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Get the free Deed of Self-Exclusion from Gambling

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Notice of Exclusion from Gambling by Licensee Part 1: Details of the Excluded Person (*indicates compulsory field) First Name×Surname×Middle NameD ate of Birth×Also Known asGenderPhone No. Email
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How to fill out deed of self-exclusion from

01
Obtain the deed of self-exclusion form from the organization or gambling facility where you wish to exclude yourself from.
02
Fill in your personal information accurately, including your full name, contact information, and any identifying details required by the form.
03
Clearly state the duration of the self-exclusion period, which can vary from a few months to several years.
04
Sign and date the form in the presence of a witness or organization representative as required.
05
Submit the completed form to the relevant authority or organization for processing.

Who needs deed of self-exclusion from?

01
Individuals who wish to voluntarily exclude themselves from gambling activities at specific establishments or online platforms.
02
People who have recognized a gambling addiction and want to take proactive steps to prevent further financial and personal harm.
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A deed of self-exclusion is a formal agreement wherein an individual voluntarily prohibits themselves from participating in certain activities, typically related to gambling or gaming establishments.
Individuals who wish to restrict their access to gambling or gaming activities, usually due to issues with addiction or a desire to regain control over their gambling habits, are required to file a deed of self-exclusion.
To fill out a deed of self-exclusion, the individual typically must provide personal information such as name, address, and identification details on the prescribed form, then submit it to the relevant gaming authority or establishment.
The purpose of a deed of self-exclusion is to allow individuals to voluntarily take a step to limit their access to gambling activities in order to help manage or overcome gambling addiction.
The information that must be reported usually includes full name, address, date of birth, identification number, and possibly a signature confirming the individual's understanding of the self-exclusion terms.
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