Before you start you must have access to
* National Police Check
from either Victoria Police, Australian Federal Police or any other provider appearing on the most current Australian Criminal Intelligence Commission's list of Accredited 'Broker' Organisations.
* Individual Credit Report
from either Equifax or illion
* Historical Personal Name Extract
from the Australian Securities and Investments Commission (ASIC)
The above documents must not be more than three months old at the time of lodgement of this application.
* In addition you are requested to provide a letter indicating your association with the Bingo Centre Operator
* other documentation may be required depending upon your individual circumstances.
All documentation supplied with this application must be in digital form and attached where required.
This form is for completion by individuals seeking approval as a new associate of a current holder of a Bingo Centre Operator’s licence.
Your application will be auto saved during the course of your application.
A facility is available for you to save a partially completed application and return to your application for a maximum of fourteen business days. You must supply a valid email address and mobile phone number (for security validation) to use this facility.
Our secure online payment system accepts:
If you currently live in Australia or if you have lived in Australia for at least 12 months during the last 10 years you must provide a National Police Certificate. If you currently live outside Australia or you have lived outside Australia for more than 12 months during the last 10 years, you are requested to seek an equivalent report from the relevant Police Agency in that jurisdiction.
Your application will not be accepted unless you attach at least one of the following:
You must attach an Australian credit report if:
If you live or have lived outside Australia for at least 12 months during the last 10 years you are required to attach an equivalent report from the relevant agency. In the event that you are unable to provide an equivalent report please attach a written explanation.
The applicant hereby authorises all persons who receive this financial information release form
from the Victorian Commission for Gambling and Liquor Regulation (the VCGLR) and its staff to undertake the authorised actions for the authorised purposes as set out below:
The applicant hereby consents to all probity investigations carried out by the Victorian Commission for Gambling and Liquor Regulation (the VCGLR) and its staff, including but not limited to:-
(a) Inspection of criminal, intelligence or other records kept or maintained by:
I declare that I have read and understood the questions in this application form and the directions for answering them and I have answered the questions truthfully and completely to the best of my knowledge.
Enter a PIN and your email below to save a draft copy of your application.
You have 14 days to retrieve and finalise your application, after which it will automatically be removed and can no longer be accessed.
Saving your application does not mean you have submitted your application.
Enter a 4 character word/number which will be used to retrieve this pending application.
Please make a note of the PIN you enter here.
If you lose or forget your PIN, your application cannot be retrieved
An email will be sent to the address above containg a link to retrieve your application.
If the email address is not valid, you will not be able to retrieve your application.