Instructions: All columns must be completed legibly.
                       Please note, a number of offences and penalties apply in relation to unauthorised access to gaming machines and unauthorised entries in this register.	
		
Venue Name:___________________________________________	Folio No._________________	
Machine Name:______________________________________ Serial No.________________________	

Date	Time	Door
Opening No.	Approved Attendant/Technician Signature	Certificate Number	Reason for Opening Machine, or Reason Machine out of Order	Description of
any Adjustment
Or Repair	Machine Out of Operation	
							From
Time/Date	To
Time/Date