Registration of a non-commercial society

Details of society applying for registration

Name of the society, etc. ^*

Name of the society, club, institution, organisation or association of persons, or separate branch or section thereof on whose behalf this application is made

Address of office or head office of society ^*

Post code ^*

Please input your post code using capitals and include a space between the first and second parts e.g. DN17 5TY.

Telephone number of society

Please state the purpose(s) for which the society is established and conducted ^*

If the society is a registered charity, please give the society's unique charity registration number

Has the society held an operating licence under the Gambling Act 2005 in the period of five years ending with the date of this applicatiion? ^*

Yes

If Yes, has the operating licence beem revoked in the period of five years ending with the date of this application?

Yes

If Yes, please state the reason for revocation. Please provide a copy of the notice of revocation if one is available.

Has the society applied for and been refused an operating licence in the period of five years ending with the date of this application? ^*

Yes

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