Applicationto varyaClubPremisesCertificate

ProcedureNotes

  • Fill the applicationformandother enclosures in and sendtotheLicensing Team (addressdetailed below).

-Applicationform

-Fee(seetable offees,dependentonthenon-domestic rateablevalue)

-Copyof Public Site Notice

-Copyof the ClubRules

-Plan of the premises (licensed area edged red)

  • An acknowledgement letter will be sentto youadvisingthat the applicationhasbeen received bythe LicensingTeam advising the start date of the application
  • A sitenoticeonblue paper needs tobedisplayed onthepremises in aplacevisible to members ofthepublic advisingthemofthe applicationand givingthemdetails onthe28 dayconsultationperiod
  • A notice alsoneedstobe placed in the localnewspaper advertisingthe application and givingdetails ofthe 28dayconsultationperiod.Thisneedstobe donewithin 10 working daysof the start date of the application.

Please note, if you are not using the public notice template provided in this application pack, the site notice and newspaper advert must make it clear that details of the application may be viewed on the Council’s website at . Representations must be made in writing to Licensing, Shropshire Council, Shirehall, Abbey Foregate, Shrewsbury, Shropshire, SY2 6ND or by email to and that they cannot be made through the Council’s website.

  • Copies of the application also have to be sent toallresponsibleauthorities, pleasesee attachedlist.
  • If norepresentationare madeapremises licence will be granted, however ifsomeare made theLicensingTeamwill contact youtoorganise ahearing.

Please note: Theconsultationperiodstartsthe dayaftertheapplicationis receivedbytheLicensingTeam.

Licensing Office Address
Licensing Team
Public Health
Shropshire Council
Shirehall
Shrewsbury
SY2 6ND

Responsible Authorities

Copiesofyourapplicationshould besenttothefollowingresponsible authorities:
Licensing Department ShropshireCouncil Shirehall
AbbeyForegateShrewsburySY26ND / Licensing
West MerciaPolice ShrewsburyPoliceStation CliveRoad
MonkmoorShrewsburySY25RW
Planning ShropshireCouncil Shirehall
AbbeyForegateShrewsburySY26ND / FireOfficer
ShropshireFireRescueHQ StMichael’s Street ShrewsburySY11HJ
EnvironmentalHealth ShropshireCouncil Shirehall
AbbeyForegate
ShrewsburySY26ND
(Alsoresponsible forHealthSafety) / TradingStandards ShropshireCouncil Shirehall
AbbeyForegate
ShrewsburySY26ND
CaseManagementTeam(Children) ShropshireCouncil
MountMcKinley
AnchorageAvenue ShrewsburyBusinessPark ShrewsburySY26FG / DirectorofPublicHealthforShropshire
Shirehall
AbbeyForegateShrewsbury SY26ND
Ifyourapplicationisforavesselonawaterwayyourapplicationshould alsobesenttothefollowingresponsibleauthority:
MaritimeCoastguard Agency Liverpool MarineOffice
HallRoad
West Crosby Liverpool L238SY

Licensing Act 2003 Fees

1.Premises Licence

Thefees payableforapplyingforapremiseslicencearebasedonnon-domestic rateable value(NDRV).Therewill also beanannualfeeto cover inspectionsandenforcements– payableoneyear afterthegrantingofthelicence. Eachbandattracts a differentlevel of annualfee.

Band / A / B / C / D / E
NDRV / £0-£4300 / £4301-
£33000 / £33001-
£87000 / £87001-
£125000 / £125000and over
Initial Application Fee / £100 / £190 / £315 / £450 / £635
Annual Charge / £70 / £180 / £295 / £320 / £350

Premises inBands Dand E

A multiplier is appliedtopremisesinbands DandEwhere theyareexclusivelyor primarilyin thebusiness ofsellingalcohol.

Band / D (x 2) / E (x 3)
City/Town Centre Pub Application Fee / 900 / 1905
CityTown CentrePub Annual Charge / 640 / 1050

2.Club Registration Certificate

Thefees payableforapplyingfora clubpremises certificatearebasedonnon-domestic rateablevalue(NDRV).Therewill also beanannualfeetocover inspectionsand enforcements–payableoneyear afterthegrantingof the licence. Eachbandattractsa different level of annual fee.

Band / A / B / C / D / E
NDRV / £0-£4300 / £4301-
£33000 / £33001-
£87000 / £87001-
£125000 / £125000and over
Initial Application Fee / £100 / £190 / £315 / £450 / £635
Annual Charge / £70 / £180 / £295 / £320 / £350

3.Personal Licence

Grant or renewal£37

4.Temporary Event Notice (TEN)

Temporary Event Notice£21

5.Additional Premises Fee for Exceptionally LargeEvents

Number in attendanceat anyone time / Additional fee
5,000to9,999 / £1,000
10,000to14,999 / £2,000
15,000to19,000 / £4,000
20,000to29,000 / £8,000
30,000to39,999 / £16,000
40,000to49,999 / £24,000
50,000to59,999 / £32,000
60,000to69,999 / £40,000
70,000to79,999 / £48,000
80,000to89,999 / £56,000
90,000andover / £64,000

6.Other Relevant Fees

Premises
Theft,loss,etcof premises licenceor summary / £10.50
Applicationfora provisional statementwherepremisesbeing built,etc / £195.00
Notificationofchange of nameoraddress / £10.50
Applicationtovarylicenceto specifyindividual aspremises supervisor / £23.00
Applicationfor transferofpremiseslicence / £23.00
Interimauthoritynoticefollowingdeathetcof licenceholder / £23.00
Clubs
Theft,loss etcof certificate or summary / £10.50
Notificationofchangeof nameoralterationofrulesofclub / £10.50
Changeof relevant registered addressofclub / £10.50
TemporaryEvents
Theft,loss etcof temporaryevent notice / £10.50
Personal
Theft,loss etcof personal licence / £10.50
Dutytonotifychangeof nameoraddress / £10.50
Other
Right offreeholderetctobenotifiedoflicensingmatters / £21.00

Licensing Team

PublicHealth, Shirehall

AbbeyForegate, Shrewsbury

Shropshire SY2 6ND

0345678 9026

Application to vary a club premises certificate to be granted

undertheLicensingAct2003

PLEASEREADTHEFOLLOWINGINSTRUCTIONSBEFORECOMPLETINGAPPLICATION

Beforecompletingthisformpleasereadtheguidancenotesattheendoftheform.

Ifyouarecompletingthisformbyhandpleasewritelegiblyinblockcapitals. Inallcasesensurethatyouranswersareinsidetheboxesandwritteninblackink. Useadditionalsheetsifnecessary.

Youmaywishtokeepacopyofthecompletedformforyourrecords.

(Insertnameofclub)

clubappliesforaclubpremisescertificateundersection84oftheLicensingAct2003forthepremisesnamedinPart1below

Clubpremisescertificatenumber

Part1–Clubpremisesdetails

Nameofclub
Postaladdressofpremises,ifany,orifnoneordnancesurveymapreferenceordescription
Posttown / Postcode
Telephonenumber(ifany)
E-mailaddress(optional)
Nameofpersonperformingdutiesofasecretarytotheclub
Addressofpersonperformingdutiesofasecretarytotheclub
Posttown / Postcode
Daytimecontacttelephonenumber(ifany)
E-mailaddress(optional)

Part2–Applicantdetails

Daytimecontacttelephonenumber(ifany)
E-mailaddress(optional)
Currentpostaladdressifdifferentfrompremisesaddress
Posttown / Postcode

Part3-Variation

Pleasetick
Doyouwanttheproposedvariationtohaveeffectassoonaspossible?
Yes No
Ifnotwhendoyouwantthevariationtotakeeffectfrom? / DD / MM / YYYY

Do you want the proposed variation to have effect in relation to the introduction of the late night levy? (See guidance note 1) Yes No

Pleasedescribebrieflythenatureoftheproposedvariation(Pleaseseeguidancenote2)
Iftheclub’sproposedvariationwouldmeanthat5,000ormorepeopleareexpectedtoattendthepremisesatanyonetime,pleasestatethenumberexpectedtoattend /

Part4–ClubOperatingSchedule

PleasecompletethosepartsoftheClubOperatingSchedulewhichwouldbesubjecttochangeifthisapplicationtovaryissuccessful.

Whatqualifyingclubactivitiesdoyouintendtoconductontheclubpremiseswhichwillbeaffectedbyyourapplication?

Provisionofregulatedentertainment(please read guidance note 3) / Pleasetickall that apply
a) / plays(iftickingyes,fillinboxA)
b) / films(iftickingyes,fillinboxB)
c) / indoorsportingevents(iftickingyes,fillinboxC)
d) / boxingorwrestlingentertainments(iftickingyes,fillinboxD)
e) / livemusic(iftickingyes,fillinboxE)
f) / recordedmusic(iftickingyes,fillinboxF)
g) / performancesofdance(iftickingyes,fillinboxG)
h) / anythingofasimilardescriptiontothatfallingwithin(e),(f)or(g)(iftickingyes,fillinboxH)
Thesupplyofalcoholbyoronbehalfofaclubto,ortotheorderof,amemberoftheclub(iftickingyes,fillinboxI)
Thesalebyretailofalcoholbyoronbehalfofaclubtoaguestofamemberoftheclubforconsumptiononthepremiseswherethesaletakesplace(iftickingyes,fillinboxJ)

InallcasescompleteboxesK,LandM

A

Plays
Standarddaysandtimings(pleasereadguidancenote8) / Willtheperformanceofaplaytakeplaceindoorsoroutdoorsorboth–pleasetick(pleasereadguidancenote4) / Indoors
Outdoors
Day / Start / Finish / Both
Mon / Pleasegivefurtherdetailshere(pleasereadguidancenote5)
Tue
Wed / Stateanyseasonalvariationsforperformingplays(pleasereadguidancenote6
Thur
Fri / Nonstandardtimings. Wheretheclubintendstousethepremisesfortheperformanceofaplayatdifferenttimesfromthoselistedinthecolumnontheleft,pleaselist(pleasereadguidancenote7)
Sat
Sun

B

Films
Standarddaysandtimings(pleasereadguidancenote8) / Willtheexhibitionoffilmstakeplaceindoorsoroutdoorsorboth–pleasetick(pleasereadguidancenote4) / Indoors
Outdoors
Day / Start / Finish / Both
Mon / Pleasegivefurtherdetailshere(pleasereadguidancenote5)
Tue
Wed / Stateanyseasonalvariationsfortheexhibitionoffilm(pleasereadguidancenote6)
Thur
Fri / Nonstandardtimings. Wheretheclubintendstousethepremisesfortheexhibitionoffilmatdifferenttimesfromthoselistedinthecolumnontheleft,pleaselist(pleasereadguidancenote7)
Sat
Sun

C

Indoorsportingevents
Standarddaysandtimings(pleasereadguidancenote8) / Pleasegivefurtherdetailshere(pleasereadguidancenote5)
Day / Start / Finish
Mon
Tue / Stateanyseasonalvariationsforindoorsportingevents(pleasereadguidancenote6)
Wed
Thur / Non-standardtimings. Wheretheclubintendstousethepremisesforindoorsportingeventsatdifferenttimesfromthoselistedinthecolumnontheleft,pleaselist(pleasereadguidancenote7)
Fri
Sat
Sun

D

Boxingorwrestlingentertainments
Standarddaysandtimings(pleasereadguidancenote8) / Willtheboxingorwrestlingentertainmenttakeplaceindoorsoroutdoorsorboth–pleasetick(pleasereadguidancenote4) / Indoors
Outdoors
Day / Start / Finish / Both
Mon / Pleasegivefurtherdetailshere(pleasereadguidancenote5)
Tue
Wed / Stateanyseasonalvariationsforboxingorwrestlingentertainment(pleasereadguidancenote6)
Thur
Fri / Non-standardtimings. Wheretheclubintendstousethepremisesfortheboxingorwrestlingentertainmentatdifferenttimesfromthoselistedinthecolumnontheleft,pleaselist(pleasereadguidancenote7)
Sat
Sun

E

Livemusic
Standarddaysandtimings(pleasereadguidancenote8) / Willtheperformanceoflivemusictakeplaceindoorsoroutdoorsorboth–pleasetick(pleasereadguidancenote4) / Indoors
Outdoors
Day / Start / Finish / Both
Mon / Pleasegivefurtherdetailshere(pleasereadguidancenote5)
Tue
Wed / Stateanyseasonalvariationsfortheperformanceoflivemusic(pleasereadguidancenote6)
Thur
Fri / Non-standardtimings. Wheretheclubintendstousethepremisesfortheperformanceoflivemusicatdifferenttimesfromthoselistedinthecolumnontheleft,pleaselist(pleasereadguidancenote7)
Sat
Sun

F

Recordedmusic
Standarddaysandtimings(pleasereadguidancenote8) / Willtheplayingofrecordedmusictakeplaceindoorsoroutdoorsorboth–pleasetick(pleasereadguidancenote4) / Indoors
Outdoors
Day / Start / Finish / Both
Mon / Pleasegivefurtherdetailshere(pleasereadguidancenote5)
Tue
Wed / Stateanyseasonalvariationsfortheplayingofrecordedmusic(pleasereadguidancenote6)
Thur
Fri / Non-standardtimings. Wheretheclubintendstousethepremisesfortheplayingofrecordedmusicatdifferenttimesfromthoselistedinthecolumnontheleft,pleaselist(pleasereadguidancenote7)
Sat
Sun

G

Performancesofdance
Standarddaysandtimings(pleasereadguidancenote8) / Willtheperformanceofdancetakeplaceindoorsoroutdoorsorboth–pleasetick(pleasereadguidancenote4) / Indoors
Outdoors
Day / Start / Finish / Both
Mon / Pleasegivefurtherdetailshere(pleasereadguidancenote5)
Tue
Wed / Stateanyseasonalvariationsfortheperformanceofdance(pleasereadguidancenote6)
Thur
Fri / Non-standardtimings. Wheretheclubintendstousethepremisesfortheperformanceofdanceatdifferenttimesfromthoselistedinthecolumnontheleft,pleaselist(pleasereadguidancenote7)
Sat
Sun

H

Anythingofasimilardescriptiontothatfallingwithin(e),(f)or(g)
Standarddaysandtimings(pleasereadguidancenote8) / Pleasegiveadescriptionofthetypeofentertainmentthattheclubwillbeproviding
Day / Start / Finish / Willthisentertainmenttakeplaceindoorsoroutdoorsorboth–pleasetick(pleasereadguidancenote4) / Indoors
Mon / Outdoors
Both
Tue / Pleasegivefurtherdetailshere(pleasereadguidancenote5)
Wed
Thur / Stateanyseasonalvariationsforthisentertainment(pleasereadguidancenote6)
Fri
Sat / Non-standardtimings. Wheretheclubintendstousethepremisesforthisentertainmentatdifferenttimesfromthoselistedinthecolumnontheleft,pleaselist(pleasereadguidancenote7)
Sun

I

Supplyofalcohol
Standarddaysandtimings(pleasereadguidancenote8) / Willthesupplyofalcoholbeforconsumption–pleasetick (pleasereadguidancenote9) / Onthepremises
Offthepremises
Day / Start / Finish / Both
Mon / Stateanyseasonalvariations(pleasereadguidancenote6)
Tue
Wed
Thur / Non-standardtimings. Wheretheclubintendstousethepremisesforthesupplyofalcoholatdifferenttimesfromthoselistedinthecolumnontheleft,pleaselist(pleasereadguidancenote7)
Fri
Sat
Sun

J

Hoursclubpremisesareopentothemembersandguests
Standarddaysandtimings(pleasereadguidancenote8) / Stateanyseasonalvariations(pleasereadguidancenote6)
Day / Start / Finish
Mon
Tue
Wed
Nonstandardtimings. Whereyouintendthepremisestobeopentothemembersandguestsatdifferenttimesfromthoselistedinthecolumnontheleft,pleaselist(pleasereadguidancenote7)
Thur
Fri
Sat
Sun

K

Pleasehighlightanyadultentertainmentorservices,activities,otherentertainmentormattersancillarytotheuseofthepremisesthatmaygiverisetoconcerninrespectofchildren(pleasereadguidancenote10).

L

Pleaseidentifythoseconditionscurrentlyimposedonthecertificatewhichyoubelievecouldberemovedasaconsequenceoftheproposedvariationyouareseeking.
Pleasetickasappropriate
/ Ihaveenclosedtheclubpremisescertificate
/ Ihaveenclosedtherelevantpartoftheclubpremisescertificate

Ifyouhavenottickedoneoftheseboxes,pleasefillinreasonsfornotincludingthecertificateorpartofitbelow

Reasonswhytheclubhasnotenclosedtheclubpremisescertificateorrelevantpartofit:

MDescribethestepsyouintendtotaketopromotethefourlicensingobjectives:

a)General–allfourlicensingobjectives(b,c,dande)(pleasereadguidancenote11)

b)Thepreventionofcrimeanddisorder

c)Publicsafety

d)Thepreventionofpublicnuisance

e)Theprotectionofchildrenfromharm

Checklist:

Pleaseticktoindicateagreement
/ Ihavemadeorenclosedpaymentofthefee.
/ Ihavesentcopiesofthisapplicationandtheplantoresponsibleauthorities.
/ IunderstandthatImustnowadvertisemyapplication.
/ Ihaveenclosedtheclubpremisescertificateorrelevantpartofitorexplanation.
/ IunderstandthatifIdonotcomplywiththeaboverequirementsmyapplicationwillberejected.

IT IS AN OFFENCE, UNDER SECTION 158 OF THE LICENSING ACT 2003, TO MAKE A FALSE STATEMENT IN OR IN CONNECTION WITH THIS APPLICATION. THOSE WHO MAKE A FALSE STATEMENT MAY BE LIABLE ON SUMMARY CONVICTION TO A FINE OF ANY AMOUNT.

Part5–Signatures (pleasereadguidancenote12)

I

(Insertfullname)

makethisapplicationonbehalfoftheclubandhaveauthoritytobindtheclub

Signature
Date
Capacity
Addressforcorrespondenceassociatedwiththisapplication(pleasereadguidancenote13)
Posttown / Postcode
Telephonenumber(ifany)
Ifyouwouldpreferustocorrespondwithyoubyemail,youremailaddress(optional)

ThisAuthorityis undera dutyto protectthepublicfundsitadministers andtothisendmayuse theinformation you have provided on thisformwithinthisAuthorityforthe preventionand detection offraud. TheAuthoritymayalso share thisinformationwith other bodies administeringpublic funds forthesepurposes.

NotesforGuidance

  1. You do not have to pay a fee if the only purpose of the variation for which you are applying is to avoid becoming liable for the late night levy.
  2. Describethepremises,forexamplethetypeofpremisesitis,itsgeneralsituationandlayoutandanyotherinformationwhichwouldberelevanttothelicensingobjectives.Whereyourapplicationincludesoff-suppliesofalcoholandyouintendtoprovideaplaceforpeopletoconsumetheseoff-supplies,pleaseincludeadescriptionofwherethiswillbeanditsproximitytothepremises.
  3. In terms of specific regulated entertainments please note that:
  • Plays: no licence is required for performances between 08.00 and 23.00 on any day, provided that the audience does not exceed 500.
  • Films: no licence is required for ‘not-for-profit’ film exhibition held in community premises between 08.00 and 23.00 on any day provided that the audience does not exceed 500 and the organiser (a) gets consent to the screening from a person who is responsible for the premises; and (b) ensures that each such screening abides by age classification ratings.
  • Indoor sporting events: no licence is required for performances between 08.00 and 23.00 on any day, provided that the audience does not exceed 1000.
  • Boxing or Wrestling Entertainment: no licence is required for a contest, exhibition or display of Greco-Roman wrestling, or freestyle wrestling between 08.00 and 23.00 on any day, provided that the audience does not exceed 1000. Combined fighting sports – defined as a contest, exhibition or display which combines boxing or wrestling with one or more martial arts – are licensable as a boxing or wrestling entertainment rather than an indoor sporting event.
  • Live music: no licence permission is required for:
  • a performance of unamplified live music between 08.00 and 23.00 on any day, on any premises.
  • a performance of amplified live music between 08.00 and 23.00 on any day on premises authorised to sell alcohol for consumption on those premises, provided that the audience does not exceed 500.
  • a performance of amplified live music between 08.00 and 23.00 on any day, in a workplace that is not licensed to sell alcohol on those premises, provided that the audience does not exceed 500.
  • a performance of amplified live music between 08.00 and 23.00 on any day, in a church hall, village hall, community hall, or other similar community premises, that is not licensed by a premises licence to sell alcohol, provided that (a) the audience does not exceed 500, and (b) the organiser gets consent for the performance from a person who is responsible for the premises.
  • a performance of amplified live music between 08.00 and 23.00 on any day, at the non-residential premises of (i) a local authority, or (ii) a school, or (iii) a hospital, provided that (a) the audience does not exceed 500, and (b) the organiser gets consent for the performance on the relevant premises from: (i) the local authority concerned, or (ii) the school or (iii) the health care provider for the hospital.
  • Recorded Music: no licence permission is required for:
  • any playing of recorded music between 08.00 and 23.00 on any day on premises authorised to sell alcohol for consumption on those premises, provided that the audience does not exceed 500.
  • any playing of recorded music between 08.00 and 23.00 on any day, in a church hall, village hall, community hall, or other similar community premises, that is not licensed by a premises licence to sell alcohol, provided that (a) the audience does not exceed 500, and (b) the organiser gets consent for the performance from a person who is responsible for the premises.
  • any playing of recorded music between 08.00 and 23.00 on any day, at the non-residential premises of (i) a local authority, or (ii) a school, or (iii) a hospital, provided that (a) the audience does not exceed 500, and (b) the organiser gets consent for the performance on the relevant premises from: (i) the local authority concerned, or (ii)the school proprietor or (iii) the health care provider for the hospital.
  • Dance: no licence is required for performances between 08.00 and 23.00 on any day, provided that the audience does not exceed 500. However, a performance which amounts to adult entertainment remains licensable.
  • Cross activity exemptions: no licence is required between 08.00 and 23.00 on any day, with no limit on audience size for:
  • any entertainment taking place on the premises of the local authority where the entertainment is provided by or on behalf of the local authority;
  • any entertainment taking place on the hospital premises of the health care provider where the entertainment is provided by or on behalf of the health care provider;
  • any entertainment taking place on the premises of the school where the entertainment is provided by or on behalf of the school proprietor;and

any entertainment (excluding films and a boxing or wrestling entertainment) taking place at a travelling circus, provided that (a) it takes place within a moveable structure that accommodates the audience, and (b) that the travelling circus has not been located on the same site for more than 28 consecutive days.

  1. Wheretakingplaceinabuildingorotherstructurepleasetickasappropriate(indoorsmayincludeatent).
  2. Pleasestatetypeofactivitytobeauthorised,ifnotalreadystated,andgiverelevantfurtherdetails,forexample(butnotexclusively)whetherornotmusicwillbeamplifiedorunamplified.
  3. Forexample(butnotexclusively)wheretheactivitywillgoonforanextrahourduringsummermonths.
  4. Forexample(butnotexclusively),whereyouwishtheactivitytogoonlongeronaparticulardaye.g.ChristmasEve.
  5. Pleasegivetimingsin24hourclock(e.g.16.00).
  6. Iftheclubwishesmembersandtheirgueststobeabletoconsumealcoholonthepremises,pleasetick‘onthepremises’.Iftheclubwishespeopletobeabletopurchasealcoholtoconsumeawayfromthepremises,pleasetick‘offthepremises’.Iftheclubwishespeopletobeabletodoboth,pleasetick‘both’.
  7. Pleasegiveinformationaboutanythingtooccuratthepremisesorancillarytotheuseofthepremiseswhichmaygiverisetoconcerninrespectofchildren,forexample(butnotexclusively)nudityorsemi-nudity,filmsforrestrictedagegroupsorgamblingmachinesetc.
  8. Pleaselistherestepsyouwilltaketopromoteallfourlicensingobjectivestogether.
  9. Theapplicationformmustbesignedbysomeonewiththeauthoritytobindtheclub.
  10. Thisistheaddresswhichwewillusetocorrespondwiththeclubaboutthisapplication.

Licensing Act 2003

Public Site Notice

NoticeisHerebyGiventhatI/We

of

havemadeanapplication to varyaclubpremisescertificateforthe

SaleofAlcohol/RegulatedEntertainment

(deleteasappropriate):

HeldAt:

Forthefollowingdays/hours:

LicensableActivities / OpeningHours
From: / To: / From: / To:
Monday
Tuesday
Wed
Thurs
Friday
Sat
Sun

AnypersonswishingtomakecommentsmustdosoinwritingtotheLicensingTeam,ShropshireCouncil,Shirehall,AbbeyForegate,Shrewsbury,within28daysfromthedateofthisnotice.Applicationscanbeviewedduringnormalofficehoursattheaboveaddress(

Dated:

ItisanoffenceunderSection158oftheLicensingAct2003,knowinglyorrecklesslytomakeafalsestatementinconnectionwithanapplicationandthemaximumfineforwhichapersonisliableonsummaryconvictionfortheoffenceto an unlimited fine.

1