Application Form for the Establishment of Gaming Site (Poker)

Page No. Page 1 of 4 APPLICATION FORM FOR THE Form No. TGD – 1525 ESTABLISHMENT OF POKER ROOM Revision No. 5 Part I Effectivity Feb. 19, 2025 TGD Reference No.: SECTION A: GENERAL INSTRUCTIONS 1. Type or print the needed information on the spaces provided. You must provide all the required information. Otherwise, your application will be returned. 2. Refer to “Annex A" - Criteria/Requirements for a Poker Room such as distance restriction guidelines, distance measurement, and type of site location/area. 3. Email the clear scans of duly accomplished Part I form together with the prescribed documentary requirements to: poker@pagcor.ph. 4. Submission of LGU document/s is not a requirement in this Part I. Do not secure and submit LGU document/s until you are advised by TGD to proceed to Part II. 5. Submitted Part I shall be valid within six (6) months from the date of TGD's advice in Item no. 4 above, subject to Applicant's compliance with the submission of complete LGU documents and other documentary requirements. 6. Cut-off for submission of applications shall be 3:00 P.M. Note: For any query regarding your application, you may call tel. no. (632)8522-0299 loc. 1865/1866 or send an email to the address above. SECTION B: APPLICATIONS DETAILS Name of Applicant : (please provide a complete registered name) Proposed Poker Room Location : Proposed Poker Room Name : Business Mailing Address : Telephone Number : E-mail Address : Tax Identification No. (TIN) : Name of Authorized Representative : (To be attached: Secretary's Certificate stating the Board's Resolution in designating the name of the Authorized Representative of the company who will transact with PAGCOR and sign documents.) Telephone Number : E-mail Address : SECTION C: INITIAL SITE REQUIREMENTS Kindly fill out all blanks and put a checkmark  if Compliant (C), Non-Compliant (NC), and N/A if Not Applicable. I. Documentary Requirements C NC N/A REMARKS 1. Location Map of the proposed site showing distances to schools, churches, or places of worship and existing/approved PAGCOR-approved gaming establishments. 2. Approved plan or as-built plan of the building/complex/arcade, as needed 3. Please check the type of establishment (as defined in “Annex A” – Criteria/Requirements for a Gaming Site) Mall General / Commercial Building Arcade 3-star Hotel / Resort accredited by Department of Tourism II. Compliance with Site to Distance Restriction Guidelines Name and Address of Institution/ Distance C NC N/A REMARKS Establishment 1. Nearest School/s 2. Nearest Church/es

Page No. Page 2 of 4 APPLICATION FORM FOR THE Form No. TGD – 1525 ESTABLISHMENT OF POKER ROOM Revision No. 5 Part I Effectivity Feb. 19, 2025 Name and Address of Institution/ Distance C NC N/A REMARKS Establishment 3. Nearest Gaming Site/s and/or Poker Room/s III. Compliance of Site-to-Site Location Area Requirements Provide a list of currently operating establishments located within the complex/premises of the mall/ arcade/ building where the proposed gaming site shall be located: Type of Establishment Name and Address of Institution/ Establishment (i.e., retail stores, restaurants, leisure, and entertainment venues) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. SECTION D: DECLARATION By signing below, We declare that: 1. The information contained in this application including all documents submitted relative to this application is valid, true, and correct; 2. We understand that at this point, PAGCOR does not require any contractual agreement for the proposed site. Only in the event of PAGCOR's written approval of the establishment of Poker Room thereat shall we execute and submit such agreement and likewise commence with the renovation of the site. We will not hold PAGCOR liable for any RM FO E PL M SA rental/construction expenses that we may incur relatively thereto. 3. We understand that submission of LGU document/s is not a requirement in this Part I of the application, i.e. We are not required to secure LGU document/s until We are advised by PAGCOR to proceed to Part II. 4. We have executed this statement with the knowledge that misrepresentation or failure to reveal the information requested may be deemed sufficient cause for disapproval/denial of this application or revocation of the Gaming License (GL) of the Poker Room if the application has been approved by the time such misrepresentation or act of omission is discovered. 5. We are certifying that the proposed site is compliant with the Local Government Unit's requirements and regulations on the establishment and conduct of this type of operation and that We will not hold PAGCOR liable for expenses /"business losses" brought about by closure orders and/or penalties incurred should the site be found non-compliant with LGU regulations. Name of Requestor : Signature : (Authorized Representative) Position Title : Date : SECTION E: EVALUATION (TO BE ACCOMPLISHED BY TGD) A. EVALUATED POKER ROOM SITE/ LOCATION A.1 Site is acceptable in terms of distance requirements and type of establishment (as declared by Applicant); Acceptability of this site is not a guarantee of the approval of this application. The grant of the Gaming License of a proposed site is subject to the PAGCOR Board's approval. Applicant may now proceed to Part II. Note: Applicant should submit within 30 days from this advice the duly accomplished Part II and the required Council Resolution. Failure to comply within 30 days shall mean that the next application in the area within the distance restriction of your proposed site from another gaming site will be advised to proceed to Part II. The first to complete requirements, first to be recommended' policy shall apply based on the date of the above LGU documents. Submission of these LGU documents is not a guarantee of approval of the application. Should the Applicant fail to submit the required LGU documents, the validity of submitted Part I shall expire after six (6) months from the date of TGD's advice to proceed to Part II. Part I expiration date: ________________________________

Page No. Page 3 of 4 APPLICATION FORM FOR THE Form No. TGD – 1525 ESTABLISHMENT OF POKER ROOM Revision No. 5 Part I Effectivity Feb. 19, 2025 A.2 _____ [nth] application in the area. This site is currently ineligible as there is a pending application within the distance restriction of your proposed site from another gaming site. Your Part 1 application is nonetheless being received with this notice to you. Should the preceding application not prosper, you will be advised to proceed to Part II. A.3 Application returned due to insufficient requirements/ information. A.4 Site is unacceptable due to: Violation of distance requirement to: School/s Place/s of Worship or Church/es PAGCOR-approved Gaming establishments Not located in the prescribed type of establishment EVALUATED BY : Printed Name: Signature: Position Title: Date: VERIFIED BY: NOTED BY: Pit Manager, TGD Table Operations Manager, TGD B. If A.2 is selected, this portion will be accomplished after the "30-day period” given to the first applicant in the area has lapsed Site is acceptable in terms of distance requirements and type of establishment (as declared by Applicant); Acceptability of this site is not a guarantee of the approval of this application. The grant of the Gaming License of a proposed site is subject to the PAGCOR Board's approval. You may now proceed to Part II. The 'first to complete requirements, first to be recommended' policy shall apply to your application and all other concerned applications within the area based on the date of the required LGU documents. Submission of said LGU documents is not a guarantee of approval of the application. Should the Applicant fail to submit the required complete LGU documents and other documentary requirements, the validity of submitted Part I shall expire after six (6) months from the date of TGD’s advice to proceed to Part II. RM Part I expiration date: ________________________________ FO E PL M SA EVALUATED BY : Printed Name: Signature: Position Title: Date: VERIFIED BY: NOTED BY: Pit Manager, TGD Table Operations Manager, TGD

Page No. Page 4 of 4 APPLICATION FORM FOR THE Form No. TGD - 1525 ESTABLISHMENT OF POKER ROOM Revision No. 5 Part I Effectivity Feb. 19, 2025 CRITERIA/REQUIREMENTS FOR A PROPOSED POKER ROOM SITE ANNEX A Attachment to Application Form Part I 1. Not less than 200 m from schools and places of worship/churches • Schools referred to herein are educational institutions duly registered with the Department of Education (DepEd) and Commission on Higher Education (CHED). • Places of worship/churches referred to herein are stand-alone places of worship holding at least 1 day of regular worship or service in a week. 2. Not less than the radial distance requirement, as approved by the PAGCOR Board, from another PAGCOR- authorized gaming site, PAGCOR-operated or licensed casino, SM arcade or VIP club. 3. Not less that five (5) kilometers, measured via access road, from an existing Poker Room. Note: The distance restrictions/requirements as provided for under Item nos. 1, 2, and 3 above shall not apply to malls/arcades and three (3)-star hotels and resorts accredited by the Department of Tourism. 4. Measurement of distance – in relation to items 1, 2, and 3 above • Distance from proposed gaming site to school, places of worship, another gaming site, PAGCOR-regulated or operated casino, SM arcade or VIP club, except for poker rooms, will be measured using radial or point to point straight distance from property line to property line. In measuring the radial distance, Google Maps’ distance measurement tool must be used. • Distance from proposed gaming site to another Poker Room will be measured using access roads from proposed Poker Room site to reach the existing Poker Rom using the shortest route. This will take into consideration one-way roads, U-turn slots, etc. In measuring distance using access roads, Google Maps’ directions tool must be used considering the shortest route. 5. Poker Room location (type of establishment/area) – the following are the types of establishments and areas where a Poker Room shall be located; no stand-alone gaming site will be allowed. a. Within malls/arcades • These are commercial buildings where the majority of the located establishments provide retail sales, leisure, and entertainment to customers. • Poker Room must be within the mall’s general premises. This may include non-connected annexes that have similar leisure and entertainment establishments as that of the mall (restaurants, etc). Typically, the annex area will belong RM FO E PL M SA to the same complex or share the same parking area of the mall. b. General and Commercial Buildings: • Address classified by LGU Zoning Body as a commercial building. • Multi-door building where tenants provide commercial services (retail, distribution, services, banking, food, etc). • Building should not be located beside or across informal settler dwellings. • Building will allow signage on the outlet’s façade. • Mixed-use Commercial/Residential Condominium buildings are classified under this category. For these types of buildings, the proposed gaming site must be located in the commercial area (normally the lower floors). • Building must either have a supplied generator or allow the gaming site to have its own generator. c. Hotels / Resorts Proposed Poker Room must be located: • inside the building or within the same complex/premises as the Hotel / Resort. • in an identified commercial space of the hotel (as opposed to guest rooms). Note: Stand-alone gaming site refers to a site located in a solitary building or establishment, and is not part of any commercial complex or compound. 6. If there is an LGU resolution on specific guidelines on the establishment of a gaming site, such guidelines must be complied with. The Applicant’s compliance with said guidelines does not dispense with its fulfillment of PAGCOR’s requirements stated herein. 7. Poker Room area requirement – must accommodate a minimum of four (4) Poker tables.