1.29 CLOSING INVENTORY LIST OF GAMING EQUIPMENT AND PARAPHERNALIA FORM

CLOSING INVENTORY LIST Page No. Page 1 of 3 OF GAMING EQUIPMENT AND Form No. EGLD - 441 PARAPHERNALIA FORM REVOKED GAMING LICENSE / Rev. No. 8 CANCELLED ACCREDITATION / CANCELLED PTH Effectivity July 13, 2026 EG Form No. 37 EGLD Reference No.: Entity Classification: Gaming Venue Operator (Operator) Game Content Provider (GCP) Name of Operator / GCP: (As reflected in the license / accreditation certificate) Gaming Venue / Live Gaming Studio Set-Up: _________________________________________________________________________________________ (As reflected in the license / PTH Certificate) Gaming License / Accreditation No.: __________________________________________________________ PTH Certificate No (As Applicable) : __________________________________________________________ Game Offering: ___________________________________________________________________________ Reason for conduct of closing inventory: _______________________________________________________ For gaming venue with revoked License, use this form to submit to Electronic Gaming Licensing Department (EGLD) and CMED the inventory list of all gaming equipment and paraphernalia currently located in the gaming venue within fifteen (15) days from receipt of notice of License revocation as required in the post-operational activities of a gaming venue. For gaming venue with removed Brand, use this form to submit to EGLD and CMED, enumerating the total inventory of all gaming equipment and paraphernalia currently located at the gaming venue, certified correct by CMED-EG pertinent to the removed brand within fifteen (15) days from receipt of notice of approval of removal of brand. For game content provider with cancelled accreditation and/or PTH, use this form to submit to EGLD and CMED, the inventory list of all gaming equipment and paraphernalia currently located in the live gaming studio set-up, as required in the post- operational activities of a game content provider. SECTION A: LIST OF GAMING EQUIPMENT/ PARAPHERNALIA FOR DISPOSAL As of (Date of inventory) PARTICULARS SERIAL PAGCOR ITEM NO. MANUFACTURER REMARKS (Name, Brand or Model) NUMBER TAG NO. 1 2 3 4 5 (Please use separate sheet if necessary.) We affirm, declare and certify that the above-listed items comprise the total inventory of all gaming equipment and paraphernalia currently located in our gaming venue and/or live gaming studio set-up, or all gaming equipment and paraphernalia pertinent to the ceased game offering / brand, as the case may be. We shall dispose of the above gaming equipment and paraphernalia in accordance with Article XIV Section 4 of the Regulatory Framework for Gaming Venue Operations and/or Article III Item 21 of the Regulatory Framework for the Accreditation of Gaming Affiliates and Support Service Providers, as applicable, within ninety (90) calendar days from the date of license revocation, notice of approval of game offering cessation/removal of brand, or notice of cancellation of accreditation, as applicable. We are aware that should these gaming equipment and paraphernalia, whether declared destroyed, sold, shipped out or otherwise, are still found under my/our possession after the ninety (90)-day disposal period, we may be held criminally liable under Philippine laws. Printed Name: Signature: (Authorized Representative) Position Title: Date:

CLOSING INVENTORY LIST Page No. Page 2 of 3 OF GAMING EQUIPMENT AND Form No. EGLD - 441 PARAPHERNALIA FORM REVOKED GAMING LICENSE / Rev. No. 8 CANCELLED ACCREDITATION / CANCELLED PTH Effectivity July 13, 2026 EG Form No. 37 EGLD Reference No.: This is to certify that I/we have witnessed the conduct of closing inventory of above-listed items and that same comprise the total inventory of all gaming equipment/paraphernalia of the above gaming venue / live gaming studio set-up or all gaming equipment and paraphernalia pertinent to the ceased game offering / brand, as the case may be. Printed Name: Signature: (CMED Representative) Position Title: Date: SECTION B: SUBMISSION INSTRUCTIONS Once Section A is completed, please submit this form to EGLD, as applicable, along with the necessary attachments. Hard copies may be submitted directly to EGLD office or scanned copies of the documents may be emailed using the e-mail addresses indicated below: A. Electronic Gaming Licensing Department E-mail addresses: Philippine Amusement and Gaming Corporation [email protected] PAGCOR Corporate Office 10th Floor MET LIVE BUILDING Central Business Park 1-A Macapagal Boulevard cor EDSA Extension, Pasay City 1300 Tel. Nos. (+632) 8522-0299 Local 1969 SECTION C: ACKNOWLEDGEMENT / REJECTION OF NOTIFICATION (TO BE FILLED UP BY EGLD) Printed Name: ___________________________ Signature: _______________________ Position Title: ____________________________ Date: Noted by: ________________________ Senior Regulatory Officer

CLOSING INVENTORY LIST Page No. Page 3 of 3 OF GAMING EQUIPMENT AND Form No. EGLD - 441 PARAPHERNALIA FORM REVOKED GAMING LICENSE / Rev. No. 8 CANCELLED ACCREDITATION / CANCELLED PTH Effectivity July 13, 2026 EG Form No. 37 EGLD Reference No.: SECTION D: LIST OF GAMING EQUIPMENT/ PARAPHERNALIA FOR DISPOSAL As of (Date of inventory) PARTICULARS SERIAL PAGCOR ITEM NO. MANUFACTURER REMARKS (Name, Brand or Model) NUMBER TAG NO.