The Department of Internal Affairs

The Department of Internal Affairs

Te Tari Taiwhenua

Building a safe, prosperous and respected nation

 

Services › Casino and Non-Casino Gaming › Class 3 Gambling Forms

NEW! To run a Class 3 gambling activity you need to apply for a licence on the correct form. These forms have recently changed.

Please choose the form that best fits what you want to do.

The forms are available below for you to open, download, complete electronically and save as PDF* files and print.

Applications on old forms are likely to be returned as they will not contain all the information we need to process your licence application through the new system.

For further information regarding completing these forms electronically and paying application fees please refer to Fact Sheet 42 and for further information regarding submitting your application please refer to Fact Sheet 43.

Class 3 Operator's Licence Application Forms

Class 3 Audit and Calculation Forms

Class 3 & 4 Key Person Applicants Personal Information

Personal Information Form for Class 3 and Class 4 gambling.

Form code

Form to use

GC5

Class 3 and 4 Key Person Applicants Personal Information (PDF, 360KB)*
April 2017

Application for a New Licence to Conduct Lottery


Form code

Form to use

GC11L

Application for a New Class 3 Operator’s Licence - Lottery (PDF, 409KB)*
April 2017

Application for a New Licence to Conduct a Game of Chance


Form code

Form to use

GC11GoC

Application for a New Class 3 Operator’s Licence – Game of Chance (PDF, 409KB)*
April 2017

Application for a New Licence to Conduct a Prize Competition


Form code

Form to use

GC11PC

Application for a New Class 3 Operator’s Licence – Prize Competition (PDF, 407KB)*
April 2017

Application for a New Licence to Conduct Housie


Form code

Form to use

GC11H

Application for a New Class 3 Operator’s Licence – Housie (PDF, 351KB)*
April 2017

Application for a New Licence to Conduct Calcutta


Form code

Form to use

GC11C

Application for a New Class 3 Operator’s Licence – Calcutta (PDF, 406KB)*
April 2017

Application for a New Licence to Instant Game


Form code

Form to use

GC11IG

Application for a New Class 3 Operator’s Licence – Instant Game (PDF, 392KB)*
April 2017

Application to amend an existing Class 3 Lottery Gambling Operator's Licence


Form code

Form to use

GC12LA

Class 3 Lottery Licence Amendment/Notification Application (PDF, 361KB)*
April 2017

Application to amend an existing Class 3 Game of Chance Gambling Operator’s Licence


Form code

Form to use

GC12GoCA

Class 3 Game of Chance Licence Amendment/Notification Application (PDF, 356KB)*
April 2017

Application to amend an existing Class 3 Prize Competition Gambling Operator’s Licence


Form code

Form to use

GC12PCA

Class 3 Prize Competition Licence Amendment/Notification Application (PDF, 355KB)*
April 2017

Application to amend an existing Class 3 Housie Gambling Operator's Licence


Form code

Form to use

GC12HA

Class 3 Housie Licence Amendment/Notification Application (PDF, 338KB)*
April 2017

Application to amend an existing Class 3 Calcutta Gambling Operator's Licence


Form code

Form to use

GC12CA

Class 3 Calcutta Licence Amendment/Notification Application (PDF, 355KB)*
April 2017

Application to amend an existing Class 3 Instant Game Gambling Operator's Licence


Form code

Form to use

GC12IGA

Class 3 Instant Game Licence Amendment/Notification Application (PDF, 346KB)*
April 2017

Application to renew an existing Class 3 Housie Gambling Operator's Licence


Form code

Form to use

GC14HR

Application to renew a Class 3 Housie Licence (PDF, 354KB)*
April 2017

Class 3 Audit and Prize Statement

Complete this form after a Class 3 Gambling activity has been drawn/determined.

Form code

Form to use

GC13

Class 3 Audit and Prize Statement (PDF, 404KB)*
April 2017

Calcutta Calculation Spreadsheet

This spreadsheet covers the calculations required for the calculation of Calcutta prizes and authorised purposes dollar amounts and other payments from both ticket sales and auctions. You need to attach this spreadsheet to the Class 3 Audit and Prize Statement (Excluding Housie) form above which must also be completed.

Form code

Form to use

Not applicable

Calcutta Calculation Spreadsheet (XLSX, 22KB)
April 2017


*You need Adobe Reader installed on your computer to view these forms. If you are unable to open the forms we recommend you get the latest version of Adobe Reader. You can download and install Acrobat Reader for free from the Adobe website.

Unable to download or access our forms? Contact the Gambling Compliance Group and request printed copies.