Get the free Self Exclusion Form - Limpopo Gambling Board
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Established in terms of the Limpopo Casino and Gambling Act, Act No. 4 of
1996, and retained in terms of the Limpopo Gambling Act, Act No. 3 of 2013.SELF EXCLUSION FORM
I, the undersigned:
....
(Full
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How to fill out self exclusion form
How to fill out self exclusion form
01
To fill out a self exclusion form, follow these steps:
02
Obtain a self exclusion form from a relevant organization or gambling establishment.
03
Read and understand the instructions and terms provided on the form.
04
Fill in the required personal information, such as your full name, address, and contact details.
05
Clearly indicate the duration of the self exclusion period, whether it is temporary or permanent.
06
Sign and date the form to validate your request.
07
Submit the completed form to the designated authority or organization.
08
Keep a copy of the form for your records.
09
Follow any additional steps or procedures specified by the organization or establishment to complete the self exclusion process.
Who needs self exclusion form?
01
Individuals who feel they have a gambling addiction or struggle with controlling their gambling habits may need a self exclusion form.
02
People who wish to voluntarily restrict their access to gambling establishments or online gambling platforms can utilize a self exclusion form.
03
Those who want to take proactive measures to prevent gambling-related issues or protect themselves from potential financial harm may find the self exclusion form helpful.
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What is self exclusion form?
Self exclusion form is a document that allows individuals to voluntarily ban themselves from participating in certain activities such as gambling or entering specific premises.
Who is required to file self exclusion form?
Anyone who wishes to refrain from participating in certain activities or entering specific premises can file a self exclusion form.
How to fill out self exclusion form?
To fill out a self exclusion form, individuals typically need to provide their personal information, the duration of the exclusion, and sign the form to acknowledge their commitment.
What is the purpose of self exclusion form?
The purpose of self exclusion form is to help individuals control their behavior by restricting themselves from engaging in certain activities that may be harmful to them.
What information must be reported on self exclusion form?
The information required on a self exclusion form may include personal details (name, address, DOB), contact information, duration of exclusion, and signature of the individual.
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