PROBITY CHECK AND DISCLOSURE FORM

Page No. Page 1 of 2 PROBITY CHECK DISCLOSURE Form No. EGLD - 1705 FORM Rev. No. 0 Effectivity October 08, 2025 EG Form No. 54 EGLD Reference No.: INSTRUCTIONS: This form applies to corporate entities and their duly authorized representatives that are required to undergo Probity Checki ng pursuant to the Probity Checking Framework, whether as new applicants or as existing operators of a gaming venue. Accomplished forms must be submitted to the Electronic Gaming Licensing Department (EGLD) together with all the required attachments. IMPORTANT: 1. Any omission, misrepresentation, or false statement may result in the rejection of your application, the withdrawal of an existing application, the suspension or revocation of issued licenses, and/or the imposition of sanctions under PAGCOR’s Regulatory Framework for Offenses and Penalties, or other appropriate action. 2. Failure to submit the required documents, provide accurate information, or fully cooperate with the probity check process within the prescribed timelines shall constitute non-compliance with the standard probity requirements. 3. All submissions must be original copies and, where required, notarized. 4. PAGCOR reserves the right to require additional documents during the course of the probity checking process. “Intervening Event(s)” refer to occurrences that may affect the integrity or suitability of a corporate entity or its key persons, including but not limited to: changes in the Board of Directors, Corporate Officers, ownership or control; receipt of adverse reports; suspicion of wrongdoing or non-compliance; annual periodic review findings; and other similar incidents deemed by PAGCOR to require probity checks. Please check the appropriate box. Application Type: ☐ New ☐ Renewal ☐ Intervening Event(s) Application For: ☐ Gaming Venue Operator (GVO) ☐ Support Service Provider i.e. SECTION A: GENERAL INFORMATION 1.Corporate Name: ________________________________________________________________ 2.Business Address: _______________________________________________________________ 3. Authorized Representative(s): ______________________________________________________ 4. Contact Number: _________________________ Email Address: __________________________ Please enumerate the names of all directors, shareholders holding at least 20% of shares, corporate officers, and beneficial owners, including their aliases (if any), nationality, position/designation, and corresponding percentage of ownership or interest. SECTION B: OWNERSHIP AND CONTROL % OF NAME ALIAS NATIONALITY POSITION OWNER SHIP * Attach a separate sheet using the same format, as necessary.

Page No. Page 2 of 2 PROBITY CHECK DISCLOSURE Form No. EGLD - 1705 FORM Rev. No. 0 Effectivity October 08, 2025 EG Form No. 54 EGLD Reference No.: SECTION C: ENCLOSURES FOR INDIVIDUALS (listed above) ☐ 1. Notarized Personal Disclosure Statement (EG Form No. 447) and valid government-issued ID ☐ 2. NBI Clearance ☐ 3. Proof of Residential Address (e.g., utility bills, lease contract) ☐ 4. Latest Income Tax Return (ITR) ☐ 5. Waiver and Consent Form authorizing PAGCOR and its probity checker to conduct verification and background check. FOR CORPORATION / ENTITY-LEVEL ☐ 1. Company Profile ☐ 2. Security and Exchange Commission (SEC) Certificate of Registration ☐ 3. Articles of Incorporation and By-Laws (with amendments, if any) ☐ 4. Latest General Information Sheet (GIS) filed with the (SEC) ☐ 5. Latest Income Tax Return (ITR) ☐ 6. Business Permit (office address) ☐ 7. Notarized Written Disclosure/s that is/ are material to the evaluation of the ability or integrity of the corporation / Applicant e.g., pending or past litigation, any conviction by final judgment, or subjected to bankruptcy or insolvency proceedings. ☐ 8. Board Resolution or Secretary’s Certificate confirming application and appointment of Authorized Representative and clear copy of valid government-issued ID of Authorized Representative. ☐ 9. Waiver and Consent Form authorizing PAGCOR and its probity checker to conduct verification and background check. SECTION D: DECLARATION I hereby declare that the information provided in this form is true, complete, and correct to the best of my knowledge. I understand that any omission and false or misleading information provided may lead to the rejection of my application, suspension or revocation of any gaming license issued, imposition of sanction, and/or the initiation of other appropriate action, as deemed necessary. I further undertake to promptly notify PAGCOR of any subsequent changes to the information stated above. I further acknowledge that any misrepresentation, omission, or non-compliance shall render our corporation liable to be sanctioned accordingly, pursuant to the applicable provisions of the existing PAGCOR Regulatory Frameworks. Printed Name: _______________________________ Signature: ________________________________ Position: _______________________________ Date: ________________________________