Lisburn Online Forms - 1 day Civil Partnership Approval Form

1. Details of Premises

2 Details of Applicant

This application must be made by either civil partner. Please give the full name, address, e-mail address and telephone number. Please also state the date on which you wish the Approval to be granted for.

If the approval is granted the Applicant will be known as the "Approval Holder" and will be responsible for ensuring all conditions and requirements are satisfied in respect of the premises for its use as a temporary venue for civil marriages.

3. Nature of Premises

4.Occupier of Premises

5. Room(s) for Civil Partnership Registration

Please describe the primary and other use(s) of the room(s) which is (are) to be used for the civil partnership registration (e.g. Banqueting hall, conference room, garden area, marquee etc.) Please also state the maximum number of people who are permitted to occupy these room(s) under any fire certificate which applies. (see Guidance Part 1.3)

Please ensure there is a separate confidential interview room conveniently located to the room, which is available to the Registrar.

6. Responsbile Person(s)

Please give details of the person and his/her deputy who will be responsible on the day for arranging and co-ordinating the civil partnership registration and ensuring compliance with requirements and conditions as attached. (see Guidance Part 3.1)

7. Attachments

(Please note: applications without payments will not be processed. If payment is rejected the application will be void.)

8. Declarations and Signature

1. Details of Premises
Please give the full name of the premises:
Please give full address of premises (incl postcode):
Telephone No:	+
Name of proprietor:
Fax No:	+
Email address:
2 Details of Applicant
This application must be made by either civil partner. Please give the full name, address, e-mail address and telephone number. Please also state the date on which you wish the Approval to be granted for.
Full name:
Home Address (incl postcode):
Telephone Number:	+
E-mail address:
Day/Date of Proposed Civil Partnership registration:
Time:
If the approval is granted the Applicant will be known as the "Approval Holder" and will be responsible for ensuring all conditions and requirements are satisfied in respect of the premises for its use as a temporary venue for civil marriages.
3. Nature of Premises
Please describe the nature of the premises (e.g.Hotel, Public Building, Dwelling etc.) and the primary and any other reason for which they are regularly used. (see Guidance Part 1.2 and Appendix A):
4.Occupier of Premises
Is the person named in Section 1 the sole occupier of the Premises?:	YesNo
If No, please give the names and addresses of other occupiers and the nature of their occupancy below:
5. Room(s) for Civil Partnership Registration
Please describe the primary and other use(s) of the room(s) which is (are) to be used for the civil partnership registration (e.g. Banqueting hall, conference room, garden area, marquee etc.) Please also state the maximum number of people who are permitted to occupy these room(s) under any fire certificate which applies. (see Guidance Part 1.3)
Room/Location:
Max No:
Room location:
Max No:
Please ensure there is a separate confidential interview room conveniently located to the room, which is available to the Registrar.
6. Responsbile Person(s)
Please give details of the person and his/her deputy who will be responsible on the day for arranging and co-ordinating the civil partnership registration and ensuring compliance with requirements and conditions as attached. (see Guidance Part 3.1)
Name:
Occupation:
Private Address:
Telephone No:	+
Home/Mobile:	+
Name:
Occupation:
Private Address:
Telephone No:	+
Home/Mobile:	+
7. Attachments
Attached with this application are:	3 plans of the premises and/or location map showing the room for the civil partnership registration and interview room
Attached:	Copy of fire certificate (where applicable)
Attached:	Certificae of Public Liability Insurance
Application Fee:	Application Fee of £420.00
(Please note: applications without payments will not be processed. If payment is rejected the application will be void.)
8. Declarations and Signature
1. I apply for the premises identified in Section 1 to be temporarily approved for a civil partnership registration on the date specified in Section 2.:	Yes
2. I understand that the place:	the place may be inspected for suitability before approval is granted and, if this application is successful may be subject to subsequent inspection
premises:	the premises must satisfy the local authority on fire precautions and health and safety provisions
approval:	approval, if granted, will be for the date specifed in Section 2 only
approval 2:	approval, if granted, does not guarantee the availability of a Registrar
3. I declare that:	I have read and understood "Guidance to the Requirements and Conditions for Approved Premises for Civil Partnership Registration
I declare that:	The place has no recent or continuing religious connection
I declare that:	I have obtained any necessary permissions regarding use of and access to the premises
I declare that:	I will publish in a prominent place notice of my application for a period of 21 days
I declare that:	If a Temporary Approval is granted, I will comply with the Conditions attached to the Approval
Name in block capitals:
Payment:	£420.00
Date: