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Casino (Forms)

Commencement: 19 July 1993


CASINO (FORMS)


Order No. 25 of 1993


To prescribe certain forms for the purpose of the Casino Control Act [Cap. 223]


  1. Interpretation

For the purpose of this Regulation "Act" means the Casino Control Act [Cap. 223]


2. Application form for a casino license
Every application for a casino license made to the Minister in accordance with section 4 of the Act shall be in the form set out in Schedule 1.


3. Form of the casino license
A casino license granted by the Minister in accordance with section 2 of the Act shall be in the form set out in Schedule 2.


SCHEDULE 1


REPUBLIC OF VANUATU


APPLICATION FOR A CASINO LICENSE
FOR OFFICIAL USE



Date Received:............................................
(Section 4 of the Casino Control Act [Cap. 223]


Approved/Refused by Minister: ........................

Date: ..........................................................
TO BE SENT TO:



MINISTER OF FINANCE
Amount of License Fee Paid: VT ....................
PRIVATE MAIL BAG 058
Receipt Number: ..........................................
PORT VILA – VANUATU
Date: .........................................................



Casino License Number: ................................



Application CM Ref. No.: ...............................


Tel. No. 23032 FAX (678) 25732





DETAILS OF APPLICANT



1.
NAME OF APPLICANT: .............................................................................................



2.
ADDRESS: ............................................................................................................




TELEPHONE:.......................................
FAX: .........................................................



3.
STATUS OF APPLICANT: ..........................................................................................

(Proprietor, Manager, Secretary, Director etc.)



4.
NATIONALITY OF APPLICANT: ............
PASSPORT NO. ..........................................



5.
NAME OF PROPOSED CASINO LICENSEE: ................................................................



6.
BUSINESS CONSTITUTION TYPE: .............................................................................

(Sole Trader, Partnership, Limited Company etc.)



7.
BUSINESS OR TRADING NAME: ................................................................................




Is this name registered with the Registrar of Business Names ?




YES/NO (delete as appropriate)




Registration No: ...................................
Expiry Date: ................................................



8.
DETAILS OF FINANCIAL RESOURCES TO ENSURE THE FINANCIAL VIABILITY OF THE CASINO.
(A Joint Trust Account and/or Bond and/or Bank Guarantee may be required)

.............................................................................................................................
.............................................................................................................................





DETAILS OF PREVIOUS EXPERIENCE IN THE MANAGEMENT AND OPERATION OF A CASINO AND/OR DETAILS OF ANY AGREEMENT TO SECURE THE SERVICES OF PERSONS WHO HAVE SUFFICIENT EXPERIENCE IN THE MANAGEMENT AND OPERATION OF A CASINO.



................................................................................................................................

................................................................................................................................

................................................................................................................................

.................................................................................................................................


10.
HAVE YOU EVER BEEN CONVICTED OF A BETTING, GAMING, CASINO, CUSTOMS OR TAX OFFENCE EITHER IN VANUATU OR IN AN OVERSEAS COUNTRY?



YES/NO (delete as appropriate)



If yes, please attach statement giving full particulars of offence, conviction date, location and penalty imposed.


DETAILS OF PREMISES TO BE USED AS A CASINO


11.
LOCATION: ..............................................................................................................

(Street Name or Area)


12.
DESCRIPTION: .........................................................................................................

(Name of Resort, Hotel, Club or Building)


13.
NAME OF OWNER OF PREMISES: ..............................................................................

(If Limited Company state address of Registered Office)


14.
BUSINESS LICENSE NO.: ........................... LIQUOR LICENSE NO.: ..........................



DO YOU SUBMIT MONTHLY RETURNS AND PAY TAX UNDER THE HOTEL AND LICENSED

PREMISES ACT?

................................................................................................................................


15.
WHAT PART(S) AND OR AREAS OR ROOMS OF THE PREMISES DO YOU WISH DESIGNATED AS A CASINO?

(Attach full details including layout plans/drawings).

................................................................................................................................

.................................................................................................................................

.................................................................................................................................

.................................................................................................................................

.................................................................................................................................

.................................................................................................................................


16.
DETAILS OF FIRE PRECAUTIONS AND EXITS INSTALLED OR AVAILABLE ON THE

PREMISES:

.................................................................................................................................

.................................................................................................................................

.................................................................................................................................

.................................................................................................................................

.................................................................................................................................

.................................................................................................................................



17.
DETAILS OF SECURITY MONITORING SYSTEMS (EG. CAMERAS) INSTALLED IN THE

CASINO:

.................................................................................................................................

.................................................................................................................................

.................................................................................................................................

.................................................................................................................................

.................................................................................................................................

.................................................................................................................................


18.
DESCRIPTION AND TYPE OF GAMES, GAMING EQUIPMENT, SLOT MACHINES, GAMING

TABLES TO BE OPERATED:

(Number of Machines and or Tables plus Name, Model and Serial Numbers)

.................................................................................................................................

.................................................................................................................................

.................................................................................................................................

.................................................................................................................................

.................................................................................................................................

.................................................................................................................................


19.
DO YOU OWN THE ABOVE GAMING MACHINES/TALES/EQUIPMENT? YES/NO



If NO please attach full details of any leasing agreements or other arrangements re

ownership.


20.
PROPOSED COMMENCEMENT DATE OF CASINO OPERATIONS: ....................................


21.
PERIOD FOR WHICH CASINO LICIENSE REQUESTED: FROM: ............... TO: ..................


DECLARATION


22.
I HAVE READ THE CASINO CONTROL ACT [CAP. 223] AND UNDERTAKE TO ABIDE BY

THE PROVISIONS CONTAINED THEREIN.



I HEREBY DECLARE THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE

INFORMATION PROVIDED ON THIS APPLICATION IS TRUE AND CORRECT.



APPLICANT’S SIGNATURE: ........................................................................................



APPLICANT’S NAME: .................................................................................................

(PLEASE PRINT)



DATE: ............................................................................











SCHEDULE 2


REPUBLIC OF VANUATU


(LOGO)


CASINO LICENSE
NO.


(ISSUED UNDER SECTION 7 OF THE CASINO CONTROL ACT [Cap. 223])

Name of the Casino Licensee:
..........................................................................................


Address in Vanuatu for Service of Documents: ........................................................................
.......................................................................................................................................


Name of the Casino: ..........................................................................................................
.......................................................................................................................................


Location of and those Areas Constituting the Casino Premises:
.......................................................................................................................................
.......................................................................................................................................
.......................................................................................................................................
.......................................................................................................................................


Duration of License: From: ........................................ To: ..................................................


New/Renewal: ..................................................................................................................


Terms and Conditions of Issue of License: ..............................................................................
.......................................................................................................................................
.......................................................................................................................................
.......................................................................................................................................
.......................................................................................................................................
.......................................................................................................................................
.......................................................................................................................................
Date of Issue: ...................................................................

ISSUING OFFICE STAMP


Amount of License Fee Paid: VT ...........................................


Official Government Receipt No.: ..........................................


Date of Expiration of License: ...............................................


Name of Issuing Officer: ......................................................


Signature of Issuing Officer: ..................................................




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