NON KEY PERSONAL LICENCE

TEST

NON KEY PERSONAL LICENCE

APPLICATION FOR NON KEY PERSONAL LICENCE

APPLICATION FOR NON KEY PERSONAL LICENCE (REGULAR EMPLOYEE)

Please read the below carefully

GCC Form No. XXX
Reference No.: ________________

Submission of this application form for a Personal Licence will allow a Regular employee to obtain a licence to operate within a licensed betting or gaming establishment.

The betting or gaming establishment shall submit this Form to the Gambling Control Commission, upon receipt a notification letter will be sent to request payment in the amount of $——- which is a non-refundable processing fee.

Only requests with correct, complete, and documentary information requirements will be processed. Applications with incorrect and/or incomplete information will not be processed and the licensed establishment will be notified of the Commission’s decision.

PLEASE FOLLOW THE INSTRUCTIONS BELOW

1. COMPLETE THIS FORM:

A. This application form is to be completed by any person who wishes to apply for a Personal Licence, directed to do so by the Commission.
B. Applicants submitting this form must also complete and submit the Personal History Disclosure Form.

2. ESTABLISHING YOUR NATIONALITY AND WORK AUTHORISATION:

A. All applicants will be required to verify their identity and employment authorisation, at the request of the Commission the verification process includes the submission of original documentation to the following address:

The Gambling (Gaming and Betting) Control Commission
25 Western Main Road, St. James
Trinidad, W.I.

3. IMPORTANT NOTICES:

A. Should you be unable to fully understand this form in English, you must acquire adequate means of translation.

B. All notices regarding your application will be sent to the email address and postal address that you provide on this form. You must immediately notify the Commission of any changes during the operation of your entity.

C. Pursuant to Section 46(c) of the Gambling (Gaming and Betting) Control Commission Act No.8 of 2021, failure to comply with answering any of the questions completely and truthfully will result in the revocation of your application.

D. You are hereby applying for a Personal Licence as referred to in Section 30(2)(j) of the Gambling (Gaming and Betting) Control Act No.8 of 2021 for reasons stated in this application form, pertaining to the Casino licence that is (to be) granted for the operation of the casino

E. Pursuant to Section 32(4) of the Gambling (Gaming and Betting) Control Commission Act No.8 of 2021,

“An applicant under this section shall, prior to the application being accepted, consent to the use by the Commission of the personal information contained in the application-

(a) for the purpose of processing the application; and
(b) where a licence is granted, for the maintenance of the Register, with Section 51, and such other purposes of this Act as the Commission thinks fit, and that personal information shall remain confidential in accordance with section 88.”

SECTION 1: APPLICATION FOR PERSONAL LICENCE (REGULAR EMPLOYEE)

Pursuant to the Gambling (Gaming and Betting) Control Act No. 8 of 2021

Name of Company:

Registered Office Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

MAILING ADDRESS (If different from Registered Office Address):

Yes

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Company Number

FAX

BIR

Name of Contact

Contact Number

DO YOU HAVE OTHER BRANCHES?

Yes

IF “Yes” PLEASE PROVIDE DETAILS

SECTION 2:

COMPANY DIRECTORS:

SECTION 3:

PERSONAL INFORMATION (DECLARANT)

First Name

Middle Name

Last Name

Country

Citizenship

Date of Birth

Address

Registered Address of Entity

Address Line 2

City

State

Zip Code

Country

Is the Mailing address different from above?

Yes

Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Position in Company

ID Type

ID Number

NIS

BIR

Current Position

Employment Start Date

SECTION 4:

CONTACT INFORMATION:

Mobile Number

Home Number

Work Number

FAX

SECTION 5:

APPLICATION FEE
(Please ensure that the applicable fees are paid to the Gambling Control Commission in advance. All amounts are stated in TTD.)

In respect of key employees within a licensed betting or gaming establishment Regular Employees Only

Casino – $700 every 3yrs

Amusement – $700 every 3yrs

Betting – $700 every 3yrs

SECTION 6:

DECLARATION Where the response is Yes, you MUST submit particulars.

Have you at any time, in Trinidad and Tobago or anywhere else been declared bankrupt or are you the subject of any bankruptcy proceedings?

Yes

Have you been granted a personal licence before?

Yes

Have you ever been denied a personal licence or has any personal licence granted to you been cancelled?

Yes

STATE THREE REFERENCES.

Include in your information names, positions, addresses, telephone and/or fax numbers, and the relationship between this person and the applicant. This should include your last employer but one unless you left the latter’s service more than 8 years ago.

You should make sure that the persons stated by you are willing to act as references.

Excluded as references are blood relations and relatives to the third degree, the life partner (including the spouse) and former life partner of the applicant, persons subject to a professional obligation of secrecy, and persons who are financially dependent on the applicant.

Do you know any other facts or data that could possibly influence the evaluation of your application?

Yes

SECTION 7:

CHECKLIST OF INITIAL DOCUMENTS TO BE SUBMITTED

Personal Licence Applicant: Non- Key Persons

1. Completed and duly signed Personal Licence Application Form.

2. Valid Government Identification Picture

3. Certificate of Character

4. References

5. Copies of the documents pertaining to the legal person, clarifying the financial interest of the applicant in the legal person, or a description of such financial interest.

SECTION 8:

I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF.

Please note that this listing is not limited. The Gambling (Gaming and Betting) Control Commission reserves the right to request additional documentation and information when deemed necessary.

SIGNATURE

With your signature, you assert:

You are hereby applying for a Personal Licence as referred to in Section 30(2)(j) of the Gambling (Gaming and Betting) Control Act No.8 of 2021 for reasons stated in this application form, pertaining to the Casino licence that is (to be) granted for the operation of the casino, incorporated in the hotel building indicated in this application form;
That this application was completed truthfully; and
You are aware of your responsibilities and will comply with all relevant legal licence requirements.

SECTION 9:

DECLARATION AND SIGNATURE (MUST BE COMPLETED)

I do certify that the answers contained herein are true and complete and have been properly authorised by the Company to make this application. I understand that false misleading statements or information in this application may result in the rejection of this application, the revocation of any licence issued, and criminal charges pursued in accordance with Section 46 (1) (c) of the Gambling (Gaming and Betting) Control Act No.8 of 2021.

Yes

TEST

APPLICATION FOR NON KEY PERSONAL LICENCE (REGULAR EMPLOYEE)

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