Operating Licence - Change of Corporate Control v5.0 GCCC / Page 15 of 19
26. Is there any other information which you believe the Gambling Commission would reasonably expect
notice of or you would like to be taken into account when considering this application?
No – please continue to Section 11
Yes – please provide details below
(use a continuation sheet if necessary)
Section 10. Other Information
The following declaration must be signed in all cases by both the licensee and the new controller(s):
Section 11. Declaration
c. If the new controller(s) is/are an individual, by that individual;
d. If the new controller(s) is/are a partnership, by all individuals who are partners;
b. If the licensee was incorporated after April 2008, by at least one director;
e. In any other case, by a duly authorised officer of the applicant.
I/We agree to notify the Gambling Commission should any of the information given in this application change.
I/We certify to the best of my/our knowledge that the information given in this application is complete and correct
in every respect and that all material information has been included.
I/We understand that any misrepresentation or failure to reveal information or grant any authorisation requested
may be deemed to be sufficient cause for the refusal or revocation of a licence.
I/We agree to provide authority for the Gambling Commission to obtain bank references.
The Gambling Commission may require confirmation or further information from third parties in respect of any
evidence or documentation I/we have provided in support of this application. I/We agree to grant authorisation for
the Gambling Commission to request and receive information about me/us from those third parties.
Should the information provided in relation to this application form and any accompanying documentation cease to
be correct, or if there are any changes in the information provided between the date the application was submitted
and the date it is determined, it is the applicant's responsibility to advise the Gambling Commission immediately.
Failure to do so could result in any licence subsequently issued being reviewed and possibly revoked.
I/We understand that if I/we receive a licence, that fact will be placed on a public register.
a. If the licensee was incorporated before April 2008, by both the company secretary and at least one director
(who is not also the secretary of the company);
I/We certify that the financial projections provided have been approved and adopted by the board (or equivalent)
and that the Directors (or equivalent) have a reasonable expectation that the licensed entity has adequate resources
to continue in operational existence for the foreseeable future.
I/We understand that if the application form is signed using a digital signature, the Gambling Commission will only
accept a digital signature containing a serial number and code to allow verification, and I/we accept that a digital
signature has the same force and effect as a signature affixed by hand.
e. If the new controller(s) is/are a company and was incorporated before April 2008, by both the company
secretary and at least one director (who is not also the secretary of the company);
f. If the new controller(s) is/are a company and was incorporated after April 2008, by at least one director;
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