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Self Exclusion Form Full Name (including any middle names): Date of Birth: Address: Postcode: Telephone number(s): Email: Period of self exclusion (from 6 months): Lottery Product and Charity/Society:
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What is self exclusion form?
Self exclusion form is a formal request submitted by an individual to voluntarily exclude themselves from certain activities, such as gambling or financial transactions.
Who is required to file self exclusion form?
Any individual who wishes to exclude themselves from specific activities may be required to file a self exclusion form.
How to fill out self exclusion form?
To fill out a self exclusion form, the individual typically needs to provide their personal information, specify the activities they wish to exclude themselves from, and sign the form acknowledging their request.
What is the purpose of self exclusion form?
The purpose of self exclusion form is to help individuals control their behaviors and prevent them from participating in harmful activities, such as excessive gambling.
What information must be reported on self exclusion form?
The information required on a self exclusion form may include the individual's name, contact information, reason for exclusion, duration of exclusion, and any other relevant details.
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