Promotional competitions

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Application to Conduct a Promotional Competition (regulation 3)

The Gambling Act, 2012 provides for the regulation of promotional competitions. Prospective applicants are required to note that when conducting Promotional Competitions, the consideration for purchasing the good/service should not be increased by the opportunity to participate in the competition

Guidelines

Please complete form in one sitting and do not refresh page or submit form before completing the application
You can download the application form in pdf here and to use it as checklist to help organize and sort all required information and attachments before starting the application
Please have all required attachments ready before commencing to fill the form
Please download declaration form here that you are to sign and it will form part of your submission

1. Names of Applicant

Hereby apply (with due authority) on behalf of

Address

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2. Names of Business

3. Place of incorporation

Date of Incorporation/Registration

4. Full particulars of all Directors/Shareholders

Name	Role (Director or Shareholder)	Ownership %	Postal Address
				×

(1)

5. Have you or any of the persons named above ever been convicted of any criminal offence involving fraud or dishonesty; declared bankrupt, or entered into any agreement with creditors

YesNo

If yes give particulars

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6. State Details of the competition

A. Name of Competition

B. Product or service being Promoted by Competition

C. Is this a new or existing product/service?

YesNo

E. What would be the price of product/service during competition

D. What is the normal price of the product/service during the competition

F. Physical location of premise(s) at which competition will be conducted

Name	Address
		×

(1)

G. Requirements for accepting the offer to participate in the competition

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H. Describe the method of entry into the competition

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I. Describe how the draw will be conducted

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J. Where will results of competition be publicised

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7. How will the competition be advertised

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8. State the dates including the duration within which the promotional competition is to be conducted:

Starting Date of Competition

Closing Date

Date of Draw

Time of draw

Place of Draw

9. Proposed method of distribution of prizes (will winners be required to claim prizes themselves or be contacted by the promoters) Expain:

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10. Is the promoter of the proposed promotional competition prepared to provide any guarantee to the Authority to cover any default (failure to pay prizes) should the Authority require such?

YesNo

if not, state the reasons

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11. Provide details of prizes (please attach further details of competition if space below is inadequate. All information provided should have attached supporting documentation)

Description of prizes	Quantity	Retail Value of each	Total Value
				×

(1)

Grand Totalof prize value

12. Name and Address of independent accountant or auditor. you shall appoint for purpose of verifying the fairness of the competition:

Name of Auditor/Accountant	Contact Name	Contact Number	Address
				×

(1)

**NOTE: Please ensure that the application is accompanied by the proof of payment of the prescribed application fees

Proof of Payment of prescribed fees

Upload

Advert samplesattach all advert samples to be used

Upload

Proof of value of Prizes

Upload

Copies of Certificate of incorparation/registration

Upload

Proof of shareholding and/directorship

Upload

Certified copy of valid trade license where applicable

Upload

Copies of ID/Passport of directors and shareholders

Upload

Letter of appointment if promoting the competition in behalf of another business entity

Upload

Any other supporting document

Upload

Signed Declaration ( declaration can be downloaded here)

Upload

I certify that the information supplied on this application form (please print name clearly) is true and correct. I understand that failure to provide true and correct information will result in the failure of this application.

confirm

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