Details of Applicant:

Email Address: (Email address required to confirm this submission):

I am a:
New beekeeper
Existing (registered) beekeeper.
(beekeeper code number)

(beekeeper name)

(company name)

Address:

(telephone number)
(fax number)

Details of apiary:

(name of owner or occupier of property where apiary is situated)

Location of Apiary:

(property name if applicable)

Address of property (street/road and number):

Location of hives on property:

(260 series map sheet number)

(grid reference)

(number of hives currently in apiary)

Apiary is:

Permanent
Seasonal

(from whom were the hives obtained?)

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