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Authorised Betting Operations Act 2000
Notice of Cessation of Betting Operations in South Australia
How to lodge this form
Electronically Scan and email all documents to: [email protected]
Post Licensing and Registration GPO Box 2169 ADELAIDE SA 5001
In person Customer Service Centre 91 Grenfell Street ADELAIDE SA 5000
More information www.cbs.sa.gov.au Ph: 08 8226 8615
Applicant details Person authorised to act as the nominated contact officer
Contact Name
Position:
Daytime phone Email
Details of the interstate betting operator
Name
Business address
ABN ACN
Website
Being an Authorised Interstate Betting Operator, hereby gives notice for the purposes of section 40A(1)(b) of the Authorised Betting Operations Act 2000 of the cessation of its betting operations by telephone, internet or other electronic means in South Australia.
End date in South Australia as at:
Submitted under cover of an authorising letter on:
L&R February 2016
