PAGCOR Forms
OG Form 1175 - Resignation Termination Form (Form B)
Page No. Page 1 of 1 Offshore Gaming Employment License (OGEL) Form No. OGLD - 1175 RESIGNATION / TERMINATION FORM (Form B) Rev. No. 4 Effectivity October 17, 2023 Name of Company Business Address: NAME NATIONALITY POSITION OGEL NUMBER REASON FOR TERMINATION EFFECTIVITY DATE Prepared by: (To be filled up by the Authorized Representative) NAME DATE (Please Sign over Printed Name)
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