Application for a premises licence to be granted

under the Licensing Act 2003

PLEASE READ THE FOLLOWING INSTRUCTIONS FIRST Before completing this form please read the guidance notes at the end of the form. If you are completing this form by hand please write legibly in block capitals. In all cases ensure that your answers are inside the boxes and written in black ink. Use additional sheets if necessary. You may wish to keep a copy of the completed form for your records. I/We Afghanistan & Central Asian Association (Insert name(s) of applicant) apply for a premises licence under section 17 of the Licensing Act 2003 for the premises described in Part 1 below (the premises) and I/we are making this application to you as the relevant licensing authority in accordance with section 12 of the Licensing Act 2003 Part 1 – Premises details

Postal address of premises or, if none, ordnance survey map reference or description Lampton Park

Post town Hounslow Postcode TW3 4HS

Telephone number at premises (if any) 07400 453 462

Non-domestic rateable value of premises £ Not confirmed

Part 2 - Applicant details Please state whether you are applying for a premises licence as Please tick as appropriate

a) an individual or individuals * please complete section (A)

b) a person other than an individual *

i as a limited company/limited liability partnership

please complete section (B)

ii as a partnership (other than limited liability)

please complete section (B)

iii as an unincorporated association or please complete section (B)

iv other (for example a statutory corporation) please complete section (B)

c) a recognised club please complete section (B)

d) a charity please complete section (B)

e) the proprietor of an educational establishment please complete section (B)

f) a health service body please complete section (B)

g) ga)

a person who is registered under Part 2 of the Care Standards Act 2000 (c14) in respect of an independent hospital in Wales a person who is registered under Chapter 2 of Part 1 of the Health and Social Care Act 2008 (within the meaning of that Part) in an independent hospital in England

please complete section (B) please complete section (B)

h) the chief officer of police of a police force in England and Wales

please complete section (B)

* If you are applying as a person described in (a) or (b) please confirm (by ticking yes to one box below): I am carrying on or proposing to carry on a business which involves the use of the premises for licensable activities; or

I am making the application pursuant to a statutory function or a function discharged by virtue of Her Majesty’s prerogative

(A) INDIVIDUAL APPLICANTS (fill in as applicable)

Mr

Mrs

Miss

Ms

Other Title (for example, Rev)

Surname

First names

Date of birth I am 18 years old or over Please tick yes

Nationality

Current residential address if different from premises address

Post town Postcode

Daytime contact telephone number

E-mail address (optional)

SECOND INDIVIDUAL APPLICANT (if applicable)

Mr

Mrs

Miss

Ms

Other Title (for example, Rev)

Surname

First names

Date of birth I am 18 years old or over Please tick yes

Nationality

Current postal address if different from premises address

Post town Postcode

Daytime contact telephone number

E-mail address (optional)

(B) OTHER APPLICANTS Please provide name and registered address of applicant in full. Where appropriate please give any registered number. In the case of a partnership or other joint venture (other than a body corporate), please give the name and address of each party concerned.

Name Nooralhaq Nasimi Address 169 Staines Road, Hounslow TW3 3LL

Registered number (where applicable) 1096908

Description of applicant (for example, partnership, company, unincorporated association etc.) Charity Incorporated Organisation

Telephone number (if any) 0208 572 0300

E-mail address (optional) nooralhaqnasimi@btinternet.com

Part 3 Operating Schedule

When do you want the premises licence to start? DD MM YYYY 1 9 0 8 2 0 1 8

If you wish the licence to be valid only for a limited period, when do you want it to end?

DD MM YYYY 1 9 0 8 2 0 1 8

Please give a general description of the premises (please read guidance note 1) A local park in Hounslow – Lampton Park No alcohol will be served or sold.

If 5,000 or more people are expected to attend the premises at any one time, please state the number expected to attend. 5000

What licensable activities do you intend to carry on from the premises? (please see sections 1 and 14 and Schedules 1 and 2 to the Licensing Act 2003)

Provision of regulated entertainment (please read guidance note 2) Please tick all that apply

a) plays (if ticking yes, fill in box A)

b) films (if ticking yes, fill in box B)

c) indoor sporting events (if ticking yes, fill in box C)

d) boxing or wrestling entertainment (if ticking yes, fill in box D)

e) live music (if ticking yes, fill in box E)

f) recorded music (if ticking yes, fill in box F)

g) performances of dance (if ticking yes, fill in box G)

h) anything of a similar description to that falling within (e), (f) or (g) (if ticking yes, fill in box H)

E

Live music Standard days and timings (please read guidance note 7)

Will the performance of live music take place indoors or outdoors or both – please tick (please read guidance note 3)

Indoors

Outdoors

Day Start Finish Both

Mon Please give further details here (please read guidance note 4) Live music will be amplified

Tue

Wed State any seasonal variations for the performance of live music (please read guidance note 5) None

Thur

Fri Non standard timings. Where you intend to use the premises for the performance of live music at different times to those listed in the column on the left, please list (please read guidance note 6) None

Sat

Sun

12:00 18:00

G

Performances of dance Standard days and timings (please read guidance note 7)

Will the performance of dance take place indoors or outdoors or both – please tick (please read guidance note 3)

Indoors

Outdoors

Day Start Finish Both

Mon Please give further details here (please read guidance note 4) No

Tue

Wed State any seasonal variations for the performance of dance (please read guidance note 5) None

Thur

Fri Non standard timings. Where you intend to use the premises for the performance of dance at different times to those listed in the column on the left, please list (please read guidance note 6) None

Sat

Sun

12:00 18:00

K

Please highlight any adult entertainment or services, activities, other entertainment or matters ancillary to the use of the premises that may give rise to concern in respect of children (please read guidance note 9). NONE

L

Hours premises are open to the public Standard days and timings (please read guidance note 7)

State any seasonal variations (please read guidance note 5)

Day Start Finish

Mon

Tue

Wed

Non standard timings. Where you intend the premises to be open to the public at different times from those listed in the column on the left, please list (please read guidance note 6)

Thur

Fri

Sat

Sun

12:00 18:00

M Describe the steps you intend to take to promote the four licensing objectives: a) General – all four licensing objectives (b, c, d and e) (please read guidance note 10)

b) The prevention of crime and disorder

We are in contact with the Safety Advisory Group and will have police on site at all times.

c) Public safety

We will be hiring security and wardens to be on site during the festival.

d) The prevention of public nuisance

Volunteers will be on hand throughout the event to ensure there is no public nuisance.

e) The protection of children from harm

We have a lost child policy and safeguarding policy to ensure the protection of children from harm. We will also ensure all of our volunteers and staff are dbs checked and attend training on ensuring protection of children in a public event.

Checklist:

Please tick to indicate agreement

I have made or enclosed payment of the fee.

I have enclosed the plan of the premises.

I have sent copies of this application and the plan to responsible authorities and others where applicable.

I have enclosed the consent form completed by the individual I wish to be designated premises supervisor, if applicable.

I understand that I must now advertise my application.

I understand that if I do not comply with the above requirements my application will be rejected. [Applicable to all individual applicants, including those in a partnership which is not a limited liability partnership, but not companies or limited liability partnerships] I have included documents demonstrating my entitlement to work in the United Kingdom (please read note 15).

IT IS AN OFFENCE, UNDER SECTION 158 OF THE LICENSING ACT 2003, TO MAKE A FALSE STATEMENT IN OR IN CONNECTION WITH THIS APPLICATION. THOSE WHO MAKE A FALSE STATEMENT MAY BE LIABLE ON SUMMARY CONVICTION TO A FINE OF ANY AMOUNT. IT IS AN OFFENCE UNDER SECTION 24B OF THE IMMIGRATION ACT 1971 FOR A PERSON TO WORK WHEN THEY KNOW, OR HAVE REASONABLE CAUSE TO BELIEVE, THAT THEY ARE DISQUALIFIED FROM DOING SO BY REASON OF THEIR IMMIGRATION STATUS. THOSE WHO EMPLOY AN ADULT WITHOUT LEAVE OR WHO IS SUBJECT TO CONDITIONS AS TO EMPLOYMENT WILL BE LIABLE TO A CIVIL PENALTY UNDER SECTION 15 OF THE IMMIGRATION, ASYLUM AND NATIONALITY ACT 2006 AND PURSUANT TO SECTION 21 OF THE SAME ACT, WILL BE COMMITTING AN OFFENCE WHERE THEY DO SO IN THE KNOWLEDGE, OR WITH REASONABLE CAUSE TO BELIEVE, THAT THE EMPLOYEE IS DISQUALIFIED. Part 4 – Signatures (please read guidance note 11) Signature of applicant or applicant’s solicitor or other duly authorised agent (see guidance note 12). If signing on behalf of the applicant, please state in what capacity.

Declaration

• [Applicable to individual applicants only, including those in a partnership which is not a limited liability partnership] I understand I am not entitled to be issued with a licence if I do not have the entitlement to live and work in the UK (or if I am subject to a condition preventing me from doing work relating to the carrying on of a licensable activity) and that my licence will become invalid if I cease to be entitled to live and work in the UK (please read guidance note 15).

• The DPS named in this application form is entitled to work in the UK (and is not subject to conditions preventing him or her from doing work relating to a licesable activity) and I have seen a copy of his or

Lampton Park Summer Festival Event Site Plan

Please note parking is for event organiser and unloading of equipment only, not for generalpublic use.

Key:A – Stage GeneratorB – Entrance & Exit pointC – Information PointD – Stall GeneratorsE – Emergency Exit (arrow pointing towards assembly point)

= Boundary fence

First Aid &Lost Child

Parking

WC

WC

WCFair Rides/Activities

A

Entrance & Exit

C

E

E

E

D

D

D

Entrance & Exit

D

D

E AssemblyPoint

E

E

E

E

E

AssemblyPoint

AssemblyPoint

AssemblyPoint

E

Parking

Fair Rides/Activities

Entrance & Exit

Entrance & Exit

Afghanistan & Central Asian AssociationEvent Management Plan

Event Name Hounslow Community Fair

Event Location Lampton Park

Event Date 19th June 2018

Organisation Afghanistan & Central Asian Association

2

Event managementEvent overview

Provide a brief summary (one or two paragraphs) of what your event will involve.

The event will be a Summer Festival held in Lampton park celebrating the cultures, cuisinesand arts of Afghanistan and Central Asia. It will be a family friendly community festival aimedat providing the community with a fun day out and introducing people of all cultures andnationalities to Central Asian culture. Around the outside of the park a variety of stalls will sellAfghan, Central Asian and international food while Afghan performers will showcase a varietyof Afghan singing and dancing on a central stage. There will also be several fair ground ridesand activities available in the centre of the park. The event will be open to all but will have a£5 ticket entry price. All money raised during the event will go towards covering the costs ofthe event and any remaining money will be donated to the ACAA. The event will start at 12pmand will finish by 9pm and will not involve the sale of alcohol.

Key event management contacts

Name Role Responsibility Contact Details

Nooralhaq Nasimi Event Manager Overall responsibility 07414993450

Shabnam Nasimi Production All eventinfrastructure,ordering, deliverytimings etc

07400453462

Rabia Nasimi Volunteer Coordinator Volunteer recruitment,training and event daymanagement

07462015430

Mahboba Nasimi Health and SafetyOfficer

Risk assessments,legal compliance, firepoints, siteinspections, first aidprovision

External Welfare Toilets and washfacilities

External Waste Management Organisation of wasteclearance andrecycling

3

Key event contacts – other

Suppliers (marquees, catering etc)

Organisation Contact Service Contact details Notes

Email and mobile

Authorities (fire, police, first aid etc)

Organisation Contact Service Contact details Notes

On call Email and mobile

Attractions, artists and entertainment

Organisation Contact Service Contact details Notes

Email and mobile

Staffing

It is easy to underestimate how many staff will be required to plan and successfully runyour event. Consider how many stewards, car park attendants etc you will need tomanage things safely.

Security including X at split between the two entrances carrying out bag searches

First aid team – 5

Information providers - 2

Sound engineer- 1

Stage manager - 1

Cleaning crew – 10 volunteers

Programme Schedule

Complete the event schedules below.

You should list everything that needs to be done before, during and after your event.This will help ensure you complete tasks on time and that things aren’t forgotten.

The schedules below each show an example of a typical task.

Schedule XXXXXX event – prior to event day

4

Date Task Start Finish Resources/who

Notes In Hand Complete

Stageandtoiletsset upon site

6pm 9pm Max +Emma

T Stagebooked

Schedule XXXXXX event – event day

Task Start Finish Resources/who

Notes In Hand Complete

Set up stalls +first aid tent +securitytents/bagsearch/entrytents

8:30am 9:30am Stallscoordinator- Max

X stallscoordinatorbriefed

Stall holdersarrive on siteand set up

9:30am 11:30am Stallscoordinator- Max

All vehicles offsite by 11 andno furthervehiclemovements

X stallscoordinatorbriefed

Security +health andsafety briefing,stewards takepositions

11:15am 11:45am Eventmanager -Shabnam

Volunteerscheck all stallshavebiodegradablefood containers

Post event cleanup + removerubbish

9:00pm 11:00pm All ACAAvolunteers

Stall take downand pack up

9:00pm 10:00pm All ACAAvolunteers

Schedule XXXXXX event – post event

Date Task Start Finish Resources/who

Notes In Hand Complete

NextDay

Pack upstage

9am 11am Stage hirecompanysupervisedby Max

NextDay

Removetoilets

9am 11am Toilet hirecompanysupervised

5

by Max

Timetable

Use the table below as a template for your event’s timetable.

If your event will have activities taking place at different times and locations across theevent site, you will need to programme your activities.

For example you may have a stage, arena area and walkabout entertainment. You couldprogramme an arena act to start shortly after a stage act has finished to provideentertainment elsewhere while the changeover for the next stage act takes place.

For smaller outdoor events breaking your timetable into periods of between 5 and 15minutes usually works well. If your event includes on stage entertainment, you may needa separate stage run sheet broken down into periods of one minute.

Stage and arena programme for XXXXX event

Time Stageprogramme

Stalls FestivalRides

12:00 Opening Opening Opening

12:30

1:00 First band

1:30

2:00 Secondband

2:30

3:00 Danceperformance

3:30 2nd Dancegroup

4:00

4:30

5:00 Kabul Boys

5:30

6:00 Afghansinger

6

6:30

7:00 DifferentAfghanSinger

7:30 Speeches

8:00 Final band

8:30

9:00 Closing Closing Closing

Inflatable play equipment

You will need approval for any bouncy castles, rides or fun fairs at your event.

Before approval is granted for inflatable play equipment, you will need to make sure:

The operator can provide a copy of the current PIPA test certificate for the equipment.

The operator carries out the daily checks on the equipment as required by EIS7

You know when the equipment was last fully inspected

You get full instructions on its SAFE operation

The equipment is clearly marked with limitations of use (maximum user height etc.)

Are you a member of a relevant association (AIMODS, NAIH or BIHA)?

More guidance is available on the PIPA Inflatable Play Inspection Scheme website.

Please include here any inflatable play equipment you intend to have at your event.

N/A

Temporary structures

For a small event, temporary structures may be market stalls and a marquee. Largerevents and festivals may include stages, grandstands, lighting towers, gantries, siteoffices etc.

More information can be found in Temporary Demountable Structures – Guidance onProcurement, Design and Use.

Please provide a detailed list of all temporary structures you plan to bring onto yourevent site. Include the procedures you will follow to ensure all structures are supplied bya competent contractor.

Stage

7

Vendor Stalls

First Aid tent/ lost child tent

Portable toilets

Security/bag search tents

Event communications – surrounding residents

Please document how you will let surrounding residents and businesses know about yourevent plans here.

6 weeks prior to the event we will send out flyers to all residents living nearby providingdetails of the event and contact details if they have any questions, thoughts orcomments. One month prior to the event we will send a 2nd flyer to all residents and twoweeks before the event we will send a third flyer. The weekend before the eventvolunteers will visit all residents living closest to the park in person making sure they areaware of what is happening and providing them with contact details if they have anyproblems on the day itself. In the last flyer we will provide contact numbers for residentsto call with noise complaints or for any other problems i.e. attendees illegally parking infront of houses.

Event day communications – internal

You must have a clear communications plan in place and ensure everyone is familiar withthe plan. You also need to make sure that you have the communications equipment youneed on the day. This could include radios, mobile phones, staff to run errands andmessages and a public address system.

Ensure you list phone contact details and radio channel details if radios are being usedin the Key event management contacts section.

Ensure that everyone working on your event is aware of your Organisational structureand knows who to contact if they need to report an incident or pass on information.

Ensure your communications plan ties up with your emergency response plan.

Please document your plans for your event day communication for event staff andemergency services, both on site and off site, here.

Radios will be provided to all event organisers, security supervisors and first aidpersonnel. This equipment will be rented so full details of radio channels and frequencieswill be provided to the council closer to the event when they are confirmed. All eventorganisers, stall holders and security personnel will also be provided with the key eventmanagement contacts lists which will include all phone numbers.

8

Event day communications – audience

This could include flyers, site plans, signage, public address system, stage schedules,MCs and information points.

Please document your plans for communication with your audience on the day here.

Flyers and public signs will cover all basic information such as toilet locations, park rulesetc but the stage sound system will serve as a public address system and the primarymeans of communication with the general public. An event organiser or member of theevent management team will also be stationed at the first aid tent and by the stage toprovide assistance to the public.

Provision of food

Document details of any catering and or food you plan to provide at your event here. Youshould also list details of any catering concessions in the Key event contacts – othersection.

Catering and food will be provided but all caterers will be required to provide their ownlevel 2 food safety certificates and outdoor catering certificates which will be submitted tothe council closer to the date of the event.

Site considerations

Site plan

Please see attached document called Lampton Park Plan

You must submit a site plan for your event; the more accurate and detailed the plan, thebetter.

Your site plan should include:

Placement of all temporary structures All other site infrastructure

Position of attractions Car parks and position of site in context tothe road

Any fencing or barriers Generator or power sources

Power supply runs (cables) Entry and exit points

Emergency exits and assembly points First aid points

Information point Lost children point

9

Vehicle entry points Any event décor, i.e. flags, banners etc

You may want two versions of the site plan, one for event participants on the day andanother for your management team. An accurate site plan will help you direct people tothe correct part of the site when they arrive to set up. A site plan will also help you planhow people will enter the site and move around it.

Spectators and viewing areas

Please include information about capacities of your site, if known, and the types of areasthe public will have access to.The public will have access to the entire park through two main entrances although thestage and generators will be taped off as will emergency exits to keep them clear. Wehope to host 5,000 people at the event over the course of the day and the park shouldbe able to hold upwards of 15,000 safely.

ToiletsYou must provide adequate toilets facilities for your event attendees, staff andcontractors. You will also need disabled facilities plus separate sanitary facilities forcaterers.

The HSE guidelines for toilets numbers are provided below.

For events with a gate opening time of 6hours or more

For events with a gate opening time of lessthan 6 hours duration

Female Male Female Male

1 toilet per 100females

1 toilet per 500males

1 toilet per 120females

1 toilet per 600males

We plan to have 10 female toilets and 10 males toilets for an anticipated 5000 attendeeswith a roughly 50/50 male female split.

Traffic, transport and parking

Smaller community events will have limited impact on traffic and parking, however youshould still consider this when planning your event. Larger events can have a big impacton local traffic and transport and will require extensive risk assessments and detailedplans dealing specifically with traffic and transport.

How will your target audience travel to your event?

Consider the various transport links around the event site and how these can bepromoted to your audience as a way to get to your event.

10

Are you proposing any road closures? You will need to give at least three months’notice, and the more notice, the better.

Outline any traffic, transport or parking plans for your event here.

There will be no advertised or organised parking or transport and stewards will ensure nocars are parked in the park. Attendees will travel to the park via public transport and allposters and event advertisements will mention the parks proximity to Hounslow Centralstation. We will also advertise several bus routes on the events webpage.

Environmental considerations

Waste management

It is essential that your event has a waste management plan in place and that it iscarried out.

How will you keep the site clear of waste? Will this be done by stewards or volunteers?

How you will manage waste during and after your event, including details of bins,skips, recycling and litter picking?

Document your waste management plans for your event here.

Waste management and collection will be organised by 20 volunteers from the ACAA whowill work shifts throughout the day to clear rubbish into large bins that will be placedaround the park. A waste collection company will be scheduled to collect the bins at10:30pm, an hour and a half after the end of the event giving the volunteers time toclear all rubbish into the bins. A second rubbish sweep of the park will be completed afterall stalls have been taken down and a final sweep will be conducted the next morningafter the stage, attractions and all toilets are removed. These sweeps will be conductedby volunteers from the ACAA with large black bin bags which we will transport to thelocal tip.

Recycling

It is essential that your event has a recycling plan in place and that it is carried out. Forsmall community events, this could be as simple as labelling some bins to encouragepeople to separate their waste into plastic bottles, paper, etc and then taking these tothe appropriate recycling centres.

Larger events will need to show that they have a recycling strategy or are employing aprofessional recycling organisational to manage recycling on the day.

Make sure your concessions and food suppliers have appropriate policies andprocedures in place for providing biodegradable containers and systems for thedisposing of dirty water, cooking oil etc

Think through how you will encourage people to separate their waste. Contaminatedrecyclables may have to be sent to landfill.

11

How will you keep the site clear of waste? Will this be done by stewards or volunteers?

Document your recycling plans for your event here.

Recycling bins will be located next to all general waste bins with posters stating what canand cannot be recycled. Volunteers collecting rubbish will also have recycling bags toseparate recycling from general waste. Recycled waste will be collected that evening by awaste management company.

A waste water and cooking oil collection bin will be provided for all food stalls that allcaterers will be required to use. We will require all disposable containers provided forfood to be biodegradable and volunteers will check this at 11:30am on the day.

Noise

If your event has the potential to cause noise nuisance to nearby residents, your planswill have to be approved by the noise pollution team. The things most likely to causenoise nuisance include live music stages, fun fairs and public address systems.

Think about noise nuisance when you choose your event location.

Larger events that have a music stage will always have to employ a professional soundengineer and must agree sound levels with our noise pollution team.

Provide nearby residents with an event day contact in case they need to make a noisecomplaint.

Please list the elements of your event that could cause noise nuisance and document theplans you have in place to minimise it.

A Professional sound engineer will be hired to set up and run the sound system and thenoise pollution team will review and approve all plans. The festival will feature a stagewith sound system where bands, singers and dancers will perform as well as severalfestival rides. All of which will generate noise and will have to be approved by the noisepollution team, any restrictions or recommendations they make will be followed. Therides will be located in the centre of the park, roughly 140m away from the nearestresidential area. A raised underground line with earth embankment is located betweenthe stage and nearest houses reducing the effect of noise pollution but the sound systemwill be switched off at 9pm sharp as will the fair ground rides. All residents in the vicinitywill be informed of the festival 6 weeks prior and will be provided with contact details fornoise complaints two weeks prior.

Weather

Severe weather and event cancellation

Consider any weather conditions which may lead your event being cancelled and howyou will manage this.

How will you let people know if the event has to be cancelled?

12

Do you need insurance coverage for cancellation reasons such as thunderstorms, waterlogged ground etc?

Is there any flood risk, e.g. field liable to flood and create difficulty for traffic leaving?How will you handle this, e.g. provision of 4x4 vehicle assistance, agreement with landowner concerning damage to the ground, possible mud on roads etc?

How will your event management team decide if weather conditions are too risky foryour event to go ahead?

Please document your severe weather and event cancellation policy and procedures here.

While we do not anticipate the event being cancelled due to adverse weather conditionswe will monitor wind speeds and should they surpass the limits for the covered stage andtents we will cancel the event. The event should be safe to proceed under any and allother weather conditions however if there is excessive rain then vehicle access for settingup will be suspended.

Should wind speeds exceed stall limits or the stage limits (as set by the rental companyproviding the equipment) then the event manager will make the decision to cancel theevent while the health and safety officer notifies all vendors. If the event is cancelled, wewill notify attendees through a webpage on the ACAA website (set up for the event andadvertised in all marketing and outreach) and via social media. We will also stationvolunteers at all park entrances to inform attendees that the event is cancelled.