Lottery Permit Application Form

Published date01 February 2019
IssuerDepartment of Justice
An Garda Síochána
Lottery Permit Application
Gaming and Lotteries Acts 1956 - 2019
NB: This form has been specified by the Minister for Justice under the provisions of section 27B
of the Gaming and Lotteries Act 1956 as inserted by section 11 of the Gaming and Lotteries
(Amendment) Act 2019
An applicatio n will not be considered until such time as of all the information as required and
requested by the Superintendent for the District where the premises to which t he application is
situated has been received.
Personal Identification Details
First and Middle Name
Address of usual residence:
County: Eircode:
Contact telephone number
E mail address:
Date of Birth dd/mm/yyyy:
Applicant’s local Garda Station:
Lottery Activity
Type and frequency of lottery activity proposed:
Date on which lottery activity is proposed to commence (dd/mm/yyyy):
(n.b. this date must be at least 60 days from date of application)
Lottery promoted on behalf of (please indicate one only):
Sports Club/Community Organisation:
Charitable/Philanthropic cause:
Promoter’s own benefit:
Name of Sports Club/Community Organisation or Charitable/Philanthropic
Address of premises where lottery is to be promoted (if different to applicant’s

To continue reading

Request your trial

VLEX uses login cookies to provide you with a better browsing experience. If you click on 'Accept' or continue browsing this site we consider that you accept our cookie policy. ACCEPT