| 1. | All applications for a licence are governed by the provisions of section 16 of the Gaming Control Act. |
| 2. | The Board of the Gaming Authority cannot accept any responsibility for adverse public notice, embarrassment, criticism, or financial loss to the applicant which may result from action taken with regard to this application. |
| 3. | The applicant will be responsible for the payment of any expenses incurred by the Board of the Gaming Authority during the course of any enquiries which may be conducted in connection with this application. |
| 4. | The applicant is responsible for furnishing to the Board of the Gaming Authority with this application, the following supporting documents— |
| (a) | the memorandum and articles of association if the applicant is a company (see paragraph 19); |
| (b) | copies of the audited accounts of the applicant comprising balance sheets and profit and loss accounts for the last 5 years, including the most recent; |
| (c) | if the applicant is a company which has subsidiary companies, the memorandum and articles of association of each subsidiary company (see paragraph 21); |
| (d) | if the applicant is a company which is a subsidiary of another company, the memorandum and articles of association of all other companies controlled by the holding company (see paragraph 22); |
| (e) | a Personal Declaration Form completed by each person who is an individual applicant, or who is a director, manager, secretary, shareholder or other officer of the company if the applicant is a company (see paragraphs 11 and 43); |
| (f) | a Personal Declaration Form completed by each person, not mentioned at (e) above, who has any financial interest, direct or indirect, in the subject of this application or who will have actual and effective control of gaming in the licensed premises (see paragraphs 41 and 43); |
| (g) | a full set of fingerprints in respect of each person completing a Personal Declaration Form under (e) and (f) above; |
| (h) | a copy of the birth certificate and 2 black and white copies of a recent photograph in respect of each person completing a Personal Declaration Form under (e) and (f) above; |
| (i) | a copy of the naturalisation certificate, where applicable, in respect of each person completing a Personal Declaration Form under (e) and (f) above; |
| (j) | copies of purchase agreement, lease agreement, bill of sale, and management agreement, as applicable (see paragraphs 38 and 39). |
| 5. | Applicants are warned that the discovery of any material falsification or omission of information required may result in the Board of the Gaming Authority's refusal to recommend the grant of a licence. Where false particulars are discovered subsequent to the grant of a licence, Cabinet is empowered to revoke the licence. |
| 6. | Pending a decision by the Cabinet, all changes affecting any of the answers given in the application must be notified to the Secretary without delay. |
| 7. | Please state here whether this application is being made by an individual, or on behalf of a company. |
| 8. | Please enter here the name, address and telephone number of the person with whom the Board of the Gaming Authority may communicate about this application. |
| 9. | When completed, this application, together with the necessary supporting documents, should be forwarded to— |
| The Secretary |
| The Board of Gaming Authority |
| Castries |
| St Lucia |