now - Pendle Borough Council

NOTIFICATION
OF2 ORLESSGAMINGMACHINES
or
GAMINGMACHINE
PERMIT
APPLICATIONS
(i.e.for greaterthan2 machines)for:
CONVERSION
I NEWI VARIATION
I TRANSFER
(FORUSEBYPREMISES
LICENSED
TOSUPPLYALCOHOL
FORCONSUMPTION
ONTHEPREMISES)
Pleaserefer to uidancenotesat thebackof this formbeforecompleting
To: PendleBoroughCouncil
LicensingSection
TownHall
Nelson
Lancashire
BB97LG
TelNo.01282661987
Borough of
~
SECTION
A - Whatdoyouwantto do?
1. Pleaseindicatewhatyouwouldliketo do
a) Notify licensingauthoritythatyou intendto provideupto a maximumtotalof 2 gamingmachines
categoryC and/ or D
(if you choosethisoptionthenpleasecompletesections0 and E)
0
b)Applyto convertanexistingSection34permitissuedundertheGamingAct1968intoa
0
J
licensedpremisesgamingmachinepermit(Le.formore than2 gamingmachines)
(if you choosethisoptionthenpleasecompletesectionsB, 0 andE)
'0
c) Applyfor a new licensedpremisesgamingmachinepermit
((ifyou choosethisoptionthenpleasecompletesectionsB, 0 and E)
d) Applyto vary anexistinglicensedpremisesgamingmachinepermit
(if you choosethisoptionthenpleasecompletesectionsB, 0 and E)
0
e) Applyto transfer an existinglicensedpremi?esgamingmachinepermit
(if you choosethisoptionthenpleasecompletesectionsC, 0 and E)
0
SECTION B - Application for grant (includes conversion, new and variation
applications) .
2. How many gamingmachinesareyoucurrentlyauthorisedto provideand if this is a newor
variation application, how many do you wish to provide? (please complete the boxes in the table)
Category
machine
C
D
Total
Numbercurrently.
authorised
toprovide
......
......
,.....
Numberwishto provide
(neworvariation)
......
......
......
3. If youarecurrentlyauthorisedto providemorethan2 machines,pleaseprovideyourexisting
Section34 GamingAct 1968permit,or providereasonsstatingwhyit cannotbe provided.
.
(reasons why existing permit cannot be provided) ...
Existingpermitprovided*
.............................................
.. . .. . .. . . .. .. . .. . .. . .. . .. . .. . .. , .. . . .. .. . . .. . .. .. . .. . . .. . .. .. . .. . .. . .. . .. . . .. .. . . .. . .. .. . . .. . .. .. . .. . .. . . .. .. . . .. . .. . .. .
.. . .. . .. . .. . .. . . .. .. . . .. . .. .. . .. . .. . . .. . .. .. . .. . .. . .. . .. . .. . . .. .. . . .. . .. .. . .. . .. . .. . .. . .. . .. . .. . .. . .. . .. . .. . .. . .. . .. . .. . .
*Pleasekeepa copyof yourexistingpermiton thepremisesto whichit relates.
0
NOTIFICATION
OF2 ORLESSGAMINGMACHINESor
GAMINGMACHINEPERMITAPPLICATIONS
(Le.for greaterthan2 machines)for:
CONVERSION
I NEWI VARIATIONI TRANSFER
(FORUSEBY PREMISESLICENSEDTO SUPPLYALCOHOLFORCONSUMPTION
ON THEPREMISES)
SectionC - Application
forpermittransfer(i.e.wherea transferhasbeenrequested
for
theLicensingAct2003premiseslicence)
4. Nameof personrequestingthetransfer
,......................................
5. Confirmationthat an applicationto transferthe relevantLicensingAct 2003PremisesLicence
hasbeen:
D
D
Requested
Granted
6. Pleaseprovideyourexistingpermit,or providereasonsstatingwhyit cannotbe provided
D
Existingpermitprovided
Reasonswhyexistingpermitcannotbeprovided
,.............................................................................................................................
"""""""""""""""""""""""""""...,
,.....................................................................
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SectionD - GeneralInformation
7. Nameof Premises................
..................
........:..........................................................
...........
8. Addressof Premises
.........
,........................................................
9.Telephone
numberof Premises
..................
10.NameofexistingPremises
Licenceholder
'................................................................................................................
11.Addressof PremisesLicenceholder (if differentfrom8 above).
,
,.............................................................
............................................................................................................................................................
12.Telephonenumber(daytime)of PremisesLicenceholder
............ ......... .... " ..... .......... ... ... .. ....... ...... ........ ... ....... .. ....... ..... ..... ... ........ ... ... .....
... ..........................
13.E-mailaddressof PremisesLicenceholder(whereavailable)
............................................................................................................................................................
14.Name,address,telephoneande-mailof agent(e.g.solicitor)if submittedon behalfof theapplicant
............................................................................................................................................................
............................................................................................................................................................
............................................................................................................................................................
15.LicensingAct 2003PremisesLicenceReference(Le.number)
............................................................................................................................................................
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NOTIFICATION
OF2 OR LESSGAMINGMACHINESor
GAMINGMACHINEPERMITAPPLICATIONS
(Le.for greaterthan2 machines)for:
CONVERSION
I NEWI VARIATIONI TRANSFER
(FORUSEBY PREMISESLICENSEDTO SUPPLYALCOHOLFORCONSUMPTION
ONTHEPREMISES)
SectionE - FeeandSignature{s)
I enclosea sumof (£50/150)*(chequesshouldbe madepayableto Boroughof Pendie.)
D
I understand
thatI mustcomplywiththeGamingMachineCodeofPracticeforAlcoholLicensed
PremisePermitsandPermissions
issuedbytheGambling
Commission.
(seeguidancenote8)
Pleasenote:It is an offenceundersection342 of the GamblinaAct 2005if a person,withoutreasonable
excuse.aives to a licensinaauthorityfor a purposeconnectedwith thatAct informationwhichis falseor
misleadina.
Dated. ..... .. . ...... ... ... ...... ... ... .. . .. ... . ...... ...... .. . ...... ... . .. . .. ... ..... . ... ... ... ... ... ...... ... ... .. .... ... .. . ... ...... ... ... ... ... ...
Signed(byoronbehalfof Licensing
Act2003Premises
Licenceholder)....................................................
PrintName
,
......
../
* If you wishto havea maximumof 2 gamingmachinesthenthe fee payableis £50.
If youwishto havemorethan2 gamingmachinesthenthefee payableis £150.
OfficialUseOnlv
Date of receipt: ........................................................................
Signatureandnameof staffwhoreceived:.................................
Dateofreceiptoffee:......................................................
Signatureandnameof staffwhoreceivedfee: .......................................
Application
accepted
I returned
(pleasedeleteasappropriate)
Dateofpremises
licence(Licensing
Act2003)transfer(ifapplicable):
..............................
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NOTIFICATION
OF2 ORLESSGAMING
MACHINES
or
GAMINGMACHINE
PERMIT
APPLICATIONS
(Le.for greaterthan2 machines)for:
CONVERSION
I NEWI VARIATION
I TRANSFER
Guidancenotes:
1. Thisformisto beusedforthenotificationof up to 2 gamingmachinesof categories
C andI or 0 under
Section282of theGambling
Act2005,or fortheconversionof an existingSection34gamingmachine
permitundertheGamingAct1968,or fora newapplication,variationor transferof a alcohollicensed
premises
gamingmachine
permitundertheGambling
Act2005.
2.
The premisesmustbe licensedunderthe LicensingAct 2003to sell alcoholfor consumption
on the
premises,
withouttherequirement
thatalcoholis servedonlywithfoodandtheremustbea barforserving
alcoholtocustomers
onthepremises.
3.
Thegamingmachines
mustbelocatedontheselicensedpremises.
4.
A 'Premises
Licenceholder'isa personholdinga Premises
LicenceundertheLicensing
Act2003.
5.
Thereis no statutorylimitto the numberof machineswhichmaybe appliedfor althoughthe licensing
authorityhassomediscretion
inthisregard.Itshouldalsobenotedthatthelicensingauthoritycancancel
the permitor varythe numberof machinesshouldthe premisesbe mainlyusedfor makinggaming
machinesavailablefor useon the premises(Schedule13paragraph16GamblingAct2005). Youmay
thereforewishtocontactthelicensing
authoritytoaskwhetherthereisa localpolicyasregardsapplications
andwhetherapplication
forcertainnumbers))f
machines
aredecidedviaa hearingoflocalcouncillors.
6.
Thepermit'sdurationis indefinite
asit is linkedtotheLicensing
Act2003Premises
Licence.Thereis afirst
annualfeepayableby
andanannualfeepayableafterthatbeforeeachanniversary
ofthedate
of issueofthepermit.Failureto paytheannualfeemayresultinthecancellation
of thepermit.Theannual
feeis£50. Therearenoannualfeespayablefor2 machines
orless.
7.
Sections282and283,aswellas SI 2007I
of theGambling
Act2005providefortwotypesof
gamingmachines
whichcanbelocatedinalcohollicensedpremises.Theseare:
.
.
CategoryC: Maximumstake= SOpI Maximumprize= £35
Category0: Maximum
stake= 10por 30pnon-monetary
I Maximumprize= £5 cash
or£8non-monetary
8.
All alcohollicensedpremiseswhich providegamingmachinesfor useon the premises must
complywith any relevantCodeof Practiceissuedby the GamblingCommissionunderSection
24 of the GamblingAct 2005.TheGamingMachineCodeof PracticeforAlcohollicensedpremises
permits and permissionsis available via the Gambling Commission'swebsite at:
http://www.qamblinqcommission.qov.ukl
Shouldyoube unclearas to the provisionsof thecodeof
practicepleasecontacttheGambling
Commission
oryourlocalCouncillicensingservice.
9.
Thislicensingauthoritymustnotifytheapplicantof itsgrantI refusalof theapplication
fora permitas
soonasisreasonable
practicable
afterthatdecisiontograntI refusehasbeenmade.
10. Whereyouarenotifyingthelocallicensingauthorityof 2 machines
or less,youmaywishto requestan
acknowledgement
of receiptofthenotification.Theformattached
to thisapplication
canbeutilisedfor
thispurpose.
4
REQUESTFORACKNOWLDEGMENT
OF RECEIPTOF MYNOTIFICATIONOF 2 OR
LESS GAMING MACHINES
I,
(insertnameofthe Licensing
Act2003licenceholder),request
thatthispaperis returned
to meatthefollowingaddressandwiththedetailsbelowprovided
bythe
locallicensingauthority,so as to acknowledge
my notificationof 2 or lessgamingmachines
at
..(insertnameofpremises).
Insertaddressto whichyouwishthisacknowledgement
to be sent:
....................................................................................................................................
....................................................................................................................................
., .....
......
...
.....
.....
......
.
..
...
...
..
..
......... ........................
...............
..
....,.....
,..........................................
~
UseOnly(tobeco~leted bvthe~
licensinQauthority)
Dateof receiptof notificationof 2 or lessgamingmachines:...........................................
Dateof receiptof fee:
.............................................
Signature:
..................................................................................................................
Local licensing authoritystamp:
5