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Name and Address of ApplicantPostcodeDesignation of ApplicantTelephone Number If applicant is not an individual natural person, please complete the following section: Name and address of employee or agent responsible for the premisesPostcodeDesignation of employee / agentTelephone Number Authorisation sought to permit the demonstration of hypnotism by: Name (if any) and address of premises for which authorisation is sought licence is requiredPostcode Maximum number of persons proposed to be admitted to the premises at any one time Specify days and times when it is proposed the premises will be open for the purposes of the above kind of entertainment Members of the federation of ethical stage hypnotists are required to swear a statutory declaration that they will obey the code of ethical conduct which has been approved by the home office and the British Society of Medical and Dental Hypnotists. They are also obliged to carry insurance cover of a quarter of a million pounds. Signature of applicantDate Data Protection Act 1998 The information provided by you and by relevant third parties will be used in processing your application for authorisation. In terms of the Data Protection Act 1998, you are entitled to know what personal information Perth & Kinross Council hold about you, on payment of a fee of 10. Application should be made 鶹Ƶ, Licensing Section, Town Hall & Civic Offices, Westoe Road, South Shields, Tyne and Wear, NE33 2RL. Completed application forms should be returned to: 鶹Ƶ Licensing Section Town Hall & Civic Offices Westoe Road South Shields Tyne and Wear NE33 2RL Guidance notes for applicants Control of demonstrations of hypnotism at other placesNo person shall give an exhibition, demonstration or performance of hypnotism on any living person at or in connection with an entertainment to which the public are admitted, whether on payment or otherwise, at any place in relation to which such a licence as is mentioned in section one of this Act is not in force unless the controlling authority have authorised the exhibition, demonstration or performance.If a person gives any exhibition, demonstration, or performance of hypnotism in contravention of this section or in contravention of any conditions attached to an authorisation under this section, he shall be liable on summary conviction to a fine.Prohibition of hypnotising persons under twenty-oneA person who gives an exhibition, demonstration, or performance of hypnotism on a person who has not attained the age of twenty-one years at or in connection with an entertainment to which the public are admitted, whether on payment or otherwise, shall, unless he had reasonable cause to believe that the persons had attained that age, be liable on summary conviction to fine .Entry of premisesAny police constable may enter any premises where any entertainment is held if he has reasonable cause to believe that any act is being or may be done in contravention of this Act.HypnotismHypnotism is defined in the Act as including hypnotism, mesmerism and any similar act or process which produces, or is intended to produce in any person any form of induced sleep or trance in which the susceptibility of the mind of that person to suggestion or direction is increased or intended to be increased but does not include hypnotism, mesmerism or any such similar act or process which is self-induced.         < > ? 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