Product Demonstration Request and Approval Form v2

Page No. Page 1 of 3 PRODUCT DEMONSTRATION REQUEST Form No. GLDD-1016 AND APPROVAL FORM Revision No. 5 Effectivity Feb. 03, 2026 Use this form to request for approval from PAGCOR to demonstrate gaming equipment or gaming paraphernalia to an identified audience. Please provide correct and complete information. Applications with incorrect and/or incomplete information will be returned. PLEASE ALLOW TWO (2) BUSINESS DAYS FOR GLDD TO PROCESS YOUR REQUEST SECTION A: PRODUCT DEMONSTRATION REQUEST (TO BE FILLED UP BY THE SUPPLIER) Name of Supplier: Venue: Date: Time: Permit No: Validity: Type of item(s) for demonstration: (Put an [X] mark on any of the ff.) Gaming Table Bingo machine or console Playing Cards Chips/Plaques Slot Machine Spare part/ Accessories Game Conversion kits Gaming Table Layout Signages Surveillance Equipment Casino Management System for Tables, Slots or EBingo Gaming Paraphernalia Bingo Flashboard Slot Machine Bingo Paraphernalia Electronic Table Game Terminals Bingo Tickets Electronic Bingo Machine/Terminals Bingo Balls Others ___________________ Attachment: List of Attendees to the demonstration Description of Subject Item(s): Purpose: SECTION B: TERMS AND CONDITIONS • We confirm and undertake the following: • The gaming equipment or gaming paraphernalia for demonstration was approved and cleared by GLDD when it was imported. • During the demonstration, no gambling of any sort should take place. • At the end of the demonstration, any gaming equipment or gaming paraphernalia used must be switched- off, if applicable, and re-packed accordingly. This is to certify that the aforementioned are true and correct, and the conduct of the product demonstration shall be done in accordance with Regulation 7 of the Supplier’s Regulatory Manual. In addition, we hereby agree to abide by the terms and conditions under Section B above. Name of Requestor: Signature: Position Title : ______________________________ Date: _____________________________

Page No. Page 2 of 3 PRODUCT DEMONSTRATION REQUEST Form No. GLDD-1016 AND APPROVAL FORM Revision No. 5 Effectivity Feb. 03, 2026 SECTION C: SUBMISSION INSTRUCTIONS Once Sections A and B are completed, please submit this form to GLDD together with the necessary attachments. Hard copies may be submitted directly to the GLDD office on the address indicated below: Gaming Licensing and Development Department Philippine Amusement and Gaming Corporation MET Live Building, Central Business Park 1-A Macapagal Boulevard corner EDSA Extension, Pasay City 1300 Tel No: ( + 6 3 2 ) 8 5 2 2 - 0 2 9 9 / 8 5 2 2 - 1357/8522-1245/8522-1324, local 1600 OR you may send a scanned copy of this form together with the necessary attachments thru email to: [email protected] SECTION D: ACTION TAKEN (TO BE FILLED UP BY GLDD) A. RETURNED due to the following reasons: Incomplete information and/or documents Incorrect information B. RECEIVED FOR PROCESSING with assigned Reference No. By: Printed Name: Signature: Position Title: Date: C. RECOMMENDATION FOR APPROVAL By : Printed Name: Signature: Position Title: Date: Verified by: Approved by: Senior Manager, CLRD, GLDD Assistant Vice President, GLDD

Page No. Page 3 of 3 PRODUCT DEMONSTRATION REQUEST Form No. GLDD-1016 AND APPROVAL FORM Revision No. 5 Effectivity Feb. 03, 2026 ATTACHMENT: LIST OF ATTENDEES TO THE PRODUCT DEMONSTRATION No. Name of Company Attendee Remarks 1. s 2. 3. 4. 5. 6. 7. 8. 9. 10. (NOTE: Please use additional sheet/s if the space provided is not sufficient)