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Lucky Job Application Form - DOC by nbi17942

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									                         Administrative Permit for Raffle and Lucky Draw Activities

                                                        Application Form
In accordance with the administrative provisions of specific economic activities stipulated under the Decree Law no. 47/98/M of October
26 and Law no. 10/2003 of July 28, which include:
 Application should be submitted to Gaming Inspection and Coordination Bureau at least 10 working days prior to the event.
 Applicant should fulfill obligation of tax stipulated in the legislation.
 A representative of the competent entity should be presented during lucky draw takes place.
 Any party without valid permit is prohibited to operate or conduct the respective activities.
 Respective administrative infringement is subject to a fine pursuant to article 46 of Decree Law no. 47/98/M.


(1) Identification of Applicant
   Applicant:
   Address:
   Name of Responsible Person:                                                          Job Title:
   Name of Communicator:                                                                Job Title:
   E-mail:                                                                              Contact Tel. No.:


(2) Identification of Authorized Agency               (*only applicable for non-Macao applicant)
   Authorized Agency:
   Address:
   Name of Responsible Person:                                                          Job Title:
   Name of Communicator:                                                                Job Title:
   E-mail:                                                                              Contact Tel. No.:


(3) Information of Raffle and Lucky Draw Activities                   (*please state “To be Confirmed” for uncertain item(s))
  a) Raffle
   Title:
   Purpose:
   Target Market:
   Method of Selling:
   Date:                                                                 (dd/mm/yyyy)      Venue:
   Anticipated Quantity of Raffles to be Issued:                                           Unit Price:
   Anticipated Total Revenue:
   Purpose of Revenue:


  b) Lucky Draw Activities
   Title:                                                                                                              (*if applicable)

   Target Market:
   Date & Time:                                                             (dd/mm/yyyy)                                        (hh:mm)
                        Administrative Permit for Raffle and Lucky Draw Activities

                                                        Application Form

   Venue:
   Method of Drawing:
   Date of Announcement for Drawing Results & List of Winner:                                               (dd/mm/yyyy) (*if applicable)

   Method of Announcement:                                                                                                (*if applicable)



  c) List of Prizes                                                                    *please specify the currency for value of prizes
                              Prize Item(s)                                    Quantity        Unit Price               Value




*Please use supplementary form in the following page for item expansion: Yes     No             Total Value


(4) Other Advantageous Documents                                                                   Attached      To be re-submitted
i) Terms and conditions of lucky draw activity and prize collection
ii) Sample of raffle
iii) Financial information for raffle and lucky draw activity (*if applicable)

(5) Responsibilities of Applicant
i) Submit drawing results and list of winners after the event
ii) Fulfill payment of 5% stamp duty on total value of prizes to Finance Service Bureau

(6) Declaration
i) I / Our Company agree to transfer relevant application information for Finance Service Bureau as,
    supporting document to verify the value of prizes, or, reference for evaluation of stamp duty
    exemption if qualifications are met.
ii) I / Our Company are acknowledgeable that:
    All personal information submitted in the course of application will be used for application
    purposes only.

                                  Signature of Person in Charge with Co. Chop:

                                                                               Date:                                     (dd/mm/yyyy)



                                                       Bureau Reserves
  Application No                                       Date                                 Person in Charge
Administrative Permit for Raffle and Lucky Draw Activities

                         Application Form
            Supplementary Form — List of Prizes

                                                     *please specify the currency for value of prizes
   Prize Item(s)                            Quantity         Unit Price                Value




                                                             Total Value

      Signature of Person in Charge with Co. Chop:

								
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