Casino (Forms)

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To prescribe certain forms for the purpose of the Casino Control Act [Cap. 223]

For the purpose of this Regulation "Act" means the Casino Control Act [Cap. 223]

2. Application form for a casino license
Every application for a casino license made to the Minister in accordance with section 4 of the Act shall be in the form set out in Schedule 1.

3. Form of the casino license
A casino license granted by the Minister in accordance with section 2 of the Act shall be in the form set out in Schedule 2.

APPLICATION FOR A CASINO LICENSE		FOR OFFICIAL USE

		Date Received:............................................
(Section 4 of the Casino Control Act [Cap. 223]
		Approved/Refused by Minister: ........................
		Date: ..........................................................
TO BE SENT TO:

MINISTER OF FINANCE		Amount of License Fee Paid: VT ....................
PRIVATE MAIL BAG 058		Receipt Number: ..........................................
PORT VILA – VANUATU		Date: .........................................................

		Casino License Number: ................................

		Application CM Ref. No.: ...............................

Tel. No. 23032 FAX (678) 25732


DETAILS OF APPLICANT

1.	NAME OF APPLICANT: .............................................................................................

2.	ADDRESS: ............................................................................................................

	TELEPHONE:.......................................	FAX: .........................................................

3.	STATUS OF APPLICANT: ..........................................................................................
	(Proprietor, Manager, Secretary, Director etc.)

4.	NATIONALITY OF APPLICANT: ............	PASSPORT NO. ..........................................

5.	NAME OF PROPOSED CASINO LICENSEE: ................................................................

6.	BUSINESS CONSTITUTION TYPE: .............................................................................
	(Sole Trader, Partnership, Limited Company etc.)

7.	BUSINESS OR TRADING NAME: ................................................................................

	*Is this name registered with the Registrar of Business Names ?*

	YES/NO (delete as appropriate)

	Registration No: ...................................	Expiry Date: ................................................

8.	DETAILS OF FINANCIAL RESOURCES TO ENSURE THE FINANCIAL VIABILITY OF THE CASINO. (A Joint Trust Account and/or Bond and/or Bank Guarantee may be required)
	............................................................................................................................. .............................................................................................................................

	DETAILS OF PREVIOUS EXPERIENCE IN THE MANAGEMENT AND OPERATION OF A CASINO AND/OR DETAILS OF ANY AGREEMENT TO SECURE THE SERVICES OF PERSONS WHO HAVE SUFFICIENT EXPERIENCE IN THE MANAGEMENT AND OPERATION OF A CASINO.

	................................................................................................................................
	................................................................................................................................
	................................................................................................................................
	.................................................................................................................................

10.	HAVE YOU EVER BEEN CONVICTED OF A BETTING, GAMING, CASINO, CUSTOMS OR TAX OFFENCE EITHER IN VANUATU OR IN AN OVERSEAS COUNTRY?

	YES/NO (delete as appropriate)

	*If yes, please attach statement giving full particulars of offence, conviction date, location and penalty imposed.*

DETAILS OF PREMISES TO BE USED AS A CASINO

11.	LOCATION: ..............................................................................................................
	(Street Name or Area)

12.	DESCRIPTION: .........................................................................................................
	(Name of Resort, Hotel, Club or Building)

13.	NAME OF OWNER OF PREMISES: ..............................................................................
	(If Limited Company state address of Registered Office)

14.	BUSINESS LICENSE NO.: ........................... LIQUOR LICENSE NO.: ..........................

	DO YOU SUBMIT MONTHLY RETURNS AND PAY TAX UNDER THE HOTEL AND LICENSED
	PREMISES ACT?
	................................................................................................................................

15.	WHAT PART(S) AND OR AREAS OR ROOMS OF THE PREMISES DO YOU WISH DESIGNATED AS A CASINO?
	(Attach full details including layout plans/drawings).
	................................................................................................................................
	.................................................................................................................................
	.................................................................................................................................
	.................................................................................................................................
	.................................................................................................................................
	.................................................................................................................................

16.	DETAILS OF FIRE PRECAUTIONS AND EXITS INSTALLED OR AVAILABLE ON THE
	PREMISES:
	.................................................................................................................................
	.................................................................................................................................
	.................................................................................................................................
	.................................................................................................................................
	.................................................................................................................................
	.................................................................................................................................

17.	DETAILS OF SECURITY MONITORING SYSTEMS (EG. CAMERAS) INSTALLED IN THE
	CASINO:
	.................................................................................................................................
	.................................................................................................................................
	.................................................................................................................................
	.................................................................................................................................
	.................................................................................................................................
	.................................................................................................................................

18.	DESCRIPTION AND TYPE OF GAMES, GAMING EQUIPMENT, SLOT MACHINES, GAMING
	TABLES TO BE OPERATED:
	(Number of Machines and or Tables plus Name, Model and Serial Numbers)
	.................................................................................................................................
	.................................................................................................................................
	.................................................................................................................................
	.................................................................................................................................
	.................................................................................................................................
	.................................................................................................................................

19.	DO YOU OWN THE ABOVE GAMING MACHINES/TALES/EQUIPMENT? YES/NO

	*If NO please attach full details of any leasing agreements or other arrangements re*
	*ownership.*

20.	PROPOSED COMMENCEMENT DATE OF CASINO OPERATIONS: ....................................

21.	PERIOD FOR WHICH CASINO LICIENSE REQUESTED: FROM: ............... TO: ..................

DECLARATION

22.	I HAVE READ THE CASINO CONTROL ACT [CAP. 223] AND UNDERTAKE TO ABIDE BY
	THE PROVISIONS CONTAINED THEREIN.

	I HEREBY DECLARE THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE
	INFORMATION PROVIDED ON THIS APPLICATION IS TRUE AND CORRECT.

	*APPLICANT’S SIGNATURE: ........................................................................................*

	*APPLICANT’S NAME: .................................................................................................*
	*(PLEASE PRINT)*

	*DATE: ............................................................................*

CASINO LICENSE		NO.

*(ISSUED UNDER SECTION 7 OF THE CASINO CONTROL ACT [Cap. 223])*

Name of the Casino Licensee:	..........................................................................................

Address in Vanuatu for Service of Documents: ........................................................................
.......................................................................................................................................

Name of the Casino: ..........................................................................................................
.......................................................................................................................................

Location of and those Areas Constituting the Casino Premises:
....................................................................................................................................... ....................................................................................................................................... ....................................................................................................................................... .......................................................................................................................................

Duration of License: From: ........................................ To: ..................................................

New/Renewal: ..................................................................................................................

Terms and Conditions of Issue of License: ..............................................................................
....................................................................................................................................... ....................................................................................................................................... ....................................................................................................................................... ....................................................................................................................................... ....................................................................................................................................... .......................................................................................................................................
Date of Issue: ...................................................................			*ISSUING OFFICE STAMP*

Amount of License Fee Paid: VT ...........................................

Official Government Receipt No.: ..........................................

Date of Expiration of License: ...............................................

Name of Issuing Officer: ......................................................

Signature of Issuing Officer: ..................................................

Vanuatu Consolidated Subsidiary Legislation

Casino (Forms)