Public Entertainment Ordinance, 1958

PUBLIC ENTERTAINMENT ORDINANCE, 1958

PUBLIC ENTERTAINMENT RULES 2007

FIRST SCHEDULE

(RULE 3)

APPLICATION FORM FOR ENTERTAINMENT LICENCE

PART 1 : INSTRUCTION

1. Please complete this form in BLOCK Letters.

2. Tick ………………. In the relevant boxes.

3. Return this Form together with the following documents (where applicable) :

(i) A memorandum and articles of association, and form 49(return giving details in register of directors, managers and change of particulars) in accordance with the Company Act 1965.

(ii) Five (5) copies of the floor and location plans of premises.

(iii) Letter of consent/confirmation from the owner of the land or building.

(iv) One (1) copy of Identity Card.

(v) 2 envelopes measuring 9 ins x 4 ins and 2 thirty cents stamps.

(vi) Two (2) photographs of the premises one (1) copy of a photograph taken from the outside and one (1) copy of a photograph taken from the inside)

(vii) List of entertainments, games, entertainment machines and plays.

FIRST SCHEDULE

(RULE 3)

APPLICATION FORM FOR ENTERTAINMENT LICENCE

PART II :

PARTICULARS OF APPLICANT :

1. Name of applicant : .……………………………………………………………………………

2. Identity Card No. : ….………………….………..(New) ………………………………..(Old)

3. Date of birth : ……………………………………………………………………………………

4. Place of birth : …………………………………………………………………………………..

5. Citizenship : ……………………………………………………………………………………..

6. Race : ……………………………………………………………………………………………

7. Address : ………………………………………………………………………………………...

8. Telephone No. : (residence) .……………………….(Hand Phone) .…………………….....

9. Name of company/organization : ……………………………………………………………..

10. Designation in the company/organization : ………………………………………………….

11. Address of company/organization : …………………………………………………………..

12. Telephone No. : ………………………………….Fax No. : ………………………………….

13. E-mail address : ………………………………………………………………………………...

14. For Society Club/Corporate Club

(a) Name of club/organization :…………………………………………………………..

(b) Location of Club :……………………………………………………………………...

(d) Type of Club :………………………………………………………………………….

(e) Telephone No. :………………………………………………………………………..

(f) E-mail address :…………………..……………….. Fax No. :………………………

15. Is this your first application of this year of Entertainment Licence?
Yes …….. No ……..
For “NO”, state Number of Licence obtained:………..……………, at the Local Authority ……………………………………..

PART III : DETAILS OF APPLICATIONS

A. APPLICATION FOR LICENCE TO OPEN A PLACE OF ENTERTAINMENT :

1. APPLICATION FOR TYPE OF ENTERTAINMENT LICENCE :

Family recreation amusement centre / ( ) / Slot Machine (Jackpot) / ( )
Amusement/Recreation Theme Park / ( ) / Gift Machine / ( )
Bowling Alley / ( ) / Karaoke Lounge / ( )
Skating Rink / ( ) / - Open Karaoke Lounge / ( )
Cinema/Theatre / ( ) / - With Singing companions / ( )
Billiard/Pool/Snooker Saloon / ( ) / - Family Concept / ( )
Internet Service Centre/Cyber Café / ( ) / Movie Television Outlet (MTV) / ( )
Computer Game Centre / ( ) / Concert / ( )
- Play Station Centre / ( ) / - By Local Artist (Sabah/Sarawak) / ( )
- Video Game Centre / ( ) / - By Local Artist (West Malaysia) / ( )
- Simulator Game Centre / ( ) / - By International Artist / ( )
Jamming/Recording Studio / ( ) / PUB / ( )
Puppet Show/Shadow Play / ( ) / Discotheque / ( )
Fashion Show / ( ) / Funfair / ( )
Beauty Contest / ( ) / Circus / ( )
Live Entertainment / ( ) / Opera / ( )
Shooting Gallery / ( ) / Exhibition of Cinematograph / ( )
Dart Gallery / ( ) / Exhibition held indoor / ( )
Paint Ball / ( ) / Exhibition held outdoor / ( )
Jukebox / ( ) / Others / ( )

2. TYPE OF PREMISES/SITE :

i) Shop House ii) Shopping Complex iii) Others

Floor No. : ……………., floor area …………. Sq. metres/land area …………. sq. metres.

3. POSITION OF PREMISES:

i) Corner ii) Intermediate iii) Detached

4. OWNERSHIP OF PREMISES/SITE : (a) owner (b) tenant

5. PERIOD OF LICENSE APPLIED : From…………………..………to…………………..………

6. TIME OF OPERATION : From…………………..………to…………………..………

B. CINEMA/THEATRICAL PERFORMANCE :

1. Type of performance : (a) Music (b) Singing (c) Dancing (d) Others

2. Number of performance per day : ……………. 3. Seating Capacity …………………

4. Times of performance : from ………….. to ………….. , from ………….. to …………..

from ………….. to ………….. , from ………….. to …………..

5. Period of performance : From…………………..………to…………………..………

6. Tickets for sale at : (a) RM…………….., for no. of tickets ……………………………..

(b) RM…………….., for no. of tickets ……………………………..

(d) RM…………….., for no. of tickets ……………………………..

(e) No. of Complementary tickets :…………………………………

7. Purpose of entertainment : (a) Commercial (b) noncommercial

8. For noncommercial purpose, state full name and address of proposed recipient and Letter of certification of purposed recipient :

Name of recipient : ……………………………………………………………….………….

Address : ……………………………………………………………….………….

PART IV : DECLARATION :

I/We ………………………………………., Identity Card No ………………………, hereby declare that all the information given above is correct and true.

…………………………………. ………………………………….

(applicant’s signature) (date)

PART V : FOR LOCAL AUTHORITY USE ONLY

1. Number of shop lots, shop houses, shopping complex in the Local Authority.

(a) Shop Lot : ……….. (b) Shop Houses : ……….. (c) Shopping Complex : ………..

2. Number of the same type of Entertainment License has already issued :

(i) In the Local Authority : ……………………

(ii) In the location/same development : ……………………

3. Type of Application : (a) New (b) Change of address

For (b), state present or previous address : …………………………………………..………….

4. Date of submission to Local Authority by the Applicant : ……………………………...………..

5. Date of the Licensing committee meeting of the Local Authority (if require) :………………..

6. Date receive comments from : (a) Police Department :……………………………………….

(b) Fire Department :………………………………………….

7. Decision of the Local Authority : Approve :…………..……… Not approve :………..…………

For “not approve” :………………………………………………. State Reason :………………..

…………………………………………………………………………………………………………

8. Date of submission to the Ministry of Local Government and Housing Sabah : ……………..

…………………………. …………………………………… ………………………….

Signature Cop of Local Authority Date

Name : ………………………………………………….…………………………………………….

Position : ……………………………………………………………………………………………..