Suppliers Shipment Clearance Request and Approval Form

Page No. Page 1 of 4 SUPPLIERS SHIPMENT CLEARANCE Form No. GLDD-1013 REQUEST AND APPROVAL FORM Revision No. 7 Effectivity April 21, 2026 Use this form to request shipment clearance from PAGCOR on importations of gaming equipment and/or gaming paraphernalia. Only request with correct, complete information and documentary requirement will be processed. Application with incorrect and/or incomplete information/documents will be returned. Any custom duties and taxes levied on the shipment shall be for the account of the Supplier. PLEASE ALLOW SEVEN (7) BUSINESS DAYS FOR GLDD TO PROCESS YOUR R EQUEST PLEASE NOTE THAT PAGCOR RESERVES THE RIGHT TO CONDUCT POST-AUDIT OF ALL GAMING EQUIPMENT AND GAMING PARAPHERNALIA STORED AT THE SUPPLIER’S WAREHOUSE. Name of Supplier: Date: Permit No.: Validity: SECTION A: SHIPMENT CLEARANCE REQUEST (To be filled up by the Supplier) Please check the applicable box: Gaming Table Bingo machine or console Playing Cards Chips/Plaques Slot Machine Spare part/ Accessories Game Conversion kits Gaming Table Layout Signages Surveillance Equipment Casino Management System for Tables, Slots or E-bingo Gaming Paraphernalia Bingo Flashboard Slot Machine Bingo Paraphernalia Electronic Table Game Terminals Bingo Tickets Electronic Bingo Machine/ Terminal Bingo Balls Others ___________________ Description: Purpose: Demo unit Stock/spare Warranty/replacement For assembly Location: SECTION A.1: FOR IMPORTATIONS OF SLOT MACHINE(S), ELECTRONIC TABLE GAME(S), CONVERSION KIT(S) OR CASINO MANAGEMENT SYSTEM (To be filled up by the Supplier) We are submitting the accompanying Certification/s from an International Gaming Laboratory duly recognized by PAGCOR for the following: Slot Machine Game Conversion Kit Electronic Table Game Casino Management System Others

Page No. Page 2 of 4 SUPPLIERS SHIPMENT CLEARANCE Form No. GLDD-1013 REQUEST AND APPROVAL FORM Revision No. 7 Effectivity April 21, 2026 SECTION A2: SHIPMENT DUTIES TAXES (To be filled up by the Supplier) Importation of the abovementioned Subject Item(s): Duty/Tax free privileges covered under Import Permits filed with Customs and duties taxes for the account of Supplier. Shipment Invoice/s attached (Please mark the applicable box): Commercial Invoice No. Tax Invoice No. Name of Supplier: Shipment Point of Origin Address: SECTION B: TERMS AND CONDITIONS • The Supplier must have a valid Permit to Permit to Hold Gaming Equipment and Gaming Paraphernalia. • The Supplier shall ensure that all items shipped shall be strictly within the quantities and description as approved by GLDD per submitted shipment invoice. PAGCOR may impose sanctions on the Supplier if the actual importation is inconsistent with the submitted shipment invoice. SECTION C: DECLARATION We hereby declare under the penalty of perjury that: 1. The aforementioned are true, correct, complete and consistent with the attached shipping documents. 2. We agree to abide by the terms and conditions under Section B above; and 3. The attached list is the current inventory of the stated storage facility. Name of Authorized Representative: Date: Position Title: Signature: SECTION D: SUBMISSION INSTRUCTIONS Once Sections A and B are completed, please submit this form to GLDD along with the necessary attachments. Hard copies may be submitted directly to the GLDD office on the address indicated below: Gaming Licensing and Development Department Philippine Amusement and Gaming Corporation MET Live Building, Central Business Park 1-A Macapagal Boulevard corner EDSA Extension, Pasay City 1300 Tel Nos. (02) 8522-0299 to local 1156 URL Address: [email protected] OR you may send a scanned copy of this form together with the necessary attachments thru email to: [email protected]

Page No. Page 3 of 4 SUPPLIERS SHIPMENT CLEARANCE Form No. GLDD-1013 REQUEST AND APPROVAL FORM Revision No. 7 Effectivity April 21, 2026 SECTION E: ACTION TAKEN (TO BE FILLED UP BY GLDD) A. RETURNED due to the following reasons: Incomplete information and/or supporting shipment invoice Incorrect information vis-à-vis supporting shipment invoice B. RECEIVED FOR PROCESSING with assigned Reference No. By: Printed Name: Signature: Position Title: Date: C. RECOMMENDATION FOR APPROVAL By: Printed Name: Signature: Position Title: Date: Verified By: Approved By: Regulatory Manager, CLRD-GLDD Assistant Vice President, GLDD

Page No. Page 4 of 4 SUPPLIERS SHIPMENT CLEARANCE Form No. GLDD-1013 REQUEST AND APPROVAL FORM Revision No. 7 Effectivity April 21, 2026 ATTACHMENT: INVENTORY LIST No. of Items Items to be No. Details Quantity Stored in the Total* Shipped Facility 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. *Total = Quantity of items to be shipped + Items stored in the facility