Data/Content Streaming Provider Permit to Hold Application Form

DATA/CONTENT Page No. Page 1 of 4 STREAMING PROVIDER Form No. EGLD - 48 PERMIT TO HOLD Rev. No. 0 Application Form Effectivity January 16, 2025 EG Form No. 48 Type or print in block letters the needed information on the spaces provided. Put a cross [x] in the box, if one is provided. If a question does not apply to you, write "N/A". Use additional sheet/s for the information whenever necessary. You must provide all required information. Otherwise, your application will be returned. PAGCOR reserves the right to request additional information. The prescribed Permit to Hold Fee must be paid in full before registration can proceed. Cut-off time for submission of registration forms shall be 4:00 P.M. SECTION A: APPLICATION DETAILS New Application Renewal 1. LIVE STUDIO PRODUCTION 1.1. Brand Name ________________________________________________________ 2. THE APPLICANT- COMPANY 2.1. Company Name ________________________________________________________ 2.2. Business Address ________________________________________________________ (Floor, Building Name or Number, Street) ________________________________________________________ (Barangay, Town/City, Postal Code) 2.3. Office Contact Details ______________________ ______________________ (Telephone No.) (Mobile No.) ______________________ (E-mail Address) 2.4. Live Studio Address ________________________________________________________ (Floor, Building Name or Number, Street) ________________________________________________________ (Barangay, Town/City, Postal Code) 2.5. Other Live Studio ________________________________________________________ Address (if any) (Floor, Building Name or Number, Street) ________________________________________________________ (Barangay, Town/City, Postal Code) 3. AUTHORIZED REPRESENTATIVE 3.1. Complete Name ________________________________________________________ (Family Name/First Name/Middle Name) 3.2. Role or Position in ________________________________________________________ the Company 3.3. Contact Details ________________________ ______________________ (Telephone No.) (Mobile No.) ______________________ (E-mail Address) Attached is the Secretary's Certificate or Board Resolution designating the authorized representative to transact with PAGCOR and sign documents on behalf of the company.

DATA/CONTENT Page No. Page 2 of 4 STREAMING PROVIDER Form No. EGLD - 48 PERMIT TO HOLD Rev. No. 0 Application Form Effectivity January 16, 2025 4. GAMING SYSTEM SERVICE PROVIDER CONTRACTED 4.1. Company Name __________________________________________________ 4.2. Brand and Domain Name (if any) __________________________________________________ 4.3. Business Address __________________________________________________ (Floor, Building Name or Number, Street) __________________________________________________ (Barangay, Town/City, Postal Code) 4.4. Office Contact Details ____________________ ____________________ (Telephone No.) (Mobile No.) ____________________ (E-mail Address) 5. PROPOSED OPERATIONAL DETAILS OF GAMING TABLES AND GAMING EQUIPMENT/PARAPHERNALIA 5.1. Type of Gaming Tables Quantity a. Baccarat _____________ b. Blackjack _____________ c. Roulette _____________ d. Super 6 _____________ e. Big and Small _____________ f. Pontoon _____________ g. Craps _____________ h. Training purposes _____________ i. Others _____________ SECTION B: DOCUMENTARY REQUIREMENTS DATE RECEIVED by EGLD 1. Duly accomplished and notarized Specimen Signature Card of the Applicant's authorized representative (Form No. EGLD-1310) 2. Photocopy of the Mayor’s Permit / Business Permit for the location of proposed live studio gaming set-up 3. Detailed location sketch of company office, live studio factory and/or warehouse 4. Notarized sworn undertaking that Applicant shall faithfully abide the following standard terms and conditions: 4.1 Applicants’ EGS and OGP must have IP Blocking on all address except the Philippines IP addresses designated by the concerned Gaming System Service Provider. 4.2 Designs printed on the table layouts should show the logo, name and/or brand name of the concerned Data/Content Streaming Provider. 4.3 For monitoring purposes, data/content streaming provider shall allow the inspection of the premises, machines and equipment being used in its operations at any time upon request of PAGCOR's monitoring and enforcement personnel duly assigned for the purpose. 4.4 All hardware equipment to be utilized shall be subject to EGLD's evaluation and approval. Data/content streaming provider shall not install, modify, decommission, remove or destroy any such equipment without written approval from EGLD.

DATA/CONTENT Page No. Page 3 of 4 STREAMING PROVIDER Form No. EGLD - 48 PERMIT TO HOLD Rev. No. 0 Application Form Effectivity January 16, 2025 DATE RECEIVED by EGLD 5. Notarized sworn undertaking that Applicant understands, accept and shall abide by the following guidelines: 5.1 Applicants shall be assessed a Permit to Hold (PTH) fee of One Million Pesos (Php1 Million) per studio to cover regular inspection and monitoring of the gaming studio that houses the gaming equipment and/or paraphernalia. 5.2 Any unexplained loss, unauthorized transfer or sale of above-mentioned gaming equipment or paraphernalia shall be fined an amount of PhP1 Million. 5.3 During the pendency of its investigation, the Board may suspend the PTH upon receipt of a complaint or of an information from the monitoring task force based on the following grounds: a. Accredited provider is not, or no longer, in the opinion of the Board, a suitable corporation to be accredited. b. Accredited provider is convicted of an offense in violation of anti-gambling laws of the Philippines; c. Accredited provider is convicted of any serious offense under any other law; d. Accredited provider violates a condition attached to its accreditation. e. Accredited provider is bankrupt or under rehabilitation. f. Accredited provider obtained its accreditation by a materially false or misleading representation or in some other improper way; and g. Accreditation is required to be suspended to ensure that the public interest is not affected in an adverse and material way, or the integrity of the conduct of gaming is not jeopardized in any way. In the event that the accredited provider shall be found guilty of any of the above-mentioned violations, the same shall result to the cancellation of its PTH. 5.4 PTH issued under this document cannot be transferred by way of sale, inheritance succession, gift or otherwise to any corporation without prior consent of the Board and under any additional condition for the transfer and only if the transferee meets the requirements of this document. 5.5 Data/Content Streaming Provider shall renew its PTH registration yearly and must comply with the requirements for renewal at least a month prior to expiration, for a similar fee of One Million Pesos (PhP1 Million). 5.6 Application and processing fees (one-time fee) for additional or transfer of operating site to a building other than that of the existing site is Two Hundred Fifty Thousand Pesos (PhP250,000.00). Application and processing fees (one- time fee) for additional or transfer of operating site to a building with an existing operating site is One Hundred Fifty Thousand Pesos (PhP150,000.00) per floor. 5.7 PAGCOR shall impose a replacement fee of Twenty Thousand Pesos (PhP20,000.00) for requests for the reprinting of PTP certificates, as long as the request for correction or change in the details, are through no fault of PAGCOR. 5.8 General Implementing Rules and Guidelines (IRG) for data/content streaming of live games, where subsequent Supplemental IRG (e.g. game rules and mechanics) for each live game, if necessary, shall likewise be submitted. 5.9 Duly filled-out EG Forms for the approval of Cards and Table Lay-out.

DATA/CONTENT Page No. Page 4 of 4 STREAMING PROVIDER Form No. EGLD - 48 PERMIT TO HOLD Rev. No. 0 Application Form Effectivity January 16, 2025 SECTION C: DECLARATION 1. The information contained in this application for registration including all documents submitted relative to this application for Permit to Hold are valid, true and correct. 2. We have executed this statement with the knowledge that misinterpretation or failure to reveal information requested may be deemed sufficient cause for disapproval/denial of this application for accreditation or revocation of the EGS Service Provider Accreditation if application for accreditation has been approved by the time such misrepresentation or act of omission is discovered. 3. We agree to the following: a. to furnish any further information that PAGCOR may require when considering this application b. to notify PAGCOR immediately of any material changes on the information provided in this application for accreditation c. that any person named within this Application for Permit to Hold Gaming Equipment and Paraphernalia is authorized to release any information requested by PAGCOR 4. In order to establish that the EGS Service Provider is under control and management of persons of integrity and competence who are of sound character and financial status, we hereby grant authorization for PAGCOR to undertake extensive due diligence enquiries, and to request and receive information about the EGS Service Provider and the individuals named in the application from third parties. Name: ____________________________________ Signature: ____________________ (Authorized Representative) Date: __________________ SECTION D: SUBMISSION INSTRUCTIONS Once Section C is completed, please submit/mail/e-mail this form to EGLD together with supporting documents to the address/e-mail address indicated below: Electronic Gaming Licensing Department Philippine Amusement and Gaming Corporation PAGCOR Corporate Office, MET LIVE BUILDING Central Business Park 1-A, Macapagal Boulevard Cor. EDSA Extension, Pasay City, 1300 Tel. Nos. (+632) 8522-0299 Loc. 1574 / 1575 E-mail address: eGaming_Policy@pagcor.ph SECTION E: EVALUATION (TO BE ACCOMPLISHED BY (EGLD) A. EVALUATION OF DOCUMENTS SUBMITTED  Application for PTH is found to be in order with complete documentary requirements  Returned due to incomplete or incorrect document / information Acknowledged by: __________________________________ __________________________________ Evaluator Authorized Representative Date: __________________ Date: __________________ B. PAYMENT OF PERMIT TO HOLD (PTH) FEE Date of Payment: ________________ __________________ Processor D. RECOMMENDATION FOR APPROVAL  OK for Board Approval __________________ Processor