You could be fined up to £500.00 for not completing this form, £1000.00 for supplying false information and/or be summoned to the Magistrates Court.
Gallech gael dirwy o hyd at £500 am beidio â chwblhau'r ffurflen hon, £1000 am ddarparu gwybodaeth ffug a/neu gael eich galw i Lys yr Ynadon.