Form 3B - Self-exclusion order

URL: https://www.publications.qld.gov.au/dataset/5b743aff-7852-41c4-ab03-a83464d6f681/resource/0a6298b6-cfff-4cba-9adf-f5d80ddac85a/download/self-exclusion-form-june-2020.pdf

On receipt of Form 3A, the gambling provider completes Form 3B and gives it to the individual as an acknowledgement of their self-exclusion.

Additional Information

Field Value
Data last updated June 26, 2020
Metadata last updated June 26, 2020
Created June 19, 2014
Format PDF
License Creative Commons Attribution 3.0
Expiration date26/06/2021
Used in data-driven applicationNO
Approvalyes
BannerNone
Effective date2020-06-26
First pub date2012-07-01
Id0a6298b6-cfff-4cba-9adf-f5d80ddac85a
Mimetypeapplication/pdf
On same domainTrue
Package id5b743aff-7852-41c4-ab03-a83464d6f681
Position1
Resource typefile
Revision id4a4db0bf-b7d0-46ed-b046-4ed800304643
Revision timestamp2020-06-26 06:58:34.145453
Size130.5 KiB
Stateactive
Url typeupload