Accreditation of Support Service Providers Application Form

Page No. Page 1 of 5 ACCREDITATION OF SUPPORT Form No. EGLD - 1246 SERVICE PROVIDER Application Form Rev. No. 2 Effectivity January 27, 2026 EG Form No. 51 Type or print in block letters the information needed on the spaces provided. Put a cross [x] in the box, if one is provided. If a question does not apply to you, write "N/A". Use additional sheet/s for the information whenever necessary. You must provide all required information. Otherwise, your application will be returned. PAGCOR reserves the right to request additional information. Cut-off time for submission of registration forms shall be 4:00 P.M. SECTION A: APPLICATION DETAILS  NEW APPLICATION  RENEWAL SUPPORT SERVICES OFFERING/S  Payment Channel / Payment Gateway Solution  Customer Service  Marketing / Promotional Service  Independent Game Testing Laboratory (IGTL)  Know-Your-Customer (KYC) / Membership System 1. APPLICANT COMPANY __________________________________________________ 2. BUSINESS ADDRESS __________________________________________________ (Floor, Building Name or Number, Street) ________________________________________________________ (Barangay, Town/City, Postal Code) 3. OFFICE CONTACT DETAILS ________________________ __________________ (Telephone No.) (Mobile No.) ________________________ (Email Address) 4. GAMING SYSTEM ADMINISTRATOR CONTRACTED __________________________________________________ 4.1. Company Name __________________________________________________ (Floor, Building Name or Number, Street) 4.2. Business Address ________________________________________________________ (Barangay, Town/City, Postal Code) 4.3. Office Contact Details ________________________ __________________ (Telephone No.) (Mobile No.) ________________________ (Email Address) 5. AUTHORIZED REPRESENTATIVE 5.1. Company Name __________________________________________________ 5.2. Role or Position in the Company __________________________________________________ 5.3. Contact Details ________________________ __________________ (Telephone No.) (Mobile No.) ___________________________ (Email Address)

Page No. Page 2 of 5 ACCREDITATION OF SUPPORT Form No. EGLD - 1246 SERVICE PROVIDER Application Form Rev. No. 2 Effectivity January 27, 2026 SECTION B: DOCUMENTARY REQUIREMENTS Date Received by EGLD 1. Company Profile _________ 2. Detailed location sketch of company office _________ 3. Copy of Registration Certificate from SEC, Articles of Incorporation and By-Laws, duly received _________ by the SEC 4. Copy of the Latest General Information Sheet (GIS) duly received by the SEC _________ 5. Copy of valid Mayor’s Permit / Business Permit / Municipal License from location of the company office 6. Copy of BIR Registration Certificate _________ 7. Duly notarized Secretary's Certificate for the authority of the signatory to represent, to transact, execute, and to perform any all acts necessary to submit and sign all documents relative to _________ accreditation with PAGCOR and to claim the Certificate of Accreditation. 8. Notarized written disclosure that the Applicant has the capability to provide the services _________ (outlined in the Scope of Service under this Regulatory Framework) and gaming equipment and paraphernalia, if need be, that in accordance with PAGCOR's prescribed standards. 9. Notarized written disclosure of the description of any of the following events that occurred _________ during the past five (5) years up the latest date that are material to an evaluation of the ability or integrity of any director of shareholder of the Applicant: a. Any bankruptcy petition filed by or against any business of which such person was a director or shareholder either at the time of the bankruptcy or within two years prior to that time; b. Any conviction by final judgment, including the nature of the offense, in a criminal proceeding, domestic or foreign, or being subject to a pending criminal proceeding, domestic or foreign, excluding traffic violations and other minor offenses; c. Being subject to any order, judgment, or decree, not subsequently reversed, suspended or vacated, of any court of competent jurisdiction, domestic or foreign, permanently or temporarily enjoining, barring, suspending, or otherwise limiting his involvement in any type of business of gaming activities; and d. Being found by a domestic or foreign court of competent jurisdiction (in a civil action), PAGCOR, or a domestic regulatory organization, to have violated gaming law or regulation, and the judgment has not been reversed, suspended, or vacated. 10. Certificate of Enrollment issued by Gaming Licensing and Development Department (GLDD) _________ 11. Duly accomplished and notarized Personal Disclosure Statement (PDS) (EGLD Form No. _________ EGLD-447) with the following attachments: a. For Filipino Citizens and Foreign Residents: Copy of ITR (duly filed with BIR) for the previous year. b. For Non-resident Foreigners: Copy of valid passport c. The member of the Board of Directors who did not file the ITR in accordance with the provisions of NIRC of 1997 and its amendments Title II Chapter IX. Sec.51 A.2 (Individuals not required to file an ITR) shall file in its records a fully accomplished and notarized Certificate of Non-Filing of Annual Income Tax Return (EG Form No.33) together with other documents to support its claim in its filing of the PDS. 12. Duly accomplished and notarized Authorized Signatory with Specimen Signature and Contact _________ Information Form (1310). 13. Notarized written disclosure that the prospective Applicant is not an Affiliate of any existing B2B _________ providers of the same category/type, such as when they are subsidiaries or with interlocking or common directors; or a director of the B2B provider of the same category/type should not be related by affinity or consanguinity within 3rd civil degree to any director of an existing B2B provider of the same category/type. _________ 14. For the IGTL, proof of affiliation with subsidiary companies if presented to PAGCOR

Page No. Page 3 of 5 ACCREDITATION OF SUPPORT Form No. EGLD - 1246 SERVICE PROVIDER Application Form Rev. No. 2 Effectivity January 27, 2026 15. Submission and conduct of product overview or presentations may be required, as needed _________ 16. Additional documentary requirements, as indicated for the following: _________ _________ i. As Payment Gateway Solution/ Payment Channel provider, submission of the following documents signifying good reputation and credentials: a. Latest List of Client _________ b. Copy of registration certificates issued by BSP _________ c. Narrative on previous partnerships _________ d. Proof of compliance with BSP’s National Retail Payment System (NRPS) or _________ Designated Payment System (DPS), if any ii. As Marketing/ Promotional Service Provider, submission of the following documents signifying good reputation and credentials: a. Lates List of Clients _________ b. Copy of license or certification issued by relevant regulatory bodies or _________ professionals association, e.g. Philippine Association of National Advertisers (PANA), Ad Standards Council of the Philippines, among others c. Narrative and/or copy of examples of previous works _________ iii. As Customer Service, submission of the following documents signifying good reputation and credentials: a. Latest list of details _________ b. Copy of licenses or certifications/awards issued by relevant regulatory bodies or professional associations _________ c. Proof of affiliation or membership in any professional association or organization related to customer service, i.e., National Customer Service Association _________ d. Narrative on previous partnerships _________ iv. As KYC Provider shall submit the following documents signifying reputation and credentials: a. Latest list of clients _________ b. Copy of certification with ISO 27001 _________ c. Narrative on previous partnerships _________ v. As IGTL shall submit the following documents signifying reputation and credentials: a. Most recent list of regulatory jurisdictions where the IGTL is recognized _________ b. Copy of certification with rating of ISO/IEC 17025 and/or 17065 _________ c. Copy of citations/awards issued by any regulatory jurisdiction or recognized _________ organization, if any. 17. Duly accomplished Probity Check Disclosure Form (EGLD Form No. 54) and its _________ enclosure/documentary requirements. SECTION C: DECLARATION By signing below, we declare that: 1. The information contained in this application for accreditation including all documents submitted relative to this application are valid, true and correct. 2. We have executed this statement with the knowledge that misinterpretation or failure to reveal information requested may be deemed sufficient cause for disapproval/denial of this application for accreditation or revocation of the Support Service Providers Accreditation if the application for accreditation has been approved by the time such misrepresentation or act of omission is discovered. 3. We agree to the following: a. to furnish any further information that PAGCOR may require when considering this application b. to notify PAGCOR immediately of any material changes on the information provided in this application for accreditation 4. In order to establish that the Support Service Provider is under control and management of persons of integrity and competence who are of sound character and financial status, we hereby grant authorization

Page No. Page 4 of 5 ACCREDITATION OF SUPPORT Form No. EGLD - 1246 SERVICE PROVIDER Application Form Rev. No. 2 Effectivity January 27, 2026 for PAGCOR to undertake extensive due diligence enquiries, and to request and receive information about the Support Service Provider and the individuals named in the application from third parties. Name : _________________________________ Signature : __________________________ Authorized Representative Date : _________________________________ SECTION D: SUBMISSION INSTRUCTIONS Once Section C is completed, please submit this form to EGLD together with supporting documents: Electronic Gaming Licensing Department Philippine Amusement and Gaming Corporation PAGCOR Corporate Office, MET LIVE BUILDING Central Business Park 1-A, Macapagal Boulevard Cor. EDSA Extension, Pasay City, 1300 Tel. Nos. (+632) 8522-0299 Loc. 1574 / 1575 Advance copy may be sent thru EGLD’s e-mail address : [email protected] SECTION E: EVALUATION (TO BE ACCOMPLISHED BY EGLD) A. EVALUATION OF DOCUMENTS SUBMITTED  Application for Support Service Provider is found to be in order with complete documentary requirements  Returned due to incomplete or incorrect document / information Acknowledged by: _____________________________ _______________________________ Evaluator Authorized Representative Date: ________________________ Date: __________________________ B. PAYMENT OF APPLICATION FEE DATE OF PAYMENT Payment Channel / Payment Gateway Solution _______________ ____________________ Evaluator Marketing / Promotional Service ________________ ____________________ Evaluator Know-Your-Customer (KYC) Membership System ______________ ____________________ Evaluator Customer Service ______________ ____________________ Evaluator Independent Game Testing Laboratory ______________ ____________________ Evaluator C. INSPECTION AND WALKTHROUGH Date of Inspection / Walkthrough _______________ __________________ Evaluator Result based on the Inspection/Walkthrough Report _______________ ____________________  Satisfactory Evaluator _______________ ____________________  Repeat Inspection / Walkthrough

Page No. Page 5 of 5 ACCREDITATION OF SUPPORT Form No. EGLD - 1246 SERVICE PROVIDER Application Form Rev. No. 2 Effectivity January 27, 2026 D. PROBITY CHECKING  Compliant with probity requirements ______________ ____________________ Evaluator  Non-compliant with probity requirements ______________ ____________________ Evaluator E. RECOMMEND FOR APPROVAL  OK for Board Approval ______________ ___________________ Evaluator F. DATE OF BOARD APPROVAL _______________ ____________________ Evaluator G. POSTING OF PERFORMANCE CASH DEPOSIT ________________ ____________________ Evaluator H. NOTICE TO COMMENCE OPERATIONS ________________ ____________________ Payment Channel /Payment Gateway Solution Evaluator Marketing / Promotional Service ________________ ____________________ Evaluator Know-Your-Customer (KYC) Membership System ____________________ _______________ Evaluator Customer Service _________________ ____________________ Evaluator Independent Game Testing Laboratory _______________ ____________________ Evaluator