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Gambling Act 2005 License Conditions and Code of Practice SELF EXCLUSION REQUEST FORM Site Address: Customer Name: PHOTOGRAPH (if provided) Customer date of birth: Customer address: I request that
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What is self excluders form?
Self-excluders form is a document that allows individuals to voluntarily ban themselves from participating in certain activities, such as gambling or entering a specific establishment.
Who is required to file self excluders form?
Any individual who wishes to exclude themselves from a specific activity or location is required to file a self-excluders form.
How to fill out self excluders form?
To fill out a self-excluders form, individuals typically need to provide their personal information, the reason for self-exclusion, and any other required details as specified on the form.
What is the purpose of self excluders form?
The purpose of the self-excluders form is to help individuals control their behavior and prevent themselves from engaging in activities that may be harmful to them.
What information must be reported on self excluders form?
The self-excluders form may require individuals to report their full name, contact information, reason for self-exclusion, and any other relevant details as needed.
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