1.24 VOLUNTARY PRE-TERMINATION OF GAMING LICENSE (CHANGE IN OPERATOR)

VOLUNTARY Page No. Page 1 of 2 PRE-TERMINATION OF Form No. EGLD - 436 GAMING LICENSE Remote Games Rev. No. 6 Change in Operator Effectivity December 23, 2025 EG Form No. 31 EGLD Reference No.: _________________ Use this form to notify PAGCOR of the voluntary pre-termination of a Gaming License due to intended change in Operator or management of the gaming venue. Please provide complete and accurate information. Cut-off for submission of notifications is 4:00 P.M. SECTION A: NOTIFICATION DETAILS (TO BE ACCOMPLISHED BY THE EXISTING OPERATOR) 1. Name of Existing Operator: ____________________________________________________ (as reflected in the Gaming License) 2. Gaming Venue: ____________________________________________________ ____________________________________________________ (as reflected in the Gaming License) 3. Gaming License No.: _______________ Gaming License Validity: _______________ 4. Game Offering: ____________________________________________ Specific Brand/s: ____________________________________________ Gaming System Administrator/s (if applicable): ______________________________________ 5. Reason for voluntary pre-termination of Gaming License due to change in Operator: (please provide details): ____________________________________________________ 6. This notification form is accompanied by the following documents:  Copy of latest GIS duly received by SEC; and  Original and Notarized Board Resolution stating that the corporation is pre-terminating the Gaming License issued for its above-named gaming venue due to change in ownership By: Printed Name: _________________________________ Signature: ______________ (Authorized Signatory) Position Title: _________________________________ Date: ______________ SECTION B: DETAILS OF INCOMING OPERATOR 1. Name of Applicant: _______________________________________________________________ (Complete registered name) 2. Principal Office Address: ______________________________________________________________ _______________________________________________________________ 3. Contact Number/s: _______________________________________________________________ 4. Email Address/es: _______________________________________________________________ 5. Tax Identification No. (TIN): _________________________________________________________ By: Printed Name: _________________________________ Signature: ______________ (Authorized Signatory) Position Title: _________________________________ Date: ______________

VOLUNTARY Page No. Page 2 of 2 PRE-TERMINATION OF Form No. EGLD - 436 GAMING LICENSE Remote Games Rev. No. 6 Change in Operator Effectivity December 23, 2025 We hereby certify that the above gaming venue will be operated by the new management, ________________________________________________, due to change in Operator as (Name of Incoming Operator) conveyed in any one of the following attached documents, upon approval of PAGCOR:  Deed of Sale  Deed of Assignment  Original and Notarized Board Resolution or Secretary’s Certificate on the acquisition or transfer of rights from the existing operator  Other similar document, pls. specify _______________________________ By: ______________________________ ______________________________ (Name / Signature) (Name / Signature) EXISTING OPERATOR INCOMING OPERATOR SECTION C: SUBMISSION INSTRUCTIONS Once Section A 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 10F, MET LIVE BUILDING, Central Business Park 1-A Macapagal Boulevard cor. EDSA Extension Pasay City 1300 Tel. Nos. : 8521-1542, 8522-0299 loc. 1561 E-mail address: [email protected] SECTION D: ACKNOWLEDGEMENT OF NOTIFICATION (TO BE ACCOMPLISHED BY EGLD) RECEIVED for PROCESSING with REFERENCE NO. : _____________________________________ Printed Name: ___________________________________ Signature: ________________ Position Title: ___________________________________ Date: ________________