OG Form 356 - Remote Play Slot Machine Transfer of Gaming Equipment Notification Form

PAGE NO. Page 1 of 2 REMOTE PLAY SLOT MACHINE FORM NO. OGLD-356 TRANSFER OF GAMING EQUIPMENT REVISION NO. 3 REQUEST FORM EFFECTIVITY June 24, 2024 Use this form to notify PAGCOR regarding transfer of gaming equipment. Please accomplish this form by providing correct and complete information. The Licensee shall submit this form to OGLD at least three (3) working days prior to intended date of implementation. PLEASE NOTE THAT PAGCOR RESERVES THE RIGHT TO CONDUCT POST-AUDIT OF THE TRANSFER OF GAMING EQUIPMENT. Licensee: Location: Date: Date of Implementation: SECTION A: TRANSFER OF GAMING EQUIPMENT (to be provided by licensee) Location: SERIAL Type (Link / PAGCOR Location SM NO. Manufacturer Game Name NO. SA) Tag No. From To (Note: Please use additional sheet/s if the space provided above is not sufficient.) REASON FOR TRANSFER OF GAMING EQUIPMENT: We confirm and undertake to do the following: a. The conduct of inspection and inventory prior to the transfer of the gaming equipment shall be coordinated with the Compliance Monitoring and Enforcement Department and the PAGCOR Monitoring Team. b. Submission of an Annual Inventory Report on or before January 10 of the succeeding year, of all gaming equipment stored in the warehouse and deployed in the gaming area, if applicable. Authorized Representative: Signature: Position Title: Date: SECTION B: SUBMISSION INSTRUCTION Please submit hard copy of this form directly to the OGLD office or scanned copy may be e-mailed using the e-mail address indicated below: Offshore Gaming Licensing Department 11th Floor, MET Live Building, Central Business Park 1-A, Macapagal Boulevard cor. EDSA Extension, Pasay City 1300 Trunk Line: (+632) 8522-0299 local 1195 E-mail Address: [email protected] If submission of this notification form is done thru e-mail, the Licensee should ensure that it has been duly received and acknowledged by OGLD. The Licensee shall be notified by OGLD thru e-mail confirming receipt of this notification form. If no e-mail confirmation is received from OGLD, the Licensee should submit the notification form's hard copy directly to OGLD.

PAGE NO. Page 2 of 2 REMOTE PLAY SLOT MACHINE FORM NO. OGLD-356 TRANSFER OF GAMING EQUIPMENT REVISION NO. 3 REQUEST FORM EFFECTIVITY June 24, 2024 SECTION C: ACTION TAKEN (to be filled out by OGLD) a. ACKNOWLEDGEMENT OF REQUEST (to be filled out by OGLD) RECEIVED with REFERENCE NO. By: Printed Name: Signature: Position Title: Date: b. FOR APPROVAL Approved by: Printed Name: ___________________ Signature: ___________________ Position Title: ____________________ Date: ___________________