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Application to administer massage or special treatment
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Application to administer massage or special treatment


I/We, the undersigned, hereby give notice that I/We wish to permit the person named hereunder to administer massage or special treatment at the following establishment:
 
Address of establishment
The "Find Address" facility is only available for addresses within the Southend-on-Sea Borough. For addresses outside the Borough please complete the following fields manually.
 
I/We will submit the following particulars in regard to his/her training, qualifications and experience, together with two certified photographs of him/her (passport type).
(Details of how to send the photographs to us will appear at the end of this application form)
 
I/We agree to the above statement *
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