REALLOCATION OF EXCESS PERFORMANCE CASH DEPOSIT (PCD)
Page No. Page 1 of 2 REALLOCATION OF EXCESS Form No. EGLD - 1128 PERFORMANCE CASH DEPOSIT (PCD) Rev. No. 1 Effectivity December 17, 2025 EG Form No. 50 EGLD Reference No.: _______________ SECTION A: GENERAL INSTRUCTIONS 1. Print this form and complete the necessary information in the designated spaces. Kindly ensure that all mandatory fields are filled out accurately and comprehensively. Failure to provide all required information may result in the return of your application. The processing of the reallocation of excess PCD will commence once all the correct documentary requirements have been submitted. 2. Submit the original copy of the duly completed EG Form No.__, along with the required supporting documentation, to the Electronic Gaming Licensing Department (EGLD). 3. For any query regarding your application, you may call tel. no. 8522-0299, 8522-1357, 8522-1245, 8522-1324 loc 1569 or send an email to [email protected]. SECTION B: APPLICATION DETAILS Name of Applicant/Operator: __________________________________________________________ (as provided in the Gaming License) Gaming Venue Address: __________________________________________________________ (as provided in the Gaming License) Gaming License Details: License No.: __________________________ Validity Date: _____________________________ Game Offering: ________________________ Existing Brand/s: _________________________ Authorized Representative: ____________________________________ SECTION C: REALLOCATION OF EXCESS PCD Renewal Fee for: PCD for New Game Offering at: Same Gaming Venue Existing Gaming Venue Other Gaming Venue New Gaming Venue Game Offering: ____________________________ Game Offering: _______________________ GL No.: __________ GL Validity: ______________ GL No.: __________ GL Validity: ______________ Gaming Venue Address: Gaming Venue Address: ____________________________________ ____________________________________ ____________________________________ ____________________________________ Amount: _________________________________ Amount: _________________________________ *For the reallocation of PCD as Renewal Fee, submission must be at least one (1) month before the expiration of the Gaming License
Page No. Page 2 of 2 REALLOCATION OF EXCESS Form No. EGLD - 1128 PERFORMANCE CASH DEPOSIT (PCD) Rev. No. 1 Effectivity December 17, 2025 EG Form No. 50 EGLD Reference No.:_______________ ______________ SECTION D: REQUIREMENTS FOR THE REALLOCATION OF EXCESS PCD Submitted Yes No Documentary Requirements 1. Notarized Board Resolution signed by the majority of the Board of Directors signifying the request for reallocation of excess PCD and the assignment / appointment of the authorized representative to transact/sign the documents relative thereof. 2. Original copy of corresponding PCD Official Receipt (O.R.) issued by PAGCOR. If PCD OR is not available, an Affidavit of Loss and a Board Resolution attesting the same shall also be submitted. 3. Copy of latest General Information Sheet (GIS) duly acknowledged by the SEC. 4. Copy of Gaming License 5. Copy of Certificate of Incorporation SECTION E: DECLARATION By signing below, We declare that: 1. The information provided in this application, including all supporting documents, is accurate, truthful, and correct. 2. We agree to adhere to the provisions set forth in the guidelines. 3. We understand that incomplete submission of the requirements will cause the non-processing of the application. Printed Name: ___________________________________ Signature: __________________ (Authorized Representative) Position-Title: ____________________________________ Date: ______________________ SECTION F: ACTION TAKEN (TO BE ACCOMPLISHED BY EGLD) RETURNED APPLICATION due to: _____ Incomplete information _____ Applicant / Operator has decided to withdraw its application _____ Non-compliance with the submission of complete documentary requirements RECEIVED FOR PROCESSING Printed Name: ____________________________________ Signature: ______________ Position Title: ____________________________________ Date: ______________
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