Apply for a Premises Licence under Gambling Act 2005 Application for a premises licence under the Gambling Act 2005 (standard form) Where the application is In respect of a vessel, or To convert an authorisation granted under the Betting, Gaming and Lotteries Act 1963 or the Gaming Act 1968, the application should be made on the relevant form for that type of premises or application. Fields marked with * are required Part 1 – Type of premises licence applied for Please choose the licence type you are applying for* Regional Casino Large Casino Small Casino Bingo Adult Gaming Centre Family Entertainment Centre Betting (Track) Betting (Other) Do you hold a provisional statement in respect of the premises? * Yes No Please give the unique reference number for the provisional statement (as set out at the top of the first page of the statement Next Page Last updated: 21/09/2022 10:58:59