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Operating Licence - Application to Vary a Licence v6.0 GCVL / Page 1 of 8
Operating Licence
Application to Vary
a Licence
• Your application will not be considered unless all relevant questions have been completed and the application fee
has been paid in full. Failure to provide the relevant information or to provide further information when
requested by the Gambling Commission may result in your application being determined based on the
information available at the time which may affect the outcome of your application. This includes whether a
licence can be granted. If you misrepresent or fail to reveal information that you are asked to provide, you may
have committed an offence under Section 342 of the Gambling Act 2005.
2. Does this change apply to any other licences? Please note, an application fee will be payable for each
licence to which the change applies.
No – please continue to Section 2
Yes – please complete the following details
(use a continuation sheet if necessary)
Licence number
- - - -
1. Please provide the full name in which the operating licence is held.
Section 1. Existing Licence Details
Operator name (the company, individual or other entity). If the operator is a partnership, the name of each
individual partner must be listed.
Licence number
- - - -
3. Please select the relevant cross box(es) to indicate the type of change(s) that are being applied for in this
application then continue to the relevant section as detailed below.
Change of operating name - please complete
Section 3
Changes to key personnel/on-course reps
(SSO only) - please complete Section 5
Changes to licence conditions - please
complete Section 4
Changes to key equipment - please complete
Section 6
The variations detailed above are all of the variations which can be made to an Operating Licence that
currently are not available online. Each type of variation incurs a separate fee. Please see our fees calculator
on our website to calculate the required fee.
Once you have completed the sections indicated above you must also complete Sections 7, 8, 9 and provide
any additional documentation as detailed in the sections you have completed.
If you are carrying out more than one type of change you must complete all of the sections listed next to the
different type of changes you have selected.
Section 2. Type of Variation
Please note, some variations only apply to Small Scale Operators (SSO). Where an operator who does not
qualify for SSO exemption wishes to apply for these changes, please notify us via the relevant key event and/
or LCCP notification on eServices.
Operating Licence - Application to Vary a Licence v6.0 GCVL / Page 2 of 8
4. If you are changing your operator name, please complete the following details.
New name
Date name changed
D D M M Y Y Y Y
Please note, you are required to provide proof of the change of name with this application. For example,
registered companies and charities will need to provide evidence from Companies House, and sole proprietors
and partnerships will need to provide Deed Poll documentation.
Section 3. Change of Operating Name
For operators whose licence contains umbrella licence conditions or who wish to add them.
5. If you wish to add, remove or amend a licence condition, please select the relevant cross box and complete
the details below ensuring that you specify the exact wording of the condition and the reason for the
request. If you wish to amend a licence condition please also specify the type of change you wish to make.
Reason for change
Umbrella Operating Licence Condition
Add a name to an umbrella
licence
Remove a name from an
umbrella licence
Amend an existing name
on an umbrella licence
Add a licenced activity to
an umbrella licence
Remove a licenced activity
from an umbrella licence
For amending a licence condition ONLY please specify which type of change you wish to make.
Add an umbrella licence
condition
Remove an umbrella
licence condition
Amend an umbrella licence
condition
Section 4. Changes to License Conditions
Reason for change
Operating Licence Condition
Add a licence condition Remove a licence condition Amend a licence condition
6. If you wish to add, remove or amend a licence condition, please complete the details below ensuring that
you specify the exact wording of the condition and the reason for the request.
For operators whose licence contains standard licence conditions
Operating Licence - Application to Vary a Licence v6.0 GCVL / Page 3 of 8
7. If you wish to add or remove a key person (any individuals with overall responsibility for a management
function) or an on-course representative (any individuals who accept bets on your behalf without your
direct supervision) associated with your Operating Licence, please complete the details below. Please use
a continuation sheet if necessary.
No
Has this individual been approved as an Annex A or been granted a PML
within the last five years?
Yes
Remove individual Add individual
Individual is
key personnel
Individual is
on-course rep
7a. Full name
Section 5. Changes to Key Personnel or On-course Representatives (SSO only)
For any individuals being added to your operating licence, if the individual has not been approved as an
Annex A or been granted a PML within the last five years they must complete an Annex A declaration or PML
application using the Gambling Commission's Application online
- our online self serve portal.
Please note, any individuals who complete an Annex A declaration or PML application via eServices must also
submit a DBS or Disclosure Scotland application form and the required identification documents.
If you require either of these, please indicate the number below and provide a postal address to send them to.
Please note that applicants who reside outside of Great Britain are required to submit a police report from
their country of residence.
For any on-course representatives you wish to add, please supply a copy of their contract of employment.
• A copy of your up to date policies and procedures which includes details of where the new key person sits within
any escalation processes and decision making points (not applicable for adding an on-course representative);
• An up to date corporate management diagram which includes the Money Laundering Reporting Officer within the
structure (not applicable for adding an on-course representative);
8. Where you are applying to add a key person; the Gambling Commission requires the following information:
• An explanation of what training the new key person will receive in relation to the licensing objectives, the Licence
Codes and Codes of Practice and the policies and procedures you have in place. This should include when the
training will take place and how it will be delivered, updated and evaluated.
Wherever possible your policies and procedures should include flow diagrams/process maps which show how
the procedures work in practice, where the escalation and decision making points are, and who is responsible
for making the decisions.
Your policies and procedures should highlight any potential risks to the licensing objectives and the business
itself, and detail how you will manage those risks. They should also detail any contingency plans that will be
in place to mitigate such risks.
7b. Full name
7c. Full name
No
Has this individual been approved as an Annex A or been granted a PML
within the last five years?
Yes
Remove individual Add individual
Individual is
key personnel
Individual is
on-course rep
No
Has this individual been approved as an Annex A or been granted a PML
within the last five years?
Yes
Remove individual Add individual
Individual is
key personnel
Individual is
on-course rep
DBS forms
Disclosure Scotland forms
(for residents in Scotland only)
Operating Licence - Application to Vary a Licence v6.0 GCVL / Page 4 of 8
9a. Please indicate the piece(s) of key equipment you wish to add, remove or relocate. Please also confirm
whether the applicant operates and/or provides the key equipment, the country the equipment is located
in and the date the change took place or is due to take place.
9. If you wish to add, remove or relocate a piece of key equipment, please complete the following details.
Please use a continuation sheet if you are making changes to more than one piece of key equipment,
ensuring you provide all of the information detailed in questions 9a, 9b and 9c for each piece of
equipment.
Section 6. Changes to Key Equipment
If you wish to make a change to key equipment which is only used for disaster recovery please continue to
question 10, you do not need to provide details under question 9a, 9b or 9c.
Amend
Remove
Add
Country of location
D D M M Y Y Y Y
D D M M Y Y Y Y
D D M M Y Y Y Y
D D M M Y Y Y Y
D D M M Y Y Y Y
D D M M Y Y Y Y
Effective date
Virtual Event State
Gambling
Transaction Records
Random Number
Generator
Settling
Virtual Event
Controller
Virtual Event and
Game Pages
applicant
Provided by
applicant
Operated by
9b. If the key equipment is not operated by the applicant please provide the following information.
Name of the organisation who operates the key equipment
continues on next page
Operations:
9c. If the key equipment is not provided by the applicant please provide the following information.
Name of the organisation who provides the key equipment
Operating Licence - Application to Vary a Licence v6.0 GCVL / Page 5 of 8
10a. Please indicate the piece(s) of disaster recovery key equipment you wish to add, remove or relocate.
Please also confirm whether the applicant operates and/or provides the key equipment, what recovery
type the equipment is used for, the country the equipment is located in and the date the change took
place or is due to take place.
10. If you wish to add, remove or relocate a piece of disaster recovery (DR) key equipment, please complete
the following details. Please use a continuation sheet if you are making changes to more than one piece of
key equipment, ensuring you provide all of the information detailed in questions 10a, 10b and 10c for
each piece of equipment.
Country of location
D D M M Y Y Y Y
Effective date
D D M M Y Y Y Y
D D M M Y Y Y Y
D D M M Y Y Y Y
D D M M Y Y Y Y
D D M M Y Y Y Y
DR - Virtual Event
State
DR - Gambling
Transaction Records
DR - Random
Number Generator
DR - Settling
DR - Virtual Event
Controller
DR - Virtual Event
and Game Pages
Amend
Add
applicant
Provided by
applicant
Operated by
Operations Only
Continuous
Only
Backup Information
Continuous Operations
Backup Information and
Remove
10b. If the key equipment is not operated by the applicant please provide the following information.
Name of the organisation who operates the key equipment
10c. If the key equipment is not provided by the applicant please provide the following information.
Name of the organisation who provides the key equipment
Section 6. (continued)
Recovery Type:
Operations:
Section 7. Application Declaration
The following declaration must be signed in all cases:
a. If the applicant is an individual, by that individual;
b. If the applicant is a partnership, by one of the partners;
c. If the applicant is a company and was incorporated before 2008, by one of the directors (who is not also the
secretary of the company);
d. If the applicant is a company and was incorporated after 2008, by one of the directors;
e. In any other case, by a duly authorised officer of the applicant.
"You or I" means the applicant.
"We or us" means the Gambling Commission.
continues on next page
Operating Licence - Application to Vary a Licence v6.0 GCVL / Page 6 of 8
First name(s)
Signed
Last name
Position in organisation
Date
D D M M Y Y Y Y
You must tell us:
• if anything in the application changes after submission or if you become aware of any errors
• if you are subject to any investigatory or regulatory action in another country
If you do not tell us about any of the above, we may review and revoke your licence.
By signing the below I am declaring:
• I confirm to the best of my knowledge, that the information provided in this application is accurate
• I certify that all documentation provided is either an original or a true copy
• I consent for you to request and share information with relevant third parties to consider my suitability to
hold a licence
• I agree to notify the Gambling Commission should any of the information given in this application change or
is found to be incorrect
• I understand that if I receive a new licence, details about the licence will be placed on the public register
• I 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 accept that a
digital signature has the same force and effect as a signature affixed by hand.
The Gambling Commission is a data controller under the terms of the General Data Protection Regulation ("GDPR")
and Data Protection Act 2018. The information you have provided may be processed by us to meet our legal
obligations to carry out our functions. You can find our policy on the GDPR and further information on how we
process data on our website
.
Any information or material sent to us may be subject to the Freedom of Information Act 2000.
We will treat all information as confidential and will only disclose that information to third parties where it is
necessary to do so. Our policy on release of information is available on our website
.
If the individual listed above is not the main contact for this application please provide the name and email
address for the individual who will be the main contact for this application.
Email address
Name
We may ask third parties for confirmation or further details in relation to any information you have provided in this
application. These third parties may be domestic or foreign:
• government departments and agencies
• employers
• educational institutions
• courts
• banks and financial institutions
• any other third party that may hold relevant information
Further details on the information we seek can be found in the 'Licensing' section of our
Licensing, compliance and
enforcement policy statement
.
We may share data with third parties who fulfil a service on behalf of, and under the express instructions of, the
Gambling Commission and where it is necessary to carry out our functions and where we are legally required and
permitted to do so.
We need your consent to carry out these checks for you to hold a licence or continue to hold one.
Section 7. (continued)
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signature
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Operating Licence - Application to Vary a Licence v6.0 GCVL / Page 7 of 8
The appropriate fee (non-refundable)
Please select the relevant cross box(es) to confirm that the required enclosures have been attached:
Personal identification documents for any associated Annex A or PML applications (as detailed in
question 7)
Completed DBS or Disclosure Scotland application form or overseas police report for relevant personnel
(as detailed in question 7)
Policy information (where applicable, as detailed in question 8)
Your existing Operating Licence (where applicable)
Continuation sheet(s) (if required)
Remember: Your application will not be considered unless all relevant questions have
been completed and the application fee has been paid in full. Failure to provide the above
information or to provide further information when requested by the Gambling
Commission may result in your application being determined based on the information
available at the time which may affect the outcome of your application.
Total non-remote licences (£)
Total remote licences (£)
Personal licences (£)
Total (£)
£
£
£
£
11. Payment Calculation Summary (please see our fees calculator on our website to calculate your fee).
Section 9. Payment Calculation
Section 8. Enclosures
Contracts of employment for on-course representatives (where applicable, as required for question 8)
Payments must be made by BACS transfer. The Commission’s bank details can be found on our website and on the
guidance notes:
https://www.gamblingcommission.gov.uk/for-gambling-businesses/Apply-for-a-licence/Annual-fees.aspx
When paying by BACS transfer, you must quote the licensee’s account number and name with the payment details.
Payment by cheque is not accepted.
Section 10. Payment
Please note, all payments MUST be made in pounds sterling (GBP)
OFFICE USE ONLY
Order No.
Account ID
Please return application form, to:
GAMBLING COMMISSION, VICTORIA SQUARE HOUSE, VICTORIA SQUARE, BIRMINGHAM, B2 4BP
Operating Licence - Application to Vary a Licence v6.0 GCVL / Page 8 of 8
© Gambling Commission 2019 Form GCVL
Keeping gambling fair and safe for all
The Gambling Commission regulates gambling in the public interest. It does so by keeping crime out of gambling, by ensuring that
gambling is conducted fairly and openly, and by protecting children and vulnerable people from being harmed or exploited by
gambling. The Gambling Commission also provides independent advice to government on gambling in Great Britain.
For further information or to register your interest in the Gambling Commission please visit our website
www.gamblingcommission.gov.uk.
Gambling Commission
Victoria Square House
Victoria Square
Birmingham
B2 4BP
T +44 121 230 6666
F +44 121 230 6720
E info@gamblingcommission.gov.uk
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Completed 8 July 2020

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