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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
Application For A Duplicate Licence To Carry Out An Activity
Application For A Duplicate Licence To Carry Out An Activity
Form 6 - Application For A Duplicate Licence To Carry Out An Activity Described By Section 192D of the Public Health Act
1- Name
*
2- Business Address
*
3- Registered Address (if different)
4- Telephone Number
*
Fax Number (if any)
Email Address
*
5- When did you last apply for a licence to carry out an activity prescribed by section 192D of the Public Health Act ? Can you please supply as much details as possible, including your licence’s Serial Number.
*
6- Why do you wish to apply for a duplicate of your licence?
*
7- If your licence has been lost or stolen, have you reported the matter to the Police.
*
8- When does your licence expire?
*
I undertake to surrender the original Licence to the Government should it return to my possession.
Date
*
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