# Gambling Act 2005, Paragraph 11


(1) A permit must be in the prescribed form and must specify—
(a) the name of the club or institute in respect of which it is issued,
(b) the premises to which it relates,
(c) whether it is a club gaming permit or a club machine permit,
(d) the date on which it takes effect, and
(e) such other information as may be prescribed.
(2) If the application for the permit was made in accordance with paragraph 10, the permit must also identify the club premises certificate under section 72 of the Licensing Act 2003 (c. 17).

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Source: https://www.legislation.gov.uk/ukpga/2005/19/schedule/12/paragraph/11 (the official version)
Page: https://openlegislation.uk/gambling-act-2005/schedule-12/paragraph-11
Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.