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Request Received

Application for Approval of a Linked Jackpot Arrangement
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Application for Approval of a Linked Jackpot Arrangement - Tax receipt
This transaction will appear on your credit card statement as ACCESS CBR INTERNET CANBERRA.
ACT Gambling and Racing Commission
ABN 13 567 691 159
PO Box 158
Canberra ACT 2601
Phone: 6207 0361

Applicant details

Application for Approval of a Linked Jackpot Arrangement
Fields marked with * are required

Licensee

A licensee may apply for approval to operate a linked-jackpot arrangement between gaming machines operated under an authorisation certificate held by the licensee.

Physical address of authorised premises

Postal address of authorised premises

Contact person

Supplier details

Application for Approval of a Linked Jackpot Arrangement
Fields marked with * are required

Approved supplier installing the linked jackpot system

Postal address
Contact person

Supplier supplying the linked jackpot system.

Postal address
Contact person

Linked jackpot details

Application for Approval of a Linked Jackpot Arrangement
Fields marked with * are required
Type of link *
For standard/normal links all linked gaming machines must be the same denomination.

Jackpots

Select any relevant jackpots for the link other than the Top jackpot

Prize schedule

Top jackpot
Second jackpot
Third jackpot
Fourth jackpot
Hidden/backup
Total contribution percentage

Declaration

Application for Approval of a Linked Jackpot Arrangement
Fields marked with * are required
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