Pull-out and Transfer Request and Approval Form (Licensee to Licensee), ROASD-334, Revision-334

Page No. Page 1 of 2 PULL-OUT AND TRANSFER OF GAMING Form No. ROASD-334 EQUIPMENT REQUEST AND APPROVAL FORM Revision No. 3 Effectivity August 4, 2026 Use this form to request clearance from PAGCOR to pull-out equipment and/or paraphernalia from the operating site for transfer to another approved sites i.e. warehouse, studio, casino. Only requests with correct and complete information and supporting pull-out documents will be processed. Failure to provide correct and complete information could result in rejection of processing this request. PLEASE ALLOW TEN (10) BUSINESS DAYS FOR ROASD TO PROCESS YOUR REQUEST. SECTION A: PULL-OUT AND TRANSFER CLEARANCE REQUEST (TO BE FILLED UP BY TRANSFEROR) Name of Data Streaming Provider: __________________________________________________ Address: _________________________________________________________________________ This is to request approval to Gaming Table(s) Slot Machine(s) pull-out and transfer: Playing Card(s) Electronic Table Game(s) (Put an [X] mark on any of the Slot Spare Part(s) Chips/Plaques following) Table Layout(s) Game Conversion Kit(s) Surveillance Equipment Slot Machine Signage(s) Gaming Paraphernalia Table & Slot Management System Bill Validator/Acceptor Other Gaming Equipment Others Attachment: Inventory List of Items for Pull-out and Transfer Description of Subject Item(s): Reason for pull-out & transfer: Destination: By: Authorized Signatory Date (Signature Over Printed Name) Request for Pull-out/Transfer of item/s should be accompanied by Confirmation of Accountability duly filled up and signed by the Transferee where the equipment and/or paraphernalia will be transferred. Transferor should request the Transferee of the gaming equipment to accomplish Section B of this form. SECTION B: CONFIRMATION OF ACCOUNTABILITY (TO BE FILLED UP BY TRANSFEREE) hereby ASSUMES RESPONSIBILITY/ACCOUNTABILITY (Name of Transferee) for the abovementioned items that will be pulled-out from the ______________________________ upon transfer of the same to __________________________________. (Address) (Destination) Further, our office/warehouse is available to PAGCOR for inspection and inventory of gaming machines, equipment and paraphernalia at any time that may be deemed necessary by PAGCOR. By: Licensee’s Authorized Signatory Date

Page No. Page 2 of 2 PULL-OUT AND TRANSFER OF GAMING Form No. ROASD-334 EQUIPMENT REQUEST AND APPROVAL FORM Revision No. 3 Effectivity August 4, 2026 SECTION C: SUBMISSION INSTRUCTIONS Once Section A and B are completed, please submit this form to ROASD together with supporting ship-out documents. Hard copies may be submitted directly to the ROASD office indicated below: Remote Operations and Ancillary Services 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 SECTION D: ACTION TAKEN (TO BE FILLED UP BY ROASD) A. RETURNED due to the following reasons: Incomplete information and/or supporting pull-out documents Incorrect information vis-à-vis supporting pull-out documents B. RECEIVED FOR PROCESSING with assigned REFERENCE NO. _________________ Printed By: Name: ______________________________ Signature: ________________________ Position Title: ______________________________ Date: ________________________ C. RECOMMENDATION FOR APPROVAL subject to PAGCOR’s Compliance Monitoring and Enforcement Department’s conduct of inspection and inventory prior to pull out and transfer of gaming equipment indicated above. Printed By: Name: ______________________________ Signature: ________________________ Position Title: ______________________________ Date: ________________________ Approved by: Assistant Vice President, ROASD For endorsement to the following department/s: INSPECTION AND INVENTORY OF SUBJECT ITEM/S FOR PULL-OUT AND TRANSFER TO: THE ASSISTANT VICE PRESIDENT, CMED-EG Request to conduct an inspection and inventory of the approved Subject Item/s prior to pull-out and transfer of the same. Attachment: INVENTORY LIST OF ITEMS FOR PULL-OUT/TRANSFER PARTICULARS PAGCOR REMARKS NO. MANUFACTURER SERIAL NO. (Game Name, Brand, Model) TAG NO. (Note: Please use additional sheet/s if the space provided above is not sufficient)