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 a particular venue you will need to fill in a self exclusion notice.

Each self exclusion notice lasts for a period of three months. After that you can either choose to fill in another self exclusion notice, or end your agreement not to gamble.

Before you apply

You can apply for self exclusion by contacting the venue licensee. 

The licensee will speak with you about what is involved in applying. If you agree to the conditions you can ask the licensee for 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.

How to apply

To apply you must do all of the following.

Step 1. Fill in the form:

self exclusion notice (49.4 kb)
self exclusion notice  (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.

After you apply

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 three months.

Also read the Gambling code of practice.

Your rights and responsibilities

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.

Licensee's rights and responsibilities

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: 

OfficeStreet addressPostal addressPhone / Fax


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 SpringsLevel 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 
KatherineGround 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 

For information on support services for problem gambling contact:

24 Hour Gambling Help Line
Phone: 1800 858 858

Amity Community Service Inc.
155 Stuart Highway, Parap, Darwin, NT
Phone: 1800 858 858 

Darwin: (08) 8985 0000 

Alice Springs: (08) 8952 0377

Last updated: 28 November 2017