Skip to content
Menu
Pest Control
Environmental Protection
Air Quality
Bathing Water
Integrated Pollution Prevention & Control
Ozone Depleting Substances
Potable Water
Swimming Pools
Solvent Emissions
Food Hygiene
Safety and Control
Food Imports
Waste
End Of Life Vehicles
Export of wastes
Hazardous Waste
Recycling Locations
Recyclable Material
Scrap Metal Dealers
Waste Disposal
Waste Licenses
Waste Recovery
Waste Registrations
Waste Regulation
Other
Building control
Control of Major Accident Hazards
Housing
Dust
Importation of Pets
Infectious Diseases and Disinfection
Who We Are
Noise
Nurseries
Street Traders and Pedlars
Ship Sanitation
Vacancies
For the latest news, follow us on
Facebook
or
Twitter
!
Documents
Forms
Online Forms
Menu
Pest Control
Environmental Protection
Air Quality
Bathing Water
Integrated Pollution Prevention & Control
Ozone Depleting Substances
Potable Water
Swimming Pools
Solvent Emissions
Food Hygiene
Safety and Control
Food Imports
Waste
End Of Life Vehicles
Export of wastes
Hazardous Waste
Recycling Locations
Recyclable Material
Scrap Metal Dealers
Waste Disposal
Waste Licenses
Waste Recovery
Waste Registrations
Waste Regulation
Other
Building control
Control of Major Accident Hazards
Housing
Dust
Importation of Pets
Infectious Diseases and Disinfection
Who We Are
Noise
Nurseries
Street Traders and Pedlars
Ship Sanitation
Vacancies
Notice of Intention to Apply For A Licence To Carry Out An Activity or an Extension
Notice of Intention to Apply For A Licence To Carry Out An Activity or an Extension
Form 3
-
Notice of Intention to Apply For A Licence To Carry Out An Activity
Described By Section 192D of the Public Health Act or an Extension Thereof.
1- Name of Applicant
*
2- Business Address
3- Registered Address (if different)
4- Licence Applied for
*
5- Date of Application
*
Additional information
Email Address
End Section
Applicant will be required to sign application form prior to document being issued by the Agency.
I certify that the information contained in this Application is true to the best of my knowledge and belief.
*
Yes
* obligatory fields
Submit