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Application form: variation to medicinal cannabis licence (type 2) - changes to licence period, security measures and other.

Use this form to apply for a type 2 variation to a medicinal cannabis licence under the Narcotic Drugs Act 1967. You can apply to vary or add the period for which the licence is in force or vary, add or remove any one or more measures of the authorised system of security for a licensed premises. Also, you can apply for changes not covered by other variation types (1, 3 or 4), or specified above – these are considered ‘other’ variations.

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Tips for completing form

When completing this application form keep in mind: 

  • you can choose to fill out the application form in Word or PDF (see under 'downloads' heading below)
  • a relevant signature is required on the application form
  • once completed, please email this application form along with all relevant supporting documentation to the ODC at

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