Gldd 1682 Transfer Of Jackpot Increment Notification Form

Page No. Page 1 of 3 TRANSFER OF JACKPOT Form No. GLDD – 1682 INCREMENT NOTIFICATION FORM Revision 1 No. Effectivity Jan. 21, 2026 CRM FORM NO. 69 Use this form to notify the PAGCOR Monitoring Team (PMT) of any instance involving jackpot adjustment. The Licensee shall only be allowed to transfer jackpot increment when there is another progressive jackpot available (preferably catering to the same market). The Licensee shall accomplish this form to notify PAGCOR of any intended transfer of jackpot increment and shall submit to GLDD at least one (1) day prior to the intended date of transfer. Licensee: Name of Casino: Date: PART 1 SECTION A: DETAILS OF JACKPOT INCREMENT TRANSFER (TO BE ACCOMPLISHED BY THE LICENSEE) Please check the applicable box Table Game Electronic Gaming Machine Game/Link Name: No. of Linked Machines / Tables: (whichever is applicable) Current Main Jackpot Amount: (as of date of notification) Current Reserve Jackpot Amount: (as of date of notification) Jackpot Amount Transferred (a) + (b): a) Increment: b) Reserve Jackpot Amount: (if applicable) Reason for Transfer: Intended Date of Transfer: By: Name of Requestor: Signature: Position Title: Date: Attested by PMT Representative: Name: Signature: Position Title: Date:

Page No. Page 2 of 3 TRANSFER OF JACKPOT Form No. GLDD – 1682 INCREMENT NOTIFICATION FORM Revision 1 No. Effectivity Jan. 21, 2026 SECTION B. SUBMISSION INSTRUCTIONS Once Section A is completed, please submit this form to GLDD via the PAGCOR Enterprise Content Management System (ECMS) which may be accessed through the following URL: www.ecms.pagcor.ph. If submission of this form is done through the ECMS, an e-mail notification confirming receipt shall be received. The status of the application can be viewed and monitored through the online account created using the same system. Operator can also download and print the acknowledgment generated as proof of submission. If no e-email notification is received, the Operator may inquire from the Gaming Licensing & Development Department through the contact details: Tel. No. (+632)8522-0299/8522-1357/8522-1324 (Local 1148) SECTION C. ACKNOWLEDGEMENT (TO BE FILLED OUT BY GLDD) RECEIVED with REFERENCE NO. ________________________ Name: Signature: Position Title: Date: PART 2 SECTION A: DETAILS OF JACKPOT INCREMENT TRANSFER (TO BE ACCOMPLISHED BY THE LICENSEE UPON TRANSFER OF JACKPOT INCREMENT) Please check the applicable box Table Game Electronic Gaming Machine Game/Link Name: (where the jackpot increment will be transferred to) No. of Linked Machines / Tables: (whichever is applicable) Current Main Jackpot Amount: (as of date of transfer) Current Reserve Jackpot Amount: (as of date of transfer) Jackpot Amount Transferred (a) + (b): c) Increment: d) Reserve Jackpot Amount: (if applicable) Date Transferred: Updated Jackpot Amount: (Current Main Jackpot Amount + Jackpot Increment Transferred) By: Name: Signature: Position Title: Date:

Page No. Page 3 of 3 TRANSFER OF JACKPOT Form No. GLDD – 1682 INCREMENT NOTIFICATION FORM Revision 1 No. Effectivity Jan. 21, 2026 Attested by PMT Representatives: Name: Signature: Position Title: Date: SECTION B. ACKNOWLEDGEMENT (TO BE FILLED OUT BY GLDD) RECEIVED with REFERENCE NO. ________________________ Name: Signature: Position Title: Date: