Circular RG 16-002: Electronic Submission of Personal Disclosure Statement (PDS)

Philippine Amusement and Gaming Corporation A Sure Bet for Progress in Gaming. Entertainment and Nation Building

Circular RG 16-002

Date February 12, 2016

TO ALL LICENSEES

Attention RESPONSIBLE GAMING OFFICERS

From GAMING LICENSING AND DEVELOPMENT DEPARTMENT

Subject ELECTRONIC SUBMISSION OF

PERSONAL DISCLOSURE STATEMENT (PDS)

Under the Responsible Gaming Code of Practice Chapter II: Probity, "Electronic submission

May 31 of each year." (refer to the attached diagram for the steps on how to submit PDs of the Personal Disclosure Statement (PDS) must be accomplished by the members of the Board of Directors of licensees, partners and sole proprietors of licensed gaming venues by

electronically)

Licensees may start submission of PDS electronically through the newly-developed PDS application system on the following dates:

E-bingo, Sports-betting and others Licensed Casinos e-Games and Poker Licensed Gaming Venue February 24, 2016 February 22, 2016 February 26, 2016 Date

To gain access to the system, Licensees must accomplish the attached forms and submit to GLDD two (2) business days before the scheduled start of submission:

1 RG Form 6: Endorsement for Electronic Submission of PDS for list of nominees of

2 RG Form 7: PDS User Access Control Form for designated PDS Compliance Officers Board of Directors, names of partners or sole proprietors; and

or email address [email protected] For clarification, contact Mr. Vladimir Gonzales at tel. nos. 254-8578 or 521-1542 local 384

PAGCOR HOUSE: 1330 Roxas Boulevard, Ermita, Metro Manila, Phiippines 1000 Tel. (632) 521-1542 Connecting All Departments Fax (632) 522-2969 Website: www.pagcor.ph

RG Form 6

(COMPANY LETTER HEAD)

ENDORSEMENT FOR ELECTRONIC SUBMISSION OF PERSONAL DISCLOSURE STATEMENT (PDS)

This is to endorse the filing of Personal Disclosure Statement/s (PDS) of our

Board of Directors; Number of Directors57911 13

Partners: Number of Partners12134

Sole Proprietorship

(Family Name, First Name, Middle Name) NAME POSITION

(For Consortiums, please add another column to indicate company represented by each individual)

I certify that we have validated and have on record the following documents based on the the above-listed nominees of Board of Directors/Partners or the Department of Trade and latest General Information Sheet (GIS) from the Security and Exchange Commission (SEC) of Industry (DTI) Registration form of Sole Proprietor:

For Filipinos and foreign residents: Income Tax Returns (ITR) duly received by the Bureau of Internal Revenue (BIR) or Certificate

of Non-Filing of Annual ITR (Annex F)

For non-resident foreigners: Copy of valid passports

I will immediately inform PAGCOR of any change in the above listed persons upon filing of appropriate forms with the SEC or the DTI, as applicable.

(Signature over printed name) (D ate)

(Corporate Secretary/P artner/Proprietor) Position

RG Form 7

PERSONAL DISCLOSURE STATEMENT

USER ACCESS CONTROL FORM

LICENSEE/COMPANY NAME:

Licensed-casino e-Games Bingo Instawin

Corporation Partnership Sole Proprietor

Family Name User Information First Name Middle Name

Office Tel. No.: Position: GEL ID No.: Email:

Access Rights

Administrator (for PAGCOR only) Encoder

Access Agreement (Please read before signing) 2 Access account must not be allowed to be used by unauthorized persons. Password must not be inserted into email messages or other forms of electronic

3 Access level account must not be used to breach security permission level or interruptions to communication.

4 For security and network maintenance purposes, authorized personnel from PAGCOR may employee is not an intended recipient or logging into the program or account that the employee is not authorized to access. the program. Security breaches include, but are not limited to: accessing data of which the

5 Any User found to have violated these policies may be subjected to disciplinary action, which could lead to revocation of the Gaming Employment License (GEL) monitor equipment, systems and network traffic at any time.

Authorization User/Compliance Officer: Authorized by:

Signature over printed name Position: Signature over printed name Position:

Date: Date: (Corp. Sec./Partner/Proprietor)

FOR PAGCOR USE ONLY

Confirmation Enrolled by:

Date: Signature over printed name Notice received by user

Diagram 2

How to Submit PDS Electronically?

2. Accept Terms and Conditions by clicking the designated box; 1. Log in by keying in the Username, Password and Captcha;

PERSONAL DISCLOSURE STATEMENT

GO

3. Click the "System Setup" to access the Directors button;

MAIN MENU

EUTRSME

4. Click the "Directors" tab;

SYSTEM SETUF

DIRECTORS

MAIN MENU

5.Register the current year and exact number of Directors, then SYSTEM SETUP click the "Create" button to submit:

DRECT OR

TE SAVE D CANCE

EAR CLICENSEE

IO OF DECTO

Continue to next page

6. Click the "Membership" tab to access enrollment button; MAIN MENU

Click the "Enrollment" tab to access PDS online application;

MEMBERSHIF

8 Input the required information in the corresponding fields MEMBERSHIP

C Click the "Create" icon to save and submit PDS application.

MEMBERSHIP

10. Click the "Inquiry" tab to check the completeness of encoded PDS applications.

MEMBERSHIP

ENROLMENT

2