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Reference code
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Security question
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Security Question
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Please review your security question and answer. This question must be correctly answered to re-open the form.

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Next steps

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You are required to complete these additional forms to finalize your request.

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\n
\n

Your reference code is:

\n\n

{{Form.data.SFMData.SystemProfile.TrackingCode}}

\n\n

Please note that your saved form will expire on {{data.expiryDate}}.

\n
\n
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Send yourself a reminder email

\n

Enter your email address and we'll send you you instructions on how to return to your form.

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Check your email

\n\n

We've sent instructions to your email address ({{Form.data.$submitResponse.emailSentTo ? Form.data.$submitResponse.emailSentTo : Form.data.send_reminder_email}}) on how to return to the application when you are ready.

\n\n

If you didn't receive it or would like a reminder sent to a different email address, just click the link below and follow the instructions.

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OR

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Next steps

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You are required to complete these additional forms to finalize your request.

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\n
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Your reference code is:

\n\n

{{Form.data.SFMData.SystemProfile.TrackingCode}}

\n\n

Please quote your reference code when enquiring about your submission.

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For your records

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OR

\n\n

Send yourself an email with a PDF copy of your form

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Check your email

\n\n

We've sent a copy of your submission to {{Form.data.$submitResponse.emailSentTo ? Form.data.$submitResponse.emailSentTo : Form.data.yourEmailAddress}}.

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If you didn't receive it or would like another copy, just select the option below.

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OR

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GPO Box 158
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You may need to get additional approvals or provide more information. Access Canberra will be in contact with you after they have received your application.

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Please contact Access Canberra on (02) 6207 2343 if your event runs for longer than a month.

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Your permit cannot be for more than 1 year.

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For individual dates your event dates cannot be for more than 1-2 days.

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No liquor is to be served in glass containers between midnight and 7am

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To the best of your knowledge, are you aware of any conviction, or finding of guilt, against any of the following people for an offence against the Liquor Act 2010 involving the premises? *

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To the best of your knowledge, are you aware of any non-compliance of the premises with a legal obligation, in relation to the supply of liquor, being proven while the following people were involved in a business operated at the premises? * 

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To the best of your knowledge, are you aware of the premises ever being found to be non-compliant with the following Acts:  *

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I understand that I must comply with all elements of the Liquor Act 2010 including (but not limited to):

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NON-COMMERCIAL PERMIT

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Liquor Act 2010
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AUSTRALIAN CAPITAL TERRITORY
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Permit Number: {{data.permitNum}}

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This Non-Commercial Permit is issued to: 
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Accordingly, liquor may be supplied in open containers for consumption on the premises at the following location:
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The particulars to which this non-commercial permit pertains are:

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Dates:

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Every day

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Every {{data.$p.repeatData[data.$i].dayOfWeek}}

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Every second {{data.$p.repeatData[data.$i].dayOfWeek}}

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Every {{data.$p.repeatData[data.$i].dateSuffix}} of the month

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Every {{data.$p.repeatData[data.$i].weekOfTheMonth}} {{data.$p.repeatData[data.$i].dayOfTheWeek}} of the month

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Commencing on {{data.$p.repeatData[data.$i].formattedStartDate}} and concluding on {{data.$p.repeatData[data.$i].formattedEndDate}}, between the times of {{data.$p.repeatData[data.$i].startTimeOO}} and {{data.$p.repeatData[data.$i].endTimeOO}}.

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Name of event:
\n{{data.$p.repeatData[data.$i].nameOfEvent}}

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The retail value of liquor to be sold at the stated event must not exceed ${{data.totalRetailValueOfLiquorNC}}.00

\n\n

The supply of liquor after {{data.endTimeCert}} on {{data.endDateCert}} without a valid permit or licence is an offence.

\n\n

Permit conditions

\n\n
Liquor Act 2010
\n\n

This permit is subject to the following conditions:

\n\n\n\n

The following conditions apply to {{data.org}} in addition to those prescribed in the Act and Regulation.   

\n\n\n\n

For access to the Act and Regulation visit www.legislation.act.gov.au

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Close Associates & Influential Persons

\n\n

Liquor Act 2010

\n\n

In accordance with the Liquor Act 2010, section 51 the following people are deemed to be a suitable person with respect to this permit:

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If a proposed permit-holder is to be a club, they must be an eligible club. This is a club that:

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Please contact Access Canberra on (02) 6207 2343 if your event runs for longer than a month.

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For individual dates your event dates cannot be for more than 1-2 days.

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The sale of closed containers for consumption off the premises is not allowed after 11pm.

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Your permit cannot be for more than 1 year.

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A liquor permit cannot be issued unless approval has been granted by the lessee. Please complete the application, but be aware that you will need to provide evidence of approval prior to a permit being issued.

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You may need to get additional approvals or provide more information. Access Canberra will be in contact with you after they have received your application.

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Association number format is the letter 'A' followed by five numbers, e.g. A12345

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If your permit requires further assessment and the start date is less than 2 weeks from the date of application you are not guaranteed a permit for your selected start date. Please call (02) 6207 3000 to discuss the circumstances.

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Next steps

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You are required to complete these additional forms to finalize your request.

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Your reference code is:

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Please quote your reference code when enquiring about your submission.

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OR

\n\n

Send yourself an email with a PDF copy of your form

\n", "label": "OR\n\nSend yourself an email with a PDF copy of your form", "mandatoryMsg": "" }, "htmlDisplay_3": { "htmlLabel": "

OR

", "label": "OR", "mandatoryMsg": "" }, "htmlDisplay_4": { "htmlLabel": "

Next steps

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You are required to complete these additional forms to finalize your request.

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Your reference code is:

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OR

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No liquor is to be served in glass containers between midnight and 7am

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{{Form.getItemProperty(\"data.content_1\",\"itemLabel\")}} {{$index+1}}

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Security Question
\n\n

Please review your security question and answer. This question must be correctly answered to re-open the form.

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Dates:

\n", "label": "Dates:", "mandatoryMsg": "" }, "textDisplay_11": { "htmlLabel": "

Every second {{data.$p.repeatData[data.$i].dayOfWeek}}

\n", "label": "Every second", "mandatoryMsg": "" }, "textDisplay_12": { "htmlLabel": "

Every day

\n", "label": "Every day", "mandatoryMsg": "" }, "textDisplay_13": { "htmlLabel": "

Every {{data.$p.repeatData[data.$i].dayOfWeek}}

\n", "label": "Every", "mandatoryMsg": "" }, "textDisplay_14": { "htmlLabel": "

Name of event:
\n{{data.$p.repeatData[data.$i].nameOfEvent}}

\n", "label": "Name of event:", "mandatoryMsg": "" }, "textDisplay_15": { "htmlLabel": "

Every {{data.$p.repeatData[data.$i].dateSuffix}} of the month

\n", "label": "Every of the month", "mandatoryMsg": "" }, "textDisplay_16": { "htmlLabel": "

Every {{data.$p.repeatData[data.$i].weekOfTheMonth}} {{data.$p.repeatData[data.$i].dayOfTheWeek}} of the month

\n", "label": "Every of the month", "mandatoryMsg": "" }, "textDisplay_17": { "htmlLabel": "

Commencing on {{data.$p.repeatData[data.$i].formattedStartDate}} and concluding on {{data.$p.repeatData[data.$i].formattedEndDate}}, between the times of {{data.$p.repeatData[data.$i].startTimeOO}} and {{data.$p.repeatData[data.$i].endTimeOO}}.

\n", "label": "Commencing on and concluding on, between the times of and .", "mandatoryMsg": "" }, "textDisplay_18": { "htmlLabel": "

The retail value of liquor to be sold at the stated event must not exceed ${{data.totalRetailValueOfLiquorNC}}.00

\n\n

The supply of liquor after {{data.endTimeCert}} on {{data.endDateCert}} without a valid permit or licence is an offence.

\n\n

Permit conditions

\n\n
Liquor Act 2010
\n\n

This permit is subject to the following conditions:

\n\n\n\n

The following conditions apply to {{data.org}} in addition to those prescribed in the Act and Regulation.   

\n\n\n\n

For access to the Act and Regulation visit www.legislation.act.gov.au

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Close Associates & Influential Persons

\n\n

Liquor Act 2010

\n\n

In accordance with the Liquor Act 2010, section 51 the following people are deemed to be a suitable person with respect to this permit:

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Reference code
\n\n

{{data.isCollab?\"\":\"When you saved your form you should have been provided a reference code.\"}}

\n", "label": "Reference code", "mandatoryMsg": "" }, "textDisplay_21": { "htmlLabel": "
Security question
\n\n

Your answer to this question must match the information you previously provided.

\n", "label": "Security question\n\nYour answer to this question must match the information you previously provided.", "mandatoryMsg": "" }, "textDisplay_22": { "htmlLabel": "

For your records

", "label": "For your records", "mandatoryMsg": "" }, "textDisplay_23": { "htmlLabel": "

Check your email

\n\n

We've sent a copy of your submission to {{Form.data.$submitResponse.emailSentTo ? Form.data.$submitResponse.emailSentTo : Form.data.yourEmailAddress}}.

\n\n

If you didn't receive it or would like another copy, just select the option below.

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Send yourself a reminder email

\n

Enter your email address and we'll send you you instructions on how to return to your form.

", "label": "Send yourself a reminder email\nEnter your email address and we'll send you you instructions on how to return to your form.", "mandatoryMsg": "" }, "textDisplay_25": { "htmlLabel": "

Check your email

\n\n

We've sent instructions to your email address ({{Form.data.$submitResponse.emailSentTo ? Form.data.$submitResponse.emailSentTo : Form.data.send_reminder_email}}) on how to return to the application when you are ready.

\n\n

If you didn't receive it or would like a reminder sent to a different email address, just click the link below and follow the instructions.

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I, ({{data.givenName}} {{data.familyName}}), being the permit holder, or on behalf of the permit holder, make the following declaration:

\n\n

I understand that I must comply with all elements of the Liquor Act 2010 including (but not limited to):

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NON-COMMERCIAL PERMIT

\n\n
Liquor Act 2010
\n\n
AUSTRALIAN CAPITAL TERRITORY
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Permit Number: {{data.permitNum}}

\n\n

This Non-Commercial Permit is issued to: 
\n{{data.org}}

\n\n

Accordingly, liquor may be supplied in open containers for consumption on the premises at the following location:
\n{{data.fullAddress_4}}

\n\n

The particulars to which this non-commercial permit pertains are:

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"label": "Total", "mandatoryMsg": "" }, "totalAmountPaid_1": { "htmlLabel": "", "label": "Total amount paid", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "", "underHelpText": "" } }, "totalRetailValueOfLiquorC": { "htmlLabel": "Total retail value of liquor you propose to sell under this permit", "label": "Total retail value of liquor you propose to sell under this permit", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "options": [ { "label": "$0 to $2,000", "value": "2000" }, { "label": "$2,001 to $5,000", "value": "5000" }, { "label": "$5,001 to $10,000", "value": "10000" }, { "label": "$10,001 to $50,000", "value": "50000" }, { "label": "$50,001 to $100,000", "value": "100000" }, { "label": "$100,001 to $500,000", "value": "500000" }, { "label": "$500,001 to $1,000,000", "value": "1000000" } ], "placeholder": "", "underHelpText": "" } }, 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