PAGCOR Forms

OG Form 239 - Update Reprinting Form (Form E)

Page No. Page 1 of _ Offshore Gaming Employment License (OGEL) Form No. OGLD - 0239 UPDATE / REPRINTING FORM (Form E) Rev. No. 4 Effectivity March 13, 2024 Name of Company: Business Address: Authorized Representative: Contact Number: RE-PRINT LOST ID NAME FROM TO OGEL NO.

Page No. Page 2 of _ Offshore Gaming Employment License (OGEL) Form No. OGLD - 0239 UPDATE / REPRINTING FORM (Form E) Rev. No. 4 Effectivity March 13, 2024 REQUIREMENTS The Following documents should be attached: Change of Company – Letter from present company Re-print – Supporting documents Lost ID – Affidavit of Loss Approved by: (To be filled up by the Authorized Representative. Please attach a copy of your valid ID) NAME DATE (Please Sign over Printed Name)

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