| (This part to be completed by applicants for gaming operator licence only) |
| 29. | Name under which the premises are, or will be known. |
| 30. | Full address of the premises. |
| 31. | List the games which will be played if the licence is granted. |
| 32. | State the number of tables there will be for each game, if the licence is granted. |
| 33. | How many slot machines will be installed, if the licence is granted? |
| 34. | What are the proposed upper stake limits in respect of each of those tables and slot machines listed in paragraph 32 and 33? |
| 35. | What liquid capital can be made available for the management of the premises, from the resources of the Applicant? |
| 36. | If a licence is granted, is it intended to raise additional capital to operate the premises? (state YES or NO) ... |
| If YES, state the amount involved, and give full details of the sources from which it is proposed to raise the additional capital. |
| 37. | If a licence is granted, would the premises be connected, financially or otherwise, with any other business? (state YES or NO) ... |
| If YES, give full details of the other business, and the nature and extent of the connection. |
| 38. | List below the names and addresses of any persons not listed in paragraph 23 who will receive directly or indirectly any compensation based on a percentage or share of the proceeds of the gaming on the premises. Attach a copy of all related agreements. |
| 39. | Are the premises owned by the Applicant? (state YES or NO) ... |
| If YES, attach a copy of documentary proof of ownership. |
| If NO, give the full name of the lessor or landlord; state the terms on which the premises are leased or rented, and whether the applicant is the lessee. Attach a copy of all related agreements. |
| 40. | Who will have the power and responsibility of controlling day-to-day admissions into and exclusions from the licensed premises while gaming is in progress? Give full names and addresses of the persons. |
| 41. | Give the full names and present address of those persons who, if a licence is granted, will have actual day-to-day control and/or management of gaming on the premises. |
| 42. | Has the Applicant any previous experience of managing or controlling a gaming operation? (state YES or NO) ... |
| If YES, give full details of the premises concerned, the dates, and the particulars of any licences issued. |
| 43. | Completed Personal Declaration Forms are to be attached in respect of all directors and all officers of the applicant company; and in respect of any other persons not being directors, officers or shareholders in the applicant company but who have a financial interest in the applicant company. In addition, completed Personal Declaration Forms are to be attached in respect of all those persons listed in paragraphs 40 and 41. |