OG Form 355 - Remote Play Slot Machine Movement Notification Form

PAGE NO. Page 1 of 2 REMOTE PLAY SLOT MACHINE FORM NO. OGLD-355 MOVEMENT NOTIFICATION FORM REVISION NO. 3 EFFECTIVITY June 24, 2024 Use this form to notify PAGCOR regarding the movement of Remote Play Slot Machines (RPSMs) within the venue's gaming floor. Please accomplish this form by providing correct and complete information. The Licensee shall submit his 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 MOVEMENT OF RPSMs IN THE VENUE. Licensee: Location: Date: Date of Implementation: SECTION A: PROPOSED MOVEMENT OF RPSM (to be provided by licensee) Please be informed of the movement of RPSM within the venue's gaming floor as detailed below: Manufacturer: No. of RPSMs: PAGCOR Tag Location SM NO. SERIAL NO. Type (Link / SA) GAME NAME No. 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. A stress test shall be conducted on the RPSMs in order to ensure that such RPSM movements will not affect the machine's RTP 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. 2. Surveillance camera that shall be installed by the Licensee to effectively monitor the abovementioned RPSMs is compliant with Regulation 7 of the Casino Regulatory Manual. 3. 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-355 MOVEMENT NOTIFICATION FORM REVISION NO. 3 EFFECTIVITY June 24, 2024 SECTION B: SUBMISSION INSTRUCTION Please submit hard copy of this form directly to the OGLD office or scanned copy 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 through 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 NOTIFICATION RECEIVED with REFERENCE NO. By: Printed Name: Signature: Position Title: Date: