PAGCOR Issuances

GEL Forms

RG Form 1 Page No. Page 1 of 1 Form No. GLDD-888 EMPLOYEE VERIFICATION FORM Revision No. 1 Effectivity July 12, 2023 Use this form to request for verification of personnel employed by PAGCOR or any gaming licensees in the Philippines. Only requests with corr complete information will be processed. Failure to provide correct and complete information may result in rejection of processing of this reques USE BLOCK LETTERS EMPLOYEE'S PERSONAL INFORMATION (To be filled-out by the Licensee) Name: Surname First M.I. Birthdate: Sex: Male Female mm/dd/yyyy Verification of employee playing at: Casino Filipino/PAGCOR-operated casino e-Bingo PAGCOR-operated arcade e-Games Station Licensed casino Instawin outlet Poker Club MSW outlet Traditional Bingo Requested by: Date: (Signature over Printed Name) Position: GEL No. Licensee: FOR GLDD USE ONLY Licensee request is: REJECTED for the following reasons: Incomplete information Others Employee verification request yields: No presence in GEL database Positive presence in GEL database Current employer: (Licensee / Gaming Establishment) with GEL No. RECEIVED AND PROCESSED BY: Date: (Signature over Printed Name) (Position Title) CERTIFIED BY: GLDD Department Head Remarks: Verification is based on name and birthdate submitted to PAGCOR GLDD. Wrong or incomplete name and birthdate may result in mismatch with database information.

Page No. Page 1 of 1 DESIGNATED AUTHORIZED Form No. GLDD-899 SIGNATORIES Revision No. 2 Effectivity July 12, 2023 GEL FORM A Company Letter Head: I am submitting herewith the following information on the designated authorized signatories of our company with their contact details: AUTHORIZED ALTERNATE LIAISON OFFICER SIGNATORY LIAISON OFFICER NAME (Last, First Middle) E-MAIL OFFICE NO. MOBILE NO. SIGNATURE (SPECIMEN 01) SIGNATURE (SPECIMEN 02) SIGNATURE (SPECIMEN 03) APPROVED BY: SIGNATURE OVER PRINTED NAME DATE (PROPRIETOR / LICENSEE) -------------------------------------------- FOR PAGCOR USE ONLY -------------------------------------------- RECEIVED BY: VERIFIED BY: SIGNATURE OVER PRINTED NAME DATE SIGNATURE OVER PRINTED NAME DATE

Page No. Page 1 of 1 Form No. GLDD-900 USER ACCESS CONTROL FORM Revision No. 2 Effectivity July 12, 2023 GEL FORM B LICENSEE : ACCESS : New REMARKS: Delete (for PAGCOR use) NAME : FIRST NAME M.I. LAST NAME EMAIL ADDRESS : 1. Access account must not be revealed to others or allowed to be used by others. 2. Passwords must not be inserted into small messages or other forms of electronic communication. 3. Any user found to have violated these policies may be subjected to disciplinary action. USER: AUTHORIZED BY: SIGNATURE OVER PRINTED NAME DATE SIGNATURE OVER PRINTED NAME DATE (AUTHORIZED SIGNATORY) -------------------------------------------- FOR PAGCOR USE ONLY -------------------------------------------- RECEIVED BY: VERIFIED BY: SIGNATURE OVER PRINTED NAME DATE SIGNATURE OVER PRINTED NAME DATE APPROVED BY: ENCODED BY: SIGNATURE OVER PRINTED NAME DATE SIGNATURE OVER PRINTED NAME DATE

Page No. Page 1 of 1 Form No. GLDD-901 MASTERLIST OF POSITIONS Revision No. 2 Effectivity July 12, 2023 GEL FORM C Company Letter Head: Submitting herewith the list of positions with classification of our company: POSITION TITLE CLASSIFICATION APPROVED BY: SIGNATURE OVER PRINTED NAME DATE (AUTHORIZED SIGNATORY) -------------------------------------------- FOR PAGCOR USE ONLY -------------------------------------------- RECEIVED BY: VERIFIED BY: SIGNATURE OVER PRINTED NAME DATE SIGNATURE OVER PRINTED NAME DATE

Page No. Page 1 of 1 Form No. GLDD-902 ELIGIBILITY FORM Revision No. 2 Effectivity July 12, 2023 GEL FORM D LICENSEE : NAME : FIRST NAME M.I. LAST NAME ELIGIBILITY : 1. To the best of my knowledge, I am not banned from entering any gaming establishment in the Philippines. 2. I have not been terminated by any employer for any of the following reasons: 2.1. Game Cheating 2.2. Fraud and/or Estafa 2.3. Theft 2.4. Forgery or Counterfeiting 2.5. Unlawful interference with a gaming equipment 2.6. Conviction of a crime involving moral turpitude 2.7. Use of camera or any electronic device to assist in projecting the outcome of the game 2.8. Acts of dishonesty amounting to grave or serious offenses 2.9. Violation of employment contract provision/policy on prohibition from playing in a gaming establishment I understand that deliberately omitting information required in this form may result in the revocation of my Gaming Employment License (GEL). APPLICANT: NOTED BY: SIGNATURE OVER PRINTED NAME DATE SIGNATURE OVER PRINTED NAME DATE (AUTHORIZED SIGNATORY)

Page No. Page 1 of 1 Form No. GLDD-903 ENDORSEMENT FORM Revision No. 2 Effectivity July 12, 2023 GEL FORM E LICENSEE : LICENSE NO. FIRST NAME MIDDLE NAME LAST NAME This is to certify that the abovementioned names are: • at least 21 years of age • Former manager/executive applying for managerial/executive positions within one (1) year from separation for a gaming employer and certification attesting to the fact that; 1) Casino manager/executive is not bound by any restrictive covenant or contractual stipulation that would legally prevent him/her from working for another casino, or 2) It is waiving the effectivity of any such applicable restrictions • NOT convicted by court of competent jurisdiction upon final judgement for any crime • NOT positive for drug use or substance abuse and is physically fit to work • NOT in the Terminated Employee Database (TED) and/or National Database for Restricted Persons (NDRP) AUTHORIZED BY: SIGNATURE OVER PRINTED NAME DATE (AUTHORIZED SIGNATORY) -------------------------------------------- FOR PAGCOR USE ONLY -------------------------------------------- RECEIVED BY: VERIFIED BY: SIGNATURE OVER PRINTED NAME DATE SIGNATURE OVER PRINTED NAME DATE APPROVED BY: ENCODED BY: SIGNATURE OVER PRINTED NAME DATE SIGNATURE OVER PRINTED NAME DATE

Page No. Page 1 of 1 NOTICE OF EMPLOYEES Form No. GLDD-904 SEPARATED FOR JUST CAUSE Revision No. 2 Effectivity July 12, 2023 GEL FORM F LICENSEE : DATE : This is to certify that the employees listed below were separated from our company with due process as prescribed by the Labor Code of the Philippines for just cause/s as specified below: LICENSE NO. NAME CAUSE OF SEPARATION DATE OF SEPARATION PAGCOR is hereby authorized to include the above information in the Terminated Employee Database (TED), which may be used as reference to disqualify an applicant from endorsement of a Gaming Employment License (GEL). ENDORSED BY: SIGNATURE OVER PRINTED NAME DATE (AUTHORIZED SIGNATORY) -------------------------------------------- FOR PAGCOR USE ONLY -------------------------------------------- RECEIVED BY: VERIFIED BY: SIGNATURE OVER PRINTED NAME DATE SIGNATURE OVER PRINTED NAME DATE APPROVED BY: ENCODED BY: SIGNATURE OVER PRINTED NAME DATE SIGNATURE OVER PRINTED NAME DATE

Page No. Page 1 of 1 NOTICE OF EXECUTIVES/MANAGERS Form No. GLDD-905 SEPARATED NOT GRANTED Revision No. 2 CLEARANCE Effectivity July 12, 2023 GEL FORM G LICENSEE : DATE (MM/YYYY) : This is to certify that the executives/managers listed below were separated from our company with a restrictive contract and will not be given clearance to work for another casino LICENSE NO. NAME CAUSE OF SEPARATION DATE OF SEPARATION PAGCOR is hereby authorized to include the above information in the Terminated Employee Database (TED), which may be used as reference to disqualify an applicant from endorsement of a Gaming Employment License (GEL). ENDORSED BY: SIGNATURE OVER PRINTED NAME DATE (AUTHORIZED SIGNATORY) -------------------------------------------- FOR PAGCOR USE ONLY -------------------------------------------- RECEIVED BY: VERIFIED BY: SIGNATURE OVER PRINTED NAME DATE SIGNATURE OVER PRINTED NAME DATE APPROVED BY: ENCODED BY: SIGNATURE OVER PRINTED NAME DATE SIGNATURE OVER PRINTED NAME DATE

Page No. Page 1 of 1 Form No. GLDD-906 SUSPENSION/REVOCATION FORM Revision No. 2 Effectivity July 12, 2023 GEL FORM H LICENSEE : LICENSE NO. FIRST NAME MIDDLE NAME LAST NAME GROUNDS : Dismissal of an employee for just causes as enumerated in Section 7.a.1 of the GEL manual Dismissal of an employee as defined in the Labor Code of the Philippines, as amended, or other relevant laws. Conviction of an employee by court of competent jurisdiction upon final judgement for any crime committed by said employee Determination that a GEL holder/employee is positive for drug use or substance abuse Determination that a GEL holder/employee is not physically fit to work Violation of Employment Contract Provision/Policy on Prohibition from Playing in a Gaming Establishment Failure to obtain certification from Employer, attesting to the fact that: 1) executive/manager is not bounded by any restrictive covenant or contractual stipulation that would legally prevent the applicant form working for another licensee; 2) former employer is waiving the effectivity of such restriction. ENDORSED BY: SIGNATURE OVER PRINTED NAME DATE (AUTHORIZED SIGNATORY) -------------------------------------------- FOR PAGCOR USE ONLY -------------------------------------------- PENALTY : Suspension Revocation FINDINGS : Approved EFFECTIVITY DATE: Denied RECEIVED BY: VERIFIED BY: SIGNATURE OVER PRINTED NAME DATE SIGNATURE OVER PRINTED NAME DATE APPROVED BY: ENCODED BY: SIGNATURE OVER PRINTED NAME DATE SIGNATURE OVER PRINTED NAME DATE

Page No. Page 1 of 1 Form No. GLDD-907 PERSONNEL COUNT REPORT Revision No. 2 Effectivity July 12, 2023 GEL FORM I COVERING PERIOD: LICENSEE: SITE ADDRESS: DETAILS GEL NUMBER NAME REMARKS DATE HIRED CLASSIFICATION POSITION TITLE * use another sheet if needed PREPARED BY: SIGNATURE OVER PRINTED NAME DATE (AUTHORIZED SIGNATORY) -------------------------------------------- FOR PAGCOR USE ONLY -------------------------------------------- RECEIVED BY: VERIFIED BY: SIGNATURE OVER PRINTED NAME DATE SIGNATURE OVER PRINTED NAME DATE

Page No. Page 1 of 1 TEMPORARY GAMING Form No. GLDD-908 EMPLOYMENT LICENSE PERMIT Revision No. 2 Effectivity July 12, 2023 GEL FORM J LICENSEE : FIRST NAME MIDDLE NAME LASTNAME REMARKS NAME OF EVENT : VENUE : DURATION : From: To: (note that duration must not exceed 30 days) This is to certify that the abovementioned names are: • at least 21 years of age • NOT GEL holders • NOT convicted by court of competent jurisdiction upon final judgement for any crime • NOT positive for drug use or substance abuse and is physically fit to work • NOT in the Terminated Employee Database (TED) and/or National Database for Restricted Persons (NDRP) We are responsible and accountable for the actions of the person above for the duration of the event AUTHORIZED BY: SIGNATURE OVER PRINTED NAME DATE (AUTHORIZED SIGNATORY) -------------------------------------------- FOR PAGCOR USE ONLY -------------------------------------------- RECEIVED BY: VERIFIED BY: SIGNATURE OVER PRINTED NAME DATE SIGNATURE OVER PRINTED NAME DATE APPROVED BY: ENCODED BY: SIGNATURE OVER PRINTED NAME DATE SIGNATURE OVER PRINTED NAME DATE

Page No. Page 1 of 1 TEMPORARY GAMING Form No. GLDD-908 EMPLOYMENT LICENSE PERMIT Revision No. 2 Effectivity 07/12/2023

Page No. Page 1 of 1 Form No. GLDD-909 REINSTATEMENT FORM Revision No. 3 Effectivity July 12, 2023 GEL FORM K LICENSEE : LICENSE NO : NAME : FIRST NAME M.I. LAST NAME REASON FOR : REINSTATEMENT This is to certify that the above employee has satisfied the conditions for the reinstatement of his/her GEL. ENDORSED BY: SIGNATURE OVER PRINTED NAME DATE (AUTHORIZED SIGNATORY) -------------------------------------------- FOR PAGCOR USE ONLY -------------------------------------------- FINDINGS : Approved EFFECTIVITY DATE: Denied RECEIVED BY: VERIFIED BY: SIGNATURE OVER PRINTED NAME DATE SIGNATURE OVER PRINTED NAME DATE APPROVED BY: ENCODED BY: SIGNATURE OVER PRINTED NAME DATE SIGNATURE OVER PRINTED NAME DATE

打开发布机构原始记录 ↗

同类文件 PAGCOR Issuances

想要这份文件的分析?

让 ASG 法律 AI 为你总结、与其他判例对比,或说明它如何适用于你的情形 — 它检索的正是同一个数据库。