IE
S.I. No. 159/2007 - Intoxicating Liquor Act 1988 (Age Card) Regulations 2007
Table of Provisions (7)
Statutory Text (7 Articles)
1. Name of Applicant
First Name
Last Name
2. Applicant's Date of Birth
3. Sex (Please tick Male or Female) Male □ Female □
4. Applicant's Permanent Address
5. Applicant's Telephone Number
Contact Tel. No. 1
Contact Tel. No. 2
6. Signature of Applicant
(Please only sign in the presence of a Garda)
Fee amount enclosed: €
To be completed at a Garda Station by a member of An Garda Síochána
Method by which identification was verified
Garda Station Code
Date sent to District Office
Station Stamp
Affix
photograph here
Maximum size 35 × 45 mm
Processing Member Signature
Processing Member (BLOCK LETTERS)
Processing Member Number
To be completed at District Office
Date received at District Office
Date sent to Processing Centre
National Age Card Receipt
Fee amount received: €
First Name
Last Name
Applicant's Signature
(Please only sign in the presence of a Garda)
National Age Card Receipt (Garda Station Copy)
To be completed by the Processing Member
□ 1. Has the application form and photo been stamped with Station Stamp?
□ 2. Has the receipt been issued to the applicant?
□ 3. Has the Birth Certificate and/or other forms of identification been verified?
□ 4. Have all forms of identification been returned to the applicant?
□ 5. Has the photo been affixed to the application form?
Date sent to District Office
Processing Member Signature
Processing Member (BLOCK LETTERS)
Processing Member Number
Fee amount enclosed: €
Station Stamp
National Age Card Receipt (District Office Copy)
To be completed at District Office
Date received at District Office
Date sent to Processing Centre
Fee amount received: €
Reviewed by
GIVEN under my Official Seal,
23
rd
April 2007.
Minister for Justice, Equality and Law Reform.
STATUTORY INSTRUMENTS
S.I. No. 159 of 2007
INTOXICATING LIQUOR ACT 1988 (AGE CARD) REGULATIONS 2007
I, Michael McDowell, Minister for Justice, Equality and Law Reform, in exercise of the powers conferred on me by section 40 of the Intoxicating Liquor Act 1988 (No. 16 of 1988), as adapted by the Justice (Alteration of Name of Department and Title of Minister) Order 1997 (S.I. No. 298 of 1997), hereby make the following regulations
Citation.