Well Street Market Application Form
Please read the Well Street Market brief fully before continuing with this
application form. All supporting evidence that you provide, as mentioned in the
brief, should be included alongside this application form when you submit it.
Successful candidates will be required to provide the following documents in
order to trade so please ensure that you are able to satisfy these requirements
before submitting an application. Please note that you are not required to send
these documents with this application form, only those who are selected for the
site will be requested to provide them.
1) Photocopy of one of the documents below as proof of identity:
• Copy of your passport;
• Current full UK/EU photo card driving licence
2) Photocopy of one of the documents below as proof of home address:
• A recent utility bill dated within the last three months (e.g. gas, phone, water,
electricity, council tax. Mobile phone bills are not accepted);
• Bank statement (dated within the last three months);
• Credit card statement (dated within the last three months).
3) Photocopy of one of the documents below as proof of National Insurance
number:
• Copy of your National Insurance card;
• Inland Revenue document;
• Tax statement;
• Benefits Agency document;
• Pay slip;
• P45 or P60;
4) Copy of your public liability insurance certificate - must have a minimum
indemnity of £5 million. Public liability insurance should specifically cover trading
activities on the public highway. Please see www.hackney.gov.uk/markets for
more details on public liability insurance.
5) If you are subject to immigration control - i.e. non British, non EEA citizen,
non-Commonwealth citizen with the right of abode, or a Commonwealth working
holidaymaker, you will be required to produce your papers from the Immigration
and Nationality directorate;
6) Limited or public companies only - additional documents: A copy of the
business certificate of incorporation.
7) Food trader’s only - additional documents: Proof that you (and any staff you
employ) hold a valid level two food safety and hygiene certificate.
8) Food trader’s only - cooking with Gas/LPG: If you use gas on your stall please
provide a valid copy of your gas safety certificate.
9) Food trader’s only - electricity use: Please note that we will not be able to
provide power for cooking apparatus. If you require power then you will need to
provide this yourself.
We are required under Section 6 of the Audit Commission Act 1998 to participate
in a National Fraud initiative (NFI) data matching exercise.
Please complete this form and return it to us no later than 02 October 2016 by;
E-mail:
[email protected]
Post or hand: FAO: Parris Langridge
Markets and Street Trading
Unit 2B(ii), Kingsland Shopping Centre
Kingsland High Street
London
E8 2LX
Applications received after 02 October 2016 may not be considered.
Please fill out all of the sections in the following tables:
Personal details
First name:
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Surname:
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Date of birth:
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Home address:
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National Insurance no:
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Telephone number:
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Email:
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Assistants
List the names of any trading assistants that will be working on your pitch. Please note
that you may employ no more than four assistants (this number is exclusive of
yourself). If you do not know the details of assistants at this time, you may provide
them at a later date. Please note that you will need to provide evidence of each
assistant’s national insurance number and right to work in the UK if applicable.
Name
National Insurance number
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What type of stall setup will you be using if you choose not to use the provided
gazebo? (Please give exact dimensions, as well as a brief description of all
apparatus used during trade. A photographic representation of the stall setup would
be beneficial).
Setup must be able to fit within 3m x 3m space.
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What is your commodity/concept and what makes it unique?
Please provide as much detail as possible and include any supportive documents such
as reviews or press releases if you wish.
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Personal statement
We’d like to know what you can contribute to Well Street Market and why you think that
you are a suitable person to trade there. Please write your statement in the box below
continuing on a separate document if necessary.
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Risk assessment part one - Assessment. A stall is a workplace covered by health and safety
legislation. As the stallholder it is your responsibility to ensure that a suitable and sufficient risk
assessment is completed. Failure to do so could lead to delays or ultimately the closure of your stand.
This template is for a simple stall which does not require any structural approval from the organiser.
Does your stall include any of the following? If your answer is yes to any item you must complete the
risk assessment part two or send in a copy of your own comprehensive risk assessment with your
application.
Click on a check box in the table below to select an answer
Responsibilities
Yes
No
Lifting heavy products during the build-up/breakdown
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Working at height (using ladders)
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Display of anything containing liquid fuel or flammable substances
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Display of sharp objects
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Demonstrations of any kind – i.e. therapies, massaging
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Food service of any kind other than sweets, snacks or soft drinks
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Working machinery of any kind even if static
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Using power tools during the build-up/breakdown
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Have all portable appliances being used/displayed had a visual inspection
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and all electrical appliances PAT tested (if required)
Any potential fire hazards
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Any fire hazards associated with cooking/preparing hot food
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Any other hazard not identified above which could be a risk
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Please note that is not an exhaustive list. You are responsible for identifying any aspect of your stall
that could present a hazard.
Risk assessment part two – Risk controls (continue on next page if necessary)
Risk
Who could be harmed?
Control measures in place
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Risk
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Who could be harmed?
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Control measures in place
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Data protection
No personal information you have supplied will be used for commercial purposes.
Hackney Council may use the information provided on this form in line with the Data
Protection Act 1998. Information may be passed to other Council departments, the
DVLA or any other bodies to help prevent and detect fraud.
Declaration
The information I have provided for this licence is true to the best of my knowledge
and belief and I make it in the knowledge that if any data provided is found to be
false this will result in the immediate revocation of this licence. I understand and
accept that I may be prosecuted, if I have given any information in my application
that I know to be untrue or false.
Your name: Click here to enter text.
Date: Click here to enter a date.