Gldd 966 Request For Approval Of Gaming Table Layout Crm F6

Page No. Page 1 of 2 REQUEST FOR APPROVAL OF Form No. GLDD – 966 GAMING TABLE LAYOUT Revision 6 No. Effectivity Aug. 20, 2025 CRM FORM NO. 6 Use this form to request approval from PAGCOR of the proposed gaming table layouts. Only requests with detailed information and artwork will be processed. Failure to provide required information and rendering could result in non-processing of the request. PLEASE ALLOW TEN (10) BUSINESS DAYS FROM THE SUBMISSION OF COMPLETE INFORMATION AND ATTACHMENTS FOR GLDD TO PROCESS YOUR REQUEST. Licensee : Casino Location: Date : SECTION A: PROPOSED GAMING TABLE LAYOUT (TO BE PROVIDED BY LICENSEE) First Submission Second Submission Third Submission GAME NAME: Please see attached Annex A for the rendering/artwork details of the proposed gaming table layout. We certify that the attached gaming layout is consistent with Regulation 3 Section 12 of the Casino Regulatory Manual for Licensed Land-Based Casinos and that the accompanying rendering/artwork indicates, at a minimum, the following: a. Name of Licensee or Casino Brand Name b. Designated areas for placement of the following wagers: ▪ Main Bet ▪ Proposition Bet ▪ Progressive Bet (when applicable) c. All Winning Odds / Payout Name of Requestor : Signature : Position Title : Date : SECTION B: SUBMISSION INSTRUCTIONS Once you have completed Section A above, please submit this form to GLDD via the PAGCOR Enterprise Content Management System (ECMS) which may be accessed through the following URL: www.ecms.pagcor.ph together with the true-to-scale rendering of the table layout. Hard copies must be submitted directly to PAGCOR: Central Receiving – Records Management Department Philippine Amusement and Gaming Corporation G/F Lobby, MET Live Building Central Business Park 1-A Macapagal Boulevard cor. EDSA Extension Pasay City 1300 If submission of this form is done through the ECMS, an e-mail notification confirming receipt shall be received. The status of the application can be viewed and monitored through the online account created using the same system. Operator can also download and print the acknowledgment generated as proof of submission. If no e-email notification is received, the Operator may inquire from the Gaming Licensing & Development Department through the contact details: Tel. No. (+632)8522-0299/8522-1357/8522-1324 (Local 1148)

Page No. Page 2 of 2 REQUEST FOR APPROVAL OF Form No. GLDD – 966 Revision GAMING TABLE LAYOUT No. 6 Effectivity Aug. 20, 2025 SECTION C: ACTION TAKEN (TO BE FILLED OUT BY GLDD) The proposed gaming table layout is: A. RETURNED due to insufficient rendering/artwork details. B. RECEIVED FOR PROCESSING with assigned REFERENCE NO. _________________ By: Printed Name: ____________________________ Signature: ______________________ Position Title: ____________________________ Date: ______________________ C. RECOMMENDATION FOR APPROVAL subject to Licensee’s submission to PAGCOR Evaluating Department of Shipment Clearance Request and/or Approval Form or to GLDD of Local Purchase Clearance Request and Approval Form covering the importation and/or local purchase of said gaming table layout. By: Printed Name: ____________________________ Signature: ______________________ Position Title: ____________________________ Date: ______________________ Approved by: Senior Regulatory Officer, CLRD .