Application Form |

This application form will take approximately 10 minutes to complete.

You will need to upload a certified copy of your current licence, permit or authority that authorises you as a bookmaker or to conduct a wagering business to complete this form (certified by a lawyer, Justice of the Peace or Commissioner for Declarations) so please make sure you have a scanned copy before you start.

Is this your first time applying for authority to use Queensland race information?

Is this the first time?*

Yes
No

Have you previously or do you currently hold an authority to use Queensland race information in your name, in the name of another entity, or otherwise in connection with your bookmakers licence or other authority?

Have you previously or do you currently hold an authority to use Queensland race information in your name, in the name of another entity, or otherwise in connection with your bookmakers licence or other authority?*

Yes
No

Please provide details*

APPLICATION FEE

An application fee of $250 is payable to Racing Queensland for all first-time applicants. Please make payment of the application fee by direct debit using the following bank details:

Account name: Racing Queensland
BSB: 084-004
Account number: 155 292 095
Reference: Applicant’s name

Have you paid the $250 First-time applicant fee?*

Yes
No

Please attach confirmation of the payment:*

Accepted file types: jpg, tiff, png, pdf, Max. file size: 50 MB.

What Best Describes You?

Please Select:

Individual - if you are applying as an individual, (e.g. you are licensed in your individual name as a bookmaker)

Partnership - if you are applying on behalf of a partnership

Corporation / Sole Trader - if you are applying on behalf of a corporation or if you are a sole trader

Application Type*

Individual
Partnership
Corporation / Sole Trader

Applicant Details

Title*

Name Appearing on License, Permit or Authority*

Trading Name(s)*

(Please list all trading names used by the Applicant to accept bets. If none, put 'N/A')

ABN

ABN*

ACN*

Members of Partnership*

(Please add all members involved in the partnership)

Postal Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Is your physical address the same as your postal address?*

Yes
No

Physical Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Telephone

Please include area code

Mobile*

Email

Email*

(Please provide the email addresses of all points of contact)

Date of Incorporation*

State of Incorporation*

Nominated Contact Person*

Nominated Contact Person Position Title*

Details of wagering licence, permit or authority held by the Applicant

Add a licence for each Licensing Authority that granted the Applicant its bookmaker’s licence or a licence to conduct a wagering business.

Are you licensed by the Queensland Racing Integrity Commission?*

Yes
No

Place where licences were granted*

Multiple or Single licence issued in Australia
Single licence issued in another country

Name of Licensing Authority*

A Licence Authority is an organisation that has granted the applicant a bookmaker's licence or licence to conduct a wagering business.

Country*

Expiry Date*

Licence Number*

Expiry Date*

Repeater

Licence Number*

Expiry Date*

Add another licenceRemove

Legislation Details*

Legislation under which applicant is authorised as a bookmaker or to conduct a wagering business

Multiple Licences if entered

Australian Issued Licence Details

Name of Licensing Authority*

A Licence Authority is an organisation that has granted the applicant a bookmaker's licence or licence to conduct a wagering business.

State Issued

Licence Number*

Expiry Date*

Add Another LicenceRemove

List any conditions or restrictions attached to the licence / authority or set out in the relevant legislation

e.g. types of wagering, location etc...

List any conditions or restrictions attached to the licence / authority or set out in the relevant legislation

e.g. types of wagering, location etc...

Attachments*

Drop files here or

Accepted file types: jpg, tiff, png, pdf, Max. file size: 50 MB.

Please upload a certified copy of the applicant's current licence, permit or authority that authorises the applicant as a bookmaker or to conduct a wagering business (certified by a lawyer, Justice of the Peace or Commissioner for Declarations)

Attachments*

Drop files here or

Accepted file types: jpg, tiff, png, pdf, Max. file size: 50 MB.

Please upload a certified copy of the applicant's current licence, permit or authority that authorises the applicant as a bookmaker or to conduct a wagering business (certified by a lawyer, Justice of the Peace or Commissioner for Declarations)

Attachments*

Drop files here or

Accepted file types: jpg, tiff, png, pdf, Max. file size: 50 MB.

Please upload a certified copy of the applicant's current licence, permit or authority that authorises the applicant as a bookmaker or to conduct a wagering business (certified by a lawyer, Justice of the Peace or Commissioner for Declarations)

Nature of Wagering Activity*

Licensed Wagering Operator other than a Betting Exchange
Betting Exchange

Are you licensed in an overseas country?

Are you licensed in an overseas country?*

Yes
No

NOTE: For any fields not applicable please indicate N/A

Are there any matters which may negatively impact on the Applicant's character or business reputation?*

Yes
No

Please disclose these matters and any actions taken to rectify the matters:*

Describe the applicant's current financial position and financial background*

List all business associations of the Applicant*

The includes major suppliers, corporate affiliates, trading partners and directors of the Applicant. If the business association is a company, include its company registration details

Are there any matters which may negatively impact on the character or business reputation of the Applicant's business associations?*

Yes
No

Please disclose these matters*

Describe the current financial position and financial background of the Applicant's business assosciations*

List all executive officers of the Applicant*

This includes any person who is concerned with, or takes part in, the Applicant's management, whether or not the person is a director or the person's position is given the name of the executive officer.

Are there any matters which may negatively impact on the character or business reputation of the Applicant's executive officers?*

Yes
No

Please disclose these matters*

Describe the current financial position and financial background of the Applicant's executive officers*

Provide any other information that may be relevant to your application*

Expected wagering turnover

Provide your reasonable expectation of the Applicant's wagering turnover*

Greater than $5 million per annum
Less than $5 million per annum

Estimated Commencement Date (Optional)

When do you expect to commence wagering?

(If you have already commenced trading, please ignore this field.)

Privacy Statement

Racing Queensland collects information about you when you submit this application and in the course of related enquiries made of third parties in order to assess your application and, if authorised, your ongoing status as an Authorised Operator.

The collection of your personal information for this purpose is authorised or required under the Racing Act 2002 (Qld). Racing Queensland may disclose your information to third parties such as other racing bodies, appeal bodies, wagering service providers, industry associations and government enforcement agencies if Racing Queensland believes that the disclosure is reasonably necessary to assess your application or your ongoing status as an Authorised Operator or to enable Racing Queensland to fulfil its regulatory obligations or to ensure compliance with the rules of racing and the Conditions. You can gain access to and request that corrections be made to information held about you by Racing Queensland.

By completing and submitting this application, you authorise Racing Queensland to collect, use and disclose information about you for the purposes described in this notice, including the publication of your information in publications that can include (but are not limited to) Racing Queensland’s website.

Agreement and declaration

Please Acknowledge*

I have read Racing Queensland’s Privacy Statement and agree to the terms.
I agree that if this application is granted, the authority will be subject to the General Conditions for the use of Queensland Race Information ("Conditions") available at http://www.racingqueensland.com.au/corporate/wagering/race-information.
I have accessed and reviewed the Conditions.
If I am granted an authority to use Queensland race information, I agree to be bound by and comply with the Conditions.
I agree to provide Racing Queensland with any further information in relation to this application reasonably required by Racing Queensland.
I agree that Racing Queensland may, based on this application and any further information provided by me, require me to agree to be bound by, and comply with, additional conditions ("Special Conditions") before Racing Queensland will grant an authority to use Queensland race information. I acknowledge and agree the Special Conditions may add to, or alter the operation of, the Conditions.

Is the applicant the same person submitting the application?*

Yes
No

I declare that:*

The information supplied in this application is true and correct and is not misleading (in either its contents or by omission); and
I have made all reasonable enquiries of the matters disclosed in this application.

I declare that:*

I am duly authorised to make this application on behalf of the applicant
The information supplied in this application is true and correct and is not misleading (in either its contents or by omission); and
I have made all reasonable enquiries of the matters disclosed in this application

Application for authority to use Queensland race information

APPLICATION FOR AUTHORITY PERIOD: 1 JULY 2025 – 30 JUNE 2027

Is this your first time applying for authority to use Queensland race information?

Have you previously or do you currently hold an authority to use Queensland race information in your name, in the name of another entity, or otherwise in connection with your bookmakers licence or other authority?

APPLICATION FEE

What Best Describes You?

Please Select:

Applicant Details

Details of wagering licence, permit or authority held by the Applicant

Repeater

Multiple Licences if entered

Are you licensed in an overseas country?

Expected wagering turnover

Estimated Commencement Date (Optional)

Privacy Statement

Agreement and declaration