Application for Registration as a Scrap Metal Dealer

Scrap Metal Dealers Act 1964

"This Authority is under a duty to protect the public funds it administers, and to this end may use the information you have provided on this form within the authority for the prevention and detection of fraud. It may also share this information with other bodies administering public funds solely for these purposes."

To the North Lincolnshire Council.

I/We

Name
Title
If Other please specify
First name ^*
Last name ^*

Address
Prefix (e.g. first floor flat)
House name/number
Street
Village/Area (e.g. Scawby, Bottesford, etc.)
Town
County
Post code ^*Please input your post code using capitals and include a space between the first and second parts e.g. DN17 5TY.
Email address
Contact telephone no.

Please note: If you are applying on behalf of more than one person and therefore need to add more than one name and address please use the "Add" button (above) to create further input fields, as required.

Being a (proposed) Dealer in Scrap Metal in the area of the above mentioned local authority HEREBY APPLY for registration of the following particulars under provision of the Scrap Metal Dealers Act 1964:

Full name of dealer

Are you making this application on behalf of a corporate body?

Yes

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Application for Registration as a Scrap Metal Dealer