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 4 Venue Licence Forms

Application for a New Class 4 Venue Licence


Application for a New Class 4 Venue Licence

Use this form if you are a
club or other corporate society wanting to add a first or subsequent venue to your Class 4 Operator's Licence.

You also need to provide a 'Class 3 & 4 Key Person Personal Information' form completed by each key person in respect of the venue.


Form code

Form to use

GC3

Application for a New Class 4 Venue Licence (PDF, 363KB)*
April 2017


Class 4 Venue Licence Key Person Notifications

Notification under section 71 of the Gambling Act 2003, related to Key Persons.


Use this form if you want to:
  • add a key person (venue manager, venue operator or director, shareholder, receiver or liquidator of a venue operator company);
  • remove a key person;
  • change the designation of an existing key person;
  • notify changes of circumstances as specified in section 71 of the Act.
If adding or changing the designation of a key person, that person must complete the 'Class 3 & 4 Key Person Personal Information' form.


Form code

Form to use

GC4

Class 4 Venue Licence Key Person Notifications (PDF, 338KB)*
April 2017

Class 4 Venue Licence Amendments & Non-Key Person Notifications

Amendment to Licence, or notification under section 71 of the Gambling Act 2003,
not related to Key Persons.

Use this form if you want to:
  • change the primary activity of the business at the venue;
  • remove any gambling equipment from the venue (no fee);
  • add any gambling equipment to the venue;
  • change any gambling equipment at the venue;
  • increase the number of gaming machines that may be operated at the venue;
  • define the gambling area at the venue;
  • change any condition of the venue licence;
  • apply for an extension on the time Class 4 gambling has not been conducted at the venue;
  • surrender the venue licence (no fee).

Form code

Form to use

GC4A

Class 4 Venue Licence Amendments & Non-Key Person Notifications (PDF, 339KB)* April 2017

Class 3 and 4 Key Person Applicants Personal Information


Form code

Form to use

GC5

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

Gambling Area Floor Plan Guide

The following document provides an example of the type of information the Department would expect to see on a gambling area floor plan relevant to GC3, GC4 and GC4A licensing forms.

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