Name of association Application checklist This checklist must be completed to (refer to factsheet for more information). ensure all parts of the application are completed. An incomplete application will not be approved. Has your association been approved by the Director-General of Licensing? Yes Has an Approved Association Update form been lodged since the last AGM? Yes Is the person signing the application an authorised member of the association? Yes Are start to finish dates of the lottery three (3) months or less? Yes Are prizes at least 1/3 of total ticket sales (see conditions of permit)? Yes Have all details relating to the prizes been completed? Yes Have all restrictions and special conditions relating to prizes, eg. travel prize/s Yes been detailed? Is the lottery ticket compliant with Director-General of & Yes Licensing’s requirement ticket proof attached? Ticket and advertising checklist. All relevant details on list must appear on the tickets and on promotion of the lottery. (refer to factsheet for more information) Yes Name of association Yes Permit number (e.g. D1234) Yes Ticket Price Yes Number of tickets to be issued Description and value of main prizes Yes Yes Conditions specified on Prizes with restrictions or conditions Apply” Yes Date, time and place of draw Detail of how winner will be determined (barrel draw, random no. generator, etc) Yes & draw policy Yes Date of publication of results and newspaper name Yes Ticket butt (name, address, phone no., association name) Yes Contact number for lottery information Name of place where prizes are on display (if applicable) Yes
Name of association Application checklist (refer to factsheet for more information). This checklist must be completed to ensure all parts of the application are completed. An incomplete application will not be approved. Has your association been approved by the Director-General of Licensing? Yes Has an Approved Association Update form been lodged since the last AGM? Yes Is the person signing the application an authorised member of the association? Yes Are start to finish dates of the lottery three (3) months or less? Yes Are prizes at least 1/3 of total ticket sales (see conditions of permit)? Yes Have all details relating to the prizes been completed? Yes Have all restrictions and special conditions relating to prizes, eg. travel prize/s been detailed? Yes Is the lottery ticket compliant with Director-General of Licensing’s requirement & ticket proof attached? Yes Ticket and advertising checklist. All relevant details on list must appear on the tickets and on promotion of the lottery. (refer to factsheet for more information) Name of association Yes Permit number (e.g. D1234) Yes Ticket Price Yes Number of tickets to be issued Yes Description and value of main prizes Yes Conditions Apply” specified on Prizes with restrictions or conditions Yes Date, time and place of draw Yes Detail of how winner will be determined (barrel draw, random no. generator, etc) & draw policy Yes Date of publication of results and newspaper name Yes Ticket butt (name, address, phone no., association name) Yes Contact number for lottery information Yes Name of place where prizes are on display (if applicable) Yes
form-lot-minor-major-lottery.docx