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Page 1 of 5 Asia Pacific Lottery Association Application for APLA Full Membership Organisation: Head Office Address: City: State or Province: Country: Postal Code: Main Phone: Main Fax: Email: Website: Contact Person: Title: Direct Phone: Direct Fax: Email: Mobile: Name of CEO: Direct Phone: Direct Fax: Direct Email: Mobile: Name of Marketing Director: Direct Phone: Direct Fax: Direct Email: Mobile: Name of Finance Director: Direct Phone: Direct Fax: Direct Email: Mobile:

Application for APLA Full Membership Full... · management of a national lottery and which turns over most or all of its ... Give the title and the registration number of ... Application

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Page 1 of 5

Asia Pacific Lottery Association Application for APLA Full Membership

Organisation:

Head Office Address:

City: State or Province:

Country: Postal Code:

Main Phone: Main Fax:

Email:

Website:

Contact Person: Title:

Direct Phone: Direct Fax:

Email:

Mobile:

Name of CEO:

Direct Phone: Direct Fax:

Direct Email:

Mobile:

Name of Marketing Director:

Direct Phone: Direct Fax:

Direct Email:

Mobile:

Name of Finance Director:

Direct Phone: Direct Fax:

Direct Email:

Mobile:

Page 2 of 5

Asia Pacific Lottery Association Application for APLA Full Membership

1. Your organisation qualifies as:

1.1 a lottery organisation by virtue of your country’s / state’s gaming law to operate its lottery

(answer questions 2, 3, 5, 6, 7, 8, 9, 10)

1.2 a ministry or department in charge of operating the State lottery

(answer questions 3, 5, 6, 7, 8, 9)

1.3 an organisation operating or managing a private lottery that carries out, within a system of monopoly, the

management of a national lottery and which turns over most or all of its net profits to the State or to

government approved projects or to social or cultural undertakings

(answer questions 3, 4, 5, 6, 7, 8, 9, 10 – add an attestation from your government confirming that your

organisation meets the requirements to become a regular member)

2. Your organisation was created by a law or decree. Give the title and the registration number of this law

(please send a copy of the appropriate legal authorization)

3. Which department or ministry holds responsibility for your organisation?

4. What is your organisation’s charter? (please send a charter, status or letters patent)

a) Are you a publicly traded or privately owned registered legal entity?

Public

Private

Others (Please send copies of your incorporation documents)

b) Name of shareholders % held

c) Board members Occupation

Page 3 of 5

Asia Pacific Lottery Association Application for APLA Full Membership

5. a) In what territory are you authorized to operate?

b) Do you have a monopoly for lotteries in your territory?

Yes

No

6. a) When was your license to operate lottery games issued?

First license

Most recent (if different)

Perpetual or for a fixed period?

b) Who issues your license?

7. a) When was your organisation established?

b) When did your organisation begin selling your game to the public?

c) No. of employees?

8. a) What games are run by your organisation?

Lottery games:

Conventional

Instant

Numbers games

Lotto games

Pull tabs

Mobile games

Sports betting

Other lottery, specify: _____________________________________________________________

Other types of games:

Video lottery

Horse Racing

Casino

Other games, specify: _____________________________________________________________

b) How are your lottery products marketed?

Retail POS ____________ %

Internet ____________ %

Mobile ____________ %

Street Runners ____________ %

Page 4 of 5

Asia Pacific Lottery Association Application for APLA Full Membership

c) If you operate games other than lottery games, what % of your gross annual sales come from lottery games?

9. Your profit is allocated to:

National treasury Agriculture Social development

Health Arts Recreation

Science Culture Charitable organisations

Sports Education Elders program

Transportation Environment Youth program

Public works

Other (please include details) __________________________________________________________

What % of your net profits goes to these beneficiaries?

10. a) Total gross yearly lottery sales in the currency of your country:

b) Total yearly net lottery sales in the currency of your country:

c) Are your financial statements audited? (Please include latest financial report)

Yes

No

11. If you do not have a lottery monopoly in your territory:

a) which other organisations operate a lottery in your territory

b) what games

c) are there other forms of gaming in your territory?

Submitted by: /

Name Title

Contact Email Contact No.

Date Signature

Page 5 of 5

Asia Pacific Lottery Association Application for APLA Full Membership

Application checklist

Please return the following documents to the address below:

• Application form, completed and signed.

• Copy of your organisation’s appropriate legal authorisation.

• Copy of your organisation’s incorporation documentation, where applicable.

• Copy of your organisation’s latest financial report.

Send this application form and the required documents to the following address:

APLA Secretariat Administrator

Asia Pacific Lottery Association

Wisma Magnum

111, Jalan Pudu

55100 Kuala Lumpur

Malaysia

Email: [email protected]

http://www.asiapacific-lotteries.com

Last updated in March 2017