1977 Ed.]

Gambling Regulations

[CAP. 148

A 9

[Subsidiary]

5. Residential Address......

6. Date of Birth

7. Place of Birth

8. Nationality

9. Give details of any other licences under the Gambling Ordinance for which application has previously been made

10. Give details of any current licences under the Gambling Ordinance held by the applicant

11. Give details of any previous experience of applicant in respect of the licence applied for

12. Has the applicant ever been convicted of an offence?

If "Yes", give details

Yes/No

(court where convicted, date of conviction, offence and penalty)

I certify that the information supplied by me in this form is to the best of my knowledge and belief, both true and correct.

Dated this day of (Signature) 19.......

Note: 1. Complete this form only if you are not making application on behalf of a company or on behalf of a club or society registered or exempted from registration under the Societies Ordinance.

2. You are warned that any material falsification or omission of information may result in the Commissioner's refusal to grant a licence.

FORM 7

[reg. 3(2).]

In support of Application No.

GAMBLING REGULATIONS

To the Commissioner for Television and Entertainment Licensing/Commissioner of Police

BEFORE completing this form READ the Note below.

1. Full name of company

2. Type of company (Public, Private, Limited by share or guarantee)

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