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Poisons Entitlement Application
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Poisons Entitlement Application
Poisons Act 1972
This form is to be used to apply for an entitlement to sell non-medical poisons included in Part 11 of the Poisons List(Section 5 of the above Act).
Mandatory fields are identified with
Personal Details
Business Details
Payment
Confirmation
Receipt
Personal Details
Your Full Name to be given in all cases except Incorporated or Limited Company
Title
/
Forename
Mr
Mrs
Miss
Ms
Sir
Rev
Dr
Cllr
Surname
Contact Address
Property Name / Number
Street
Area
Town
County
Postcode
Contact Telephone
