1.15 TRANSFER OF GAMING EQUIPMENT NOTIFICATION FORM

TRANSFER OF GAMING Page No. Page 1 of 3 EQUIPMENT NOTIFICATION Form No. EGLD - 428 FORM Rev. No. 5 Remote Games Effectivity January 08, 2024 GS Form No. 13 CMED Reference No.: _________________ Use this form to notify PAGCOR regarding transfer of gaming equipment from the gaming venue to another gaming venue, Operator’s or Supplier’s authorized storage area or vice versa. Please accomplish this form by providing correct and complete information. The Operator shall submit this form to CMED at least one (1) business day prior to intended date of implementation. Cut-off for submission of notifications shall be 4:00 P.M. PLEASE NOTE THAT PAGCOR RESERVES THE RIGHT TO CONDUCT POST-AUDIT OF THE TRANSFER OF GAMING EQUIPMENT AND/OR PARAPHERNALIA. Name of Operator: _____________________________________________________________ (please provide complete registered name) Gaming Venue Location: _____________________________________________________________ (as reflected in the license) Type of Game Offering : _____________________________________________________________ Date of Implementation : _____________________________________________________________ If a Supplier is involved in this notification, please fill up the following: Name of Supplier: _____________________________________________________________ Supplier’s Enrolment No.: _____________________________________________________________ Supplier’s Permit to Possess No.: _____________________________________________________________ SECTION A: TRANSFER OF GAMING EQUIPMENT (TO BE PROVIDED BY OPERATOR) A. GAMING EQUIPMENT FOR TRANSFER: This is to request  Gaming Machine(s)/Terminal(s)  Chips/Plaques approval to  Gaming Machine/Terminal Assembly Parts/Peripherals  Bill Validator(s)/Acceptor(s) pull-out and  Bingo/Gaming System(s)  Electronic Bingo Card Daubers transfer:  Bingo System Component Part(s)/Paraphernalia  Game Conversion Kit(s) (Put an [x] mark on any  Gaming Table(s)  Others __________________ of the following)  Table Layout(s) (Please accomplish and submit attached Inventory List of Gaming Equipment for Transfer.) B. FROM (Origin of gaming equipment): _____________________________________________________ C. TO (Destination of gaming equipment): _____________________________________________________ D. REASON FOR TRANSFER OF GAMING EQUIPMENT: ____________________________________ We confirm and undertake to do the following: a. New gaming machine along with its new game/s must undergo a prior evaluation and approval by Electronic Gaming Licensing Department (EGLD), before it can be transferred from a gaming venue to another location or vice versa. b. If transfer of gaming machine, system, and all other gaming equipment and paraphernalia to be used in gaming venue involves a Supplier, then the Supplier must be registered with PAGCOR and accredited by Operator/s. c. Transfer of Instant Game tickets shall be supported at all times by Commercial Invoice and delivery receipts (DRs). d. A log report of all gaming equipment transferred to/from the gaming venue shall be prepared and maintained, which shall be made available to CMED at any time as deemed necessary by the concerned department. e. The conduct of transfer of gaming equipment is compliant with the requirements set forth in Section 2 under Regulation 14 of the Gaming Site Regulatory Manuals.

TRANSFER OF GAMING Page No. Page 2 of 3 EQUIPMENT NOTIFICATION Form No. EGLD - 428 FORM Rev. No. 5 Remote Games Effectivity January 08, 2024 f. Transfer notification form due to increase or decrease in the number of gaming machines or terminals in gaming venue or on account of an approved addition, removal, or conversion of game offering, must have a corresponding Gaming Terminal Expansion/ Reduction Notification Form (GS Form No. 8) or approved Game Offering Request and Approval Form (GS Form No. 7) duly acknowledged by EGLD, respectively. This shall not be applicable if movement is due to replacement of machine/s. Printed Name: _____________________________________ Signature: _______________ (Authorized Representative) Position Title: _____________________________________ Date: _______________ Request for transfer of gaming equipment should be accompanied by Confirmation of Accountability duly filled up and signed by receiving Operator/Supplier. Requesting Operator should request the receiving Operator/Supplier to accomplish Section B of this form. SECTION B: CONFIRMATION OF ACCOUNTABILITY (TO BE FILLED UP BY THE CONCERNED OPERATOR OR SUPPLIER) _____________________________________ hereby ASSUMES RESPONSIBILITY/ACCOUNTABILITY for (Name of Receiving Party) the abovementioned transferred items. Further, our gaming venue/warehouse is available to PAGCOR for inspection and inventory of gaming machines, equipment and/or paraphernalia at any time that may be deemed necessary by PAGCOR. By: Printed Name: _____________________________________ Signature: _______________ (Authorized Signatory of Receiving Party) Position Title: _____________________________________ Date: _______________ SECTION C: SUBMISSION INSTRUCTIONS Once Sections A and B are completed, please submit this form to CMED or, along with the necessary attachments. Hard copies may be submitted directly to CMED office or scanned copies of the documents may be emailed using the e-mail addresses indicated below: Compliance Monitoring and Enforcement Department E-mail addresses: Philippine Amusement and Gaming Corporation  NCR & Luzon – [email protected] PAGCOR Main Corporate Office, 12th Floor, iMET BPO Tower,  Visayas – [email protected] CBP-1A Metropolitan Park, Roxas Boulevard, Pasay City  Mindanao – [email protected] Tel. Nos. (+632) 8522-0299 / 8522-1357 / 8522-1245 / 8522-1324 E-mail address: (Electronic Games) Local 5186 (Bingo Games) Local 2404 (Electronic Games) - [email protected] If submission of this notification form is done thru e-mail, the Operator should ensure that it has been duly received and acknowledged by CMED. The Operator shall be notified thru e-mail confirming receipt of this notification form. If no e-mail confirmation is received, the Operator should submit the hard copy of the notification form directly to CMED, as applicable. SECTION D: ACKNOWLEDGEMENT OF NOTIFICATION (TO BE FILLED UP BY CMED) RECEIVED for PROCESSING with REFERENCE NO.: _________________ By: Printed Name: _____________________________________ Signature: _______________ Position Title: _____________________________________ Date: _______________

TRANSFER OF GAMING Page No. Page 3 of 3 EQUIPMENT NOTIFICATION Form No. EGLD - 428 FORM Rev. No. 5 Remote Games Effectivity January 08, 2024 CMED Reference No.: _________________ INVENTORY LIST OF GAMING EQUIPMENT FOR TRANSFER PAGCOR NO. MANUFACTURER PARTICULARS* SERIAL NO. REMARKS TAG NO. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 *Under particulars, please indicate Game Name, Brand and Model, if applicable.