Form 5 Regulation 10(2) ELECTRONICL SIGNATURES REGULATIONS 2012 APPLICATION FOR CONSENT TO TRANSFER LICENCE The Controller Name ……………………………………………….of ……………………… (address) holder of licence No………………….dated………………………………….. apply for consent to transfer the licence to …………………………………………of …………………………..(address of proposed transferee) Dated this ………………..day of…………………20………….. ………………………….. Applicant