Particulars of Individual Form

Form ID: 5013
Last updated: March 25, 2024
PDF | 129.52KB | 1 pages

Document details

 For all directors and shareholders of the applicant company. If you are applying as an individual, you must provide this document.

How to submit

To apply online:

Online Licensing Portal

For more information, visit Online Licensing.

Note: Applications may be filled out manually until June 21, 2024, after which time all liquor licence applications will be submitted through the online licensing portal. You may mail the completed document to:

Alberta Gaming, Liquor and Cannabis
Regulatory Services Division
50 Corriveau Avenue
St. Albert, AB T8N 3T5
Email: agency@aglc.ca

« Back to Forms & documents