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SELF EXCLUSION PROGRAM PARTICIPATION FORM APPLICATION FOR SELF EXCLUSION GENERAL INFORMATION Full Name If known by other name please specify Date of Birth Home Address street suburb state postcode
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How to fill out self exclusion program participation

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How to fill out self exclusion program participation:

01
Start by researching self exclusion programs offered in your area. Look for programs that are reputable and provide the necessary support and resources for individuals struggling with gambling addiction.
02
Contact the self exclusion program provider to obtain the necessary forms and materials. Most programs will have an application or enrollment form that you need to fill out.
03
Carefully read and understand the terms and conditions of the self exclusion program. Familiarize yourself with the rules and regulations that you will be expected to follow during your participation.
04
Complete the application form accurately and honestly. Provide all the required personal information, such as your name, contact details, and identification documents, as requested by the program.
05
Some self exclusion programs may require additional documentation to verify your identity or confirm your eligibility. Make sure to gather any supporting documents, such as a copy of your ID or a proof of address, if required.
06
Review your completed application form to ensure that all the information provided is correct and complete. Double-check for any errors or missing details.
07
Submit your filled-out application form to the self exclusion program provider. Follow any specific instructions given by the program regarding submission methods, such as mailing or delivering the form in person.
08
After submitting the form, you may be required to attend an enrollment appointment or meeting. This can be an opportunity for program staff to explain the self exclusion process, answer any questions you may have, and provide further guidance.

Who needs self exclusion program participation?

01
Individuals who are struggling with gambling addiction or have identified that they have a gambling problem can benefit from self exclusion program participation. These programs are designed to help individuals restrict their access to gambling venues or online platforms, providing them with the necessary support and tools to overcome their addiction.
02
Self exclusion program participation can be useful for individuals who have experienced financial, emotional, or social difficulties due to their gambling behavior. These programs aim to provide a means of self-control and accountability, helping participants break free from the cycle of gambling addiction.
03
Friends and family members of individuals with gambling problems can also encourage their loved ones to participate in self exclusion programs. By doing so, they are supporting their recovery journey and helping create a safe and supportive environment for the individual to overcome their addiction.
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Self exclusion program participation is a voluntary program that allows individuals to ban themselves from gambling activities for a specified period of time.
Individuals who have issues with problem gambling or wish to control their gambling habits are encouraged to file self exclusion program participation.
To fill out self exclusion program participation, individuals must visit the designated gambling regulatory authority's website and follow the instructions provided.
The purpose of self exclusion program participation is to help individuals control their gambling habits, reduce the risk of problem gambling, and protect vulnerable individuals.
Individuals must provide personal information such as name, address, and contact details when filing self exclusion program participation.
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