BRAND, DOMAIN NAME, AND/OR UNIFORM RESOURCE LOCATOR (URL) REQUEST FOR APPROVAL FORM

Page No. Page 1 of 4 BRAND, DOMAIN NAME, AND/OR UNIFORM RESOURCE Form No. EGLD – 1687 LOCATOR (URL) REQUEST Rev. No. 0 FOR APPROVAL FORM Effectivity September 10 2025 EG Form No. 53 EGLD Reference No.: _____________________ Use this form to request approval from PAGCOR for the use / assignment of Sub-brand /Sub-domain name and/or additional URLs for PAGCOR-approved electronic gaming system (EGS) and online gaming platform (OGP). PLEASE ALLOW FIFTEEN (15) BUSINESS DAYS FROM THE SUBMISSION OF COMPLETE INFORMATION AND ATTACHMENTS FOR EGLD TO PROCESS YOUR REQUEST. Name of Gaming System Administrator : __________________________________________ (as reflected in the Certificate of Accreditation) Business Address : __________________________________________ __________________________________________ (as reflected in the Certificate of Accreditation) Main Brand : __________________________________________ Root Word : __________________________________________ Main Domain/Uniform Resource Locator (URL) : __________________________________________ SECTION A: SUB-BRAND / SUB-DOMAIN NAME Fill up this section legibly. Write N/A if not applicable.  ADDITIONAL No. Sub-Brand Sub-Domain Name EGLD Remark 1. 2. 3. 4. 5. 6. Shall only have a maximum of six (6) Sub-brand names for the approved main EGS/OGP.  CHANGE Sub-Brand Name Sub-Domain Name No. EGLD Remark From To From To 1. 2. 3. 4. 5. 6.

Page No. Page 2 of 4 BRAND, DOMAIN NAME, AND/OR UNIFORM RESOURCE Form No. EGLD – 1687 LOCATOR (URL) REQUEST Rev. No. 0 FOR APPROVAL FORM Effectivity September 10 2025  REMOVAL No. Sub-Brand Sub-Domain Name EGLD Remark 1. 2. 3. 4. 5. 6. SECTION B: UNIFORM RESOURCE LOCATOR (URL) Fill up this section legibly. Write N/A if not applicable.  ADDITIONAL No. Additional URL Redirected to Specific Domain EGLD Remark 1. 2. 3. 4. 5. Note: Above additional URL/s shall always be redirected to any of its approved brands/domain names. Please use additional sheet/s if the space provided is not sufficient.  REMOVAL No. Additional URL Redirected to Specific Domain EGLD Remark 1. 2. 3. 4. 5. Note: Please use additional sheet/s if the space provided is not sufficient.

Page No. Page 3 of 4 BRAND, DOMAIN NAME, AND/OR UNIFORM RESOURCE Form No. EGLD – 1687 LOCATOR (URL) REQUEST Rev. No. 0 FOR APPROVAL FORM Effectivity September 10 2025 SECTION C: SUBMISSION INSTRUCTION AND DOCUMENTARY REQUIREMENTS Once Section A and/or B is/are completed, please submit this form to EGLD along with the necessary attachments (if applicable). Hard copies may be submitted directly to the EGLD office or scanned copies of the documents may be emailed using the e-mail address indicated below: Electronic Gaming Licensing Department Philippine Amusement and Gaming Corporation PAGCOR Corporate Office, MET LIVE BUILDING Central Business Park 1-A, Macapagal Boulevard Cor. EDSA Extensions, Pasay City, 1300 Tel. Nos. (+632) 8522-0299 Loc. 1574 / 1575 E-mail address: [email protected] Documentary Requirement FOR REQUEST OF SUB-DOMAIN NAME AND/OR EGLD Remarks ADDITIONAL URL/S:  Compliant Notarized Certification attesting that the above domain name/s  Not compliant 1. and/or URL/s shall not allow player registration and shall not ___________________________ accept bets emanating outside of the Philippines. ___________________________ ___________________________ DECLARATION By signing herein, we confirm and undertake the following: • We shall not utilize brand name, domain name, and/or URL that has been assigned to other PAGCOR-accredited entities. • We shall assume full responsibility for any future dispute or claim arising from registration and/or use of the sub-brand names and/or URL, including but not limited to any matters pertaining to brand name, domain name and/or URL exclusivity and any proceedings involving relevant government authorities. Furthermore, we acknowledge and understand that PAGCOR shall not be held liable for any issues that may arise in connection with the implementation of the above requests. Submitted By: Printed Name: _____________________________________ Signature: _______________ (Authorized Representative) Position Title: _____________________________________ Date: _______________

Page No. Page 4 of 4 BRAND, DOMAIN NAME, AND/OR UNIFORM RESOURCE Form No. EGLD – 1687 LOCATOR (URL) REQUEST Rev. No. 0 FOR APPROVAL FORM Effectivity September 10 2025 SECTION D: ACTION TAKEN (to be filled up by EGLD) Above request for Sub-brand/Sub-domain names and/or URL/s is/are:  RECEIVED with REFERENCE NO.: _________________ By: Printed Name: _________________________________ Signature: _______________ Position Title: _________________________________ Date: _______________  B. RETURNED due to incomplete documentation or information.  C. RECOMMENDATION FOR APPROVAL By: Printed Name: _________________________________ Signature: _______________ Position Title: _________________________________ Date: _______________ Approved By: ______________________________ Assistant Vice President REMARKS