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Application Forms and Notices

Premises Licence Application Forms

Application Forms – New Application

GA001 Application for a premises licence under the Gambling Act 2005

 GA001  Premises Licence (160KB - 29 June 2007)

 GA001  Premises Licence (64KB - 29 June 2007 - PDF Help)

GA002 Application for a premises licence under the Gambling Act 2005 (Vessel)

 GA002  Premises Licence (Vessel) (162KB - 29 June 2007)

 GA002  Premises Licence (Vessel) (68KB - 29 June 2007 - PDF Help)

Application Forms - Provisional Statement

GA003 Application for a provisional statement under the Gambling Act 2005

 GA003  Provisional Statement (155KB - 29 June 2007)

 GA003  Provisional Statement (67KB - 29 June 2007 - PDF Help)

GA004 Application for a provisional statement under the Gambling Act 2005 (Vessel)

 GA004  Provisional Statement (Vessel) (156KB - 29 June 2007)

 GA004  Provisional Statement (Vessel) (64KB - 29 June 2007 - PDF Help)

Responsible Authority Notice Forms

(To be sent by applicant to notify a Responsible Authority of an application being made to the Licensing Authority)

GA007 Notice of application for a provisional statement (Form A)

 GA007 Notice - Provisional Statement (Form A) (51KB - 29 June 2007)

 GA007 Notice - Provisional Statement (Form A) (22KB - 29 June 2007 - PDF Help)

GA008 Notice of application for a provisional statement (Form B)

 GA008 Notice - Provisonal Statement (Form B) (65KB - 29 June 2007)

 GA008 Notice - Provisonal Statement (Form B) (28KB - 29 June 2007 - PDF Help)

GA009 Notice of application for a premises licence (Form A)

 GA009 Notice - Premises Licence (Form A) (52KB - 29 June 2007)

 GA009 Notice - Premises Licence (Form A) (22KB - 29 June 2007 - PDF Help)

GA010 Notice of application for a premises licence (Form B)

 GA010 Notice - Premises Licence (Form B) (67KB - 29 June 2007)

 GA010 Notice - Premises Licence (Form B) (27KB - 29 June 2007 - PDF Help)

Public Notice of Application

(For display by applicant)

GA015 Notice of application for a premises licence under the Gambling Act 2005

 GA015 Notice - Premises Licence (41KB - 29 June 2007)

 GA015 Notice - Premises Licence (21KB - 29 June 2007 - PDF Help)

GA016 Application for a provisional statement: Form of Notice to be published

 GA016 Notice - Provisional Statement (43KB - 29 June 2007)

 GA016 Notice - Provisonal Statement (22KB - 29 June 2007 - PDF Help)

Permit Application Forms

GA011 Application for the conversion or new Grant/Change of name of a Prize Gaming Permit

(for use by those occupying/proposing to occupy premises where facilities for gaming with prizes will be made available)

 GA011 Prize Gaming (124KB - 29 June 2007)

 GA011 Prize Gaming (67KB - 29 June 2007 - PDF Help)

GA0012 Application for the conversion or new grant/change of name of an unlicensed family entertainment centre gaming machine permit

(for use by occupiers proposed occupiers of premises intended to be used by the applicant as unlicensed family entertainment centres)

 GA012 Family Entertainment Centre (102KB - 29 June 2007)

 GA012 Family Entertainment Centre (54KB - 29 June 2007 - PDF Help)

GA013 Notification of 2 or less gaming machines or gaming machine permit applications (i.e. for greater than 2 machines) for: Conversion/New/Variation/Transfer

(for use by premises licensed to supply alcohol for consumption on the premises)

 GA013 Alcohol Premises Gaming Machines (127KB - 12 June 2009)

 GA013 Alcohol Premises Gaming Machines (69KB - 12 June 2009 - PDF Help)

GA014 Application Form for Club Gaming Permit or Club Machine Permit

(for use by members clubs, commercial clubs and miners welfare institutes)

 GA014 Application - Club Gaming Permit or Club Machine Permit (95KB - 23 January 2009)

 GA014 Application - Club Gaming Permit or Club Machine Permit (65KB - 23 January 2009 - PDF Help)

Lottery  Forms

Small Society Lotteries Application Form

 Small Society Lottery registration Application Form (87KB - 29 October 2008)

 Small Society Lottery registration Application Form (738KB - 29 October 2008 - PDF Help)

Schedule 11 to the Gambling Act 2005 - Lottery Return Forms

 Lottery Return Form (99KB - 02 January 2008)

 Lottery Return Form (50KB - 02 January 2008 - PDF Help)

Page last updated on 12 June 2009