Circular RGU 15- 001: Disposal of Gaming Equipment and Paraphernalia

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

CIRCULAR RGU 15-001

DATE : November 10, 2015

TO : All Gaming Site and Poker Club Licensees (including those with revoked licenses)

FROM : The Vice President Gaming Licensing and Development Department

SUBJECT : DISPOSAL OF GAMING EQUIPMENT AND PARAPHERNALIA

Please be informed that upon revocation of a gaming site or poker club license, the of revocation of license, to dispose of its gaming equipment and paraphernalia through the following: Operator should accomplish and submit to GLDD within 15 days from receipt of the notice of revocation, the Closing Inventory List of Gaming Equipment and Paraphernalia Form (v.1) 11.02.2015 (GS Form No. 37). Further he is given 90 days from the date of receipt of notice

1. Ship-out of the country - use Ship-out Clearance Request and Approval Form 2 3. Transfer to another PAGCOR licensee or to a Supplier who holds a Permit to Destruction - submit duly accomplished Certificate of Gaming Equipment/ Possess from PAGCOR - use Transfer of Gaming Equipment Notification Form (v.2) 11.02.2015 (GS Form No. 13). (v.2) 11.02.2015 (GS Form No. 15)

Paraphernalia Destruction Form (v.2) 11.02.2015 (GS Form No. 23)

found under his possession after the ninety (90)-day disposal period. Please be reminded that an Operator may be held criminally liable under Philippine laws, particularly Presidential Decree No. 519 dated July 23, 1974 and the Letter of Instruction No. 1176 dated November 17, 1981, should any gaming equipment and/or paraphernalia be still

THADEO FRANCIS P.HERNANDO

(b) Ship-out Clearance Request and Approval Form (v.2) 11.02.2015 (GS`Form No. 15) (d) Certificate of Gaming Equipment/ Paraphernalia Destruction Form (v.2) 11.02.2015 (GS Form No. 23) (a) Closing Inventory List of Gaming Equipment and Paraphernalia Form (v.1) 11.02.2015 (GS Form No. 37) (c) Transfer of Gaming Equipment Notification Form (v.2) 11.02.2015 (GS Form No. 13) Attachments

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

A Sure Bet for Progress in Gaming, Entertainment and Nation Building PHILIPPINE AMUSEMENT AND GAMING CORPORATION GS FORM NO. 37 (v.1) 11.02.2015

GLDD Reference No.:

CLOSING INVENTORY LIST OF GAMING EQUIPMENT AND

PARAPHERNALIA FORM

Type of Game Offering: Name of Operator: Gaming Site Location:

(15) days from receipt of notice of License revocation as required in the post-operational activities of a gaming site. Use this form to submit to GLDD the current inventory list of all gaming equipment and paraphernalia within fifteen

LIST OF GAMING EQUIPMENT/PARAPHERNALIA FOR DISPOSAL As of (Date of inventory) ITEM NO. MANUFACTURER (Name, Brand or Model) PARTICULARS NUMBER SERIAL PAGCOR TAG NO. REMARKS

1 C2 3 4 5 6

8 9 10 11 12 13 14 15 (Please use separate sheet if necessary.)

IWe affirm, declare and certify that the above-listed items comprise the total inventory of all gaming equipment and paraphernalia that are currently located in our/my gaming site.

the Gaming Site Regulatory Manual within ninety (90) calendar days from the date of License revocation. IWe shall dispose of the above gaming equipment and paraphernalia in accordance with Regulation 15 of

IWe are aware that should these gaming equipment and paraphernalia, whether declared destroyed, sold I/we may be held criminally liable under Philippine laws. shipped out or otherwise, are still found under mylour possession after the ninety (90)-day disposal period,

Operator or Authorized Representative, Designation Printed Name and Signature of Date

A Sure Bet for Progress in Gaming, Entertainment and Nation Building PHILIPPINE AMUSEMENT AND GAMING CORPORATION GS FORM NO.15

GLDD Reference No.: (v.2) 11.02.2015

SHIP-out CLEARAnCE REQuESt And APPROVAL FoRM

Use this form to request clearance from PAGCOR to ship-out equipment and/or paraphernalia from the PAGCOR- request. will be processed. Failure to provide correct and complete information could result in rejection of processing this approved gaming site. Only requests with correct and complete information and complete documentary reguirements

PLEASE ALLOW FOURTEEN (14) BUSINESS DAYS FOR GLDD TO PROCESS YOUR REQUEST SECTION A: SHIP-OUT CLEARANCE REQUEST (TO BE FILLED UP BY OPERATOR) Name of Operator: Gaming Site Location: Type of Game Offering: Date of Implementation:

any of the following) request approval This is to to pull-out and transfer: (Put an [x] mark on Bingo System Component Part(s)/Paraphernalia Gaming Table(s) Table Layout(s) Gaming Machine/Terminal Assembly Parts/Peripherals Bingo/Gaming System(s) Gaming Machine(s)/Terminal(s) Electronic Bingo Card Daubers Game Conversion Kit(s) Bill Validator(s)/Acceptor(s) Others Chips/Plaques

Attachment: Inventory List of Items for Ship-out Description of subject item(s):

Pull-out location: Reason for ship-out:

Country of destination:

Mode of ship-out: Port of exit: Name of recipient:

Reference importation documents of items to be shipped-out: (Put an [X] mark on any of the ff.) Pro-forma Invoice No. Commercial Invoice No.

Quote No.

Custom Broker: Telephone no.

By:

(Signature Over Printed Name) Operator's Authorized Signatory Date

SECTION B: SUBMISSION INSTRUCTIONS

copies may be submitted directly to the GLDD office or scanned copies of the documents may be emailed Once Section A is completed, please submit this form to GLDD along with the necessary attachments. Hard using the e-mail addresses indicated below:

Philippine Amusement and Gaming Corporation 3rd Floor PAGCOR House, 1330 Roxas Boulevard, Ermita, Manila Tel. Nos. 522-3429 / 521-1542 loc. 336 or 348 Gaming Licensing and Development Department E-mail address: [email protected]

GLDD Reference No.: SECTION C: ACTION TAKEN (TO BE FILLED UP BY GLDD)

Ship-out clearance request is:

A. RETURNED due to the following reasons:

Incomplete information and/or supporting ship-out documents Incorrect information vis-a-vis supporting ship-out documents

B. RECEIVED FOR PROCESSING with aSSigned REFERENCE NO.

By: Printed Name: Position Title: Date: Signature:

C. RECOMMENDATION FOR APPROVAL

By: Printed Name: Position Title: Signature: Date:

Approved by:

Vice President THADEO FRANCIS P. HERNANDO

For endorsement to CMED:

INSPECTION AND INVENTORY OF SUBJECT ITEM/S FOR SHIP-OUT (for Bingo gaming equipment and paraphernalia only)

T O:THE VICE-PRESIDENT, CMED Request to conduct an inspection and inventory of the approved Subject Item/s prior to ship-out of subject item/s.

REQUIRED DOCUMENTATION OF SUBJECT ITEM/S FOR SHIP-OUT T O:THE ASSISTANT VICE PRESIDENT, PD

Request to coordinate with the Operator on the documentation that may be needed for the ship-out of the subject item/s.

Operator's Contact Person: Telephone No.:

GLDD Reference No.:

Attachment

INVENTORY LIST OF ITEMS FOR SHIP-OUT

NO MANUFACTURER (Game Name, Brand, Model) PARTICULARS SERIAL NO PAGCOR TAG NO. REMARKS

1. 2 3. 4 5. 6. T 8

11 10 9.

12 13

21 16 17 18. 19 20 14 15

22 23. 24. 25

(Note: Please use additional sheet/s if the space provided above is not sufficient)

PHILIPPINE AMUSEMENT AND GAMING CORPORATION A Sure Bet for Progress in Gaming, Entertainment and Nation Building GS FORM NO. 13

CMED/GLDD Reference No.: (v.2) 11.02.2015

TRANSFER OF GAMING EQUIPMENT NOTIFICATION FORM

providing correct and complete information. The Operator shall submit this form to CMED (for bingo gaming Use this form to notify PAGCOR regarding transfer of gaming equipment from the gaming site to another gaming site, Operator's or Supplier's authorized storage area or vice versa. Please accomplish this form by sites) or GLDD (for non-bingo gaming sites) at least one (1) business day prior to intended date of implementation. PLEASE NOTE THAT PAGCOR RESERVES THE RIGHT TO CONDUCT POST-AUDIT OF THE TRANSFER OF GAMING EQUIPMENT AND/OR PARAPHERNALIA.

Name of Operator : Gaming Site Location :

Date of Implementation : Type of Game Offering :

SECTION A: TRANSFER OF GAMING EQUIPMENT (TO BE PROVIDED BY OPERATOR) A. GAMING EQUIPMENT FOR TRANSFER:

any of the following) (Put an [x] mark on This is to request approval to pull-out and transfer: Gaming Machine/Terminal Assembly Parts/Peripherals Bingo/Gaming System(s) Gaming Machine(s)/Terminal(s) Bingo System Component Part(s)/Paraphernalia Gaming Table(s) Table Layout(s) Bill Validator(s)/Acceptor(s) Game Conversion Kit(s) Chips/Plaques Others Electronic Bingo Card Daubers

(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. For non-bingo games, a certification shall be issued to GLDD by the requesting Operator to signify correctness of the actual inventory of transferred gaming equipment as listed in the attached Inventory List of Gaming Equipment for Transfer. b. A log report of all gaming equipment transferred to/from the gaming site shall be prepared and maintained, which shall be made available to CMED or GLDD at any time as deemed necessary by the concerned department. c.The conduct of transfer of gaming equipment is compliant with the requirements set forth in the procedures and guidelines for transfer of gaming equipment from/to PAGCOR-approved gaming site.

Position Title : Name of Requestor : Signature : Date:

CMED/GLDD Reference No.:

duly filled up and signed by receiving Operator/Supplier. Requesting Operator should request the Request for transfer of gaming equipment should be accompanied by Confirmation of Accountability receiving Operator/Supplier to accomplish Section B of this form. SECTION B: CONFIRMATION OF ACCOUNTABILITY (TO BE FILLED UP BY THE CONCERNED OPERATOR OR SUPPLIER)

(Name of Receiving Party) hereby ASSUMES RESPONSIBILITYIACCOUNTABILITY

for the abovementioned transferred items.

Further, our gaming site/warehouse is available to PAGCOR for inspection and inventory of gaming machines, equipment and/or paraphernalia at anytime that may be deemed necessary by PAGCOR.

By:

Authorized Signatory of Receiving Party (Signature over Printed Name) Date

If receiving party is a Supplier, please fill up the following: Name of Supplier: Supplier's Enrolment No.: Supplier's Permit to Possess No.:

SECTION C: SUBMISSION INSTRUCTIONS Once Sections A and B are completed, please submit this form to CMED or GLDD, as applicable, along with the necessary attachments. Hard copies may be submitted directly to CMED/GLDD office or scanned copies of the documents may be emailed using the e-mail addresses indicated below: A. Compliance Monitoring and Enforcement Department 3rd Floor PAGCOR House, 1330 Roxas Boulevard, Ermita, Manila Philippine Amusement and Gaming Corporation Tel. Nos. E-mail addresses:

B. Gaming Licensing and Development Department Tel. Nos. 522-3429 / 521-1542 loc. 336 or 348 Philippine Amusement and Gaming Corporation 3rd FIoor PAGCOR House, 1330 Roxas Boulevard, Ermita, Manila [email protected] E-mail addresses:

If submission of this notification form is done thru e-mail, the Operator should ensure that it has been duly the hard copy of the notification form directly to CMED or GLDD, as applicable. received and acknowledged by CMED or GLDD, as applicable. The Operator shall be notified thru e-mail confirming receipt of this notification form. If no e-mail confirmation is received, the Operator should submit

SECTION C: ACKNOWLEDGEMENT OF NOTIFICATION (TO BE FILLED UP BY CMED OR GLDD)

RECEIVED with REFERENCE NO

By: Printed Name: Signature:

Position Title: Date:

CMEDIGLDD Reference No.:

INVENTORY LIST OF GAMING EQUIPMENT FOR TRANSFER

NO MANUFACTURER PARTICULARS* SERIAL NO PAGCOR TAG O. REMARKS

1 2 3 D 5

83

20 16 1 18 14 15 19 10 12 13 1

*Under particulars, please indicate Game Name, Brand and Model, if applicable

A Sure Bet for Progress in Gaming, Entertainment and Nation Building PHILIPPINE AMUSEMENT AND GAMING CORPORATION GS FORM NO. 23 (v.2) 11.02.2015

CMED/GLDD Reference No.: CERTIFICATE OF GAMING EQUIPMENT/ PARAPHERNALIA

DESTRUCTION FORM

Date of Destruction of Gaming Equipment/Paraphernalia: Name of Operator: Gaming Site Location: Location of Destruction of Gaming Equipment/Paraphernalia: Type of Game Offering:

Notified using GS Form No. 22 with CMED/GLDD Reference No (For operational gaming site only)

another set of gaming equipment/paraphernalia. The Operator with revoked license shall dispose of its gaming Use this form after destruction of gaming equipment/paraphernalia has been completed. equipment/paraphernalia within ninety (90) calendar days from the date of license revocation. Use additional form for

LIST OF GAMING EQUIPMENTI PARAPHERNALIA FOR DESTRUCTION

ITEM NO. 1 MODELICODE (Name of Supplier, Size, Shape, Colors, etc.) DESCRIPTION QUANTITY

2 3 4 5 6

9 10 11 12 13 14 15 (Please use separate sheet if necessary.)

destroyed and rendered unusable for gaming operations. IWe affirm, declare and certify that the abovementioned gaming equipment/paraphernalia are permanently

or otherwise, after the ninety (90)-day disposal period (for gaming sites with revoked Licenses), I/we may be held criminally liable under Philippine laws. operational gaming sites) or found under my/our possession, whether declared destroyed, sold, shipped out IWe are aware that should these gaming equipment/paraphernalia are found to be operating illegally (for

Operator or Authorized Representative, Designation Printed Name and Signature of Date

GS FORM NO. 23 (v.2) 11.02.2015

CMED/GLDD Reference No.:

REPUBLIC OF THE PHILIPPINES CITY/MUNIPALITY OF ) S.S.

I, after being duly sworn to in accordance with law, hereby depose and state, that the above equipment/ paraphernalia is true and correct certification, including declarations therein, affirming the destruction of above-listed gaming

Signature of Operator/ Authorized Representative

Government Issued ID: ID No.: Date Issued:

SUBSCRIBED AND SWORN to before me this day of 20-, in the Cityl Municipality of

affiant exhibiting to me the above-stated government-issued identification card

(Notary Public)

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