Casino Application Form

Name *

First Name

Last Name

Current Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Do you own this property or rent? *

Home Owner

Renter

Do You Own Any Pets? *

Yes

No

Inside or Outside? *

Inside

Outside

Both

No Pets

Are you a Smoker? *

Yes

No

Are you Currently Employed? *

If No, please enter N/A

Yes

No

Are you Still Employed Here?

If No, please enter N/A

Yes (Second Job)

No

Do You Receive Welfare Payments? *

If No, please enter N/A

Yes

No

Address of Property *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Proof of Income (30 Points) *

Must Select 1 Below

2 Current Payslips

Current Centrelink Statement

Proof of Identity (30 Points) *

Must Select 1 Below

Drivers License

Passport

Birth Certificate + Photo ID

Supporting Documentation (10 Points) *

Must Select 1 Below

Car Registration

Medicare Card

Bank Card

This can be signed electronically or requires printing, signing and scanning back onto the computer. Every adult applying is required to sign their own Privacy Declaration Form for us to process your application. NOTE: Failure to sign will result in your application being unprocessed and therefore automatically declined.

Upload your signed TICA and Privacy Declaration Form  Click Here*

Before Submitting, please tick the box below confirming your documents have been uploaded. *

I CONFRIM THAT ALL SUPPORTING DOCUMENTS HAVE BEEN UPLOADED AS PER THE REQUIREMENTS