1.7 NOTIFICATION OF TARGET OPENING DATE

Page No. Page 1 of 2 NOTIFICATION OF Form No. EGLD - 421 TARGET OPENING DATE Rev. No. 6 Remote Games Effectivity July 17, 2024 EG Form No. 5 EGLD Reference No.: _________________ Use this form to notify PAGCOR of target opening date of gaming venue. Please accomplish this form by providing correct and complete information. The Operator shall submit this form to EGLD and furnish CMED with a copy at least seven (7) business days prior to intended date of implementation. Cut-off for submission of notifications shall be 4:00 P.M. SECTION A: NOTIFICATION DETAILS (TO BE FILLED UP BY THE OPERATOR) Target Opening Date and Time: _______________________________________________ Name of Operator: _______________________________________________ (as reflected in the gaming license) Gaming Venue Location: _______________________________________________ (as reflected in the gaming license) _______________________________________________ Game Offering: _______________________________________________ License No.: _____________________ GL Validity: _______________________ Intended Gaming Venue Operating Hours: _______________________________________ Brand* / SP / Supplier Type of Terminals** No. of Terminals Total Number of Gaming Terminals (Use separate sheet if necessary) * Brand refers to the gaming service and/or suite of games offered by an accredited Service Provider duly recognized and approved by PAGCOR for the corresponding game offering under which the former was accredited. **Type of terminals are personal/desktop computers, gaming machines (cabinet type) or portable devices. We confirm and undertake to comply with all pre-operational requirements and activities prior to our target opening date of the gaming venue as indicated above. Printed Name: _____________________________________ Signature: __________________ (Authorized Representative) Position Title: _____________________________________ Date: __________________ SECTION B: CERTIFICATE OF READINESS (TO BE FILLED UP BY THE OPERATOR) A. Financial Requirements: 1. Performance Cash Deposit (PCD) for: Game Offering : _____________________________ Amount Posted : _____________________________ B. General Requirements for Gaming Venues, as applicable: (Please check) 1. Interior and Exterior Specifications: ___ Cashier's booth/Counter type cage ___ CCTV Surveillance System ___ No. of CCTV cameras ___ Working space for PAGCOR representative/s with printer, internet connection and office supplies ___ PC with printer and internet connection ___ Telephone line/mobile phone ___ Sufficient lighting system enough to record clear CCTV footage ___ Signage subject to PAGCOR’s Responsible Gaming Code of Practice ___ Gaming site personnel with Gaming Employment License (GEL) ___ Player Registration System which has the functionalities on player management ___ Posting of the General House Rules and responsible gaming posters

Page No. Page 2 of 2 NOTIFICATION OF Form No. EGLD - 421 TARGET OPENING DATE Rev. No. 6 Remote Games Effectivity July 17, 2024 C. Certificate of Machine/System Testing This is to certify that the gaming systems/machines/terminals/portable devices installed at the above gaming venue have been tested and were found to be in order and ready for actual operation. By: Printed Name: ____________________________________ Signature: _______________ Position Title: _____________________________________ Date: _______________ SECTION C: SUBMISSION INSTRUCTIONS Once Sections A and B are completed, please submit/mail/e-mail this form to EGLD together with supporting documents to the address/e-mail address indicated below: Electronic Gaming Licensing Department Philippine Amusement and Gaming Corporation 10th Floor MET LIVE BUILDING Central Business Park 1-A Macapagal Boulevard cor. EDSA Extension, Pasay City 1300 Tel Nos.: (+632) 8522-0299 / 8521-1542 loc. 1561 e-Mail address: [email protected] SECTION D: ACKNOWLEDGEMENT OF NOTIFICATION (TO BE FILLED UP BY EGLD) RECEIVED for PROCESSING with REFERENCE NO.: _______________________________________ By: Printed Name: _____________________________________ Signature: ________________ Position Title: _____________________________________ Date: ________________