Small Lotteries Licence

Type of application
Section A - Details of society applying for Registration
Address of office or head office of society
Has the society held an operating licence in the period of five years ending with the date of this application
Has the operating licence been revoked in the period of five years ending with the date of this application
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Has the society applied for/been refused an operating licence in the period of five years ending with the date of this application
SECTION B – General information about person applying on behalf of society
Name
Title
Address
SECTION C – Contact details for correspondence associated with this application
Please advise whether the address in Section A, B, or an alternative address should be used in respect of correspondence
Other address
SECTION D – Declaration
  1. make this application on behalf of the society referred to in Section A and have authority to act on behalf of that society;
  2. submit the appropriate registration fee with my application: £40.00 for a new application, £20.00 for a renewal.
  3. confirm that, to the best of my knowledge, the information contained in this application is true. I understand that it is an offence under section 342 of the Gambling Act 2005 to give information which is false or misleading in, or in relation to, this application;
Note to societies applying for registration:

The application will be refused if in the period of five years ending with the date of the application:

  1. an operating licence held by the society has been revoked under section 119(1) of the Gambling Act 2005; or
  2. an application for an operating licence made by the society has been refused.

The application may be refused if the local authority think that:

  1. the society is not a non-commercial society;
  2. a person who will or may be connected with the promotion of the lottery has been convicted of a relevant offence; or
  3. information provided in or with the application is false or misleading.
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