PAGCOR Forms

Data Content Streaming Provider Permit to Possess

DATA/CONTENT Page No. Page 1 of 4 STREAMING PROVIDER Form No. EGLD - 446 PERMIT TO POSSESS Rev. No. 4 Application for Accreditation Effectivity March 11, 2024 EG Form No. 53-B Type or print in block letters the needed information on the spaces provided. Put a cross [x] in the box, if one is provided. If a question does not apply to you, write "N/A". Use additional sheet/s for the information whenever necessary. You must provide all required information. Otherwise, your application will be returned. PAGCOR reserves the right to request additional information. The prescribed Accreditation Fee must be paid in full before registration can proceed. Cut-off time for submission of registration forms shall be 4:00 P.M. SECTION A: APPLICATION DETAILS 1. LIVE STUDIO PRODUCTION 1.1. Brand Name of Live ________________________________________________________ Studio Production 2. THE APPLICANT-COMPANY 2.1. Complete Legal Name ________________________________________________________ 2.2. Previous Company ________________________________________________________ Name (if any) 2.3. Complete Postal Address ________________________________________________________ (Floor, Building Name or Number, Street) ________________________________________________________ (Barangay, Town/City, Postal Code) 2.4. Office Contact Details ______________________ ______________________ (Telephone No.) (Mobile No.) ______________________ ______________________ (Fax No.) (E-mail Address) 2.5. Gaming IP Address ________________________________________________________ 2.6. Company Tax ________________________________________________________ Identification No. (TIN) 2.7. Gaming Office Address ________________________________________________________ (Floor, Building Name or Number, Street) ________________________________________________________ (Barangay, Town/City, Postal Code) 2.8. Other Gaming Office ________________________________________________________ Address (if any) (Floor, Building Name or Number, Street) ________________________________________________________ (Barangay, Town/City, Postal Code) 3. AUTHORIZED REPRESENTATIVE 3.1. Complete Name ________________________________________________________ (Family Name/First Name/Middle Name) 3.2. Role or Position in ________________________________________________________ the Company 3.3. Complete Postal Address ________________________________________________________ (Floor, Building Name or Number, Street) ________________________________________________________ (Barangay, Town/City, Postal Code) 3.4. Contact Details ______________________ ______________________ (Telephone No.) (Mobile No.) ______________________ ______________________ (Fax No.) (E-mail Address) Attached is the Secretary's Certificate or Board Resolution designating the authorized representative to transact with PAGCOR and sign documents on behalf of the company.

DATA/CONTENT Page No. Page 2 of 4 STREAMING PROVIDER Form No. EGLD - 446 PERMIT TO POSSESS Rev. No. 4 Application for Accreditation Effectivity March 11, 2024 4. THE ELECTRONIC GAMING SYSTEM (EGS) SERVICE PROVIDER / OPERATOR BEING SERVICED 4.1. Complete Legal Name ________________________________________________________ 4.2. Trade Name (if any) ________________________________________________________ 4.3. Complete Office Address ________________________________________________________ (Floor, Building Name or Number, Street) ________________________________________________________ (Barangay, Town/City, Postal Code) 4.4. Office Contact Details ______________________ ______________________ (Telephone No.) (Mobile No.) ______________________ ______________________ (Fax No.) (E-mail Address) 4.5 Other Office Address, if any ________________________________________________________ (Floor, Building Name or Number, Street) ________________________________________________________ (Barangay, Town/City, Postal Code) 4.6. Complete Postal Address ________________________________________________________ (Floor, Building Name or Number, Street) ________________________________________________________ (Barangay, Town/City, Postal Code) 4.7. Company Telephone No. ________________________________________________________ 4.8. Brand Name of Live ________________________________________________________ Studio Production 5. PROPOSED OPERATIONAL DETAILS 5.1. Type of Gaming Table Proposed No. of Tables a) Baccarat _____________ b) Blackjack _____________ c) Roulette _____________ d) Super 6 _____________ e) Big and Small _____________ f) Pontoon _____________ g) Craps _____________ h) Other table games _____________ i) Training table _____________ SECTION B: DOCUMENTARY REQUIREMENTS DATE RECEIVED by EGLD a. Duly accomplished Application for Permit to Possess Gaming Equipment and Gaming Paraphernalia Form b. Duly accomplished Specimen Signature Card of the Applicant's authorized representative c. Certificate of Enrollment issued by GLDD; d. Copy of Registration Certificate from Securities and Exchange Commission (SEC) e. Latest General Information Sheet (GIS) duly filed with SEC  If a stockholder is also a corporation, a copy of the SEC Registration, Articles of Incorporation and latest GIS of said corporation should likewise be submitted f. Articles of Incorporation, By-Laws duly filed with SEC:  Foreign ownership, if any, must comply with the Regular Foreign Negative List B of the Foreign Investment Acts of 1991 B69 (R.A. No. 7042, as amended by R.A. No. 8179) g. Duly accomplished Personal Disclosure Statements (PDS) of all key officers of the applicant-corporation h. Photocopy of the Mayor's Permit / Business Permit / Municipal License i. Proof of accreditation from an electronic gaming system and games Service Provider or licensed Operator, as applicable j. Detailed location sketch of company office, factory and/or warehouse.

DATA/CONTENT Page No. Page 3 of 4 STREAMING PROVIDER Form No. EGLD - 446 PERMIT TO POSSESS Rev. No. 4 Application for Accreditation Effectivity March 11, 2024 DATE RECEIVED by EGLD k. Notarized sworn undertaking that Applicant shall faithfully abide the following standard terms and conditions: 1. For monitoring purposes, data/content streaming provider shall allow the inspection of the premises, machines and equipment being used in its operations at any time upon request of PAGCOR's monitoring and enforcement personnel duly assigned for the purpose. 2. All hardware equipment to be utilized shall be subject to EGLD's evaluation and approval. Data/content streaming provider shall not install, modify, decommission, remove or destroy any such equipment without written approval from EGLD. l. Notarized sworn Undertaking that Applicant understands, accept and shall abide by the following guidelines: 1. Applicants shall be assessed a Permit to Possess (PTP) fee of One Million Pesos (Php1 Million) per studio to cover regular inspection and monitoring of the gaming studio that houses the gaming equipment and/or paraphernalia. 2. Any unexplained loss, unauthorized transfer or sale of above-mentioned gaming equipment or paraphernalia shall be fined an amount of PhP1 Million. 3. The Applicant shall ensure that designs of table layouts should show the logo, name and/or brand name of the concerned electronic gaming system Service Provider to which the Data/Content Streaming Provider has an existing service agreement. 4. During the pendency of its investigation, the Board may suspend the PTP upon receipt of a complaint or of an information from the monitoring task force based on the following grounds: a. Accredited provider is not, or no longer, in the opinion of the Board, a suitable corporation to be accredited; b. Accredited provider is convicted of an offense in violation of anti-gambling laws of the Philippines; c. Accredited provider is convicted of any serious offense under any other law; d. Accredited provider violates a condition attached to its accreditation. e. Accredited provider is bankrupt or under rehabilitation; f. Accredited provider obtained its accreditation by a materially false or misleading representation or in some other improper way; and g. Accreditation is required to be suspended to ensure that the public interest is not affected in an adverse and material way, or the integrity of the conduct of gaming is not jeopardized in any way. In the event that the accredited provider shall be found guilty of any of the above-mentioned violations, the same shall result to the cancellation of its PTP. 5. PTP issued under this document cannot be transferred by way of sale, inheritance succession, gift or otherwise to any corporation without prior consent of the Board and under any additional condition for the transfer and only if the transferee meets the requirements of this document. 6. Data/Content Streaming Provider shall renew its PTP registration yearly and must comply with the requirements for renewal at least a month prior to expiration, for a similar fee of One Million Pesos (PhP1 Million). 7. Application and processing fees (one-time fee) for additional or transfer of operating site to a building other than that of the existing site is One Hundred Thousand Pesos (PhP100,000.00). Application and processing fees (one-time fee) for additional or transfer of operating site to a building with an existing operating site is Seventy-five Thousand Pesos (PhP75,000.00) per floor. 8. PAGCOR shall impose a replacement fee of Seventy-five Thousand Pesos (PhP75,000.00) for requests for the reprinting of PTP certificates, as long as the request for correction or change in the details, are through no fault of PAGCOR.

DATA/CONTENT Page No. Page 4 of 4 STREAMING PROVIDER Form No. EGLD - 446 PERMIT TO POSSESS Rev. No. 4 Application for Accreditation Effectivity March 11, 2024 SECTION C: DECLARATION By signing below, we declare that: 1. The information contained in this application for registration including all documents submitted relative to this application for accreditation are valid, true and correct; 2. We have executed this statement with the knowledge that misinterpretation or failure to reveal information requested may be deemed sufficient cause for disapproval/denial of this application for accreditation or revocation of the EGS Service Provider Accreditation if application for accreditation has been approved by the time such misrepresentation or act of omission is discovered. 3. We agree to the following: a. to furnish any further information that PAGCOR may require when considering this application b. to notify PAGCOR immediately of any material changes on the information provided in this application for accreditation c. that any person named within this Accreditation Form is authorized to release any information requested by PAGCOR 4. In order to establish that the EGS Service Provider is under control and management of persons of integrity and competence who are of sound character and financial status, we hereby grant authorization for PAGCOR to undertake extensive due diligence enquiries, and to request and receive information about the EGS Service Provider and the individuals named in the application from third parties. Name: ____________________________________ Signature: ____________________ (Authorized Representative) Date: __________________ SECTION D: SUBMISSION INSTRUCTIONS Once Section C is completed, please submit/mail/e-mail this form to EGLD together with supporting documents to the address/e-mail address indicated below: Electronic Gaming Licensing Department Philippine Amusement and Gaming Corporation PAGCOR Corporate Office, MET LIVE BUILDING Central Business Park 1-A, Macapagal Boulevard Cor. EDSA Extensions, Pasay City, 1300 Tel. Nos. (+632) 8522-0299 Loc. 1574 / 1575 E-mail address: [email protected] SECTION E: EVALUATION (TO BE ACCOMPLISHED BY (EGLD) A. EVALUATION OF DOCUMENTS SUBMITTED  Application for PTP is found to be in order with complete documentary requirements  Returned due to incomplete or incorrect document / information Acknowledged by: __________________________________ __________________________________ Evaluator Authorized Representative Date: __________________ Date: __________________ B. PAYMENT OF PERMIT TO POSSESS (PTP) FEE Date of Payment: ________________ __________________ Processor C. ENROLLMENT DATE OF APPLICANT AS SUPPLIER Date of Enrollment: ________________ __________________ Processor D. RECOMMENDATION FOR APPROVAL  OK for Board Approval __________________ Processor

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