Entain Group - Ladbrokes Form - Knowing you Better Leaflet

Thank you for taking the time to submit your information to allow us to get to know you better. Hopefully, you'll find the form below self-explanatory and we look forward to hearing from you. If you need any support completing this form, please call us free on 0800 018 3310 or email kybshop@ladbrokes.com

Failed to send your application. Please check your application and try again.

Please enter the details of the shop in which information was requested

Please search for the shop. If the shop is not listed, please select 'Other Shop (Not Listed)' and manually enter

Other Shop (Not Listed) e.g. Street details, City/Town, Postcode

Please enter your details

First name

Last name

Phone Number:

Email Address

Address Line 1

Address Line 2

Town/City

County

Postcode

Date:

Additional Details

Photographic ID such as driving licence and/or confirmation of home address (i.e recently utility bill)

Proof of earnings (payslips, evidence of dividends, director remuneration, pension)
Bank/Savings Statements (that show consistent incoming values from identifiable source)
Proof of payment or reward (dated details of an award or payment made to you)
Any other information that shows a level of income or other funds to support your gambling activity with us

Drop files here
or