Western Australian Current Regulations Western Australian Current RegulationsForm 1
Gaming and Wagering Commission Act 1987
[s. 36(2)]
INFRINGEMENT NOTICE
No. ..................................
Date of service
....................................
1.
To..................................................................................................................
(Surname) (other
names)
of
..................................................................................................................
...................................................................................
Postcode ...................
It is alleged that at about
...................a.m./p.m. on the ......................... day of
.......................... 20 .........., at
..................................................................
(Name of Premises)
you committed the offence described below and are
liable for the modified penalty stated.
........................................................
*Police officer or
Authorised officer for
the Gaming and Wagering Commission
of Western Australia.
2. Section Description
of offence Modified penalty
3. If for any reason you wish to have the matter
determined in a court hearing you need not reply and may decline to pay the
modified penalty, but in that case court proceedings may be taken against you
and you may be liable both for costs and a fine for the offence.
4. You may pay the modified penalty within
21 days of the date of this notice, but if the modified penalty is not
then paid you will be deemed to have declined to pay it and court proceedings
may be taken.
5. Payment may be made by completing item 6
and either —
(a)
posting this form and a cheque, money order or postal note for the amount of
the modified penalty specified in item 2, to the Gaming and Wagering
Commission, P.O. Box 6119, East Perth W.A. 6004; or
(b)
delivering this form and paying the amount to the Gaming and Wagering
Commission, 1 st Floor, Hyatt Centre, 87 Adelaide Terrace, Perth W.A. 6000.
6. I,
..................................................................................................................
(Name)
of
.................................................................................................................
(number and street)
......................................................................................................................
(town or suburb)
(Postcode)
agree to pay the modified penalty for the offence
indicated in this form.
..............................................
(Signature of offender)
*Delete whichever is inapplicable
[Form 1 amended: Gazette 30 Jan 2004
p. 416.]
Form 2
Gaming and Wagering Commission Act 1987
[s. 36(7)]
WITHDRAWAL OF INFRINGEMENT NOTICE
No. ..................................
Date of Service
.......................... 20 ......
To ............................................................of
...........................................................
(Name) (Address)
Infringement notice
No ...................... served on you on the ..................... day of
............................................ 20 ...... for the offence
described below is hereby withdrawn.
..............................................
Authorised officer for
the Gaming and Wagering Commission of Western
Australia.
Section Description of offence
Modified penalty
[Form 2 amended: Gazette 30 Jan 2004
p. 416.]
Form 3
Gaming and Wagering Commission Act 1987
[s. 47; 51]
GAMING PERMIT
No....................................
The Gaming and Wagering Commission grants —
*(1) to .......................................... of
.........................................................*and/or
*(2) to
........................................ of
..................................... (approved nominee)
as a person appointed
by and responsible for the conduct of gaming on behalf of *(3)
............................................. of
.................................................................... a
*function/continuing permit to conduct (4)
........................................................... at (5)
.......................................................................................................................
which is valid, *during (6)
.....................................................................................
from (7) ............a.m./p.m. on ............... to ................
a.m./p.m. on .......................
................................................................................................................................
................................................................................................................................
This permit is granted subject to the conditions implied by the Gaming and
Wagering Commission Act 1987 or prescribed in regulations made under that
Act and also to the conditions endorsed below or annexed.
Conditions
................................................................................................................................
................................................................................................................................
................................................................................................................................
(8)....................................................
for the Gaming and
Wagering Commission
Issued .................................... 20 ............
Fee ........................... Receipt No. ..................... dated
..........................................
Notes
Insert
(1) Name and address
of permit holder, if not issued on behalf of a body of persons.
(2) Name and address
of individual approved as nominee permit holder.
(3) Name and address
of organization, club or other body.
(4) The kind of gaming
authorised.
(5) Address of
approved premises.
(6) Where it is a
function permit, a description of the function.
(7) The duration of
the period concerned, or the days authorised.
(8) Signature of the
officer of the Commission or, in the case of a function permit, of the
magistrate 1 by whom the permit was issued.
*Delete if inapplicable.
[Form 3 amended: Gazette 30 Jan 2004
p. 416.]
Form 4
Gaming and Wagering Commission Act 1987
[s. 25]
WARRANT
I, [insert name of justice of the peace granting the warrant], of
............................ .............................., being a JUSTICE
OF THE PEACE and being satisfied upon complaint by [insert name of
complainant] that there is reason to suspect that contrary to the
Gaming and Wagering Commission Act 1987
(1) (a)
premises are or are to be opened, kept or used as a common gaming house; or
(b)
unlawful gaming is, has been or is about to be conducted at the premises; or
(c) an
offence in relation to permitted gaming is, or is likely to be, committed at
the premises;
at
(2)........................................................................................................................
................................................................................................................................
HEREBY GRANT to (3)
.......................................................................................
THIS WARRANT empowering that person to enter those premises with such other
persons as may be necessary to assist using such force as may be necessary and
there to do any of the things referred to in paragraphs (a), (b) and (c)
of section 25(2) of that Act, and this warrant continues to have effect
until the purposes for which it was granted is satisfied.
Granted on
.............................................................................................................
at
............................................................................................................................
...................................................
Signature of justice of the
peace granting the warrant.
(1) Delete if any inapplicable.
(2)
Insert particulars of premises.
(3)
Insert the name and designation of the authorised officer or member of the
Police Force.
[Form 4 inserted: Gazette 7 Oct 1988
p. 4106; amended: Gazette 30 Jan 2004 p. 416.]