1.13 GAME CONVERSION/CHANGE IN PARAMETER SETTINGS NOTIFICATION FORM

GAME CONVERSION/ Page No. Page 1 of 1 CHANGE IN PARAMETER Form No. EGLD - 427 SETTINGS NOTIFICATION Rev. No. 4 FORM Effectivity August 17, 2023 GS Form No. 10 CMED Reference No.: _________________ Use this form to notify Compliance Monitoring and Enforcement Department (CMED) regarding game conversion or change in parameter settings in gaming machines/terminals at PAGCOR-approved gaming site. Please accomplish this form by providing correct and complete information. The Operator shall submit this form to CMED at least one (1) 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 GAME CONVERSION OR CHANGE IN PARAMETER SETTINGS OF GAMING MACHINES OR TERMINALS IN THE PAGCOR-APPROVED GAMING SITES. Name of Operator: _______________________________________________ GL No.: ______________ (As reflected in the license) Gaming Site Location: ______________________________________________________________________ (As reflected in the license) Type of Game Offering: ____________________________ Date of Implementation: ______________________ SECTION A: PROPOSED GAME CONVERSION/CHANGE IN PARAMETER SETTINGS (TO BE PROVIDED BY OPERATOR) Please be informed of the game conversion or change in parameter settings in gaming machine/s at the above gaming site, as detailed below:  GAME CONVERSION  CHANGE IN PARAMETER SETTINGS Manufacturer/Supplier: _________________________ Parameter Settings to be Machine/ PAGCOR Game Name Serial No. Changed Terminal No. Tag No. From To From To (Note: Please use additional sheet/s if the space provided above is not sufficient.) We confirm and undertake to do the following:  The total return-to-player (RTP) percentage of each game is within the prescribed range set forth in the corresponding Gaming Site Regulatory Manual (GSRM) version 3.0 for Electronic or Bingo Games, as amended.  The Operator warrants that the new game/s of each machine/terminal is consistent with the game/s duly approved by EGLD for deployment/activation at gaming sites.  Testing shall be conducted on the electronic gaming machine in order to ensure that actual machine/terminal settings will reflect above parameters settings and machine/terminal transactions are captured by the electronic gaming system. Testing shall be conducted based on a test script which shall be prepared by the Operator. The results of the test should be favorable prior to commercial operation of the electronic gaming machines/terminals. Testing results shall be kept by the Operator, which shall be made available upon request by CMED or EGLD.  Any losses resulting from deviation to the above parameter settings shall be solely shouldered by the Operator. Printed Name: ________________________________________ Signature: ________________ (Authorized Representative) Position Title: ________________________________________ Date: ________________ SECTION B: SUBMISSION INSTRUCTIONS Once Section A is completed, please submit this form to CMED 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 addresses indicated below: Compliance Monitoring and Enforcement Department E-mail addresses: (Bingo Games) Philippine Amusement and Gaming Corporation NCR & Luzon – [email protected] PAGCOR Main Corporate Office, 12th Floor, iMET BPO Tower, Visayas – [email protected] CBP-1A Metropolitan Park, Roxas Boulevard, Pasay City 1300 Mindanao – [email protected] Tel. Nos. (+632) 8522-0299 / 8522-1357 / 8522-1245 / 8522-1324 E-mail address: (Electronic Games) Local 5186 (Bingo Games) Local 2404 (Electronic Games)     [email protected] If submission of this notification form is done thru e-mail, the Operator should ensure that it has been duly received and acknowledged by CMED. The Operator shall be notified by CMED thru e-mail confirming receipt of this notification form. If no e-mail confirmation is received from CMED, the Operator should submit the hard copy of the notification form directly to CMED. SECTION C: ACKNOWLEDGEMENT OF NOTIFICATION (TO BE FILLED UP BY CMED)  RECEIVED with REFERENCE NO.: _________________ By: Printed Name: __________________________________ Signature: ___________________ Position Title: __________________________________ Date: ___________________