TUSA Forms Application for a University Liquor Permit Step 1 - Details of function organiserPlease refer to the notes on the next page for responsibilities of function organisers and responsible delegates.Full name of TUSA Club, Society or Council*Name of function organiser or responsible delegateMobile NumberEmail* Step 2 - Function DetailsName / description of function*Approximate number of people expected to attend*Alcohol will be for sale and/or an entry fee charged and alcohol served Yes No If you ticked 'yes', you will need security / crowd controllersName of registered security form*Contact number*Number of guards*Please specify times that guards will be present*Location of functionAre extra rubbish bins required? If so how manyDate of event*Please write like this format example. 4th April 2017Start Time* : HH MM End Time* : HH MM Name First Last Use of space approved byStep 3 - Approval by TUSA Club / Society / Campus PresidentYour club, society; or for student reps campus president is required to endorse this applicationName* First Last This application has been endorsed by the appropriate TUSA society / club / campus presidentPhoneStep 4 - Checklist and declaration by applicantNote: Please tick the relevant boxes below and sign to indicate that you have read and agree to the following:If liquor is to be sold and/or an entry fee charged and alcohol served, I have an appropriate permit from the Tasmanian Commissioner for Licensing and a copy is attached.* N/A Yes Permit is pending and I will forward upon receipt If food is to be sold and/or supplied, I have obtained the appropriate permits/ licences from the city council ( North / Northwest Tasmania) or the TUSA (within HCC boundaries)* N/A Yes attached Permit is pending and I will forward upon receipt Upload your permits Drop files here or Upload your Commissioner for Licensing Liquor permit City Council or TUSA/HCC food permit.I have obtained the approval of the appropriate head of division (step 3) prior to submitting this application.* No Yes I have read, understood and agree to abide by the provisions contained within the Liquor Licensing Act 1990; Part 11, Section 4 of the University by-laws; and the University's policy and procedure on the safe consumption of alcohol. (See downloads for more information.) No Yes I have read and understood the 'Notes for completing the liquor permit application'* Yes These notes can be downloaded from the top of this page.I agree to the aboveName* First Last Date* Date Format: MM slash DD slash YYYY
