Notice Of Management Change - Sale And Supply Of Alcohol Act - 2012
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1NOTICE OF MANAGEMENT CHANGE
Section 231, Sale and Supply of Alcohol Act 2012
Full trading name:
Signature of licensee:
Date:
Licensee name (please print):
Position
:
(Director, Partner, etc)
Email:
Phone No:
Fax No:
It is not necessary to notify the DLC or Police in respect of the appointment of a temporary manager or an acting manager for
any period not exceeding 48 consecutive hours.
What are you notifying? (please tick and complete one of the applicable boxes below)
New Permanent Manager (holds a General Managers Certificate)
Effective from:
/
/20
Full legal name:
Known as:
First
Middle
Last
Certificate number:
Certificate expiry date:
Temporary Manager
Effective from:
/
/20
to
/
/20
(see s.229, Sale and Supply of Alcohol Act 2012)
Full legal name:
First
Middle
Last
Known as:
Date of birth:
/
/
Residential address:
Who are they replacing:
Certificate number:
Reason:
Note: A temporary manager must apply for a manager’s certificate within two working days of their appointment.
Acting Manager
Effective from:
/
/20
to
/
/20
(see s.230, Sale and Supply of Alcohol Act 2012)
Full legal name:
Known as:
First
Middle
Last
Date of birth:
/
/
Residential address:
Who are they replacing:
Certificate number:
Reason:
Termination/Cancellation of Manager Appointment
Effective from:
/
/20
Full legal name:
Known as:
First
Middle
Last
Certificate number:
Certificate expiry date:
Forward a copy of this completed form, within two working days of the appointment (or termination) to BOTH Agencies:
•
The Secretary, District Licensing, PO Box 73049, CHRISTCHURCH 8154, Att: Gina Moore,
Email: managerchange@ccc.govt.nz, or Fax to: (03) 941 5033
•
The Licensing Sergeant, NZ Police District, PO Box 2109, CHRISTCHURCH, Att: Nicky Jackson,
Email: alcoholcanterbury@police.govt.nz
Acknowledgement of received by District Licensing Committee:
Time:
Date:
Signature:
Please keep this acknowledgement of receipt as you may need to produce it to show it was sent and received.
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