phone Number:
Mobile Number:*
Email Address:*
Repeat Email Address:*
House Number:*
Postcode:*
Address1:*
Address2:
City:*
County:*
Postcode:*
Country:*
Time at address Years:*
Time at Address Months:*

Partner Previous Address:

*
House Number:*
Postcode:*
address1:*
Address2:
City:*
County:*
Postcode:*
Country:*
Time at address Years:*
Time at Address Months:*

Partner Previous Address:

*
House Number:*
Postcode:*
address1:*
address2:
City:*
County:*
Postcode:*
Country:*
Time at address Years:*
Time at Address Months:*
How did you hear about us?*
 

Partners Preferred Method Of Contact
Email:   Post: 
 

Partners Experience
Recent business or trade experience:*
CV Attachement:
Have you completed the BII Pre-Entry Awareness Training?* Yes: No:
BII PEAT Certificate attachment:
 

Partners Licensing
Do you hold a Personal Licence (APLH/ SCPLH)? Yes: No:
Country*
Name*
License Number*
Issuing Authority
Expiry Date*
Have you forfeited or been suspended from holding a Personal Licence? Yes: No:
Please provide details and dates:*
 

Partners Other Information
Have you ever been declared bankrupt? Yes: No:
Do you have any County Court Judgements against you?* Yes: No:
Do you have any criminal convictions? Yes: No:
Date:
Offence:
Date:
Offence:
Date:
Offence:
 

Partners Declaration
Declaration and Credit Check Consent acceptance:
Declaration Date/ Acceptance Date:
 

Company Details
Company Name
Telephone Number
House Number:*
Postcode:*
Address 1
Address 2
Town
County
Postcode
Country:*
Registration Number
Date of Registration
VAT Number
Are you a Multiple Operator? Yes: No:
 

guarantors
To submit your company application you will need to provide details for two Guarantors, please complete the below:
Is the first Guarantor the main applicant? Yes: No:

Guarantor One
Title:
First Name:*
Middle Name:
Last Name:*
Maiden Name (If applicable):
Date Of Birth:*
Birth Place:*
NI Number:*
Current Occupation:
 

Contact Details
Phone Number:
Mobile Number:*
Email Address:*
Repeat Email Address:*
House Number:*
Postcode:*
Address1:*
Address2:
City:*
County:*
Postcode:*
Country:*
Time at address Years:*
Time at Address Months:*

Previous Address:

*
House Number:*
Postcode:*
address1:*
Address2:
City:*
County:*
Postcode:*
Country:*
Time at address Years:*
Time at Address Months:*

Previous Address:

*
House Number:*
Postcode:*
address1:*
address2:
City:*
County:*
Postcode:*
Country:*
Time at address Years:*
Time at Address Months:*
 

Other Information
Have you ever been declared bankrupt?* Yes: No:
Do you have any County Court Judgements against you?* Yes: No:
Do you have any criminal convictions? Yes: No:
Date:
Offence:
Date:
Offence:
Date:
Offence:
 

Declaration
Declaration and Credit Check Consent acceptance:*
**Please note we will only perform a Credit Check once an offer has been made.
Declaration Date/ Acceptance Date:*

guarantor two
Title:
First Name:*
Middle Name:
Last Name:*
Maiden Name (If applicable):
Date Of Birth:*
Birth Place:*
NI Number:*
Current Occupation:
 

Contact Details
Phone Number:
Mobile Number:*
Email Address:*
Repeat Email Address:*
House Number:*
Postcode:*
Address1:*
Address2:
City:*
County:*
Postcode:*
Country:*
Time at address Years:*
Time at Address Months:*

Previous Address:

*
House Number:*
Postcode:*
address1:*
Address2:
City:*
County:*
Postcode:*
Country:*
Time at address Years:*
Time at Address Months:*

Previous Address:

*
House Number:*
Postcode:*
address1:*
address2:
City:*
County:*
Postcode:*
Country:*
Time at address Years:*
Time at Address Months:*
 

Other Information
Have you ever been declared bankrupt?* Yes: No:
Do you have any County Court Judgements against you?* Yes: No:
Do you have any criminal convictions? Yes: No:
Date:
Offence:
Date:
Offence:
Date:
Offence:
 

Declaration
Declaration and Credit Check Consent acceptance:*
**Please note we will only perform a Credit Check once an offer has been made.
Declaration Date/ Acceptance Date:*

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0845 607 5330


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Greene King Brewing and Retailing Limited, Westgate Brewery, Bury St Edmunds, Suffolk, IP33 1QT, +44 (0) 1284 763222, company registration no. 3298903