VICIn ForceRegulation
Gambling Regulations 2015
Sch 4Financial statement relating to totalisator or approved betting competition
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Schedule 4—Financial statement relating to totalisator or approved betting competition
Regulation 50
Statement of Money Paid into *TOTALISATOR OR
APPROVED BETTING COMPETITION
Name of Race meeting or event Date of meeting or
event
I certify that the above is a true account of sums received through the totalisator or approved betting competition in relation to this meeting or event.
Chief Executive Officer
Dated
* This form to be used for all totalisators and approved betting competitions.
Sch. 5 amended by S.R. No.
55/2015 reg. 127.