Application for a Licence to Keep a Dangerous Wild Animal Standard contact details (mandatory fields) Log in for a better experience If you want to return to this form later you can log in to or register for a BRUM account. By logging in to your BRUM Account you'll be able to keep track of your online requests, view the status of all your requests in one single place, and save time by not having to re-enter your contact details. Title Miss Mr Mrs Ms Mx Other / not stated First name Required Last name Required Email address Required Confirm email address Required Main telephone Required Other telephone Address Required Postcode Lookup Address not found Enter your address: Required