Gldd 989 Junket Runner Clearance Request And Approval Form Crm F35

Page No. Page 1 of 2 JUNKET RUNNER CLEARANCE Form No. GLDD – 989 REQUEST AND APPROVAL FORM Revision 6 No. Effectivity Aug. 20, 2025 CRM FORM NO. 35 Use this form to request clearance from PAGCOR for local/foreign national(s) to act as runners for junket groups at 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. One (1) application form per junket group policy will be implemented. PLEASE ALLOW SEVEN (7) DAYS FOR GLDD TO PROCESS YOUR REQUEST Licensee : Casino Location : Date : SECTION A: DETAILS OF PROPOSED JUNKET RUNNER(S) (TO BE PROVIDED BY LICENSEE) This is to request for approval to allow the following local/foreign national(s) to act as runner(s) for the following junket group: New application Renewal Name of Junket Group : Name(s) of Junket Runner(s) : DOCUMENTS FOR SUBMISSION a. For Local Junket Runner ▪ Certified true copy of valid NBI Clearance Certificate b. For Foreign Junket Runner ▪ Pre-manifest list of the junket runners containing the following information relating to each junket runner (i)full name (iv) passport number and validity (ii)date of birth (iii)nationality ▪ Photo copy of passport of junket runner showing the passport photo page This is to certify that the above document/s for the proposed junket runner(s) is/are authentic. Name of Requestor : Signature : Position Title : Date: SECTION B: SUBMISSION INSTRUCTION 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 with the necessary attachments. 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

Page No. Page 2 of 2 JUNKET RUNNER CLEARANCE Form No. GLDD – 989 REQUEST AND APPROVAL FORM Revision 6 No. Effectivity Aug. 20, 2025 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 UP BY GLDD) A. RETURNED due to illegible/unreadable submitted documents. B. RECEIVED FOR PROCESSING with assigned Reference No. ________________ By: Printed Name: Signature: Position Title: Date: C. RECOMMENDATION FOR APPROVAL subject to the following: 1. Junket Runner Clearance shall be valid from __ __ to__ __ ,20_ _. 2. The Licensee shall issue IDs for the proper identification of these local/foreign national(s) junket runners. 3. Please see the REMARKS below for additional conditions. By: Printed Name: Signature: Position Title: Date: Approved by: Sr. Regulatory Officer, CLRD REMARKS