Gldd 984 Destruction Of Used Playing Cards Notification Form Crm F29

Page No. Page 1 of 1 DESTRUCTION OF USED PLAYING Form No. GLDD - 984 CARDS NOTIFICATION FORM Revision 6 No. Effectivity Aug. 20, 2025 CRM FORM NO. 29 Use this form to notify PAGCOR regarding destruction of used playing cards in the casino. Please accomplish this form by providing correct and complete information. The Licensee shall submit this form to GLDD on the first business day of the succeeding week after the destruction of used playing cards has been completed. Licensee : Name of Casino : Date : Date of Implementation : SECTION A: PROPOSED DESTRUCTION OF USED PLAYING CARDS (TO BE PROVIDED BY LICENSEE) Please be informed of the destruction of used playing cards in the casino based on the following attached “Certificate of Playing Card Destruction Forms” which have been accomplished and signed by the PAGCOR Monitoring Team and acknowledged by representatives of the Licensee: Item Date of Destruction in No. of Decks Destroyed No. the Certification Per Certification 1 2 3 4 5 6 7 We confirm and undertake to do the following: ▪ Destruction of used playing cards is compliant with Regulation 13 Section 2 of the Casino Regulatory Manual for Licensed Land-Based Casinos. ▪ Submission to GLDD of the Destruction of Used Playing Cards Notification Form together with the Certificate of Playing Cards Destruction Form on the first business day of the succeeding week. 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) SECTION C: ACKNOWLEDGEMENT OF NOTIFICATION (TO BE FILLED OUT BY GLDD) RECEIVED with REFERENCE NO. _________________ By: Printed Name: _______________________________ Signature: _______________________ Position Title: _______________________________ Date: _______________________