OG Form 353 - Remote Play Slot Machine Modification Notification Form

PAGE NO. Page 1 of 2 REMOTE PLAY SLOT MACHINE FORM NO. OGLD-353 MODIFICATION REQUEST FORM REVISION NO. 3 EFFECTIVITY June 24, 2024 Use this form to notify PAGCOR regarding Remote Play Slot Machines modification. Please accomplish this form by providing correct and complete information. The Licensee shall submit this form to OGLD at least three (3) working days prior to intended date of implementation. PLEASE NOTE THAT PAGCOR RESERVES THE RIGHT TO CONDUCT POST-AUDIT OF THE MODIFIED RPSM GAME THEME AND PLATFORM SOFTWARE/FIRMWARE IN THE VENUE. Licensee: Location: Date: Date of Implementation: Check the applicable box. If notification involves upgrading of RPSM game theme, fill up Item A of Section A. If notification involves upgrading of RPSM platform software/firmware, fill up Item B of Section A. SECTION A: UPGRADING OF RPSM GAME THEME, PLATFORM, SOFTWARE/ FIRMWARE (to be provided by licensee) A. UPGRADING OF RPSM GAME THEME with corresponding certification from an independent gaming laboratory duly recognized by PAGCOR attached as Annex ________ GAME VERSION SM NO. SERIAL NO. MANUFACTURER GAME NAME From To (Note: Please use additional sheet/s if the space provided above is not sufficient.) B. UPGRADING OF RPSM PLATFORMS SOFTWARE / FIRMWARE with corresponding certification from an independent gaming laboratory duly recognized by PAGCOR attached as Annex ________ PLATFORM SOFTWARE/ SM NO. SERIAL NO. MANUFACTURER GAME NAME FIRMWARE VERSION From To (Note: Please use additional sheet/s if the space provided above is not sufficient.) We confirm and undertake to do the following: 1. RAM clear procedures to be conducted on the RPSMs shall be in accordance, suppletorily, with Regulation 23 Part 2 Section 3 of the Casino Regulatory Manual (CRM). 2. A joint meter reading to be conducted on the RPSMs shall be in accordance, suppletorily, with Regulation 4 Section 5 of the CRM. 3. A stress test shall be conducted on the RPSMs to ensure that said modification will not affect the parameter settings and that RPSM transactions are captured by the system. The stress test shall be conducted based on a test script which shall be prepared by the Licensee. The results of the stress test should be favorable prior to commercial operation of the RPSMs. 4. The abovementioned undertakings shall be carried out in close coordination with the Compliance Monitoring and Enforcement Department. Authorized Rep: Signature: Position Title: Date:

PAGE NO. Page 2 of 2 REMOTE PLAY SLOT MACHINE FORM NO. OGLD-353 MODIFICATION REQUEST FORM REVISION NO. 3 EFFECTIVITY June 24, 2024 SECTION B: SUBMISSION INSTRUCTION Once Section A is completed, please submit this form to OGLD. Hard copies may be submitted directly to the OGLD office or scanned copies of the documents may be e-mailed using the e-mail address indicated below: Offshore Gaming Licensing Department 11th Floor, MET Live Building, Central Business Park 1-A, Macapagal Boulevard cor. EDSA Extension, Pasay City 1300 Trunk Line: (+632) 8522-0299 local 1195 E-mail Address: [email protected] If submission of this notification form is done thru e-mail, the Licensee should ensure that it has been duly received and acknowledged by OGLD. The Licensee shall be notified by OGLD thru e-mail confirming receipt of this notification form. If no e-mail confirmation is received from OGLD, the Licensee should submit the notification form's hard copy directly to OGLD. SECTION C: ACTION TAKEN (to be filled out by OGLD) a. ACKNOWLEDGEMENT OF REQUEST RECEIVED with REFERENCE NO. By: Printed Name: Signature: Position Title: Date: b. FOR APPROVAL Approved by: Printed Name: ___________________ Signature: __________________ Position Title: ____________________ Date: ______________________