Self-exclusion from a licensed venue

This page is for people who want to stop themselves from being able to gamble at particular licensed venue.

If you want to stop yourself from gambling at one or more venues, you will need to fill in a self-exclusion notice which is an agreement not to gamble at a venue.

Self-exclusions can be for up to two years. After that, you can either choose to fill in another self-exclusion notice, or end your agreement not to gamble.

You can apply for self-exclusion by contacting the venue licensee or a participating counselling service.

The licensee or counsellor will speak with you about what is involved in submitting a request to be excluded from a venue. If you agree to the conditions you can complete a self-exclusion notice.

You can apply to have yourself excluded from one or all of the following:

  • the entire premises
  • the gaming area
  • Keno betting
  • table machines
  • gaming machines (pokies)
  • TAB
  • Lotto betting services.

Also read self-exclusion from a sports bookmaker.

Multiple venue exclusion

You can apply to exclude yourself from gambling venues in the NT using the NT Gambling Care system.

This system enables you to exclude yourself from multiple venues with one application.

To do this you need to speak with a counsellor or a community liaison officer at a gambling venue.

They will enter your details into an online system and print a self-exclusion deed for you to sign.

Get a sample of the self-exclusion deed PDF (154.1 KB).

Single venue exclusion

You can also apply in-person to exclude yourself from a specific venue.

This process must be repeated for each individual venue you want to be excluded from.

To apply for a self-exclusion notice, follow these steps.

Step 1. Fill in the self-exclusion form.

Self-exclusion notice PDF (49.4 KB)
Self-exclusion notice DOCX (55.4 KB)

Step 2. Provide one front-facing passport-sized photograph - you can also provide a side profile photo as well.

Step 3. Have a witness sign your form.

Step 4. Submit the completed form to the venue licensee.

You have a three-day cooling off period from the time you have submitted a self-exclusion notice to a venue licensee to change your mind.

If you want to end your self-exclusion application you must speak to the venue licensee within 72 hours of making the application.

After the cooling off period has ended your self-exclusion will be enforced for the requested period.

Also read the Gambling code of practice.

If you have a self-exclusion notice in place, you must:

  • try not enter any part of the venue from which you are self-excluded
  • inform the licensee if you do enter any part of the self-excluded area
  • not make a claim against a venue or licensee for any losses you suffer as a result of gambling in the excluded area.

If you are the licensee of a venue where somebody has applied for self-exclusion, you must:

  • provide information about any assistance or support services available
  • remove a self-excluded person's name from player loyalty lists promoting gaming during the period of their self-exclusion
  • take reasonable steps to prevent the self-excluded person from entering a prohibited area or taking part in gambling activities.


For more information on self-exclusion, you can contact Licensing NT:

Level 3, NAB House
71 Smith Street
Darwin NT 0800

GPO Box 1154
Darwin NT 0801

Phone: 08 8999 1800
Fax: 08 8999 1888

Alice Springs
Level 1, The Green Well Building
50 Bath Street
Alice Spring NT 0870

PO Box 8470
Alice Springs NT 0871

Phone: 08 8951 5195
Fax: 08 8951 5112

Ground Floor, Randazzo Building
18 Katherine Terrace 
Katherine NT 0851

PO Box 2138
Katherine NT 0851

Phone: 08 8973 8811
or 08 8973 8810
Fax: 08 8973 8867

Problem gambling

For information on support services for problem gambling, contact:

24 hour gambling help line
Phone: 1800 858 858

Amity Community Service
155 Stuart Highway
Parap NT 8320

Phone: 1800 858 858 

Darwin: 08 8985 0000 

Alice Springs: 08 8952 0377

The self-exclusion deed sample was provided by the Registered Clubs Association of NSW © ClubsNSW.

Last updated: 15 August 2018

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