[Forms 1, 2, 3 and 4 deleted: Gazette 23 Dec 1994 p. 7074.]
[Form 5 deleted: Gazette 22 Dec 2017 p. 5976.]
Form No. 6
Western Australia
[s. 11]
SPECIAL RETAIL SHOP CERTIFICATE
The retail shop known as
.......................................................................................
located at
................................................................................................................
and operated by
......................................................................................................
.................................................................................................................................
is a special retail shop within the category
............................................................
prescribed for the purposes of section 10(4)(b).
This certificate is issued subject to the following
conditions —
(a) the
chief executive officer of the department of the Public Service administering
the Retail Trading Hours Act 1987 must be notified within 14 days of
any change of ownership, directorship or nature of business; and
(b) this
certificate must be displayed in a prominent position, clearly visible to
staff and members of the public, within the special retail shop.
..............................................
Chief Executive Officer