After Part 7 of the Principal Regulations insert —
For the purposes of section 106F and 106I(6) of the Act, the prescribed form for—
(a) a barring order issued under section 106D; and
(b) a notice of variation of a barring order issued by a licensee, permittee, responsible person or member of the police force under section 106I(1)—
is Form 1 in Schedule 4.
For the purposes of section 106I(6) of the Act, the prescribed form for notice of a variation of a barring order issued by the Director under section 106I(2) is Form 2 in Schedule 4.
For the purposes of section 106I(7) of the Act, the prescribed particulars for a notice of revocation are—
(a) the name and address (if known) of the person the subject of the barring order; and
(b) the name, address and liquor licence number of the licensed premises to which the barring order applies; and
(c) the barring order reference number; and
(d) the date the barring order commenced; and
(e) a statement that the barring order is revoked; and
(f) the date and time at which the barring order is revoked; and
(g) the name, title, Victoria Police registered number (if applicable) and signature of the person revoking the barring order.
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