ALIEN LAND HOLDING LICENSE APPLICATION FORM

Please read the Government Notes before filling out the form.

Please attach a recent color photograph.

Please print in BLOCK CAPITALS using black ink

Where more than one person is applying for a license, a separate application form should be completed for each person. All the application forms should be bound together along with all other relevant documents and submitted with the fee of EC$665.00 per application.

PERSONAL DETAILS

1. Applicant

Title

Family Name

Given Name

Date of Birth

Nationality

Passport Number

2. Permanent Address

Street and Number

Town

State or County

Zip or Post Code

Country

Phone / Fax

Time at the above address

Profession

REFERENCES
Bankers

Name

Address

Town

State or County

Zip or Post Code

Phone / Fax
Police (Where you have lived for the last seven years)

Name of Chief of Police

Address

Town

State or County

Zip or Post Code

Phone / Fax
Personal Reference (A Public figure who has known you at least seven years)

Name

Position

Address

State or County

Zip or Post Code

Phone / Fax

LAND AND DEVELOPMENT

Description of Land

Registration Section

Block Number

Parcel Number (Applications will only be accepted for whole parcels)

Acreage

Tenure (Freehold / Leasehold for __ years)

Name of Vendor or Lessor

Purchase Price

Open Market value
Proposed Development

Is the application for a residence?

Do you intend to build a new property?

Do you intend to renovate or convert an existing property?

Estimated time to complete from date of license

Floor area, based on external gross area in sq. ft

Estimated cost of construction

Planning permission decision notice number

Non-residential development

Is application for non-residential development ?

State purpose

Brief details of development

Gross area of construction

Type of Construction

Will development be phased?

Time table from date of being granted license

Source of finance

Planning permission decision notice number

Signed: ………………………………… Date: ……………….. 200…