Self-Exclusion

Self-Exclusion From Gambling Activities

Submit your request to voluntarily exclude ypurself from licensed gambling and betting operators in Malawi

Complete the Form

All sections must be completed. Expand the section to fill in the required fields.

Part A: Personal Details

Full Name

Phone Number

Email Address

City

Address

Identification Document Number

Identification Type
National IDPassportDriving Licence

Passport Size Photo

Part B: Self-Exclusion Details

Desired Period of Exclusion

Please explain your reason for self-exclusion including which gaming/betting houses you participate in:

Note: Minimum self-exclusion period is one (1) year.

Part C: Consent and Acknowledgement

I agree to voluntarily exclude myself from all gaming and betting activities.

I agree to my personal information being used to enforce this self-exclusion.

I understand that self-exclusion is a serious decision and support services may be available.

Signature (type your full name)

Date

Upload Copy of Identification Document

Important Information

Minimum exclusion period: 1 Year Valid Passport-size photo required Copy of National ID or Passport or Driving License required Applied to all licensed operators Request is valid for selected period

Self-Exclusion

Self-Exclusion From Gambling Activities

Complete the Form

Important Information

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