App­li­ca­tion for vo­lun­ta­ry gamb­ling sus­pen­sion

Dear Sir/Madam

I hereby apply for a voluntary gambling suspension for all casinos in Switzerland. I am aware that

• this suspension is valid for an indeterminate period of time and can be lifted after three months at the earliest.
• I must inform the casino immediately of any change to my name.
• Attempts to breach the gambling suspension may have legal consequences (report of unlawful entry).
• this gambling ban applies to all casino games (in casinos and on the internet) and at the same time also to large-scale games conducted online (lotteries, betting, games of skill) throughout Switzerland.

The decision on the lifting of the gambling ban lies with the casino that registered the gambling ban on the basis of my application.

You must enclose a copy of your identity document so that we can ascertain your identity beyond any doubt.

Casino Zürichsee AG Seedammstrasse 3 8808 Pfäffikon SZ Phone: +41 55 416 30 30

Grand Casino St. Gallen AG St. Jakob-Strasse 55 9000 St. Gallen Phone: +41 71 394 30 30

CSA Casino Schaffhausen AG Herrenacker 7 8200 Schaffhausen Phone: +41 52 630 30 30

Swiss Casinos Zürich AG Gessnerallee 3-5 8001 Zurich Phone: +41 43 330 30 30