Gldd 982 Ship Out Clearance Request And Approval Form Crm F22

SHIP-OUT CLEARANCE Page No. Page 1 of 4 Form No. GLDD - 982 REQUEST AND APPROVAL Revision No. 6 FORM Effectivity Nov. 3, 2025 CRM FORM NO. 22 Use this form to request clearance from PAGCOR to ship-out gaming equipment and/or paraphernalia from the casino. Only requests with correct and complete information and complete documentary requirements will be processed. Failure to provide correct and complete information could result in rejection of processing this request. PLEASE ALLOW SEVEN (7) BUSINESS DAYS FOR GLDD TO PROCESS YOUR REQUEST Name of Licensee: _______________________________________________________________________ Casino Location: _______________________________________________________________________ SECTION A: SHIP-OUT CLEARANCE REQUEST (TO BE FILLED OUT BY LICENSEE) This is to request approval to Gaming Table(s) Slot Machine(s) ship-out: Playing Card(s) Electronic Table Game(s) (Put an [X] mark on any of the Slot Spare Part(s) Chips/Plaques following) Table Layout(s) Game Conversion Kit(s) Surveillance Equipment Slot Machine Signage(s) Gaming Paraphernalia Other Gaming Equipment Bill Validator/Acceptor Table & Slot Management System Others ______________ Expected date of ship-out: Reason for ship-out: Mode of ship-out (i.e., by air or by sea): Port of exit: Name of recipient: Destination/Address of recipient: Reference importation documents: Commercial Invoice No. (Put an [X] mark on any of the ff.) Pro-forma Invoice No. Quote No. Reference documents of items for Inventory List of Items for Ship-out attached as ship-out: Annex A (format attached) Packing List attached as Annex B Name of Customs Broker: Contact Number: By: Licensee’s Authorized Signatory Date (Signature Over Printed Name)

SHIP-OUT CLEARANCE Page No. Page 2 of 4 Form No. GLDD - 982 REQUEST AND APPROVAL Revision No. 6 FORM Effectivity Nov. 3, 2025 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 together with supporting ship-out documents. Hard copies must be submitted directly to PAGCOR: Central Receiving – Records Management Department Philippine Amusement and Gaming Corporation G/F Lobby, MET Live Building Central Business Park 1-A Macapagal Boulevard cor. EDSA Extension Pasay City 1300 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: ACTION TAKEN (TO BE FILLED OUT BY GLDD) Ship-out clearance request is: A. RETURNED due to the following reasons: Incomplete information and/or supporting ship-out documents Incorrect information vis-à-vis supporting ship-out documents B. RECEIVED FOR PROCESSING with assigned REFERENCE NO. _________________ Printed By: Name: ______________________________ Signature: ________________________ Position Title: ______________________________ Date: ________________________ C. RECOMMENDATION FOR APPROVAL subject to the conduct of inspection and inventory by the Compliance Monitoring and Enforcement Department – Integrated Resorts prior to ship-out of gaming equipment indicated above. Printed By: Name: ______________________________ Signature: ________________________ Position Title: ______________________________ Date: ________________________ Verified By: Approved By: _________________________ _______________________ Senior Manager, CLRD Assistant Vice President

SHIP-OUT CLEARANCE Page No. Page 3 of 4 Form No. GLDD - 982 REQUEST AND APPROVAL Revision No. 6 FORM Effectivity Nov. 3, 2025 For endorsement to the following department/s INSPECTION AND INVENTORY OF SUBJECT ITEM/S FOR SHIP-OUT T O: THE ASST. VICE PRESIDENT, CMED-IR Request to conduct an inspection and inventory of the approved item/s prior to ship-out. REQUIRED DOCUMENTATION OF SUBJECT ITEM/S FOR SHIP-OUT T O: THE ASSISTANT VICE PRESIDENT, LMD Request to coordinate with the Licensee on the documentation that may be needed for the ship-out of the subject item/s. Licensee’s Contact Person: _______________________________ Telephone No.: __________________

SHIP-OUT CLEARANCE Page No. Page 4 of 4 Form No. GLDD - 982 REQUEST AND APPROVAL Revision No. 6 FORM Effectivity Nov. 3, 2025 Annex A Attachment: INVENTORY LIST OF ITEMS FOR SHIP-OUT PARTICULARS SERIAL UNIT NO. MANUFACTURER (Game Name, Brand, NO. / QUANTITY TOTAL PRICE PRICE* Model) PART NO. (Note: Please use additional sheet/s if necessary) * Unit price refers to the cost of the item indicated in the commercial invoice when it was approved by GLDD for importation.