PUBLIC ENTERTAINMENTS AND MEETINGS ACT (CHAPTER 257)PUBLIC ENTERTAINMENTS AND MEETINGS RULESAPPLICATION 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 RULESPUBLIC 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.