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CPG ATOL New Apps Form Application for an Air Travel Organiser’s Licence Page 1 of 14 Consumer Protection Group Air Travel Organisers’ Licensing ___________________________________________________________________________ Application for a Small Business Air Travel Organiser’s Licence (ATOL) Please ensure the correct payment 1 is made when submitting the completed application form There is advice on how to complete the form on our website (www.atol.org.uk). If you have any problems please contact a member of our New Applicants team on 020 7453 6700 or [email protected]. 1 Applicant’s Business Details ___________________________________________________________________________ This Section asks for the trading details of the business applying for the licence and the address we should send all correspondence to. 1.1 Applicant’s Business Name 1.2 Trading Names to be included on the licence 1.3 Company Registration No. 1.4 Country of Incorporation 1.5 Date business began trading 1.6 Business Address 1.7 County 1.8 Postcode 1.9 Main Public Phone 1.10 Main Public Fax 1.11 Main Public e-mail address 1.12 Website(s) to be covered by ATOL 1 [Small Business ATOL application for a new licence - refer to the CAA Scheme of Charges (Air Travel Organiser’s Licensing)] New Applications ATOL K3, CAA House 45-59 Kingsway London WC2B 6TE

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CPG ATOL New Apps Form Application for an Air Travel Organiser’s Licence

Page 1 of 14

Consumer Protection Group Air Travel Organisers’ Licensing

___________________________________________________________________________

Application for a Small Business Air Travel Organiser’s Licence (ATOL)

Please ensure the correct payment1 is made when submitting the completed application form There is advice on

how to complete the form on our website (www.atol.org.uk). If you have any problems please contact a member of our New Applicants team on 020 7453 6700 or [email protected].

1 Applicant’s Business Details ___________________________________________________________________________ This Section asks for the trading details of the business applying for the licence and the address we should send all correspondence to. 1.1 Applicant’s Business Name 1.2 Trading Names to be included on the licence

1.3 Company Registration No.

1.4 Country of Incorporation 1.5 Date business began trading 1.6 Business Address 1.7 County 1.8 Postcode 1.9 Main Public Phone 1.10 Main Public Fax 1.11 Main Public e-mail address 1.12 Website(s) to be covered by ATOL

1 [Small Business ATOL – application for a new licence - refer to the CAA Scheme of Charges (Air Travel Organiser’s

Licensing)]

New Applications ATOL K3, CAA House 45-59 Kingsway London WC2B 6TE

CPG ATOL New Apps Form Application for an Air Travel Organiser’s Licence

Page 2 of 14

2 Limited Company ___________________________________________________________________________ If you are a limited company you should complete this Section and confirm the details of the shareholding in your company. If your business is a Sole Trader or Partnership do not complete Section 2 , go to Section 3 or 4 respectively and continue. ______________________________________________________________________________________________ 2.1 Ordinary Share Capital of Applicant You only need to fill in the Company Number and Country of Incorporation boxes if the shareholder is a limited company.

Shareholder’s Name

Director (Y\N)

No. Of Shares

Company No. Country of Incorporation

Total

_________________________________________________________________________________________________________ 2.2 Companies which are part of a Group

If you are part of a Group please provide a copy of your company’s family tree. Please also fill in details of the Group’s Ultimate Holding Company. ______________________________________________________________________________________________

2.3 Ultimate Holding Company (UHC)

UHC

Company No

Country of Incorporation Address Postcode

Shareholder’s Name

Director (Y\N)

No. Of Shares

Company No. Country of Incorporation

Total

CPG ATOL New Apps Form Application for an Air Travel Organiser’s Licence

Page 3 of 14

2.4 Directors and Company Secretary If a director is also the person we should contact regarding the administration of the licence, please tick the Principal Contact box. If they are also the contact for financial matters, customer queries or marketing, please tick the relevant box. Name

Date of Birth Business Telephone Fax

Position Director Company Secretary Contact Role Principal Contact Financial Contact Principal Contact Full Home Address: House No./Street County Postcode Present at the address for the past 3 years? Yes No (if no please confirm previous address below)

House No./Street County Postcode

I, the above named individual, sign to give my consent to the data protection notification clause at Section 11.1 of this

application form.

Signature Copy of Passport identity page enclosed (tick):

______________________________________________________________________________________________

Name

Date of Birth

Business Telephone Fax

Position Director Company Secretary Contact Role Principal Contact Financial Contact Principal Contact Full Home Address: House No./Street County Postcode Present at the address for the past 3 years? Yes No (if no please confirm previous address below)

House No./Street County Postcode

I, the above named individual, sign to give my consent to the data protection notification clause at Section 11.1 of this

application form.

Signature Copy of Passport identity enclosed (tick):

CPG ATOL New Apps Form Application for an Air Travel Organiser’s Licence

Page 4 of 14

Name

Date of Birth Business Telephone Fax

Position Director Company Secretary Contact Role Principal Contact Financial Contact Principal Contact Full Home Address: House No./Street County Postcode Present at the address for the past 3 years? Yes No (if no please confirm previous address below)

House No./Street County Postcode

I, the above named individual, sign to give my consent to the data protection notification clause at Section 11.1 of this

application form.

Signature Copy of Passport identity enclosed (tick):

3 Sole Proprietor

___________________________________________________________________

Name

Date of Birth

Business Telephone Fax

Contact Role Principal Contact Financial Contact Principal Contact Full Home Address: House No./Street County Postcode Present at the address for the past 3 years? Yes No (if no please confirm previous address below)

House No./Street County Postcode

I, the above named individual, sign to give my consent to the data protection notification clause at Section 11.1 of this

application form.

Signature Copy of Passport identity enclosed (tick):

CPG ATOL New Apps Form Application for an Air Travel Organiser’s Licence

Page 5 of 14

4 Partners

__________________________________________________________________

Is this a limited liability partnership? Yes No

______________________________________________________________________________________________

Name Date of Birth

Business Telephone Fax

Contact Role Principal Contact Financial Contact Principal Contact Full Home Address: House No./Street County Postcode Present at the address for the past 3 years? Yes No (if no please confirm previous address below)

House No./Street County Postcode

I, the above named individual, sign to give my consent to the data protection notification clause at Section 11.1 of this

application form.

Signature Copy of Passport identity enclosed (tick):

______________________________________________________________________________________________

Name

Date of Birth Business Telephone Fax

Contact Role Principal Contact Financial Contact Principal Contact Full Home Address: House No./Street County Postcode Present at the address for the past 3 years? Yes No (if no please confirm previous address below)

House No./Street County Postcode

I, the above named individual, sign to give my consent to the data protection notification clause at Section 11.1 of this

application form.

Signature Copy of Passport identity enclosed (tick):

CPG ATOL New Apps Form Application for an Air Travel Organiser’s Licence

Page 6 of 14

5 Additional Key Personnel (ATOL consultant, other key management not listed above)

______________________________________________________________________________________________

Name

Date of Birth

Business Telephone Fax

Contact Role Principal Contact Financial Contact Principal Contact Full Home Address: House No./Street County Postcode Present at the address for the past 3 years? Yes No (if no please confirm previous address below)

House No./Street County Postcode

I, the above named individual, sign to give my consent to the data protection notification clause at Section 11.1 of this

application form.

Signature Copy of Passport identity enclosed (tick):

______________________________________________________________________________________________

Name

Date of Birth

Business Telephone Fax

Contact Role Principal Contact Financial Contact Principal Contact Full Home Address: House No./Street County Postcode Present at the address for the past 3 years? Yes No (if no please confirm previous address below)

House No./Street County Postcode

I, the above named individual, sign to give my consent to the data protection notification clause at Section 11.1 of this

application form.

Signature Copy of Passport identity enclosed (tick):

CPG ATOL New Apps Form Application for an Air Travel Organiser’s Licence

Page 7 of 14

6 Associated Business

___________________________________________________________________

An associate business is a firm that is linked to your business through common shareholders, directors, partners, significant levels of trading or with whom there are financial links. Financial links include inter-firm loans and cross guarantees.

If there are any firms you believe would fall into this category, please detail them below. If not, go straight to Section

7. Name of Associated Business

Trading Address

Postcode

Company Number

Country of Incorporation

Is the company dormant? Yes No

If no, - Nature of business ______________________________________________________________________________________________

Name of Associated Business

Trading Address

Postcode

Company Number

Country of Incorporation

Is the company dormant? Yes No

If no, - Nature of business

______________________________________________________________________________________________

Name of Associated Business

Trading Address

Postcode

Company Number

Country of Incorporation

Is the company dormant? Yes No

If no, - Nature of business

CPG ATOL New Apps Form Application for an Air Travel Organiser’s Licence

Page 8 of 14

7 Business Profile ___________________________________________________________________

7.1 Licence Business Description

Please describe the type of products you intend to offer and sell should your ATOL application be granted. Please refer to intended destinations and make clear whether the products will be Flight-Only, packages, Flight-Plus, or a combination of these. You may include the description on a separate sheet if the following space is not sufficient.

_____________________________________________________________________________________________

7.2 How do you intend to sell your business?

Direct to customer % Through travel agents %

______________________________________________________________________________________________

7.3 Credit Card Facilities

Do you have credit card facilities Yes No

If yes, name your credit card provider (merchant acquirer)

Do you provide security for Yes No these facilities?

What type of security do you provide (e.g. cash held, deferred settlement)

______________________________________________________________________________________________

CPG ATOL New Apps Form Application for an Air Travel Organiser’s Licence

Page 9 of 14

7.4 Trade Association Membership

Y\N Membership No. Y\N Membership No.

ABTA IATA

TTA AITO

Approved Body

______________________________________________________________________________________________

7.5 Insurance Please indicate if you have the following insurance: Professional Indemnity Insurance Yes No Applied

Public Liability Insurance Yes No Applied

Scheduled Airline Failure Insurance Yes No Applied

Supplier Failure Insurance Yes No Applied

______________________________________________________________________________________________

7.6 Agent of ATOL holders

If you are currently acting as the appointed agent of an ATOL holder or holders, please list them either below or on a separate sheet. Please also enclose a copy or copies of your current agency agreements with them.

______________________________________________________________________________________________

7.7 Agent of airlines

If you are currently acting as the appointed agent of an airline or airlines, please list them below or on a separate sheet. Please also enclose a copy or copies of your current agreement/s with them.

______________________________________________________________________________________________

7.8 Agent of ground accommodation suppliers

If you are currently acting as the appointed agent of a ground accommodation supplier or suppliers, please list them below or on a separate sheet. Please also enclose a copy or copies of your current agreement/s with them

CPG ATOL New Apps Form Application for an Air Travel Organiser’s Licence

Page 10 of 14

8 Licence Projections __________________________________________________________________

This Section requires you to confirm the business you intend to conduct under your ATOL and how much business you expect to do in the first year of the licence.

You are required to project the amount of business you expect to do in the first 12 months of trading. The first year, or 12 month period, is divided into 4 calendar quarters. Please complete the relevant tables below starting with the quarter in which you will start business to be covered by the ATOL.

Please state when you intend to start trading ATOL business:

______________________________________________________________________________________________

8.1 Public Sales

This category of business allows you to sell packages including flights, charter and scheduled seat onlys and flight plus to the end user either direct or through an agent acting on your behalf.

Please indicate where you intend to purchase your flights from:

Charter Airlines Scheduled Airlines ATOL Holders IATA Agents

Total Passengers

______________________________________________________________________________________________

8.2 Projected Passenger Numbers

Number of passengers you expect to carry under your licence:

Year one Year two Year three

______________________________________________________________________________________________

Packages Jan-March 20__ April-June 20__ July-Sept 20__ Oct-Dec 20__ Total

Revenue £ (by dept date)

Passengers (by dept date)

Average Price

Flight Onlys Jan-March 20__ April-June 20__ July-Sept 20__ Oct-Dec 20__ Total

Revenue £ (by dept date)

Passengers (by dept date)

Average Price

Flight-Plus arrangements Jan-March 20__ April-June 20__ July-Sept 20__ Oct-Dec 20__ Total

Revenue £ (by dept date)

Passengers (by dept date)

Average Price

CPG ATOL New Apps Form Application for an Air Travel Organiser’s Licence

Page 11 of 14

9 Analysis of Total Turnover ___________________________________________________________________

Financial Year End

You should fill in both columns of the table. The Audited column should be based on your last set of financial accounts. The Projected column should be based on your projections to the next financial year end.

Licensable Turnover

Flight packages to consumers

Scheduled Flight-Onlys to consumers

Charter Flight-Onlys to consumers

Flight-Plus to consumers

Subtotal £ £

Non Licensable Tour Operations

Non-air packages – as principal

Accommodation only - as principal

Other sales as principal – please specify

Subtotal £ £

Gross Turnover as a Travel Agent

Flight-Only sales as agent of other ATOL holders

Sales of other ATOL holders’ packages

Other sales as an agent – where no flight is involved

Subtotal £ £

Other Turnover

Flight sales made as an airline ticket agent

Other – please specify

Subtotal £ £

Total Gross Turnover £ £

Analysis of Total Turnover Audited

Date ____/____/____

Projected

Date ____/____/____

CPG ATOL New Apps Form Application for an Air Travel Organiser’s Licence

Page 12 of 14

10 Declaration ___________________________________________________________________

Warning: By virtue of Regulations 41 and 69(2) of The Civil Aviation (Air Travel Organisers' Licensing) Regulations 2012, as amended, (the “Regulations”), it is a Criminal Offence for a person to knowingly or recklessly furnish false information on this application form or any of the sheets which accompany it.

10.1 Has the applicant or anyone in a position of control in the applicant applied for an ATOL or been involved with

an ATOL holder in the past?

Yes No

10.2 Has any director, partner or proprietor been involved in a firm, which has failed within the last 5 years?

Yes No

10.3 Has the company, any director, partner, or proprietor been convicted of a breach of the ATOL Regulations at any time, including spent convictions, by any authority? Please note that such convictions may be taken into account by the CAA when making licensing decisions.

Yes No

10.4 Has anyone in a position of control in the applicant been disqualified as a director?

Yes No

If you answered yes to any of the above questions please provide some background details. You should also send a copy of a liquidator’s report, if relevant.

This form must be signed by:

Sole Proprietor if a Sole Proprietor

A Partner if a Partnership

An appointed director or the Company Secretary if a Limited Company

A duly authorised person if any other organisation

Declaration: I confirm that to the best of my knowledge and belief the information in this form, and on any separate sheets accompanying this form, is true and complete.

Name

Position Date

Signature

CPG ATOL New Apps Form Application for an Air Travel Organiser’s Licence

Page 13 of 14

11 Consent ___________________________________________________________________

11.1 Each individual mentioned in this application form has signed as evidence of consent to the processing of their personal data in accordance with the following data protection notification clause:

We, the CAA, will do a search to verify your identity. This involves checking the details you supply against those held on any databases to which the credit reference agency for the time being instructed by the CAA has access. This includes information from the Electoral Register and fraud prevention agencies. We may seek verification from other organisations who request the information for reasons of fraud prevention or investigation of crime to protect ourselves and consumers from theft and fraud. If you give us false or inaccurate information and we suspect fraud, we will record this and may share this information with other organisations.

11.2 Under the terms of my licence I am required to provide information to the CAA. I understand that:

the CAA may store this information in both electronic and paper form by reference to my licence holder name and licence number;

the CAA may use this information in its own databases to carry out analysis for its own purposes;

the CAA may share its analysis deriving from information provided by me with the ATT and the ATT’s insurers;

if during the period of my licence I provide information to the CAA that is deemed material under the terms of the ATT’s insurance contract, the CAA may provide this information to the ATT who may in turn provide this information to the ATT’s insurers in accordance with its obligations to do so;

the ATT Trustees may share any of my information provided by the CAA with their legal, financial and accounting advisors.

And, in the event of my Failure,

the ATT may share information I provide with persons whom the ATT uses to administer ATT funds on its behalf;

the CAA may share information I have provided with the ATT who may in turn share it with the ATT’s insurers in accordance with the ATT obligations to do so.

Having read paragraphs 11.1 and 11.2 above I consent to the information I provide being used in this way.

Name

Position Date

Signature

CPG ATOL New Apps Form Application for an Air Travel Organiser’s Licence

Page 14 of 14

12 New ATOL Application Checklist ___________________________________________________________________

**Please make a copy of your completed application form as your bond provider may require it**

General _______________________________________________________________________________________

Completed licence application form

Non refundable licence application fee

(print name of the applicant and “NEW APP” on the back of the cheque)2

Company Certificate of Incorporation (limited companies/LLPs only)

Memorandum and Articles of Association (limited companies only)

Members /Partnership Agreement (LLPs only)

CVs for all personnel listed in the application form

A clear copy of the photograph and signatory page(s) of the current passport held by all personnel listed in the application form certified by an Accountant, Solicitor, Barrister or Police Officer Business Family Tree (applicable for companies which are part of a group)

Confirmation of directors’, company secretary’s, sole proprietor’s or partners’ addresses (provide a recently issued, original utility bill or bank statement)

Copies of any current agency agreements with ATOL holders

Copies of any current agency agreements with airlines

Copies of any current agency agreements with ground accommodation suppliers

2 [Small Business ATOL – application for a new licence - refer to the CAA Scheme of Charges (Air Travel

Organiser’s Licensing)]