PAGCOR Forms

Application Renewal of Registration Training Curriculum Program

Page No. Page 1 of 5 APPLICATION / RENEWAL OF REGISTRATION Form No. GLDD - 1020 TRAINING CURRICULUM / PROGRAM Revision No. 3 Effectivity September 25, 2024 1. Please type or print legibly. Use black pen/ink only. 2. A complete application includes:  Duly Accomplished Application Form Each of the following per training course/program  List of Training Modules/Syllabus/Curriculum with explanatory notes  Program Schedule indicating specific method and milestone or competencies achieved/learned given a particular number of days/weeks  Assessment process/method to be applied to determine whether a competency has been achieved by a trainee  Schedule and breakdown of tuition fees and other program costs  Documented grading system, details of which are provided to student/trainees at the start of their program  Entry requirements for the program  Certification indicating list of names of enrollees/graduates per program (if program has been offered prior to regulations) 3. All submitted documents must be compiled in a folder with proper indexes and labeling. 4. Application with incomplete requirements shall not be accepted.

Page No. Page 2 of 5 Form No. GLDD - 1020 APPLICATION / RENEWAL OF REGISTRATION Revision No. 3 TRAINING CURRICULUM / PROGRAM Effectivity September 25, 2024 COMPLETE NAME OF TRAINING FACILITY: _________________________________________________________ GENERAL INFORMATION I. TRAINING COURSES/PROGRAMS II. TRAINING RESOURCES/MATERIALS Description Please check if Trainer-Trainee Number of offered (List down all training Ratio Hours resources/material/tools/machines/equipment per course.) A. Table Games 1. Dealer NAME OF HEAD POSITION/DESIGNATION SIGNATURE *please use sample format to list down curriculum programs

Sample Format Page 3 of 5 General Information I. Training Course/ Programs II. Training Resources/ Materials Description Please Trainer-Trainee Ratio Number of (List down all training resources/ materials/ check if Hours tools/machines/equipment per courses) offered A. Table Games Department 1. Dealer (Land-Based) i. Baccarat ii. 2. Dealer (Online Games) (if applicable) - Land based games etc… - B. Slot Machine Department 1. Slot Ambassador 2. Slot Supervisor 3. Slot Machine Technician C. Surveillance Department D. Treasury Department

Name of Head Position/Designation Signature A. Table Games Department 1. 2. B. Slot Machine Department 1. 2. C. Surveillance Department 1. 2. D. Treasury Department

Page No. Page 5 of 5 APPLICATION / RENEWAL OF Form No. GLDD - 1020 REGISTRATION Revision No. 3 TRAINING CURRICULUM / PROGRAM Effectivity September 25, 2024 ANNEX A GENERAL INFORMATION NAME OF COMPANY/LICENSED CASINO COMPLETE ADDRESS TELEPHONE NUMBER FAX NUMBER E-MAIL ADDRESS NAME OF COMPANY HEAD POSITION/DESIGNATION LIST OF OTHER VENUES/ADDRESSES AT WHICH TRAINING SHALL BE CONDUCTED Venue/Address 1 Venue/Address 2 Venue/Address 3 Venue/Address 4 NUMBER OF APPROVED GAMING TABLES NUMBER OF APPROVED SLOT MACHINE UNITS (EGM and SM) IS TRAINING PROVIDED BY A 3rd PARTY? IF YES, CHECK THE BUSINESS RELATIONSHIP OF THE TRAINING PROVIDER WITH THE LICENSED CASINO. YES NO PARENT COMPANY AFFILIATE COMPANY SUPPLIER COMPANY NAME OF THE TRAINING PROVIDER COMPLETE ADDRESS OF THE TRAINING PROVIDER TELEPHONE NUMBER FAX NUMBER E-MAIL ADDRESS NAME OF COMPANY HEAD POSITION/DESIGNATION

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