Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1696586162803.pdf (Vanuatu)
VANUATU GOVERNMENT – Corporate Services La Casa D’Andrea Building, Lini Highway, Private Mail Bag 9012, Port Vila, Vanuatu Telephone: (+678) 33010 Email: CIRCorporate@vanuatu.gov.vu Website: http://customsinlandrevenue.gov.vu LOTTERIES ACT No.
9 OF 1994 APPLICATION FOR A LICENCE TO OPERATE AND PROMOTE AN INSTANT LOTTERY AND/OR A POOL BETTING SCHEME To Be Sent To: FOR OFFICIAL USE Date Received:____________________________________ DIRECTOR OF CUSTOMS AND INLAND REVENUE PRIVATE MAIL BAG 9012 PORT VILA VANUATU Tel: (678) 33010 Fax: (678) 22597 Approved/Refused by Director:_____________________________________ Date:________________________________________ Amount of Licence Fee Paid: VT_________________ Receipt Number:______________________________ Date:________________________________________ Lottery Licence Number:________________________ Details of Applicant: 1.
Name of applicant:_____________________________________________________________________ 2.

Address:_____________________________________________________________________________ ____________________________________________________________________________________ 3.

Telephone:_____________________________________ Fax:___________________________________ 4.

Status of Applicant: _______________________________ (Proprietor, Manager, Secretary, Director etc…) 5.
Nationality of Applicant:___________________________ Passport No____________________ 6.
Date of Birth of the Applicant:_________________________________ 7. Business Constitution Type:_________________________________________________________ (Sole Trader, Partnership, Limited Company Estate/Trust, Club or Other etc…) 1.1 Body Corporates must provide: - The name of the body corporate; - Proof of incorporation of the body corporate; and - The registered business address of the body corporate 1.2 Natural Person must provide: - A notarized copy of the passport ; and - A criminal history record with a certified translation where necessary.
Corporate Services Service Organisationnel VANUATU GOVERNMENT – Corporate Services La Casa D’Andrea Building, Lini Highway, Private Mail Bag 9012, Port Vila, Vanuatu Telephone: (+678) 33010 Email: CIRCorporate@vanuatu.gov.vu Website: http://customsinlandrevenue.gov.vu 1.3 Partnerships must provide a copy of the Partnership Agreement 1.4 Companies must provide company’s register of shareholders and its annual statements 8. Business or Trading Name:_________________________________________________________ Is this name registered with the Registrar of Business Name?
(Delete as appropriate) o Yes o No Registration number: ________________________ Expiry Date: _________________________ 9.

Name and full residential address of the Promoter or Agent in Vanuatu ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 10.
Provide details of the source of funds used to pay the capital of the business on an attachment page.

11.

Provide the full name, address, nationality and date of birth of each of the beneficial owners, controllers, directors and managers of the entity seeking a lottery license?

11.1 Complete a Personal Information Form for each beneficial owner, owner, controller, director and manager.
11.2 Disclose (if any) beneficial owners are beneficial owners, owners or controllers of another regulated entity in Vanuatu or in a foreign country?

12.

Kind of Lottery Licence Applied for: - Please tick the appropriate box Entertainment Trade Instant Societies Overseas Pool Betting Scheme (Other than the above) 13.
Proposed duration of the licence ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 14.
Principal place of Business in Vanuatu ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 15.
Address, if any, of other places of business in Vanuatu from which the Lottery will be operated or promoted ________________________________________________________________________ ________________________________________________________________________ Corporate Services Service Organisationnel VANUATU GOVERNMENT – Corporate Services La Casa D’Andrea Building, Lini Highway, Private Mail Bag 9012, Port Vila, Vanuatu Telephone: (+678) 33010 Email: CIRCorporate@vanuatu.gov.vu Website: http://customsinlandrevenue.gov.vu ________________________________________________________________________ 16.
Name and address of person or Firm appointed (or to be appointed) to audit the Lottery’s books and accounts ________________________________________________________________________ ________________________________________________________________________ 17.

Precise details of the proposed Lottery and how it will be operated in Vanuatu.

(These may be set out in a separate letter or proposal).
________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 18.

Selling Price of the Lottery Tickets ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 19.
Will the number of persons expected to take part in the proposed Lottery exceed 100 and the total amount of stake money exceed VT 50,000?

________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 20.

How often and in what manner will the Lottery be drawn?
________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 21.
Details of any other Lotteries the applicant, Agent or Promoter have been involved within the last 3 years ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 22.

Has the applicant, Agent or Promoter ever been refused a Licence or an approval to operate or promote a lottery anywhere?
________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Corporate Services Service Organisationnel VANUATU GOVERNMENT – Corporate Services La Casa D’Andrea Building, Lini Highway, Private Mail Bag 9012, Port Vila, Vanuatu Telephone: (+678) 33010 Email: CIRCorporate@vanuatu.gov.vu Website: http://customsinlandrevenue.gov.vu 23.
Has the applicant, Agent or Promoter ever been convicted of any offence involving fraud, theft or dishonesty?
If Yes, state full details ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Overseas Lotteries In the case of a Lottery (including an Instant Lottery or any Pool Betting Scheme) which is an Overseas Lottery or Forms part of an Overseas Lottery the following question are to be answered.

24.
24.

Name and full address of the Owner ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 25.

Name and full address of the Principal place of business of the Overseas Lottery.
________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 26.
Name and full address of the Operator and Promoter of the Overseas Lottery ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 27.
Name and address of the Authority which issued the licence for or control the Overseas Lottery ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 28.
The name under which the overseas Lottery is operated ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Corporate Services Service Organisationnel VANUATU GOVERNMENT – Corporate Services La Casa D’Andrea Building, Lini Highway, Private Mail Bag 9012, Port Vila, Vanuatu Telephone: (+678) 33010 Email: CIRCorporate@vanuatu.gov.vu Website: http://customsinlandrevenue.gov.vu _______________________________________________________________________ ________________________________________________________________________ 29.
How long has the Overseas Lottery been operated?

________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 30.

When does the Overseas Lottery License expired?


________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 31.

Have any of the persons involved with the overseas lottery been convicted of any offences involving Fraud, Theft or Dishonesty?
________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 32.

What do you estimate the average sales of Tickets will be for each draw In Vanuatu; and ____________________________________________________ Elsewhere_________________________________________________________ 33.
What percentage of the total Tickets sold for each draw will be allocated as Prize Monies: In Vanuatu; and ____________________________________________________ Elsewhere_________________________________________________________ 34.

What percentage, if any, of the total prize monies for each draw will be allocated specifically to buyers of tickets in Vanuatu?
________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 35.

What do you estimate the average percentage of prize winners for each draw will relate to tickets sold in Vanuatu?

________________________________________________________________________ ________________________________________________________________________ 36.
What deductions, if any, will be made from winnings?
__________________________________________________________________ __________________________________________________________________ __________________________________________________________________ Corporate Services Service Organisationnel VANUATU GOVERNMENT – Corporate Services La Casa D’Andrea Building, Lini Highway, Private Mail Bag 9012, Port Vila, Vanuatu Telephone: (+678) 33010 Email: CIRCorporate@vanuatu.gov.vu Website: http://customsinlandrevenue.gov.vu 37.
Provide further information which may assist the Director in issuing of a License THE APPLICANT(S) ACKNOWLEDGE(S) THAT HE/THEY IS/ARE FAMILIAR WCITH OR HAVE BEEN ADVISED UPON THE PRINCIPAL PROVISIONS OF THE LOTTERIES ACT NO.

9 OF 1989 (AS AMENDED).

THE UNDERSIGNED APPLICANT(S) HEREBY APPLYTO THE MINISTER OF FINANCE AND ECONOMIC MANAGEMENT PURSUANT TO SECTION 15C OF THE LOTTERIES ACT NO.
9 OF 1989 (AS AMENDED) TO OPERATE AND PROMOTE A LOTTERY IN VANUATU IN ACCORDANCE WITH THE PARTICULARS SET OUT HEREIN, WHICH PARTICULARS ARE TO THE BEST OF HIS/THEIRS INFORMATION, KNOWLEDGE AND BELIEF, TRUE AND CORRECT.

___ ---------------------------------------------------------___ Applicant Name ---------------------------------------------------------- Applicant Signature ----------------------------- Date Corporate Services Service Organisationnel