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GL - Test Form Submission Success Page

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Your test form has successfully been submitted. If the system is working correctly, the email address you provided in the test form will receive an email confirmation advising that the process is functioning as expected.

If you do not receive a confirmation email within 10 minutes of the form submission, please contact webmaster@star.com.au and request further investigation.

GL - Webform Submission Process Testing

Use the form below to test that the form submission service and connection between the Website and The Star Entertainment Group SharePoint is functioning normally. Please ensure you use your correct email address so that a successful confirmation email can be received.

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200 MB limit.
Allowed types: png jpg pdf.

GL - Confirmation - Request for Self-Exclusion

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Thank you for applying for a self-exclusion. Please note that a self-exclusion request can take up to 24 hours to come into effect.

If you need assistance or have any questions, feel free to contact us on the following numbers, the team is available 24/7.


Gambling Help Online 1800 858 858

www.gamblinghelponline.org.au

Free online support for anyone affected by gambling. Available 24/7 across Australia. 

Request Self-Exclusion Online

* Indicates Required Field

Checklist and Consent

I wish to make this self-exclusion application. In making this application, I acknowledge and agree to the following.

View Self Exclusion Terms and Conditions

View Self Exclusion Online Privacy Collection Statement

This includes information on our use of Facial Recognition Technology.

 

 

Part 1 of 5 – Self-Exclusion Request

What type of Self-Exclusion are you choosing?

 

 

Part 2 of 5 – Personal Information

 

 

Part 3 of 5 – Your Play Profile

 

 

Part 4 of 5 – About Your Self-Exclusion

You will be issued with a self-exclusion order which prohibits you from entering and remaining in the casino at The Star Gold Coast and The Star Brisbane pursuant to section 91N of the Casino Control Act 1982 (QLD) and a voluntary exclusion order which prohibits you from entering and remaining in the casino at The Star Sydney pursuant to section 79 of the Casino Control Act 1992 (NSW).

 

 

Part 5 of 5 – Your Self-Exclusion Application

In accordance with the Privacy Collection Statement, I agree to provide the following evidence of my identity in connection with my request for self-exclusion.

To prove that you are the person in the photo ID, applicants must also provide a self-verification photo of themselves holding their photo ID. Ensure the photo ID you are holding is clear and readable, view examples linked below.
View Sample
 
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200 MB limit.
Allowed types: jpg png pdf.
Acceptable forms of ID
 
Maximum 2 files.
200 MB limit.
Allowed types: jpg png pdf.
Photo Guidelines
 
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200 MB limit.
Allowed types: jpg png pdf.
I agree to sign, have it witnessed and return the completed documents to The Star Casinos.
Download request for self-exclusion The Star Casinos/Crown Casinos

You are required to download the above form. Complete, sign, have it witnessed and then upload it here.
 
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200 MB limit.
Allowed types: pdf.
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