THE ONLINE GAMBLING REGULATION ACT 2001 PERSONAL REFERENCE FOR AN APPLICANT

Size: px
Start display at page:

Download "THE ONLINE GAMBLING REGULATION ACT 2001 PERSONAL REFERENCE FOR AN APPLICANT"

Transcription

1 THE ONLINE GAMBLING REGULATION ACT 2001 PERSONAL REFERENCE FOR AN APPLICANT GENERAL GUIDANCE Overview You have been asked to provide a personal reference for someone who is party to an application to the Isle of Man Gambling Supervision Commission (GSC) for a Licence under the Online Gambling Regulation Act 2001 (OGRA). The GSC has a statutory responsibility to investigate the character and financial status of any person applying for a licence, or otherwise concerned with the operation of any online gambling conducted in the Island, and to achieve this, the GSC must be satisfied as to several things, amongst which are that: the company is under the control of persons of integrity; and that the day-to-day activities of the company will be under the management of persons of integrity and competence There is also an obligation to ensure that licences are only granted to companies that will not damage the reputation of the Isle of Man as a premier international finance centre. The application procedure is designed to gain sufficient information so as to enable the GSC to carry out its detailed enquiries and reach an informed decision as to the suitability of the applicant as a licence holder. An important part of establishing the integrity and competence of such persons is the obtaining of personal references. In providing a reference to us we would ask that you use this form. Our requirements of you In order to supply the reference you must: be able to vouch for the personal integrity and competence of the applicant have known the person for at least three years not be related to the person not be a person who is closely connected to or otherwise involved in the current application OGRA Personal Reference for an Applicant - Page 1 of 5

2 In general terms, you should be able to comment on some or all of the person s skills, attitude, personal attributes & qualities, academic or other qualifications, reliability, honesty and achievements. The information you provide must be true, accurate and fair, compiled with reasonable care and must not give a misleading impression. Any factual information must be accurate. General Instructions Please complete Parts 1 and 2 of the form in CAPITAL LETTERS, and use black ink throughout. Please stay within the text boxes. If there is insufficient room, please provide the information on a separate sheet, and indicate in the box that you have done so. In particular, if you feel you can answer all of the questions in Part 3 by way of a separate document (a general letter or other format) then please feel free to do so. Return of Form Once complete, this reference form (and any attachment) should be either sent directly to the offices of the GSC (to the full postal address below); or returned to the person who has asked you for the reference (to be included by them with their application form), whichever way is your preference. This form is issued by the Isle of Man Gambling Supervision Commission Ground Floor, St George s Court Myrtle Street Douglas Isle of Man IM1 1ED British Isles Telephone: (01624) Fax: (01624) gaming@gov.im Web Site: We will contact you in due course to confirm that the reference submitted to us has been genuinely provided by you. Thank you for assisting us in the OGRA application process. If you have any queries, please do not hesitate in contacting us. OGRA Personal Reference for an Applicant - Page 2 of 5

3 Part 1 About You Title Mr Mrs Miss Ms Other: Surname or Family Name Forename(s) Date of Birth Place of Birth Town/City: Country: Full Postal Address Building Name or Number Street Town County or Area Country Post Code How long have you lived at this address Contact Methods Home Business (If applicable) Telephone Mobile Phone Facsimile Your Occupation, Trade or Job Title Your current employer (Please note that we will not contact your employer) Any other information about yourself which may be helpful. (Qualifications, experience etc.) OGRA Personal Reference for an Applicant - Page 3 of 5

4 Part 2 About the person you are giving the reference for Their Title Mr Mrs Miss Ms Other: Their Surname or Family Name Their Forename(s) Their Age or Date of Birth Their Full Postal Address Building Name or Number Street Town County or Area Country Post Code Part 3 Your knowledge of the person 3.1 For how long has the person been known to you? 3.2 In what capacity do you know them? (Friend, Employer, Business Associate etc) 3.3 Please tell us about the person. Areas you may wish to cover could include comment on the persons: integrity personal attributes and qualities attitude to business reliability honesty skills and competence academic or other qualifications Make particular reference to the gambling industry, if applicable. OGRA Personal Reference for an Applicant - Page 4 of 5

5 Is there anything else you feel would be of assistance to us? Part 4 Declaration and Signature I certify that the information provided in this Personal Reference Form is, to the best of my knowledge and belief, true, accurate and fair; and does not give a misleading impression. Signature Date OGRA Personal Reference for an Applicant - Page 5 of 5

Public Sector Injury Benefit Scheme 2015

Public Sector Injury Benefit Scheme 2015 Public Sector Injury Benefit Scheme 2015 PSPA Ref: Application for Injury Benefit Important: Please complete this form in CAPITAL LETTERS and in BLACK INK Section A To be completed by the Employing Authority

More information

Appointment of an agent form

Appointment of an agent form Appointment of an agent form An agent is someone who can act for you when dealing with the Ministry of Social Development (Work and Income, Senior Services and Housing Assessment). Choosing an agent You

More information

APPLICATION FORM AND GUIDANCE NOTES

APPLICATION FORM AND GUIDANCE NOTES APPLICATION FORM AND GUIDANCE NOTES Application to Register for a teacher who is recognised as a qualified teacher by a member state of the EU, EEA or Switzerland and is seeking recognition under EU Directive

More information

Application form for childminders and providers of childcare on domestic premises to seek approval to operate from non-domestic premises

Application form for childminders and providers of childcare on domestic premises to seek approval to operate from non-domestic premises Application form for childminders and providers of childcare on domestic premises to seek approval to operate from non-domestic premises Please complete this form online and return via email if possible.

More information

Trading at the Manchester Street Markets

Trading at the Manchester Street Markets Trading at the Manchester Street Markets The Manchester Street Markets are monthly markets at various locations across the city, including: Northenden (Northenden Village, Palatine Road) first Saturday

More information

Claims Management Claim Form. When you have filled in the form, please send it to us at:

Claims Management Claim Form. When you have filled in the form, please send it to us at: For our use only.../... Claims Management Claim Form When you have filled in the form, please send it to us at: Solicitors Regulation Authority Claims Management The Cube 199 Wharfside Street Birmingham

More information

Job Application Form

Job Application Form Name: Position Applied For: SIA Badge No: Transport: Information Applications should be completed in BLOCK CAPITALS and in BLACK ink. Please check that all the sections have been completed. endorse this

More information

Macquarie Life Total Permanent Disability (TPD): Claimant s Statement

Macquarie Life Total Permanent Disability (TPD): Claimant s Statement Macquarie Life Total Permanent Disability (TPD): Claimant s ment Filling in this statement Please complete all sections, use black ink and mark boxes like this with an X. 1 May we disclose information

More information

Trading at the Manchester Sunday Market & Car Boot

Trading at the Manchester Sunday Market & Car Boot Trading at the Manchester Sunday Market & Car Boot The Sunday Market & Car Boot is split into two sections: a real car boot market for householders wishing to sell their unwanted household items, and a

More information

The CILEx Compensation Fund Claims Application Form

The CILEx Compensation Fund Claims Application Form The CILEx Compensation Fund Claims Application Form Please complete this form to make a claim for a loss you have incurred. When you have filled in the form, please send it to us at: The CILEx Compensation

More information

Business account application form for a sole trader

Business account application form for a sole trader Business account application form for a sole trader Internal use only 1. Sole trader Title Forename(s) Surname Trading name (if applicable) Date of birth (dd/mm/yyyy) Mr Mrs Miss Other Town of birth Country

More information

Application to copy or transfer from one Medicare card to another

Application to copy or transfer from one Medicare card to another Application to copy or transfer from one Medicare card to another When to use this form Use this form if you need to do any of the following 4 actions: Transfer to a new Medicare card When a person transfers

More information

Land Registry Help protect yourself from property fraud keep your contact details up-to-date. May 2016

Land Registry Help protect yourself from property fraud keep your contact details up-to-date. May 2016 Land Registry Help protect yourself from property fraud keep your contact details up-to-date May 2016 Could you be at risk of property fraud? If you own a property, it could be a target for fraudsters,

More information

Claim for Special Child Care Benefit and/or increased weekly limit of hours

Claim for Special Child Care Benefit and/or increased weekly limit of hours Claim for Special Child Care Benefit and/or increased weekly limit of hours When to use this form Special Child Care Benefit (rate) for hardship, and/or Increased weekly limit of hours due to exceptional

More information

Making a complaint about government departments and services to the Parliamentary Ombudsman

Making a complaint about government departments and services to the Parliamentary Ombudsman Making a complaint about government departments and services to the Parliamentary Ombudsman Section 1 Can we look at your complaint? Have you complained to the organisation? Yes No Have you received a

More information

Opening a New Zealand bank account with ASB & Visa Bureau

Opening a New Zealand bank account with ASB & Visa Bureau Opening a New Zealand bank account with ASB & Visa Bureau The process for opening a New Zealand bank account is as follows: 1. Choose which type of account you would like to open. Omni Simple and easy

More information

Sure Start Maternity Grant from the Social Fund

Sure Start Maternity Grant from the Social Fund Sure Start Maternity Grant from the Social Fund Claim form for people who need to buy things for a baby Can you get a Sure Start Maternity Grant? You may be able to get a Sure Start Maternity Grant if

More information

The Law Society of Ireland Claims for refunds of money paid to a solicitor Application form

The Law Society of Ireland Claims for refunds of money paid to a solicitor Application form Ref: The Law Society of Ireland Claims for refunds of money paid to a solicitor Application form Use this form to: 1. claim compensation because your solicitor was dishonest; and, or 2. claim refunds for

More information

Title: Mr / Mrs / Miss (Please indicate as appropriate) Other: Surname: Full forenames: Address: Post Code: E-mail: Home Tel No: Mobile Te No:

Title: Mr / Mrs / Miss (Please indicate as appropriate) Other: Surname: Full forenames: Address: Post Code: E-mail: Home Tel No: Mobile Te No: 4 Saxon House Warley Street Upminster Essex RM14 3PJ Tel: 01708 227100 Fax: 01708 250140 Application for Employment 1. Please note that Ultimate Security Services Limited is an equal opportunities employer

More information

Trading at the Manchester Local Markets

Trading at the Manchester Local Markets Trading at the Manchester Local Markets The Manchester Local Markets include the Arndale, Church Street Market, Gorton, Harpurhey, Longsight and Wythenshawe Markets, which include markets selling new goods,

More information

Fact Sheet > Super SA > Triple S > Your Questions Answered MAKING AN INCOME PROTECTION CLAIM

Fact Sheet > Super SA > Triple S > Your Questions Answered MAKING AN INCOME PROTECTION CLAIM Fact Sheet > Super SA > Triple S > Your Questions Answered MAKING AN INCOME PROTECTION CLAIM > 1 IN THIS FACT SHEET > What is Income Protection (IP)? > Circumstances under which IP will not be paid > Step

More information

Fee free. Current accounts Application form for a sterling bank account

Fee free. Current accounts Application form for a sterling bank account Fee free Current accounts Application form for a sterling bank account Welcome We welcome you to Isle of Man Bank and thank you for choosing us. To help us decide whether we can provide you with the services

More information

Patient complaint form

Patient complaint form Patient complaint form 1 This form is for you to make a complaint, in the strictest confidence, about a doctor to the General Medical Council. You do not have to use this form but, if you do, it will help

More information

Degree Application Form 2015/16

Degree Application Form 2015/16 Degree Application Form 2015/16 BCME collects information about you on this form to ensure that we are fully prepared to offer you the best experience. Please complete it clearly, in black ink if possible.

More information

InternatIonal student certification of finances 2015 16

InternatIonal student certification of finances 2015 16 InternatIonal student certification of finances 2015 16 The purpose of the Certification of Finances is to help colleges and universities obtain complete and accurate information about the funds available

More information

Selected Investment Funds (SIF) Plan and SIF Individual Savings Account (ISA) Additional Investment Form and Switch Form

Selected Investment Funds (SIF) Plan and SIF Individual Savings Account (ISA) Additional Investment Form and Switch Form HNBPST Selected Investment Funds (SIF) Plan and SIF Individual Savings Account (ISA) Additional Investment Form and Switch Form Notes on completing this form Please read the Selected Investment Funds Key

More information

HSBC Loyalty Cash ISA Application, Transfer and Reactivation Form

HSBC Loyalty Cash ISA Application, Transfer and Reactivation Form Online LISA Tax year 2013/14 For Bank use only CIN HSBC Loyalty Cash ISA Application, Transfer and Reactivation Form Useful Guidance Please complete using black ink and BLOCK CAPITALS. Please initial any

More information

Selected Investment Funds (SIF) Stocks and Shares ISA Transfer Form

Selected Investment Funds (SIF) Stocks and Shares ISA Transfer Form HNTRIN Selected Investment Funds (SIF) Stocks and Shares ISA Transfer Form Notes on completing this form Please read the Selected Investment Funds Key Features Document, Terms and Conditions, Fund Insert

More information

Medicare enrolment application

Medicare enrolment application Medicare enrolment application When to use this form Use this form if you are: a migrant living in Australia applying for permanent residency and living in Australia a visitor to Australia an Australian

More information

Guidance and Application

Guidance and Application Guidance and Application for trading at the New Smithfield Wholesale Market If you want to occupy a trading space at the New Smithfield Wholesale Market (including where you already occupy a regular space

More information

Do you have any restrictions to times and days you can work?

Do you have any restrictions to times and days you can work? Office Use Only Pre-screened by HR Yes By: Passed Pre Screen RTW Y / N Driving Licence Y / N / NA 5 Year History Y / N SIA Y / N Pre screen comments: Interview Date & Time: Proceed to Vetting? Post interview

More information

With Profits Pension Annuity

With Profits Pension Annuity With Profits Pension Annuity If you would like help completing your application, please talk to your Independent Financial Adviser. Application form For details about the Liverpool Victoria With Profits

More information

Guidance and Application

Guidance and Application Guidance and Application for trading at the Manchester Street Markets The Manchester Street Markets are monthly markets at various locations across the city, including: Northenden (Northenden Village,

More information

Personal Details Surname Surname at birth, if different Any other names by which you have been known

Personal Details Surname Surname at birth, if different Any other names by which you have been known Post applied for: Office Use Only 1 2 3 4 Personal Details Surname Surname at birth, if different Any other names by which you have been known Forenames (in full) Nationality Title (Mr, Mrs, Miss, Ms,

More information

Employer Insurance Application

Employer Insurance Application for Property Focused Employer Sponsored Super Before you sign this application form, the Trustee or your financial adviser is obliged to give you the Property Focused Super Product Disclosure Statement

More information

FORM 1 APPLICATION FOR BROKER DEALER, LIMITED SERVICE BROKER OR CUSTODIAN LICENCE

FORM 1 APPLICATION FOR BROKER DEALER, LIMITED SERVICE BROKER OR CUSTODIAN LICENCE FORM 1 APPLICATION FOR BROKER DEALER, LIMITED SERVICE BROKER OR CUSTODIAN LICENCE Application for a broker dealer*, limited service broker* or custodian* licence under the Act is made as follows: (* delete

More information

DIRECT TRANSFER ACCOUNT 2

DIRECT TRANSFER ACCOUNT 2 DIRECT TRANSFER ACCOUNT 2 Provided by Scottish Widows Bank APPLICATION FORM Account Number (For office use only) Please complete this form in BLOCK CAPITALS and in ink. APPLICATION CHECKLIST In order for

More information

FULL-TIME APPLICATION FORM

FULL-TIME APPLICATION FORM Learner Number: FULL-TIME APPLICATION FORM St Peters Street Lowestoft Suffolk NR32 2NB Telephone: 01502 583521 Fax: 01502 500031 Email: info@lowestoft.ac.uk www.lowestoft.ac.uk 1 st choice course 2 nd

More information

APPLICATION FORM FOR MEMBERSHIP TO THE STRESS MANAGEMENT SOCIETY

APPLICATION FORM FOR MEMBERSHIP TO THE STRESS MANAGEMENT SOCIETY APPLICATION FORM FOR MEMBERSHIP TO THE STRESS MANAGEMENT SOCIETY 1. Please complete each section of the form in full. You can fill it out either through typing or in block capitals if submitting hand written

More information

Carer s Allowance Claim form

Carer s Allowance Claim form Carer s Allowance Claim form l Use this form to claim Carer s Allowance. l Please read the tes that came with the claim pack before you fill in the form. l The form must be filled in by you, the carer,

More information

Benefi t Form annuity purchase discharge. Bank of Scotland Share Dealing Self Invested Personal Pension

Benefi t Form annuity purchase discharge. Bank of Scotland Share Dealing Self Invested Personal Pension Benefi t Form annuity purchase discharge Bank of Scotland Share Dealing Self Invested Personal Pension Benefi t Form This benefit form must be completed if you wish to purchase a lifetime annuity and would

More information

INSTANT SAVER 2 ACCOUNT

INSTANT SAVER 2 ACCOUNT INSTANT SAVER 2 ACCOUNT Provided by Scottish Widows Bank APPLICATION FORM This form is only for the use of personal customers. Account Number (For office use only) Please complete this form in BLOCK CAPITALS

More information

Data Protection Policy

Data Protection Policy Data Protection Policy Introduction The Data Protection Act 1998 gives individuals the right to know what personal information is held about them. It provides a framework to ensure that the Office of the

More information

Cost of Medical Care in respect of an Occupational Accident or Disease

Cost of Medical Care in respect of an Occupational Accident or Disease Application form for Social Welfare Services C 1 Data Classification R Cost of Medical Care in respect of an Occupational Accident or Disease You need a Personal Public Service Number (PPS No.) before

More information

Application for adoption information: Relative or guardian of adopted person who is deceased or does not have capacity

Application for adoption information: Relative or guardian of adopted person who is deceased or does not have capacity The purpose of the application for adoption information: is deceased or does not have capacity form This form is for use by a relative or guardian of an adult adopted person to apply for adoption information

More information

The Limited Liability Companies Act 1996. Dissolving a Solvent Limited Liability Company under Section 11A

The Limited Liability Companies Act 1996. Dissolving a Solvent Limited Liability Company under Section 11A Department of Economic Development Rheynn Lhiasaghey Tarmaynagh COMPANIES REGISTRY P O Box 345, St Georges Court Upper Church Street, Douglas Isle of Man, IM99 2QS Companies Registrar J Wilkinson Telephone:

More information

Benefi t Form Income Drawdown and Lump Sum Payments. IWeb Share Dealing Self Invested Personal Pension

Benefi t Form Income Drawdown and Lump Sum Payments. IWeb Share Dealing Self Invested Personal Pension Benefi t Form Income Drawdown and Lump Sum Payments IWeb Share Dealing Self Invested Personal Pension Benefi t Form Important tes Please complete this form if you want to access your pension and take benefits

More information

Application for a licence to operate private hire vehicles

Application for a licence to operate private hire vehicles Application for a licence to operate private hire vehicles Please read the notes at the back of this form carefully before completing the application Type of Application (place a tick in the appropriate

More information

Application for registration Building contractor (company)

Application for registration Building contractor (company) Government of Western Australia Department of Commerce Application for registration Building contractor (company) Refer to the application guidelines for assistance in completing this application form.

More information

As an aged care worker, this incentive is for you to upgrade your qualifications and build your career in aged care.

As an aged care worker, this incentive is for you to upgrade your qualifications and build your career in aged care. Aged Care Education and Training Incentive Programme COMMENCEMENT PAYMENT This application form is to be completed by eligible aged care workers who have enrolled and commenced studies to enhance their

More information

One-Parent Family Payment

One-Parent Family Payment Application form for One-Parent Family Payment Social Welfare Services OFP 1 Data Classification R Remember, you must have at least one dependent child living with you to qualify for One-Parent Family

More information

Training Course Application Form

Training Course Application Form Training Course Application Form About this application Important please read this information carefully before you complete your application. Once you have completed your application, we strongly advise

More information

Amendments to your Savings Account

Amendments to your Savings Account Page 1 of 6 Isle of Man Savings Amendments to your Savings Account Please fill in the form using BLOCK CAPITALS and black ink. Tick any boxes which apply. Santander is able to provide literature in alternative

More information

Student Registration form Certificate IV in Building and Construction(Building) CPC40110 (Electronically Based)

Student Registration form Certificate IV in Building and Construction(Building) CPC40110 (Electronically Based) Student Registration form Certificate IV in Building and Construction(Building) CPC40110 (Electronically Based) Master Builders Membership Are you a member of Master Builders? Yes No If yes, what is your

More information

Application for a Parental Order Section 54 Human Fertilisation and Embryology Act 2008

Application for a Parental Order Section 54 Human Fertilisation and Embryology Act 2008 C51 Application for a Parental Order Section 54 Human Fertilisation and Embryology Act 2008 To be completed by the court Name of court Date received by the court Date issued Please complete this form using

More information

Workers Compensation claim form

Workers Compensation claim form Form Workers Compensation claim form STOP - this form is available to be filled in electronically on the NT WorkSafe web site www.worksafe.nt.gov.au. Fill the form in electronically then save a copy to

More information

PLEASE READ THIS FORM IN FULL BEFORE COMPLETING IT

PLEASE READ THIS FORM IN FULL BEFORE COMPLETING IT Application Form PLEASE READ THIS FORM IN FULL BEFORE COMPLETING IT Please complete all sections of this form when applying for the grant. Please send your completed application form and relevant documentation

More information

APPLICATION FOR COMPENSATION FORM FOR A PERSONAL INJURY (Do not use this form for claims relating to fatal injuries)

APPLICATION FOR COMPENSATION FORM FOR A PERSONAL INJURY (Do not use this form for claims relating to fatal injuries) Compensation Services 6th Floor Millennium House 17-25 Great Victoria Street Belfast BT2 7AQ Telephone: 0300 200 7887 Criminal Injuries Compensation Scheme (2009) Made under the Criminal Injuries Compensation

More information

FamilyIncomeSupplement (FIS)

FamilyIncomeSupplement (FIS) Application form for FamilyIncomeSupplement (FIS) Social Welfare Services FIS 1 Data Classification R You need a Personal Public Service Number (PPS.) before you apply. How to complete this application

More information

SIPP benefit form annuity

SIPP benefit form annuity SIPP ISA Dealing Junior ISA SIPP benefit form annuity This benefit form must be completed if you wish to purchase a lifetime annuity and would like AJ Bell Youinvest to pay you a tax free lump sum. Please

More information

Online Accounts. Power of Attorney application form. Personal details. Donor. 1st Attorney. 3rd Attorney. 2nd Attorney

Online Accounts. Power of Attorney application form. Personal details. Donor. 1st Attorney. 3rd Attorney. 2nd Attorney Online Accounts Power of Attorney application form Please read these notes before you fill in this form The account will be operated strictly in accordance with the instructions confirmed within the Power

More information

As an aged care worker, this incentive is for you to upgrade your qualifications and build your career in aged care.

As an aged care worker, this incentive is for you to upgrade your qualifications and build your career in aged care. Aged Care Education and Training Incentive Programme COMPLETION PAYMENT This application form is to be completed by applicants who have completed studies and have already received a commencement payment

More information

Approved Contractor Scheme. Application Form

Approved Contractor Scheme. Application Form Approved Contractor Scheme Application Form General Information The Approved Contractor Scheme (ACS) is a voluntary scheme for the private security industry open to organisations subject to regulation

More information

Income Protection Continuing Claim Form

Income Protection Continuing Claim Form MLC Insurance Income Protection Continuing Claim Form MLC Nominees Pty Limited ABN 93 002 814 959 AFSL 230702 RSE L0002998 The Universal Super Scheme ABN 44 928 361 101 R1056778 Superannuation Fund Number

More information

Online Accounts. Personal details. Donor. 1st Attorney. 3rd Attorney. 2nd Attorney. Title: Mr, Mrs, Ms, Miss Other (please specify) Surname

Online Accounts. Personal details. Donor. 1st Attorney. 3rd Attorney. 2nd Attorney. Title: Mr, Mrs, Ms, Miss Other (please specify) Surname Online Accounts Power of Attorney application form Please read these notes before you fill in this form The account will be operated strictly in accordance with the instructions confirmed within the Power

More information

PERSONAL INTERNET BANKING APPLICATION FORM

PERSONAL INTERNET BANKING APPLICATION FORM FOR BANK USE ONLY PERSONAL INTERNET BANKING APPLICATION FORM Total number of Signatories on Account Application Form Number of Signatures required to Authorise Access Type Personal Details Title: Surname:

More information

Savings. Application form for a savings account

Savings. Application form for a savings account Savings Application form for a savings account Welcome With a NatWest account, you will benefit from a wide range of financial services, specially developed to make managing your finances as easy as possible.

More information

YOU SHOULD COMPLETE THIS FORM IF YOU WISH TO COME TO THE UK TO WORK OR YOU ARE APPLYING UNDER UK ANCESTRY. 1.4 Sex Put a cross (x) in the relevant box

YOU SHOULD COMPLETE THIS FORM IF YOU WISH TO COME TO THE UK TO WORK OR YOU ARE APPLYING UNDER UK ANCESTRY. 1.4 Sex Put a cross (x) in the relevant box EMPLOYMENT (VAF2 DEC 2008) This form is for use outside the UK only. This form is provided free of charge. READ THIS FIRST This form must be completed in English. You may use blue or black ink. Please

More information

Application for a Scrap Metal Licence

Application for a Scrap Metal Licence Application for a Scrap Metal Licence SECTION 1. TYPE OF APPLICATION (For all applicants) Please indicate the type of licence you are applying for (please tick): A site licence A collector s licence Are

More information

Fee free. Current accounts. Application form for a sterling bank account

Fee free. Current accounts. Application form for a sterling bank account Fee free Current accounts Application form for a sterling bank account Welcome We welcome you to NatWest and thank you for choosing us. To help us decide whether we can provide you with the services you

More information

Business Internet Banking Application Form

Business Internet Banking Application Form Business Internet Banking Application Form Free online banking for your business Welcome to Business Internet Banking. Please read the guidance notes before you complete each section. To use the service

More information

Retirement Lump Sum application information (Issued under sections 27, 149, 150, 151 and 213 of the Veterans Support Act 2014)

Retirement Lump Sum application information (Issued under sections 27, 149, 150, 151 and 213 of the Veterans Support Act 2014) Retirement Lump Sum application information (Issued under sections 27, 149, 150, 151 and 213 of the Act 2014) Please read before you complete this form This application form is for veterans reaching the

More information

APPLICATION FOR FINANCIAL ASSISTANCE

APPLICATION FOR FINANCIAL ASSISTANCE CHARITY NUMBER 1106218 APPLICATION FOR FINANCIAL ASSISTANCE ALTERNATIVELY APPLY ONLINE VIA THE TRUST S WEBSITE WWW.BRITISHGASENERGYTRUST.ORG.UK BEFORE COMPLETING THE APPLICATION FORM, PLEASE CAREFULLY

More information

Private Banking Current Account. Account Opening Form

Private Banking Current Account. Account Opening Form Private Banking Current Account Account Opening Form The proof of identity you need to open an account with us (new clients) To protect clients from the risks of fraud and prevent money laundering, we

More information

Accident Claim form (W)

Accident Claim form (W) Accident Claim form (W) Policy no Claim no Full name Customer Account Number Combined Insurance seeks to pay all genuine claims. We check all claims carefully to identify fraudulent or exaggerated claims.

More information

I/We enclose... to open... Account

I/We enclose... to open... Account Please use black ink if the account is for more than two applicants please use an additional form. Under Society Rules, the first named account holder will be entitled to receive tices of General Meetings

More information

Countryside Stewardship

Countryside Stewardship Countryside Stewardship Land Ownership and Control form Important information about this form please read Use of this form This form is for use where you are applying for Countryside Stewardship (CS) and

More information

Youth Allowance or ABSTUDY

Youth Allowance or ABSTUDY Youth Allowance or ABSTUDY Unreasonable to live at home Statement by Independent Third Party Return this form to one of our Service Centres by at the following address Name of young person claiming Unreasonable

More information

Redundancy & Insolvency payments application Claim for payments from the National Insurance Fund

Redundancy & Insolvency payments application Claim for payments from the National Insurance Fund Redundancy & Insolvency payments application Claim for payments from the National Insurance Fund The Employment Rights (Northern Ireland) Order 1996 This application form should only be completed by Northern

More information

Deferred Benefits Claim Form - (AW8P)

Deferred Benefits Claim Form - (AW8P) Deferred Benefits Claim Form - (AW8P) Before completing this form please read the Retirement Booklet and the guidance notes at the back of this form Part 1 - Scheme Reference Number Please enter your NHS

More information

Indiana University Master s Degree in Secondary Education

Indiana University Master s Degree in Secondary Education Indiana University Master s Degree in Secondary Education with funding from USAID through Higher Education for Development (HED) Preliminary Application Form SECTION I: PERSONAL INFORMATION Name: As listed

More information

BP Individual Savings Account Transfer Application Form

BP Individual Savings Account Transfer Application Form HNTRFP BP Individual Savings Account Transfer Application Form Notes on completing this form Please read the BP Corporate ISA Brochure and Corporate ISA Terms and Conditions before completing this form.

More information

ANNUITY OPEN MARKET OPTION REQUEST

ANNUITY OPEN MARKET OPTION REQUEST ANNUITY OPEN MARKET OPTION REQUEST Please complete in block capitals and in black ink, ticking boxes where appropriate and return it to: Astute Trustee Services Limited, 45 Berry Lane, Longridge, Preston,

More information

NT WORKERS COMPENSATION CLAIM FORM

NT WORKERS COMPENSATION CLAIM FORM Information for Workers Guidance to PART 1 of the Claim Form Notify your employer of your injury, verbally or in writing, as soon as practicable. Fully complete PART 1 (questions 1 to 8) of the following

More information

PRIVATE MEDICAL INSURANCE

PRIVATE MEDICAL INSURANCE PERSONAL HEALTHCARE APPLICATION CONTINUED PERSONAL MEDICAL EXCLUSIONS (CPME/SWITCH) PRIVATE MEDICAL INSURANCE To be used for new plans commencing from 01 July 2015. To apply for VitalityHealth membership

More information

SIPP benefit form annuity purchase discharge form

SIPP benefit form annuity purchase discharge form Stockbrokers SIPP benefit form annuity purchase discharge form This benefit form must be completed if you wish to purchase a lifetime annuity and would like AJ Bell Management Limited to pay you a tax

More information

Landlord Application Form

Landlord Application Form Insurance Protection Landlord Application Form! If you take a deposit from your tenant on an Assured Shorthold Tenancy agreement in England and Wales, you must protect it with a government-authorised tenancy

More information

CHC30113 Certificate III in Early Childhood Education and Care

CHC30113 Certificate III in Early Childhood Education and Care ENROLMENT APPLICATION FORM CHC30113 Certificate III in Early Childhood Education and Care About this application Use this Enrolment Application to apply for enrolment in the CHC30113 Certificate III in

More information

SIPP benefit form income drawdown and lump sum payments

SIPP benefit form income drawdown and lump sum payments SIPP ISA Dealing Junior ISA SIPP benefit form income drawdown and lump sum payments Please complete this form if you want to access your pension and take income as lump sums or income drawdown. If you

More information

SIPP benefit form drawdown and lump sum payments

SIPP benefit form drawdown and lump sum payments Stockbrokers SIPP benefit form drawdown and lump sum payments Please complete this form if you want to access your pension and take benefits as a lump sum or income drawdown. If you want to take an annuity

More information

Housing Benefit & Council Tax Benefit Claim Form (Pensioners)

Housing Benefit & Council Tax Benefit Claim Form (Pensioners) Housing Benefit & Council Tax Benefit Claim Form (Pensioners) www.aberdeencity.gov.uk Claimant s Name and Address: Reference Number Official Use Only Issue Date Received Date Council Tax and Benefits Office,

More information

Department of Education and Training

Department of Education and Training Department of Education and Training 2016 Living Away from Home Allowances Scheme (LAFHAS) Application Form 2016 this application form is to be completed in conjunction with reading the Living Away from

More information

Application for housing with 24hr support.

Application for housing with 24hr support. Application for housing with 24hr support. Please state which Care Plus development you are applying for: Eligibility for assistance Are you and all members of your household either: British Citizens?

More information

(NBAA) THE NATIONAL BOARD OF ACCOUNTANTS AND AUDITORS TANZANIA

(NBAA) THE NATIONAL BOARD OF ACCOUNTANTS AND AUDITORS TANZANIA (NBAA) THE NATIONAL BOARD OF ACCOUNTANTS AND AUDITORS TANZANIA REG. NO. NBAA/GA/RG Please return this for to: The Executive Director, National Board of Accountants and Auditors, P.O. Box 5128, DAR ES SALAAM

More information

Lump sum benefit payment request for your superannuation or account based pension

Lump sum benefit payment request for your superannuation or account based pension Lump sum benefit payment request for your superannuation or account based pension How to claim a benefit To claim a benefit you will need to complete the attached Benefit Payment Request and send it direct

More information

Tenants and Leaseholders Home Contents Insurance Scheme Application Form

Tenants and Leaseholders Home Contents Insurance Scheme Application Form Tenants and Leaseholders Home Contents Insurance Scheme Application Form (Subject to the terms, exclusions and conditions of the policy, a specimen of which is available on request). Before you fill in

More information

CABINET OFFICE ELECTORAL REGISTRATION UNIT HOW TO REGISTER TO VOTE

CABINET OFFICE ELECTORAL REGISTRATION UNIT HOW TO REGISTER TO VOTE CABINET OFFICE ELECTORAL REGISTRATION UNIT HOW TO REGISTER TO VOTE Guidance for Voters Issued April 2015 INDEX 1. Introduction 2. Qualifying to Register 3. Completing the Registration Form 4. Versions

More information

CANARY WHARF MANAGEMENT LIMITED

CANARY WHARF MANAGEMENT LIMITED CANARY WHARF MANAGEMENT LIMITED SECURITY DEPARTMENT APPLICATION FORM The information provided on this application form will help us to assess your suitability for employment with Canary Wharf Management

More information

PROOF FOR INTERNAL USE ONLY. Open market option instruction. For customers and scheme trustees

PROOF FOR INTERNAL USE ONLY. Open market option instruction. For customers and scheme trustees For customers and scheme trustees Open market option instruction Please read these notes before filling in this instruction About this instruction Only complete this instruction if you want to use the

More information

APPLICATION FOR CHARTERED SCIENTIST STATUS

APPLICATION FOR CHARTERED SCIENTIST STATUS APPLICATION FOR CHARTERED SCIENTIST STATUS For Office Use Only Date Received Individual Application Number (Database ID) Individual CSci Registration Number Date awarded Renewal Date Please TYPE or PRINT

More information