( An Application may bemade by an Agent for and on behalf of the Applicant) To: The Secretary, National Lotteries Control Board, Duke Street, PORT OF SPAIN
I,
of
DO HEREBY APPLY for permisssion to promote a contest/contests at
AND I HEREBY UNDERTAKE to promote the contest/contests in accordance with Part 11A of the Betting and Gambling Act (Chap. 11:19) [particulars of which are set out hereunder] and also in accordance with any conditions stipulated by the Board.
PARTICULARS OF CONTEST/CONTESTS
1. The contest will be held Daily/Weekly/Monthly/Anually, etc., on the dates stated hereunder: Daily Weekly Monthly Annually Start Date: Termination Date:
2. The prizes are as follows:
(a) Daily Draws : (b) Weekly Draws : (c) Monthly Draws : (d) Annual Draws :
My VAT Registration No. is :
(The National Lotteris Control Board may in its discretion approve the application of an applicant whose business is not VAT registrable.)
3. Outline Breifly the mechanics of the Promotion (attach details if necessary)
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