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Application for permission to hold a public charitable collection

1. Organiser Details
Full Name of applicant
Title
Address of applicant
2. Details of charity
Full particulars should be given and where possible, the most recent   accounts of any charity which is to benefit should be enclosed.
Maximum 3 files.
8 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, rtf, pdf, doc, docx, xls, xlsx.
3. Collection area
4. Collection Dates
5. Collection staff
6. Collection Staff Remuneration
To collectors
To other persons
7. Previous Applications
Was a previous application refused?
Has the applicant or, to the knowledge of the applicant, anyone associated with the promotion of the collection been refused a license or order under the Act, or had a license or order revoked?
Has the applicant been convicted of any crime or offence?

NOTE:

1. Any form lodged which has not been fully completed will not be able to be processed and will be returned to the applicant.

2. THE COMPLETED APPLICATION FORM MUST BE LODGED AT LEAST 28 DAYS PRIOR TO THE PROPOSED DATE OF COLLECTION.

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