PAGCOR Forms

1.15 TRANSFER OF GAMING EQUIPMENT NOTIFICATION FORM

TRANSFER OF GAMING Page No. Page 1 of 4 Form No. EGLD - 428 EQUIPMENT Rev. No. 7 NOTIFICATION FORM Remote Games Effectivity July 13, 2026 EG Form No. 13 CMED Reference No.: _______________ Use this form to notify PAGCOR of: (1) the transfer of gaming equipment from the gaming venue to another gaming venue, Operator’s or Supplier’s authorized storage area or vice versa; or (2) the transfer of gaming equipment from a live gaming studio set-up to another live gaming studio set-up, GCP's or Supplier's authorized storage area, or vice versa. Please accomplish this form by providing correct and complete information. The Operator/GCP shall submit this form to CMED at least one business day prior to intended date of implementation. Cut-off for submission of notifications shall be 4:00 P.M. PLEASE NOTE THAT PAGCOR RESERVES THE RIGHT TO CONDUCT POST-AUDIT OF THE TRANSFER OF GAMING EQUIPMENT AND/OR PARAPHERNALIA Entity Classification : o Gaming Venue Operator (Operator) o Game Content Provider (GCP) Name of Operator/GCP: ___________________________________ GL / COA No.______________________ (please provide complete registered name) PTH No. (For GCP): __________________ Gaming Venue / Live Gaming Studio Set-up: ________________________________________________________________________________________ (as reflected in the license / accreditation certificate) Game Offering: ___________________________________________________________ Date of Implementation ___________________________________________________________ If a Supplier is involved in this notification, please fill up the following: Name of Supplier: ___________________________________________________________ Supplier’s Enrollment No: ___________________________________________________________ Supplier’s Permit to Possess No.: ___________________________________________________________ SECTION A: GENERAL INSTRUCTIONS (TO BE PROVIDED BY OPERATOR / GCP) A. GAMING EQUIPMENT FOR TRANSFER This is to request approval to pull out and transfer: (Put an [x] mark on any of the following) o Gaming Machine(s)/Terminal(s) o Chips/Plaques o Gaming Machine(s)/Terminal Assembly Parts/Peripherals o Bill Validator(s)/Acceptor(s) o Bingo Gaming System(s) o Electronic Bingo Card Daubers o Bingo System Component Part (s)/Paraphernalia o Game Conversion Kit(s) o Gaming Table(s) o Others ___________________ o Table Layout(s) (Please accomplish and submit attached inventory List of Gaming Equipment for Transfer) B. FROM (Origin of gaming equipment) : ____________________________________________________ C. TO (Destination of gaming equipment) : ____________________________________________________ D. REASON FOR TRANSFER OF GAMING EQUIPMENT: __________________________________________ We confirm and undertake to do the following: a. New gaming machine along with its new game/s must undergo a prior evaluation and approval by the Electronic Gaming Licensing Department (EGLD), before it can be transferred from a gaming venue / live gaming studio set-up to another location or vice versa. b. If the transfer of gaming machines, systems, and other gaming equipment and paraphernalia involves a Supplier: i. For gaming venues, the Supplier must be registered with PAGCOR and accredited by the Operator; and ii. For live gaming studio set-ups, the Supplier must be registered with PAGCOR. c. Transfer of Instant Game tickets shall be supported at all times by Commercial Invoice and Delivery Receipts (DRs).

TRANSFER OF GAMING Page No. Page 2 of 4 Form No. EGLD - 428 EQUIPMENT Rev. No. 7 NOTIFICATION FORM Remote Games Effectivity July 13, 2026 EG Form No. 13 CMED Reference No.: _______________ d. A log report of all gaming equipment transferred to/from the gaming venue / live gaming studio set-up shall be prepared and maintained, which shall be made available to CMED at any time as deemed necessary by the concerned department. e. The conduct of transfer of gaming equipment is compliant with the applicable provisions set forth under the existing Regulatory Frameworks. f. Transfer notification form due to increase or decrease in the number of gaming machines or terminals in gaming venue / live gaming studio set-up or on account of an approved addition, removal, or conversion of game offering, must have a corresponding Gaming Terminal Expansion/ Reduction Notification Form (EG Form No. 8) or approved Brand Request and Approval Form (EG Form No. 7) duly acknowledged by EGLD, respectively. This shall not be applicable if movement is due to replacement of machine/s. Printed Name: _________________________________ Signature: ______________________ (Authorized Representative) Position Title: ______________________________________ Date: ________________________ Request for transfer of gaming equipment should be accompanied by Confirmation of Accountability duly filled up and signed by receiving Operator/ GCP / Supplier. Requesting Operator/GCP should request the receiving Operator/GCP/Supplier to accomplish Section B of this form. SECTION B: CONFORMATION OF ACCOUNTABILITY (TO BE FILLED UP BY THE CONCERNED GCP / OPERATOR / SUPPLIER) ___________________________________ hereby ASSUMES RESPONSIBLILITY / ACCOUNTABILITY for (Name of Receiving Party) the abovementioned items. Further, our gaming venue / warehouse / live gaming studio set-up is available for PAGCOR inspection and inventory of gaming machines, equipment and/or paraphernalia at any time that may be deemed necessary by PAGCOR. By: Printed Name: ______________________________________Signature: ______________________ (Authorized Signatory of Receiving Party) Position Title: _______________________________________ Date: _____________________ SECTION C: SUBMISSION INSTRUCTIONS Once Sections A and B are completed, please submit this form to CMED or, along with the necessary attachments. Hard copies may be submitted directly to CMED office or scanned copies of the documents may be emailed using the e-mail address indicated below: Compliance and Enforcement Department E-mail addresses: Philippines Amusement and Gaming Corporation Bingo Venues PAGCOR Corporate Office, 6th Floor, MET LIVE BUILDING •NCR & Luzon – cmed-ig.bmd [email protected] Central Business Park 1-A, Macapagal Boulevard cor EDSA •Visayas – [email protected] Extension, Pasay City 1300 •Mindanao – [email protected] Tel. Nos. (+632) 8522-0299 / 8522-1357 / 8522-1245 / 8522 - 1324 Local 5186 (Bingo Games) Local 2404 (Electronic (eCasino) Games) E-mail address: (Electronic Games/Sports Betting/ Specialty Games/Numeric Games) [email protected] If submission of this notification form is done through e-mail, the Operator/GCP should ensure that it has been duly received and acknowledged by CMED. The Operator/GCP shall be notified through e-mail confirming receipt of this notification form. If no email confirmation is received, the Operator/GCP should submit the hard copy of the notification from directly to CMED, as applicable. SECTION D : ACKNOWLEDGEMENT OF NOTIFICATION (TO BE FILLED UP CMED) RECEIVED for PROCESSING with REFERENCE NO.: ____________________________________ By: Printed Name: _____________________________________Signature: ___________________ Position Title: _______________________________________ Date: _____________________

TRANSFER OF GAMING Page No. Page 3 of 4 Form No. EGLD - 428 EQUIPMENT Rev. No. 7 NOTIFICATION FORM Remote Games Effectivity July 13, 2026 EG Form No. 13 CMED Reference No.: _______________ INVENTORY OF LIST OF GAMING EQUIPMENT FOR TRANSFER PAGCOR NO. MANUFACTURER PARTICULARS* SERIAL NO. REMARKS TAG NO. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 *Under particulars, please indicate Game Name, Brand and Model, if applicable.

TRANSFER OF GAMING Page No. Page 4 of 4 Form No. EGLD - 428 EQUIPMENT Rev. No. 7 NOTIFICATION FORM Remote Games Effectivity July 13, 2026 EG Form No. 13 CMED Reference No.: _______________ SECTION E : ACTUAL DATE OF PULL-OUT/DELIVERY (TO BE FILLED UP CMED) Date of Pull-Out/Delivery: __________________________ CMED Reference No.: _______________ o Without Delivery o With Deviation ________ Incomplete information and/or supporting documents ________ Other reasons, with attached report/s By: Printed Name: _________________________________ Signature: ___________________ (CMED Representative) Position Title: __________________________________ Date: _____________________

Open the source record ↗

More in PAGCOR Forms

Want an analysis of this document?

Ask ASG Legal AI to summarize it, compare it with other rulings, or explain how it applies to your situation — it researches from this same library.