MID DEVON DISTRICT COUNCIL

PHOENIX hOUSE

PHOENIX LANE

TIVERTON

EX16 8LF

 

 

 

HOUSE TO HOUSE COLLECTIONS ACT 1939

House to House Collections Regulations 1947

 

APPLICATION FOR A LICENCE

 

In pursuance of Section 2 of the House to House Collections Act 1939, I hereby apply for a licence allowing me to promote the collection, of which particulars are given below:


Dated               Signed:

 

PARTICULARS OF COLLECTION

1.    Surname of applicant (in block capitals)

     Other Names

1.  

     

2.  Address of Applicant

2.
  

3.  Particulars of charitable purposes to which proceeds of      collection are to be applied.  (Full particulars should be given      and, where possible, the most recent account of any      charity which is to benefit should be enclosed)

3.
  

4.  Over what parts of the area is it proposed that the collection      should extend?

4. 
 

5.  During what period of the year is it proposed that the collection      should be made?  Please give dates.

5.  

6.  Is it proposed to collect money?

6.  Yes       No

7.  Is it proposed to collect other property?  If so, of what nature      and is it proposed to sell such property or to give it away or to      use it?

7.  Yes       No

8.  Approximately how many persons is it proposed to authorise to      act as collectors in the area of the authority to which the      application is addressed?

8.  

9.                   Is it proposed that remuneration should be paid out of the proceeds of the collection:

(a)                    to collectors?

(b)          to other persons?

     If so, at what rates and to what classes of persons?

9.  Yes      No

 

a)  Yes      No

b)  Yes      No

10.Is application being made for licences for collection for the same purpose in other areas?

If so, to what authorities?

     And, approximately, how many persons in all is it proposed to      authorise to act as collectors?

10.  Yes    No



11.Has the applicant, or to the knowledge of the applicant, anyone associated with the promotion of the collection, been refused a licence or order under the Act, or had a licence or order revoked?  If so, give particulars.

11.  Yes    No

12.Is it proposed to promote this collection in conjunction with a street collection?  If so, is it desired that the accounts of this collection should be combined wholly or in part with the account of the street collection?

12.   Yes    No

        Yes   No 

13.If the collection is for a War Charity, state if such charity has been registered or exempted from registration under the War Charities Act, 1940, and give name of registration authority and date of registration or exemption.

13.    Yes   No     

Human Check: