Apply to vary a marine licence

Marine licence number *

Expiry date of current licence

	DD/MM/YYYY

Licence holder name

Variation type

Administrative change
Routine change
Complex change

Brief description of licence variation that is required.

(Identify licence condition numbers and reference the supporting documents within your current licence which are likely to be affected)

Please upload all supporting information for this request (where applicable)

File: {{filename}}delete

Choose File

When are you looking to start work requiring the variation?

	DD/MM/YYYY