# NGB and PGB Submission Notice

**What Information FMSA Submits to Gambling Regulators**

**Free Me South Africa (Pty) Ltd**
Registration Number: 2025/384802/07
Version 2.0 | Effective Date: 24 August 2026

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## 1. Overview

When you complete your self-exclusion registration through the FMSA Platform, FMSA submits your NGB Form 1/1 to the National Gambling Board ("NGB") as your authorised representative, and communicates with the relevant provincial licensing authorities as part of its case-management and follow-up process. The statutory obligation to transmit the notice to all licence holders and provincial licensing authorities rests with the NGB under Regulation 2(4) of the National Gambling Regulations 2004. FMSA notifies the provincial gambling boards directly as part of its mandate to facilitate and follow up your application.

This notice explains exactly what information is submitted, to whom, and why.

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## 2. Statutory Basis

| Provision | Requirement |
|---|---|
| NGA Section 14 | Establishes the self-exclusion framework and the mechanism for a person to seek registration as an excluded person |
| NGA Section 14(7) | NGB must maintain a national register of excluded persons |
| NGA Section 65(1)(c)(i) | NGB functions include maintaining the national register and accounting for excluded persons |
| National Gambling Regulations 2004, Regulation 2(2) | NGB Form 1/1 (GG No. 26994, 12 November 2004) is the prescribed application form |
| National Gambling Regulations 2004, Regulation 2(4) | Within 7 days of receiving the notice, the NGB must transmit a copy to all licence holders and provincial licensing authorities |
| ECTA Sections 11, 19, 25 | Support electronic submission and attribution of data messages to the originator through their authorised representative |

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## 3. Information Submitted to the NGB and PGBs

The following information is included in NGB Form 1/1 and transmitted to the NGB and all nine PGBs:

### 3.1 Part A - Personal Details

| Field | Required by NGB Form 1/1? |
|---|---|
| Full name (first name and surname) | Yes |
| South African ID number | Yes |
| Physical address | Yes |
| Email address | Yes (FMSA addition for notifications) |
| Mobile number | Yes (FMSA addition) |
| Physical descriptors: height, build, eye colour, hair colour, distinguishing features | Yes - required for venue security identification |
| Province | Yes (for PGB routing) |

### 3.2 Part B - NGB Declarations

All 12 statutory declarations under NGB Form 1/1 (GG No. 26994, 12 November 2004), confirmed as true and correct by the applicant.

### 3.3 Part C - Signature

Electronic signature with SHA-256 hash and timestamp, applied in reliance on ECTA's recognition of electronic signatures and submitted through FMSA as the applicant's authorised representative under ECTA Section 25, appearing on every page of the form.

### 3.4 Part D - FMSA Proxy Declaration

FMSA's declaration that it is submitting NGB Form 1/1 as the applicant's authorised proxy under the Proxy Consent and Authorisation Certificate.

### 3.5 Exclusion Details

| Field | Included? |
|---|---|
| Exclusion scope (land-based / online / both) | Yes |
| Duration of exclusion (6m / 12m / 5yr / lifelong) | Yes |
| Gambling types excluded | Yes |
| Start date | Yes |
| Expiry date (where applicable) | Yes |
| FMSA SE number | Yes |
| FMSA Case number | Yes |

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## 4. Information NOT Submitted to Regulators

The following information collected by FMSA is NOT transmitted to the NGB, PGBs, or gambling operators:

| Data | Reason Not Shared |
|---|---|
| Password | Never transmitted anywhere; stored as bcrypt hash only |
| Racial classification | Race is included in NGB Form 1/1 as required for identification and is therefore transmitted to the NGB and provincial licensing authorities. Explicit consent is obtained under POPIA Section 26. Race is not used for any purpose other than NGB Form 1/1 identification and, where separately consented to, anonymous IGHAC demographic reporting |
| Monthly gambling spend | Retained by FMSA for harm analysis; not part of NGB Form 1/1 |
| Debt level | Not part of NGB Form 1/1 |
| Reason for self-exclusion (free text) | Confidential to FMSA; not part of NGB Form 1/1 |
| Counselling referral details | Confidential between applicant and NRGP |
| Facial image (photograph) | Printed on page 3 of NGB Form 1/1 and stored encrypted by FMSA; not shared with operators |

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## 5. Recipients

### 5.1 National Gambling Board (NGB)

**Email:** info@ngb.org.za
**Website:** www.ngb.org.za
**Documents sent:** NGB Form 1/1 (signed) + Proxy Consent and Authorisation Certificate

### 5.2 Provincial Gambling Boards (All Nine)

All nine PGBs receive notification simultaneously with the NGB. Contact details are sourced from each board's official website.

| Province | Board | Contact Email | Official Website |
|---|---|---|---|
| Gauteng | Gauteng Gambling Board (GGB) | info@ggb.org.za | www.ggb.org.za |
| Western Cape | Western Cape Gambling and Racing Board (WCGRB) | selfexclusions@wcgrb.co.za | www.wcgrb.co.za |
| KwaZulu-Natal | KZN Economic Regulator Authority (KZNERA) | info@kznera.org.za | www.kznera.org.za |
| Eastern Cape | Eastern Cape Gambling Board (ECGB) | communications@ecgb.org.za | www.ecgb.org.za |
| Limpopo | Limpopo Gambling Board (LGB) | ceo@lgb.co.za | www.lgb.co.za |
| Mpumalanga | Mpumalanga Economic Regulator (MER) | ceo@mer.org.za | www.mer.org.za |
| North West | North West Gambling Board (NWGB) | ceo@nwgb.co.za | www.nwgb.co.za |
| Free State | Free State Gambling, Liquor and Tourism Authority (FSGLTA) | reception@fsglta.gov.za + info@fsglta.gov.za | www.fsglta.gov.za |
| Northern Cape | Northern Cape Gambling Board (NCGB) | enquiry@ncgb.co.za | www.ncgb.co.za |

All contact details are sourced directly from official board websites and are accurate as of August 2026. FMSA does not manufacture or estimate these addresses.

**Documents sent:** NGB Form 1/1 (signed) + Proxy Consent and Authorisation Certificate (same as NGB)

### 5.3 Applicant

You receive a separate email (addressed to you only) containing:
- Your FMSA Self-Exclusion Submission Certificate (attached as a PDF, confirming that FMSA has submitted your application). Legal effectiveness follows NGB processing and confirmation.
- A link to access your certificate from the FMSA Platform
- Your SE number and Case number for all future correspondence
- FMSA support contacts and free resource links

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## 6. Email Pattern

Every SE submission generates two emails:

**Email 1: Regulatory Submission (automated formal notice)**

```
FROM: exclusions@freemesouthafrica.co.za
TO:   National Gambling Board (info@ngb.org.za)
CC:   All 9 Provincial Gambling Boards (addresses above)
      FMSA shared exclusions inbox
BCC:  Applicant (silent copy - confirmation of dispatch)
      FMSA admin (internal monitoring)

Subject: [FMSA SE - FORMAL SUBMISSION] Self-Exclusion Application - [SE Number] - [Duration]

Attachments:
  - NGB Form 1/1 (signed, SHA-256 hash-stamped, PDF)
  - Proxy Consent and Authorisation Certificate (signed, PDF)
```

The applicant receives a silent (BCC) copy of this email for transparency. Their email address is not disclosed to the NGB or PGBs. This protects the applicant's personal data under POPIA Section 11 (data minimisation).

**Email 2: Applicant Certificate (separate, personal email)**

```
FROM: exclusions@freemesouthafrica.co.za
TO:   Applicant only

Subject: Your FMSA Self-Exclusion Submission Certificate - [SE Number] - FMSA

Attachments:
  - FMSA Self-Exclusion Submission Certificate (PDF, attached directly)
```

---

## 7. Operator Notification - Land-Based and Online

### 7.1 NGB's Obligation Under Regulation 2(4)

Following receipt of your NGB Form 1/1, the NGB is required by Regulation 2(4) of the National Gambling Regulations 2004 (GG No. 26994) to transmit a copy of the notice to **all licence holders** and provincial licensing authorities within seven days. "All licence holders" means every entity licensed under the NGA or applicable provincial gambling legislation, including:

- All land-based casino licence holders in all nine provinces
- All online gambling licence holders (licensed internet gambling operators including sports betting, casino games, bingo, and all other forms of licensed remote gambling)
- All gambling machine route operators, limited payout machine operators, and other licensed land-based operators

This means your exclusion record reaches every licensed gambling operator in South Africa, both land-based and online, through the NGB's statutory transmission obligation. You do not need to notify each operator individually.

### 7.2 FMSA's Monitoring and Follow-Up

Under Regulation 2(5)-(6), written confirmation of receipt triggers the effective date process. The NGB's registration of your exclusion, transmission, and the applicable effective date are controlled by the NGB and are beyond FMSA's control.

FMSA monitors for NGB acknowledgement of each submission. Where no acknowledgement is received within 24 hours, an automated follow-up is sent. After 72 hours without response, FMSA escalates to the NGB compliance office and, if necessary, the Department of Trade, Industry and Competition (DTIC).

### 7.3 Direct Operator Follow-Up by FMSA

Where FMSA has reason to believe that a licensed operator has not implemented an exclusion (for example, following a reported breach), FMSA is authorised under the Proxy Consent and Authorisation Certificate to communicate with that operator directly for the purpose of enforcement follow-up, and to report the suspected breach to the applicable Provincial Gambling Board.

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## 8. Email Address Verification

All NGB and PGB contact details in this notice are sourced from each regulator's official website. FMSA does not manufacture or estimate email addresses. If any address changes, FMSA will update this notice and the platform configuration accordingly. Users may verify these addresses independently by visiting the official websites listed in Section 5.2.

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*Free Me South Africa (Pty) Ltd | Reg. 2025/384802/07*
*NGA 7 of 2004 | National Gambling Regulations 2004 | GG No. 26994 | POPIA 4 of 2013 | ECTA 25 of 2002*