GAMING MACHINE PERMIT FOR LICENSED PREMISES

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

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

 

SECTION A - What do you want to do?
SECTION B – Application for grant (includes conversion, new and variation applications)

2. How many gaming machines are you currently authorised to provide and if this
is a new or variation application, how many you wish to provide? (Please complete
the boxes in the table)

C
D
TOTAL

3. If you are currently authorised to provide more than 2 machines, please provide
your existing Section 34 Gaming Act 1968 permit, or provide reasons stating why
it cannot be provided.

Please keep a copy of your existing permit on the premises to which it relates.
SECTION C - Application for transfer

(ie where a transfer has been requested for the Licensing Act 2003 premises licence)

6. Please provide your existing permit, or provide reasons stating why it
cannot be provided

SECTION D – General Information
SECTION E - Fee and Signatures(s)
£
(cheques should be made payable to Argyll and Bute Council)

I understand that I must comply with the Gaming Machine Code of Practice for Alcohol
Licensed Premise Permits and Permissions issued by the Gambling Commission.
(see
guidance note 8)

Please note: It is an offence under section 342 of the Gambling Act 2005 if a person,
without reasonable excuse, gives to a licensing authority for the purpose connected
with that Act information which is false or misleading.

REQUEST FOR ACKNOWLEDGEMENT OF RECEIPT OF MY NOTIFICATION OF 2 OR LESS GAMING MACHINES
(insert name of the Licensing Act 2003 licence holder)

request that the paper is returned to me at the following address and with the details below provided by the local licensing authority, so as to acknowledge my notification of 2 or less gaming machines at

(insert name of premises)
Attach documents
Files must be less than 8 MB.
Allowed file types: gif jpg jpeg png pdf doc docx.