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The Small Society Lotteries (Registration of Non Commercial Societies Regulations 2007)
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Details of Society applying for registration
Society Name
mandatory field
Society Reference No.
Telephone
mandatory field
Email
mandatory field
Head Office address
mandatory field
Head Office Telephone
mandatory field
Head Office email
mandatory field
If the society is a registered charity, please give the society?s unique charity registration number.
Primary purpose(s)/aim(s) of Society
mandatory field
Particulars of charitable purposes to which proceeds of collection are to be applied:
mandatory field
Has the society held an operating licence under the Gambling Act 2005 in the period of five years ending with the date of this application?
Yes
No
Operating Licence Details
Has the operating licence been revoked in the period of five years ending with the date of this application?
Yes
No
Revokation Details
Please state the reasons for revocation and enclose a copy of the notice if one is available
Previous Application
Has the society applied for and been refused an operating licence in the period of five years ending with the date of this application?
mandatory field
Yes
No
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