Gldd 979 Transfer Of Gaming Equipment Notification Form Crm F19

TRANSFER OF GAMING Page No. Page 1 of 4 EQUIPMENT AND PARAPHERNALIA Form No. GLDD - 979 Revision No. 6 NOTIFICATION FORM Effectivity Aug. 20, 2025 CRM FORM NO. 19 Use this form to notify PAGCOR regarding transfer of gaming equipment and/or paraphernalia. Please accomplish this form by providing correct and complete information. The Licensee shall submit this form to GLDD at least one (1) business day prior to intended date of implementation. PLEASE NOTE THAT PAGCOR RESERVES THE RIGHT TO CONDUCT POST-AUDIT OF THE TRANSFER OF GAMING EQUIPMENT AND/OR PARAPHERNALIA. Licensee : Name of Casino : Date : Date of Implementation : SECTION A: TRANSFER OF GAMING EQUIPMENT AND/OR PARAPHERNALIA (TO BE PROVIDED BY LICENSEE) A. EQUIPMENT FOR TRANSFER: Put an [x] mark on any of the following: Gaming Table(s) Slot Machine(s)/Electronic Gaming Machine(s) Playing Cards(s) Electronic Table Game(s) Slot Spare Part(s) Chips/Plaques Table Layout(s) Game Conversion Kit(s) Surveillance Equipment Slot Machine Signage(s) Gaming Paraphernalia Casino Management System for Table & Slot Bill Validator/Acceptor Other Gaming Equipment Please accomplish and submit attached Inventory List of Gaming Equipment and/or Paraphernalia for Transfer. B. FROM: Put an [x] mark on any of the following: Casino Gaming Floor Onsite Storage Area (within the boundaries of the Integrated Resort) Offsite Storage Area (outside the boundaries of the Integrated Resort) Onsite Training Facility(within the boundaries of the Integrated Resort) Offsite Training Facility (outside the boundaries of the Integrated Resort) Others: _________________________________________________________ Location: C. TO: Put an [x] mark on any of the following: Casino Gaming Floor Onsite Storage Area (within the boundaries of the Integrated Resort) Offsite Storage Area (outside the boundaries of the Integrated Resort) Onsite Training Facility(within the boundaries of the Integrated Resort) Offsite Training Facility (outside the boundaries of the Integrated Resort) Others: _________________________________________________________

TRANSFER OF GAMING Page No. Page 2 of 4 EQUIPMENT AND PARAPHERNALIA Form No. GLDD - 979 Revision No. 6 NOTIFICATION FORM Effectivity Aug. 20, 2025 Location: D. DESCRIPTION OF SUBJECT ITEM(S): E. REASON FOR TRANSFER OF GAMING EQUIPMENT AND/OR PARAPHERNALIA: We confirm and undertake to do the following: a. The conduct of inspection and inventory prior to the transfer of the gaming equipment and/or paraphernalia shall be coordinated with the Compliance Monitoring and Enforcement Department- Integrated Resorts (CMED-IR) and the PAGCOR Monitoring Team. b. Submission to CMED-IR of a report indicating all gaming equipment and/or paraphernalia transferred commencing for the month. Name of Requestor : Signature : Position Title : Date: SECTION B: SUBMISSION INSTRUCTIONS Once Section A is completed, please submit this form to GLDD via the PAGCOR Enterprise Content Management System (ECMS) which may be accessed through the following URL: www.ecms.pagcor.ph along with the necessary attachments. If submission of this form is done through the ECMS, an e-mail notification confirming receipt shall be received. The status of the application can be viewed and monitored through the online account created using the same system. Operator can also download and print the acknowledgment generated as proof of submission. If no e-email notification is received, the Operator may inquire from the Gaming Licensing & Development Department through the contact details: Tel. No. (+632)8522-0299/8522-1357/8522-1324 (Local 1148)

TRANSFER OF GAMING Page No. Page 3 of 4 EQUIPMENT AND PARAPHERNALIA Form No. GLDD - 979 Revision No. 6 NOTIFICATION FORM Effectivity Aug. 20, 2025 SECTION C: ACKNOWLEDGEMENT OF NOTIFICATION (TO BE FILLED OUT BY GLDD) RECEIVED with REFERENCE NO. _________________ By: Printed Name: Signature: Position Title: Date:

Page No. Page 4 of 4 TRANSFER OF GAMING Form No. GLDD - 979 EQUIPMENT AND PARAPHERNALIA Revision NOTIFICATION FORM 6 No. Effectivity Aug. 20, 2025 INVENTORY LIST OF GAMING EQUIPMENT FOR TRANSFER PAGCOR TAG NO. MANUFACTURER PARTICULARS* SERIAL NO. REMARKS NO. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 *Under particular, please indicate Game Theme, Brand and Model, if applicable.