Application for a licence to keep a dangerous wild animal

How we will use your information

Data protection and fair processing statement

We will use your information to provide the service requested. We may share your personal data between our services and with partner organisations, such as government bodies and the police. We will do so when it is of benefit to you, or required by law, or to prevent or detect fraud.

To find out more, go to thurrock.gov.uk/privacy. Get free internet access at libraries and community hubs.

Data protection and fair processing *

I have read and understood the data protection and fair processing statement, above

Application type

Type of application *

New application

Application for a licence that was held during the previous year

Have arrangements for keeping the animals changed since the last inspection by our veterinary consultant? *

Yes, the arrangements have changed

No, the arrangements have not changed

Applicant details

Your full name *

Your address, including postcode *

Your phone number *

Your email address *

Dangerous wild animal details

Address, including postcode, where these animals will be kept *

Details of each species to be kept

Species of animal	Number of females	Number of males
Species of animal	Number of females	Number of males
Species of animal	Number of females	Number of males
Species of animal	Number of females	Number of males
Species of animal	Number of females	Number of males
Species of animal	Number of females	Number of males
Species of animal	Number of females	Number of males
Species of animal	Number of females	Number of males
Species of animal	Number of females	Number of males

Further information

Is it intended to breed or attempt to breed from these animals? *

Yes, the intention is to breed

No, there is no intention to breed

Description and dimensions of accommodation to be used *

Description of the type and source of the food to be supplied *

Declaration and insurance

Declaration *

I declare that I am over 18 years of age and not disqualified by being convicted of any offence at any time under the Protection of Animals Acts 1911 to 1964, the Protection of Animals (Scotland) Act 1912, the Protection of Animals Act 1934, the Pet Animals Act 1951, the Animal Boarding Establishments Act 1963, the Riding Establishments Acts 1964 and 1970 or the Breeding of Dogs Act 1973.

Please upload copy details of your insurance policy held to cover liability for damage caused by the dangerous wild animal *

Files must be less than 10 MB.
Allowed file types: jpg jpeg rtf pdf doc docx odt.

You must pay the licence application fee by phone after you submit this application.

We will direct you back to our information page where you can find the current fee and details of how to pay.

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