\nSkin Treatments (Licensing and Control) Regulations<\/legend>\r\n\r\n

\n\n\n\n\n\n

Application for the Licensing of Premises to be used for the Business of Skin Piercing, Electrolysis, Acupuncture or Tattooing<\/div>\n

\r\n In pursuance of Regulation 3 of the Skin Treatments (Licensing and Control) Regulations, I hereby apply for a licence for the following premises to be used for the business of:\r\n *<\/span>\r\n <\/label>\r\n

\t\t

\t\t\t\n\t\t\t skin piercing<\/label><\/div>\n\t\t

\t\t\t\n\t\t\t electrolysis<\/label><\/div>\n\t\t

\t\t\t\n\t\t\t tattooing<\/label><\/div>\n\t\t

\t\t\t\n\t\t\t acupuncture<\/label><\/div>\n<\/div>\r\n \r\n \r\n<\/div>\n

\r\n Address\r\n <\/span>\r\n <\/label>\r\n

<\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_396_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_4469n\" class=\"frm_primary_label\">Name of Business (if any)\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_4469n\" name=\"item_meta[396]\" value=\"\"  data-invmsg=\"Name of Business (if any) is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_397_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_dwrpk\" class=\"frm_primary_label\">Name of occupier of premises\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_dwrpk\" name=\"item_meta[397]\" value=\"\"  data-reqmsg=\"Name of occupier of premises cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name of occupier of premises is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_398_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_1k1gh\" class=\"frm_primary_label\">Address of occupier of premises\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_1k1gh\" name=\"item_meta[398]\" value=\"\"  data-reqmsg=\"Address of occupier of premises cannot be blank.\" aria-required=\"true\" data-invmsg=\"Address of occupier of premises is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_400_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_jxr0g\" class=\"frm_primary_label\">Date\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_jxr0g\" name=\"item_meta[400]\" value=\"\"  maxlength=\"10\" placeholder=\"DD\/MM\/YYYY\" data-reqmsg=\"Date cannot be blank.\" aria-required=\"true\" data-invmsg=\"Date is invalid\" aria-invalid=\"false\" pattern=\"\\d\\d\\\/\\d\\d\\\/\\d\\d\\d\\d$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_415_container\" class=\"frm_form_field frm_section_heading form-field frm_top_container\">\n<h3 class=\"frm_pos_ frm_primary_label[collapse_class]\">Additional information<\/h3>\n\n\n<\/div>\n<div id=\"frm_field_402_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_cjmr\" class=\"frm_primary_label\">Email Address\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_cjmr\" name=\"item_meta[402]\" value=\"\"  data-invmsg=\"Email Address is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_416_container\" class=\"frm_form_field form-field  frm_top_container\">\n\t<label for=\"field_1mxwc\" id=\"field_1mxwc_label\" class=\"frm_primary_label\">End Section\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n\t<\/label>\n\t<input type=\"text\" id=\"field_1mxwc\" name=\"item_meta[416]\" value=\"\"  data-invmsg=\"End Section is invalid\" aria-invalid=\"false\"  \/>\n\t\n\t\n<\/div>\n<div id=\"frm_field_412_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <label  class=\"frm_primary_label\">I declare that the above particulars are true in every respect.\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_412-1\">\t\t\t<label  for=\"field_th1z8-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[412][]\" id=\"field_th1z8-1\" value=\"Yes\"  data-reqmsg=\"I declare that the above particulars are true in every respect. cannot be blank.\" data-invmsg=\"I declare that the above particulars are true in every respect. is invalid\" aria-invalid=\"false\"   aria-required=\"true\"  \/> Yes<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_419_container\" class=\"frm_form_field  frm_html_container form-field\"><b>Applicant will be required to sign application form prior to document being issued by the Agency. <\/b><\/div>\n<div id=\"frm_field_554_container\" class=\"frm_form_field  frm_html_container form-field\">* obligatory fields<\/div>\n<div id=\"frm_field_629_container\" class=\"frm_form_field form-field  frm_left_container\">\n\t<label for=\"h-captcha-response\" id=\"field_3tlsi_label\" class=\"frm_primary_label\">Captcha\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n\t<\/label>\n\t<div  id=\"field_3tlsi\" class=\"h-captcha\" data-sitekey=\"879caca4-a4f6-4ed9-b916-562c14dbbd63\" data-size=\"normal\" data-theme=\"light\"><\/div>\n\t\n\t\n<\/div>\n<div id=\"frm_field_626_container\" class=\"frm_form_field form-field \">\n\t<div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit\" type=\"submit\"  >Submit<\/button>\r\n\r\n<\/div>\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t<\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":11,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2603","page","type-page","status-publish","hentry"],"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"Chris Segovia","author_link":"https:\/\/www.environmental-agency.gi\/author\/csegovia\/"},"rttpg_comment":0,"rttpg_category":null,"rttpg_excerpt":null,"_links":{"self":[{"href":"https:\/\/www.environmental-agency.gi\/wp-json\/wp\/v2\/pages\/2603","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.environmental-agency.gi\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.environmental-agency.gi\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.environmental-agency.gi\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/www.environmental-agency.gi\/wp-json\/wp\/v2\/comments?post=2603"}],"version-history":[{"count":1,"href":"https:\/\/www.environmental-agency.gi\/wp-json\/wp\/v2\/pages\/2603\/revisions"}],"predecessor-version":[{"id":2605,"href":"https:\/\/www.environmental-agency.gi\/wp-json\/wp\/v2\/pages\/2603\/revisions\/2605"}],"wp:attachment":[{"href":"https:\/\/www.environmental-agency.gi\/wp-json\/wp\/v2\/media?parent=2603"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}