FIRST SCHEDULE
Rule 3(1A)
PUBLIC ENTERTAINMENTS AND MEETINGS ACT
(CHAPTER 257)

PUBLIC ENTERTAINMENTS AND MEETINGS RULES

APPLICATION FOR A PUBLIC ENTERTAINMENT LICENCE

PART I – PARTICULARS OF FILER (applicable only to applications made by a staff/member of a professional firm or a representative authorised by the applicant to make the licence application)
Name
NRIC/FIN No.
Name of Registered Company/Business/Limited Liability Partnership/Organisation, if applicable
ACRA/ROS Registration No.
Email Address
Contact No.
PART II – PARTICULARS OF APPLICANT
Name
NRIC/FIN No.
Date of Birth
Nationality
 
 
 
 
Appointment
Contact No.
Email Address
PART III – PARTICULARS OF REGISTERED COMPANY/BUSINESS/LIMITED LIABILITY PARTNERSHIP/ORGANISATION
Name of Registered Company/Business/Limited Liability Partnership/Organisation
ACRA/ROS Registration No.
Address of Registered Company/Business/Limited Liability Partnership/Organisation
 
Type of Company/Business/Limited Liability Partnership/Organisation
 
Mailing Address
Contact No.
Fax No.
PART IV – PARTICULARS OF MANAGER(S)/PARTNER(S)/DIRECTOR(S)/OFFICE-BEARER(S)
S/No.
Name
NRIC/FIN No.
Passport No.1
Appointment
Date of Appointment
 
 
 
 
 
 
PART V – PARTICULARS OF PLACE WHERE ENTERTAINMENT IS TO BE PROVIDED
□ Establishment Licence
Name of Establishment
Address of Establishment
 
 
Period
Hours of Operation
From
To
From
To
 
 
 
 
□ Adhoc Licence
Name of Place
Address of Establishment
 
 
Date(s)
Hours of Operation
No.
From
To
From
To
 
 
 
 
 
FSSD Building Plan Reference No.
If seats are provided, state maximum no. of seats
Capacity of Place/Occupant Load
State seat pricing/ admission fee (if any)
 
 
 
 
PART VI – TYPE(S) OF ENTERTAINMENT TO BE PROVIDED
(A)Establishment Licence
 Type of Establishment
 Will hostesses2 be provided?
□ Yes
□ No
(B)Adhoc Licence
 Title of Event
 
(C)Type(s) of Entertainment for Establishment/Adhoc Licence
PART VII – DECLARATION
I declare that all the information given in this application is true and correct to the best of my knowledge.
________________
Date
_________________________
Signature of Filer/Applicant
1 Applicable only to foreigner.
2 Applicable only to cabaret/night club, discotheque, lounge, pub, bar or restaurant.
[S 492/2009 wef 09/10/2009]
Rule 3(3)
PUBLIC ENTERTAINMENTS AND MEETINGS ACT
(CHAPTER 257)

PUBLIC ENTERTAINMENTS AND MEETINGS RULES

PUBLIC ENTERTAINMENT LICENCE

 
Licence No.
Licensee(s)
 
Name of Person
NRIC/FIN No.
 
 
Name of Registered Company/Business/Limited Liability Partnership/ Organisation
ACRA/ROS Registration No.
 
 
The licensee(s) is/are hereby licensed to provide public entertainment as described below:
 
Name of Establishment/Place where entertainment is to be provided
 
Address of Establishment/Place where entertainment is to be provided
 
Type(s) of Entertainment
 
Period/Date(s) of Entertainment
Hours of Operation
From
To
From
To
 
 
 
 
Approved Capacity/Occupant Load, if applicable
 
Conditions as described overleaf/attached
 
Additional conditions below
 
This licence will continue to be in force until its expiry, unless cancelled or suspended prior to its expiry under the provisions of the Act.
Licence Fee
$
________________
Date of Issue
_________________________
Licensing Officer
[S 327/2005 wef 27/06/2005]