PHILIPPINE AMUSEMENT AND GAMING CORPORATION

RESPONSIBLE GAMING

Code of Practice

Version 5.0

March 2017

Gaming Licensing and Development Department

1
 Table of Contents
Foreword................................................................................................ 4
I. Definition of Terms………………..…………………………..…....... 5
II. Probity Measure……………………………………………..…….…. 7
III. Limited Access………………………………….………….…….…... 8
IV. Financial Transactions
1. Anti-Money Laundering Act………………………………………… 10
2. Credit………………………………………………………………….. 10
3. Banking Access……………………………………………………… 10
V. Fair Gaming Experience……….……….….……………..….……… 11
VI. Awareness Program….……………………….……..……….…...…. 12
VII. Advertisements
A. General Rule……………………….………………………………… 14
B. Mass Media Coverage…………..…………………………………. 14
C. Content…………………………..…………………………………… 14
D. Location of Billboards………………………………………………. 15
VIII. Facilities
1. Child Care……………………………………………………………. 16
2. Entertainment Venues……………………………………………… 16
IX. Training of Management and Staff………………….…..…...….… 17
X. Support Facilities
1. Helpline…………………………………………..…………………… 18
2. Feedback System…………………………………………………… 19
XI. Exclusion Program
1. Player Exclusion Types
1.a Self Exclusion………………………………………… 20
1.b Family Exclusion……………………………………… 21
1.c Licensee-emanating Exclusion…………………….. 23
2. Submission of Application…………………………………………… 25
3. Breach of Exclusion Order………………………………………….. 25
XII. Help Centers in the Philippines……………..….………….….……... 26

2
Annexes

RG Form 1 – Employee Verification Form

RG Form 2 – Self Exclusion Application Form
RG Form 3 – Family Exclusion Application Form
RG Form 4 – Licensee-emanating Exclusion Order
RG Form 5 – NDRP On-line User Access Control Form
RG Form 6 – Endorsement for Electronic Personal Disclosure
Statement
RG Form 7 – Personal Disclosure Statement Online User
Access Control Form
RG Form 8 – Petition to Amend the Exclusion Period

Annex A – National Database of Restricted Persons (NDRP)

User Manual
Annex B – Personal Disclosure Statement Application Guide
Annex C – Certificate of Non-Filing of Annual Income Tax
Return
Diagram 1 – Employee Verification Flowchart
Diagram 2 – How to Submit Personal Disclosure Statement
Electronically

3
Foreword

“Gaming” or “Gambling” is commonly used to refer to activities which

involve wagering, odds and prizes. While it is considered an
enjoyable form of entertainment, gaming can have a negative impact
on the player or his family and community when done in excess.

PAGCOR, the Philippine government arm that regulates authorized

gaming establishments around the country, expects gaming services
provided by its Licensees to be delivered in a responsible manner.
This Code of Practice sets out rules and guidelines on Responsible
Gaming (RG) that will be adopted by all PAGCOR-operated and
licensed entities in authorized gaming establishments, in order to
minimize potential harm to the individual players and the community,
to prevent gambling addiction and to prohibit underage gambling.

Though the principles are intended to apply to all gaming operators,

the method of implementing this Code will vary according to the form
of gaming. The Rules defined herein are based on present best
global practices. They must be complied with as minimum
standards. Manuals for different forms of gaming shall have specific
implementing guidelines. As best global practice is constantly
evolving and changing in the light of updates in research, technology
and business practices, this Code of Practice and the different
Manuals will be subject to regular review and evaluation.

4
 I

I. DEFINITION OF TERMS

Billboard
- a panel for the display of advertisements in public places, such
as alongside highways or on the sides of buildings.1

Gaming
- means playing games of chance in casinos and gambling
establishments and any variations thereof, including but not
limited to the games of chance referred to in the Provisional
License or Authority to Operate, whichever is applicable.

Gaming Employment License (GEL)

- an authorization issued by PAGCOR granting a person the
privilege to be employed as a gaming employee within the
Philippine jurisdiction.

Licensed gaming establishment

- the premises of a Licensee, which includes all land, together
with all buildings and improvements located thereon.

Licensee
- the entity to which a Provisional License or Authority to Operate
was issued by PAGCOR as the case may be.

National Database of Restricted Persons (NDRP)

- a list of names with their personal information compiled and
updated by PAGCOR who are prohibited from entering and
from playing in specific PAGCOR-authorized gaming premises
in the Philippines.

1
http://www.thefreedictionary.com/billboard

5
 Operator
- a legal entity contracted by the Licensee to manage and
conduct gaming activities in specific properties
- may be PAGCOR or the Licensee itself

Problem Gambler
- an individual affected by gambling to the point of no longer
having normal control or rational judgment, leading to problems
in other areas of the gambler’s life.2

Problem Gambling
- an urge to continuously gamble despite harmful negative
consequences or a desire to stop. It is often defined by whether
harm is experienced by the gambler or others, rather than by
the gambler's behaviour. 3

- a gambling behaviour which causes disruptions in any major

area of life: psychological, physical, social or vocational. The
term "Problem Gambling" includes, but is not limited to, the
condition known as "Pathological", or "Compulsive" Gambling, a
progressive addiction characterized by increasing
preoccupation with gambling, a need to bet more money more
frequently, restlessness or irritability when attempting to stop,
"chasing" losses, and loss of control manifested by continuation
of the gambling behaviour in spite of mounting, serious,
negative consequences.4

2
http://www.data.amity.org.au
3
en.wikipedia.org/wiki/Problem_gambler
4
http://www.ncpgambling.org

6
 II

II. PROBITY MEASURES

PAGCOR sets probity standards and measures to establish

integrity, financial soundness, business ability and the suitability to
serve in a licensee’s Board of Directors.

Electronic submission of the Personal Disclosure Statement

(PDS) must be accomplished by the members of the Board of
Directors of licensees and partners and sole proprietors of
licensed gaming venues by May 31 of each year.

Filipinos and resident foreigners must indicate their Tax

Identification Number (TIN) and date of filing of their Income Tax
Returns (ITRs) for the previous year. In case no income is earned
from the previous year, a Certificate of Non-Filing of ITR must be
accomplished. Non-resident foreign nominees of the Board must
indicate their valid passport details (number, place of issuance
and expiration date) in lieu of the ITR. ITRs, Certificates of Non-
Filing of ITR and Passports must be kept on file as certified in RG
Form 6.

The PDS system recognizes the schedule of PDS electronic

submission from January 1 to May 31 of every year. Any data
entry after this period is considered late and may be subject to
penalty as provided in the Regulatory Manuals.

Refer to Annex B for the PDS Application Guide.

7
 III

III. LIMITED ACCESS

1. Pursuant to Presidential Decree 1869 (PAGCOR Charter) as

amended by Republic Act 9487 and Malacañang
Memorandum Circular No. 8, the following persons are not
allowed to play:

a) Government officials connected directly with the

operation of the Government or any of its agencies,
and their immediate relatives (parents, spouses and
children);
b) Members of the Armed Forces of the Philippines,
including the Army, Navy, Air Force or the Philippine
National Police; and
c) Persons under 21 years of age or student of any
school, college or university in the Philippines.

From these are excepted the personnel employed by

the casinos, special guests, or those who at the
discretion of PAGCOR may be allowed to stay in the
premises.

2. Registration of Gaming Members

The Licensees are given sufficient leeway to formulate

their own internal rules and policies relating to
membership in their respective gaming establishments
including, but not limited to registration of gaming
members.

8
3. Employees of Licensees

In order to maintain the integrity of the conduct of

gaming, eliminate the possibility of problematic
compulsive gambling among employees, avoid the
possibility of heavily indebted employees due to
gaming activities to engage in potential acts of
dishonesty, theft, fraud and/or collusion of employees
with players and/or other employees and prevent
appearance of impropriety, all employees holding
Gaming Employment License (GEL) are prohibited
from playing in any gaming establishment in the
Philippines.

Should there be a need to verify if an employee

violates such company policy, the procedure is shown
in Annex B: Employee Verification Flowchart. RG
Form 1 shall be accomplished.

PAGCOR may impose, after compliance by licensees

with due process requirements, the following penalties
upon any employee found to be in violation of the
aforesaid provision:

First offense: Suspension of GEL for two (2) weeks

Second offense: Suspension of GEL for one (1) month

Third offense: Revocation of GEL

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 IV

IV. FINANCIAL TRANSACTIONS

1. Anti-Money Laundering

- The legislative bodies of the government are taking

measures to amend Republic Act No. 9160 or the Anti-
Money Laundering Act of 2001 to include casinos as
covered persons.

2. Credit

- No credit will be extended by the gaming operators to

players without premium accounts and to non-VIP
customers.

3. Commercial Banking Access

- All banking units located inside the gaming area should

follow the prescribed transactions of Banko Sentral ng
Pilipinas (BSP).

- Manned commercial banking facilities located inside

the gaming area should be limited to foreign exchange
transactions only. With regard to Automated Teller
Machines, prudence should be exercised in
determining their location.

10
 V

V. FAIR GAMING EXPERIENCE

1. Game rules must be defined and game manuals must be

approved by PAGCOR.

2. Gaming machines must be certified by international testing

laboratories to ensure fairness.

11
 VI

VI. AWARENESS PROGRAM

1. The Licensee must have efforts in creating awareness

among its patrons about problem gambling. The following
information should be provided:

(i) Definition of problem gambling

(ii) Signs of problem gambling
(iii) Age restrictions imposed by Philippine laws and
regulations
(iv) Negative impact of excessive gambling on the
individual, family and society
(v) Exclusion procedures and forms
(vi) Helpline (mobile or landline) and email address
and/or website
(vii) Contact numbers of therapists, counselors and/or
rehabilitation centers

2. Slogan
- A standard slogan must be visible in Responsible
Gaming materials placed in gaming venues.

3. Communication Media
- Proposed layout must be presented to PAGCOR
GLDD prior to publication.

(a) Signages as appropriate must be clearly visible and

displayed in conspicuous locations such as:
(i) Access points
(ii) Toilets

12
 (b) Official website
- a page must show the licensee’s RG program

(c) Betting and marketing materials, membership booklets,

information leaflets and similar communication with RG
information are made available to patrons.

4. Standard RG Information

(a) Persons younger than 21 years old are not allowed to

play.

(b) PAGCOR RG link www.pagcor.ph/regulatory and RG

email address [email protected]

13
 VII

VII. ADVERTISEMENTS

A. General Rule

Advertising materials published in any form of media in

the Philippines must be socially responsible. Said
materials must not portray, encourage or condone
gambling behavior that is socially irresponsible or could
lead to financial harm, directed at children or feature
people who are or who appear to be under 21 years old,
or suggest that gambling can be a solution to financial
problems.

B. Mass Media Coverage

1. Print
2. Television and cable
3. Radio
4. Internet
a. Website
b. Blogs
c. Social media sites
d. Electronic mail
5. Telephone marketing (SMS, MMS, calls)
6. Promotional posters, tarpaulin streamers, fliers and
LED signage
7. Billboards
8. Mobile ads, vehicle wrap

C. Content

1. Mandatory Elements
a. Prohibition of under 21 years old logo
b. RG slogan – “Keep it Fun”
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 c. End tag for Radio ads:
“Keep it Fun. Game Responsibly.”

d. Closing billboard/tag line for TV commercials, print

ads, billboards, web-based promos and other
media:
“Gaming for 21 years old and above only. Keep it
Fun. Game Responsibly.”

2. Messages should not:

a. be directed to persons below 21 years old

- must neither catch the attention nor give
interest to the viewing minors
b. imply that a player’s skill can influence the
outcome of a gambling activity
- discourage the thought that skill and talent can
change the result of the game or can assure a
win
c. give an impression that gambling is an accepted
way to make money
- promote that gambling is more on
entertainment, fun and leisure and not a money-
making activity
- must not imply that gambling solves financial
problems
d. include misleading statements about odds and
prizes
- should not ensure winnings or prizes if not
guaranteed

D. Location of Billboards

Billboards that promote the licensees’ facilities and its

activities must be located not less than a 200 meter
radius from schools and places of worship/churches.
As defined in Licenses to Operate, schools are
educational institutions duly registered with the
Department of Education (DepEd) and Commission on
Higher Education (CHED). Places of worship are sites
predominantly used for regular worship.
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 VIII

VIII. FACILITIES

1. Child Care
- Where gaming establishments do not have separate
passageways from the gaming floor to and from food
outlets and entertainment venues, minors(children less
than 18 years old) must never linger, be left alone
unaccompanied nor be unsupervised by their adult
companions at all times.

2. Entertainment Venues
- The Licensee shall provide hospitality services and/or
operate entertainment venues in or near the gaming
area so as to encourage customers to take breaks in
play.

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 IX

IX. TRAINING OF MANAGEMENT AND STAFF

The Licensee, in coordination with PAGCOR, are to conduct

training programs, symposia, refresher courses and/or seminars
on problem gambling for its employees.

1. These shall educate the employees on:

- The Licensee’s Responsible Gaming Program
- How to spot a problem gambler
- How to respond to questions about Responsible
Gaming program
- What to do when confronted by problem gamblers
or relatives
- Availability of helplines

2. Attendance at the seminars will be included as a

requirement to maintain the validity of an employee’s
Gaming Employment License (GEL). A webinar may be
an alternative.

3. The Licensee will ensure that each employee is made

aware of the referral details for problem gamblers or
family members seeking help for their relatives with
gambling problems, including the Exclusion Programs.

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 X

X. SUPPORT FACILITIES

Licensees are to establish gambling-related complaint resolution

mechanisms to address gambling concerns, through helplines
(landline or mobile) and internet (email or website).

1. Helpline

(a) Hotline
- A 24/7 answer service may be made available to
customers who seek help or to their immediate
relatives.

(b) Official Network ID

- The Licensee’s official network ID often used for
promotional messages may be used to inform
patrons of the availability of gambling-related
complaint channels and of the status of their
membership accounts.

(c) Email Account

- An email address may be devoted to receive
problem gambling concerns. The Licensee is
responsible for immediately replying to customers.
Alternatively, a link to a website may be set up for
easy access to responsible gaming programs such
as requests for exclusion and referrals to therapists
and rehabilitation centers.

- Inquiries, requests for exclusion and application

forms and other related concerns may be addressed
to PAGCOR’s designated Responsible Gaming
email address.

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 (d) Counseling Contact Information
- Customers who feel the need for professional help
or persons concerned about family member/s with
gambling problem/s will be provided with contact
information of appropriate counseling individuals or
centers through passive channels.

2. Feedback System

Gaming providers must maintain a Responsible Gaming

Incident Record to ensure that situations are acted upon
and that corresponding actions taken by staff to assist
people is according to rules. The following particulars
should be put on record:

a. Date, time, location and nature of any event where a

patron reports a gambling-related problem
b. Name, address and contact details (if known) or
description of the person in relation to whom action
was taken
c. Action taken and by whom
d. Name, address and contact details of person
requesting if not the problem patron himself
e. Person or institution to whom patron was referred to

19
 XI

XI. EXCLUSION PROGRAM

Operators are to provide patrons who feel that relatives or they

themselves are developing a problem with gambling with the
option of barring them from playing in the gaming venues or sites.

An Operator must not disclose information gathered during the

facilitation of an application for Exclusion to any third party, unless
legally obliged to do so or with the player’s consent.

All information and data, especially the identity of excluded

persons, must be treated as classified information by the
designated personnel of stakeholders of the Philippine gaming
industry who are given access to the National Database of
Restricted Persons or NDRP (see Annex D for User Guidelines).

1. Player Exclusion Types

(a) Self Exclusion

(i) Application can be initiated by sending an inquiry

to PAGCOR’s Responsible Gaming email
account. Exclusion forms may be downloaded
through the PAGCOR website at
www.pagcor.ph/regulatory and are available at
PAGCOR operated and regulated gaming sites.

(ii) Applicant must submit the following documents:

 Photocopy of one (1) valid government ID

card with photo and signature
 Fully accomplished RG Form 2
 One (1) 2x2 photo taken within 6 months
from application date
20
 (iii) Applicant may request for an exclusion period of
6 months, 1 year or 5 years. After completion of
the exclusion period, the self-exclusion order will
be lifted automatically. A self-exclusion period
for the first six (6) months is irrevocable.

(iv) An extension of self-exclusion may be requested

for at least six (6) months. RG Form 2 must be
accomplished and submitted again.

(v) Respondent for self exclusion may apply for a

Petition to Amend the Exclusion Period (RG
Form 8) only after the 6-month irrevocable
period.

(vi) Regardless of where application was applied, the

self-exclusion order will be enforced in all
PAGCOR operated and regulated gaming
facilities. Names of excluded persons will be
posted in the National Database of Restricted
Persons.

(b) Family Exclusion

(i) Application can be initiated by sending an inquiry

to PAGCOR’s Responsible Gambling email
account. Exclusion forms may be downloaded
through the PAGCOR website at
www.pagcor.ph/regulatory and are available at
PAGCOR operated and regulated gaming sites.

(ii) The family member is considered the applicant

while the problem gambler is the respondent.

(iii) Any one of the following family members may

request for a player’s exclusion:

 spouse
 child at least 18 years old
 parent
21
(iv) Immediate family member applying for exclusion
must submit the following documents:

If applicant is the parent:

 Photocopy of respondent’s valid
government ID with photo
 Photocopy of respondent’s Birth Certificate
 Photocopy of applicant’s valid government
ID with photo and signature
 One (1) 2x2 photo of respondent taken
within 6 months from application date
 Fully accomplished RG Form 3

If applicant is the child:

 Photocopy of respondent’s valid
government ID with photo
 Photocopy of applicant’s Birth Certificate
 Photocopy of applicant’s valid government
ID or school ID with photo and signature
 One (1) 2x2 photo of respondent taken
within 6 months from application date
 Fully accomplished RG Form 3

If applicant is the spouse:

 Photocopy of respondent’s valid
government ID with photo
 Photocopy of Marriage Contract
 Photocopy of applicant’s valid government
ID with photo and signature
 One (1) 2x2 photo of respondent taken
within 6 months from application date
 Fully accomplished RG Form 3

In lieu of the Birth Certificate, a foreign applicant

may submit an official document issued by its
home country’s government establishing his/her
identity as well as the respondent’s and their
relationship, the authenticity of which must be

22
 certified by the Department of Foreign Affairs of
the Philippines. Incomplete requirements will
not be processed.

(v) The exclusion order will take effect and will

be enforced irrevocably for the first three
(3) months.

(vi) Upon expiration of the first 3 months, the

relative may re-apply for exclusion for
another 6 months (RG Form 3), otherwise,
the Family Exclusion Order will be lifted
automatically. Subsequent re-applications
for exclusion will be on a yearly basis.

(vii) Regardless of where application was

applied, the Family Exclusion Order will
take effect in all PAGCOR operated and
regulated gaming facilities. Names of
excluded persons will be posted in the
National Database of Restricted Persons
(NDRP). For reference of the operators,
the NDRP Manual is attached as Annex D.

(c) Licensee-emanating Exclusion

(i) An Operator, on its own accord, may issue an

exclusion order to bar a person from its gaming
premises (RG Form4) on the following grounds:

 Cheating5
 Theft6
 Use of camera or any electronic device
to assist in projecting the outcome of the
game
 Possession of counterfeit chips, tokens,
or cashless wagering instruments
5
https://en.wikipedia.org/wiki/Cheating_in_casinos
6
http://philippinelaw.info/revised-penal-code/article-308_who-are-liable-for-theft.html

23
  Unlawful interference with a gaming
equipment
 Forgery or counterfeiting
 Money laundering
 Fraud

The Operator, however, may bar a person from

entering its own premise under just reasons, but
this will not be observed in other venues/outlets.

(ii) Committee of Assessors (CoA)

- Each Licensee will form its own CoA. The

CoA will determine an operator’s
recommendation for an exclusion order.
- The respondent will be given seventy-two
(72) hours notification by the Licensee
before the exclusion order takes effect.

(iii) A Licensee may process an Exclusion Order to

be effective in all gaming establishments by
accomplishing the following which should be kept
on file and readily available for audit by
PAGCOR:

- RG Form 4 certified by the Licensee’s Chief

Operations Officer
- Complete Investigation Report proving that
the respondent committed any of the
grounds listed under IX.1.c.i (optional: with
attached Police or Barangay Report)
- One recent photo of the respondent

PAGCOR will evaluate the recommendation

based on the full Investigation Report, transcript
of the interview with the respondent, and other
pertinent documents.

24
 (iv) A Licensee-emanating Exclusion Order will
take effect irrevocably for three (3) months,
after which, the suspension is lifted
automatically. Subsequent re-applications for
exclusion will be for a period of one (1) year.
While enforced, the nationwide total
exclusion order will be posted in the NDRP.

(v) A person with Licensee-emanating Exclusion

Order is not qualified to obtain a GEL.

2. Submission of Application

Complete documentary requirements for Self and Family

Exclusion applications, together with the fully accomplished
and signed application form, must be submitted inside a
sealed long-sized brown envelope addressed to:

APPLICATION FOR EXCLUSION ORDER

PAGCOR - GLDD
Ground Floor PAGCOR House
1330 Roxas Boulevard
Ermita, Manila 1000

The envelope must be sent to the above address either

through:

a. personal delivery, or
b. courier service

Envelopes will be dropped inside a box marked

“GLDD” located at the lobby of PAGCOR House.

3. Breach of Exclusion Order

Once an Exclusion Order is given, it is the intention of this

Code that such Order be not revoked before the expiration
date.

25
 XII

XII. HELP CENTERS IN THE PHILIPPINES

Listed hereunder are some Help Centers located around the

Philippines:

Life Change Recovery Center

Dr. Randy Misael S. Dellosa
105 Scout Rallos Street, Kamuning
Barangay Sacred Heart, Quezon City
Tel. nos. (02) 415-7964 / 415-6529
Website: www.lifechangerecovery.com

Roads and Bridges to Recovery

520 EDBEN Building
Dr. Sixto Antonio Avenue, Maybunga, Pasig City
Tel. no. (02) 643-6056 loc. 112
Cebu branch: Upper Malibu Beach Street,
Subangdaku, Mandaue City, Cebu
Email: [email protected]

26
 RG Form 1

PHILIPPINE AMUSEMENT AND GAMING CORPORATION

A Sure Bet for Progress in Gaming, Entertainment and Nation Building

Employee Verification Form

Use this form to request for verification of personnel employed by PAGCOR or any gaming licensees in the Philippines. Only requests with correct and
complete information will be processed. Failure to provide correct and complete information may result in rejection of processing of this request.

USE BLOCK LETTERS

EMPLOYEE'S PERSONAL INFORMATION (To be filled-out by the Licensee)
Name:
Surname First M.I.
Birthdate: Sex: Male Female
mm/dd/yyyy

Verification of employee playing at: Casino Filipino/PAGCOR-operated casino e-Bingo

PAGCOR-operated arcade e-Games Station
Licensed casino Instawin outlet
Poker Club MSW outlet
Traditional Bingo

Requested by: Date:

(Signature over Printed Name)
Position: GEL No.
Licensee:

FOR GLDD USE ONLY

Licensee request is:
REJECTED for the following reasons:

Incomplete information
Others

Employee verification request yields:

No presence in GEL database

Positive presence in GEL database
Current employer:
(Licensee / Gaming Establishment)
with GEL No.

RECEIVED AND PROCESSED BY: Date:

(Signature over Printed Name)

(Position Title)

CERTIFIED BY:
THADEO FRANCIS P. HERNANDO
Vice President

Remarks: Verification is based on name and birthdate submitted to PAGCOR GLDD. Wrong or incomplete name and birthdate may
result in mismatch with database information.
 RG Form 2
Revised (04/06/2016)

PHILIPPINE AMUSEMENT & GAMING CORPORATION

A Sure Bet for Progress in Gaming, Entertainment and Nation Building

Self Exclusion Application Form

USE BLOCK LETTERS
Personal Information
Name (Family Name) (First Name) (Middle Name)

ID Presented  Passport  Driver's License  SSS  Others ___________________

Date of Birth (mm/dd/yyyy) Gender ID No.
Male Female Nationality
Contact Information
Block / House No. Floor / Unit No., Building Street

Village/Subdivision City

Contact Numbers (landline and mobile) Email

Gaming establishment e-Games outlet e-Bingo boutique Bingo hall Sports-betting kiosk
visited regularly: Poker club Casino, pls. specify

Are you willing to receive articles/reading materials about Responsible Gaming? Yes No

Attachments:
Recent 1. Photocopy of government-issued photo ID
2x2 2. One (1) recent 2x2 photo
Photo

============================================================================================
TERMS AND CONDITIONS
I understand the content and purpose of this Exclusion application and that the effect of this application is
that an Exclusion Order will be enforced which shall exclude myself from entering any gaming establishment
operated and regulated by PAGCOR. I understand that this Exclusion Order is irrevocable.
I understand that my application for Self Exclusion will stay in force for a period of:
Six (6) months One (1) year Five (5) years
I understand that PAGCOR will provide my name and particulars to all gaming establishments operated and
regulated by PAGCOR for the purpose of banning from playing.
I declare that the information provided in this application are true and correct.
I declare that I will hold PAGCOR harmless from any claim for damages that may be brought against PAGCOR
in any proceeding in relation to this Exclusion Order.

(Signature over Printed Name) (Date)

 RG Form 3
PHILIPPINE AMUSEMENT & GAMING CORPORATION
A Sure Bet for Progress in Gaming, Entertainment and Nation Building

Family Exclusion Application Form

USE BLOCK LETTERS
Information on Applicant (Family Member making request)
Name (Family Name) (First Name) (Middle Name)

ID Presented  Passport Driver's License  SSS  Others ___________________

Date of Birth (mm/dd/yyyy) Gender Relation to Respondent  Parent  Child  Spouse

Male Female Nationality
Block / House No. Floor / Unit No., Building Name Street

Village/Subdivision City

Contact Numbers (landline and mobile) Email

Information on Respondent (person to be excluded)

Name (Family Name) (First Name) (Middle Name)

ID Presented  Passport  Driver's License  SSS  Others ___________________

Date of Birth (mm/dd/yyyy) Gender ID No.
Male Female Nationality
Block / House No. Floor / Unit No., Building Name Street

Village/Subdivision City

Contact Numbers(landline/mobile) Email

Gaming establishment e-Games outlet e-Bingo boutique Bingo hall Sports-betting kiosk
visited regularly: Poker club Casino, pls. specify

Are you willing to receive articles/reading materials about Responsible Gaming? Yes No
Attachments:
1. Photocopies of supporting documents, as applicable
If applicant is the parent: If applicant is the child:
Recent 2x2 - government photo ID of respondent - government photo ID of respondent
Photo of - Birth certificate of respondent - government ID or school ID with photo
Respondent - government photo ID of applicant of applicant
If applicant is the spouse: - Birth certificate of applicant
- government photo ID of the respondent
- Marriage Contract
- government photo ID of applicant
2. One (1) recent 2x2 photo of person requested to be excluded
==========================================================================================================
TERMS AND CONDITIONS
I understand the content and purpose of this Exclusion application and that the effect of this application is that an
Exclusion Order will be enforced which shall exclude my relative from entering any gaming establishment operated
and regulated by PAGCOR. I understand that this Exclusion Order is irrevocable.
I understand that my application for Family Exclusion will stay in force for a period of:
Three (3) months Six (6) months One (1) year
I understand that PAGCOR will provide my relative's name and particulars to all gaming establishments operated
and regulated by PAGCOR for the purpose of banning from playing.
I declare that the information provided in this application are true and correct.
I declare that I will hold PAGCOR harmless from any claim for damages that may be brought against PAGCOR by my
excluded relative in any proceeding in relation to this Exclusion Order.

(Signature over Printed Name) (Date)

 RG Form 4
Revised 10/01/2014

PHILIPPINE AMUSEMENT & GAMING CORPORATION

A Sure Bet for Progress in Gaming, Entertainment and Nation Building

Licensee-emanating Exclusion Order

USE BLOCK LETTERS
Information on Respondent (person requesting to be excluded)
Name (Family Name) (First Name) (Middle Name)

ID Presented  Passport  Driver's License  SSS  Others ___________________

ID No.
Date of Birth (mm/dd/yyyy) Gender Nationality
Male Female Work/ Business Type
Alias/es (if any)
Applicant's Contact Information
Name (Family Name) (First Name) (Middle Name)

Block / House No. Floor / Unit No., Building Name

Street Village/Subdivision

City Country

Zip Code Contact Numbers (landline and mobile)

Email GEL No. (if PAGCOR/Licensee employee)

Licensee Information (Licensee making request)

Licensee (Name of company)
Gaming Establishment
Respondent's violation/s:
Cheating
Theft
Use of camera or any electronic device to assist in projecting the outcome
of the game
Possession of counterfeit chips, tokens or cashless wagering instruments
Unlawful interference with a gaming equipment
Forgery or counterfeiting
Money laundering
Fraud

Attachments: (Should be on file together with this form)

1. One (1) recent 2x2 photo
2. Government-issued ID with photo of respondent
3. Full investigation report, transcript of the interview and other pertinent documents

Certified by: Date:

(Licensee's COO)

For PAGCOR GLDD use only

RECEIVED BY: Date:

 RG Form 5
Revised 10/01/2014

NATIONAL DATABASE OF RESTRICTED PERSONS

ON-LINE USER ACCESS CONTROL FORM

LICENSEE NAME: _______________________________________________________________

User Information
Family Name First Name Middle Name

Position: GEL No.:

Office Tel. No.: Email:
IP Address of the designated computer for NDRP access:

Access Rights

Property Administrator User 1 User 2 User 3

Access Agreement (Please read before signing)

1. Access account must not be revealed to others or allowed to be used by others.
2. Password must not be inserted into email messages or other forms of electronic communication.
3. Access level account must not be used to breach security permission level or
interruptions to the program. Security breaches include, but are not limited to: accessing
data of which the employee is not an intended recipient or logging into the program or
account that the employee is not authorized to access.
4. For security and network maintenance purposes, authorized personnel from PAGCOR
may monitor equipment, systems and network traffic at any time.
5. Any User found to have violated these policies may be subject to disciplinary action, which
could lead to revocation of the Gaming Employment License (GEL).

Authorization
User: Authorized by:

_______________________________________ _______________________________________
Signature over printed name Signature over printed name
Date: Date:

FOR PAGCOR USE ONLY

Confirmation
Approved access by: Enrolled by:

__________________________________________ ______________________________________
Signature over printed name Signature over printed name
Date: Date:
 RG Form 6

(COMPANY LETTER HEAD)

ENDORSEMENT FOR ELECTRONIC SUBMISSION OF

PERSONAL DISCLOSURE STATEMENT (PDS)

This is to endorse the filing of Personal Disclosure Statement/s (PDS) of our

Board of Directors; Number of Directors (5, 7, 9, 11 or 13)

Partners; Number of Partners (2, 3 or 4)

Sole Proprietorship:

NAME POSITION
(Family Name, First Name, Middle Name)

(For Consortiums, please add another column to indicate company represented by each individual)

I certify that we have validated and have on record the following documents based on the
latest General Information Sheet (GIS) from the Security and Exchange Commission (SEC) of
the above-listed nominees of Board of Directors/Partners or the Department of Trade and
Industry (DTI) Registration form of Sole Proprietor:

For Filipinos and foreign residents: Income Tax Returns (ITR) duly received by the
Bureau of Internal Revenue (BIR) or Certificate
of Non-Filing of Annual ITR (Annex F)

For non-resident foreigners: Copy of valid passports

I will immediately inform PAGCOR of any change in the above listed persons upon filing of
appropriate forms with the SEC or the DTI, as applicable.

___________________________ _____________________
(Signature over printed name) (Date)

______________________________
Position
(Corporate Secretary/Partner/Proprietor)
 RG Form 7

PERSONAL DISCLOSURE STATEMENT

USER ACCESS CONTROL FORM

LICENSEE / COMPANY NAME: ___________________________________________________

Licensed-casino e-Games Bingo Instawin Poker

Corporation Partnership Sole Proprietor

User Information
Family Name First Name Middle Name

Position: GEL ID No.:

Office Tel. No.: Email:

Access Rights

Administrator (for PAGCOR only) Encoder

Access Agreement (Please read before signing)

1. Access account must not be allowed to be used by unauthorized persons.
2. Password must not be inserted into email messages or other forms of electronic
communication.
3. Access level account must not be used to breach security permission level or interruptions to
the program. Security breaches include, but are not limited to: accessing data of which the
employee is not an intended recipient or logging into the program or account that the
employee is not authorized to access.
4. For security and network maintenance purposes, authorized personnel from PAGCOR may
monitor equipment, systems and network traffic at any time.
5. Any User found to have violated these policies may be subjected to disciplinary action, which
could lead to revocation of the Gaming Employment License (GEL).

Authorization
User/Compliance Officer: Authorized by:

_______________________________________ _______________________________________
Signature over printed name Signature over printed name
Position: _______________________________ Position: _______________________________
(Corp. Sec./Partner/Proprietor)
Date: Date:

FOR PAGCOR USE ONLY

Confirmation
Enrolled by:
__________________________________________
Signature over printed name Notice received by user
Date:
 RG Form 8

PHILIPPINE AMUSEMENT & GAMING CORPORATION

A Sure Bet for Progress in Gaming, Entertainment and Nation Building

Petition to Amend the Exclusion Period

(For Self Exclusion Only)

Information on Excluded Person

Name:
(family name) (first name) (middle name)
Birthdate: Contact Number (landline/mobile)
mm/dd/yyyy
ID Presented Passport Driver's License SSS Others __________________ ID No.
Address:
(house no.) (floor/unit no./building) (street)

(village/subdivision) (city/province)
Email
=============================================================================================
Attachment: Photcopy of petitioner's valid government-issued ID with photo and signature
=============================================================================================

TERMS AND CONDITIONS:

I appeal to amend my Exclusion Order not earlier than fifteen (15) days after receipt of this form by PAGCOR.
I am aware that this Petition is only applicable after the 6-month irrevocable period for exclusion.

I certify that the information that I have provided above are true and correct. I am aware that my signatures below
constitute a revocation of my previous request for exclusion, and I authorize PAGCOR and its Licensees to reinstate
my gaming privileges in all gaming establishments.

I declare that PAGCOR has the right to deny this Petition for whatsoever purpose and I will hold PAGCOR harmless from any
claim for damages that may be brought against PAGCOR and its Licensees in any proceeding in relation to this Petition.

Date:
(Petitioner's signature over printed name)

(Petitioner's signature over printed name)

(Petitioner's signature over printed name)

 Annex A

PHILIPPINE AMUSEMENT AND GAMING CORPORATION

NATIONAL DATABASE

of

RESTRICTED PERSONS

Gaming Licensing and Development Department

(January 2014)
 I. OBJECTIVES

1. To establish a computerized database of persons who are restricted from playing in

gaming establishments which are operated and regulated by PAGCOR nationwide

2. To make the database accessible online to authorized representatives of gaming

operators

3. To deny the issuance of Gaming Employment Licenses (GEL) to restricted persons

II. DEFINITION OF TERMS

Casino Crime –an act harmful to individuals and/or the state and committed inside the
Gaming Establishment

Cheat – to alter the elements of chance, method of selection which determine the result
of a game; the amount or frequency of payment in a game; the value of a wagering
instrument; or the value of a wagering credit 1

Gaming Establishment – a facility which houses gaming activities operated or regulated

by PAGCOR

National Database of Restricted Persons or NDRP – the database of excluded persons

who are not allowed to enter, play and/or stay in all Gaming Establishments

Operator – legal entity authorized by PAGCOR to conduct gaming activities in Gaming

Establishments

Restricted Person – any person who is not allowed to enter, play and/or stay in Gaming
establishment under any of the following:
1) Presidential Decree 1869 as amended by Republic Act 9487
2) Malacañang Memorandum Circular 8
3) Exclusion Order

III. PERSONS FOR INCLUSION IN THE NDRP

The following are included in the NDRP:

1. Subject of Self-Exclusion Order

- Any person granted his/her own exclusion from all Gaming Establishments

2. Respondent of a Family-Exclusion Order

- Any person excluded from all Gaming Establishments upon request by a qualified
family member (see Chapter IX.1.b of Responsible Gaming Code of Practice)

1
http://www.pandullolaw.com/Criminal-Defense/Cheating-in-Casinos.aspx
2
 3. Respondent of a Licensee-Emanating Exclusion Order

- Any person accused by the Operator of any of the following offenses:

 Game Cheating
 Theft
 Use of camera or any electronic device to assist in projecting the outcome
of the game
 Possession of counterfeit chips, tokens, or cashless wagering instruments
 Unlawful interference with a gaming equipment
 Forgery or counterfeiting
 Money laundering
 Fraud

4. PAGCOR Employee Terminated for Just Cause

- PAGCOR employee terminated for cause

IV. ACCESS LEVELS

TABLE 1
ACCESS ACCESS
ROLE LEVEL FUNCTION TASK
RIGHTS
System 1 - User, Add, Edit, Lift, - create new user for the
Administrator Excluded View and application
(GLDD) Person and Update - assign IP address to specific
Licensee Exclusion Order user
Management - update all reference data in
the system
- create profile of excluded
person
- create profile of PAGCOR
employee terminated for
cause
- create licensee profile
- search and view present and
past records in the database
Property 2 - User and Add and View - create profile of excluded
Administrator Guest Exclusion Order person
(Licensee) Management - search and view records in
the database
- ensure security and
confidentiality of database
by limiting access to
authorized users only
User 1 3 - User View Exclusion - search and view records in
(Gaming Order the database
Establishment) - add limited “additional
3
 information”
User 2 4 - User View Exclusion - view records in the database
(Gaming Order
Establishment)

A. System Administrator - Gaming Licensing and Development Department

(GLDD), PAGCOR

1. Shall enroll property administrators and users of the NDRP;

2. Shall maintain and update the database;

3. Shall process exclusion applications following the Responsible Gaming Code of

Practice and upload the results to the NDRP;

B. Property Administrator – Licensee

Shall treat information in the NDRP with prudence; sharing of data with any
unauthorized entity is a violation of Chapter IX of the Responsible Gaming Code of
Practice.

The Property Administrator shall designate users for Levels 2, 3 and 4 as described in
Table 1 above.

V. INFORMATION CONTAINED IN THE NDRP

1. Complete Name (Family Name, First Name, Middle Name)

- If no middle name, default is the entry number
2. Date of Birth (mm/dd/yyyy)
3. ID Presented
- acceptable government-issued photo IDs:
a) Philippine/Foreign Passport
b) Driver’s License
c) Tax Identification Number (TIN)
d) Government Service Insurance System (GSIS)
e) Social Security System (SSS)
f) Alien Certificate of Registration/Immigrant Certificate of Registration
4. ID Number
5. Gender
6. Nationality
7. Block/House/Unit/Building Number
8. Street
9. Subdivision/Village
10. City/Province
11. Type of Exclusion
12. Violation / Reason for exclusion (applicable for Licensee-emanating only)
13. Exclusion Duration
a) Self Exclusion (180 days / 360 days / 1,800 days / lifetime)
b) Family Exclusion (90 days / 180 days / 360 days)
c) Licensee-emanating (90 days / 360 days)
4
VI. USE OF NDRP AS REFERENCE FOR ISSUANCE OR DENIAL OF GAMING
EMPLOYMENT LICENSE (GEL)

Licenses to Operate private casinos provide that they “shall not hire those who are included in
PAGCOR’s list of banned personalities and former PAGCOR officers or employees separated
for cause by PAGCOR.”

Through access to the NDRP, the Operator determines if an employee-applicant may be issued
a Gaming Employment License (GEL). It should not endorse persons included in the database
based on III.3 and 4 above (past and current Respondents of Licensee-emanating Exclusion
Order, and all PAGCOR Employees Terminated for Just Cause) since this shall be ground for
denial of issuance of GEL or violation of the (Provisional) License to Operate casinos.

5
 A N N E X A.1

PROCEDURES

A. To add a person for banning in the NDRP

1. Log in by keying in the Username and Password;

2. Accept Terms and Conditions by clicking the designated box;

3. Input the required information in the corresponding field for respondent profiling;

4. Upload the photo of the subject;

5. Upload Player Exclusion Order.

B. To edit “Additional Information” fields

1. Log in by keying in the Username and Password;

2. Accept Terms and Conditions by clicking the designated box;

3. Click the “Additional Information” tab to edit information limited to the three (3) available
fields only (alias/es, distinguishing marks and comments).

C. To search/verify if a person has a valid Exclusion Order as listed in the NDRP

1. Log in by keying in the Username and Password;

2. Accept Terms and Conditions by clicking the designated box;

3. Designated officer/staff types in the full name of the guest on the “search box” to view the
subject’s information. In case there is a match in the database, the identity of the subject
can also be verified through the following “Advance Search” options:

 Birthdate
 Address
 Nationality
 Date of banning
 Gaming establishment
 Alias
 Distinguishing mark
 Crime violated (for licensee-emanating)

D. To view an excluded person in the NDRP

1. Log in by keying in the Username and Password;

2. Accept Terms and Conditions by clicking the designated box;

6
 3. The page will automatically display a gallery of the excluded persons.

E. To lift the Exclusion Order of a person in the NDRP

Except for a lifetime self-exclusion, all other exclusions shall automatically be lifted by the
system upon expiration of their exclusion period. Information on the restricted person will no
longer be displayed in the database but the System Administrator may retrieve information
through historical data.

Only the System Administrator (GLDD) has the authority and access to lift an Exclusion Order.

This may be done only for the following reasons:

1. If upon verification, the ground for Licensee-emanating Exclusion Order is not included in
the list under Chapter III.3 and is therefore a deviation from the NDRP guidelines;

2. If in the course of audit, it was discovered that pertinent documentary requirements on file
are incomplete;

3. If #1 reason is satisfied, the respondent is endorsed by an Operator for employment in his

Gaming Establishment;

4. If the respondent of a Self Exclusion requests for a petition to amend the Exclusion Order
only after the 6-month irrevocable period.

Hereunder is the procedure:

a) Log in by keying in the Username and Password;

b) Accept Terms and Conditions by clicking the designated box;
c) Input the required information in the appropriate fields for lifting
d) Once lifting order has been made, the subject’s profile will be marked “lifted” in the
NDRP

7
 Annex B

Personal Disclosure Statement (PDS)

Electronic Application Guide
I. OBJECTIVES

1. To establish a database of the Philippine gaming licensees’ Board of Directors,

Partners and Sole Proprietors.

2. To facilitate annual submission of the Personal Disclosure Statement (PDS)

through an electronic system.

3. To make the database accessible through the web to authorized users.

II. DEFINITION OF TERMS

Board of Directors

 a group of individuals that are elected as, or elected to act as,

representatives of the stockholders to establish corporate management
related policies and to make decisions on major company issues 1

Corporation

 an association of individuals, created by law or under authority of law,

having a continuous existence independent of the existences of its
members, and powers and liabilities distinct from those of its members2

Partnership

 is an arrangement where parties, known as partners, agree to cooperate to

advance their mutual interests3

Personal Disclosure Statement (PDS)

 personal and financial information certified true by the members of the

Board of Directors, Partners and Sole Proprietors of PAGCOR-authorized
gaming entities

PDS Database

 a compilation of personal information as provided by the nominees of the

Board of Directors, Partners and Sole Proprietors of PAGCOR-licensees

Sole Proprietorship

 an individual who is the sole owner of the business that is neither a

partnership nor a company4

1
http://www.investopedia.com/terms/b/boardofdirectors.asp
2
http://dictionary.reference.com/browse/corporation
3
http://en.wikipedia.org/wiki/Partnership
4
http://www.bing.com/search?q=definition+of+sole+proprietor&src=IE-TopResult&FORM=IE11TR&conversationid=
III. LICENSEE’S ACCESS TO PDS ONLINE APPLICATION

A. Corporation

 One (1) Compliance Officer is officially designated by management

through RG Form 7 to input information on the nominees of the Board
of Directors into the PDS database system, and to serve as PAGCOR’s
point of contact. His/Her contact details (email address and telephone
number) must be provided.
B. Partnership
 1 Partner may input his information and his partner’s into the PDS
database system or a Compliance Officer may be officially designated
through RG Form 7.
C. Sole Proprietorship / Partnership

 The Owner will personally input information into the PDS database
system through RG Form 7.

IV. ACCESS LEVELS AND FUNCTIONS

Table 1
ACCESS ACCESS
ROLE FUNCTION TASK
LEVEL RIGHTS
PDS Super 1 - User, PDS -view, verify and - enrol PDS Users
Administrator system print PDS
(GLDD) management applications
-edit erroneous
entries
PDS Administrator 2 - User -view PDS - search and view
(GLDD) information information,
generate and print
PDS reports
PDS Encoder 3 - User/Encoder -encode required -input data and
(Licensee/Operator) PDS information submit
electronically

A. Super Administrator - GLDD, PAGCOR

1. Enrolls users/encoders who are authorized to access the PDS system;

2. Maintains PDS database system;
3. Analyzes, generates and prints PDS reports, as needed.

B. Administrator - GLDD, PAGCOR

1. Views information on licensees’ PDS;

2. Determines completeness of submitted documents and compliance to
renewal requirements;
3. Generates and prints PDS reports, as needed.

2
 C. Encoder – Licensee/Operator

1. Inputs required information in the PDS system on behalf of the

licensee’s Board of Directors, partners and sole proprietor and
promptly submits the form upon completion;
2. Treats information in the PDS with prudence; sharing of data with any
unauthorized entity is a violation to the Terms and Conditions of the
PDS system;

V. MANDATORY INFORMATION CONTAINED IN THE PDS

1. Complete Name (Family Name, First Name, Middle Name)

2. Alias
3. Date of Birth (mm/dd/yyyy)
4. Nationality
5. Tax Identification Number (TIN) for Filipino citizens and Foreign residents or
Valid Passport details for non-resident Foreigners (number, place of issuance
and expiry date)
6. Contact Information
 Address
 Telephone/Mobile number
 Email address
 Relatives in PAGCOR, if any
7. All affiliations with PAGCOR licensees
8. Integrity and financial soundness
9. Professional history
10. Declaration and confidentiality

VI. PROCEDURE

A. To access the PDS system:

The Compliance Officer must fully accomplish and submit the

Endorsement for PDS Application form (RG Form 6) and PDS User
Access Control Form (RG Form 7) to obtain access to the PDS System.
He/She must completely list down the names of all directors, partners or
proprietor in RG Form 6, consistent with the latest forms filed with
Securities and Exchange Commission (SEC) or Department of Trade and
Industry (DTI).

B. To fill up and to submit the electronic PDS form (Refer to Diagram 2):

1. Log in by keying in the Username, Password and Captcha;

2. Accept Terms and Conditions by clicking the designated box;
3. Click the “System Setup” then “Directors’ tab to register the number of
directors per Licensee;
4. Click the “Membership” tab;
5. Click the “Enrollment” tab;
6. Input the required information accurately into the corresponding fields;
7. Verify the correctness/completeness of information;
8. Click the “Create” icon to save and submit PDS application.
3
 Note that submission will not proceed if:

a) any of the mandatory fields are blank: and

b) at least one (1) PDS form of any of the directors or partners is
either blank or incompletely filled up

Compliance is based on complete submission by all nominees of

the Board of Directors, Partners and Sole Proprietor.

C. To search/verify if an applicant is in the PDS database:

1. Log in by keying in the Username, Password and Captcha;

2. Accept Terms and Conditions by clicking the designated box;
3. Click the “Membership” tab;
4. Click the “Inquiry” tab and search for members per business type,
company/licensee, date of filing and “yes” answers to Part 3 in the
“search box”.

Note that a Compliance Officer can only view his/her company’s

PDS data.

D. To print PDS reports (for Administrators only):

1. Log in by keying in the Username, Password and Captcha;

2. Accept Terms and Conditions by clicking the designated box;
3. Click the “Report” tab;
4. Choose the report per classification;
5. Click “Print”.

VII. REMINDERS FOR SUBMISSION

A. Annual Submission

Electronic submission of the PDS must be done from January 1 to May 31

of every calendar year by the nominees of the Board of Directors of the
licensees, sole proprietors and partners.

All data submitted through the PDS electronic system cannot be edited and
are considered valid, true and final.

B. Late Submission

PDS forms submitted after the May 31 deadline will be tagged as late.
This will be the basis for penalties as provided in the Regulatory Manuals.

4
C. Updates after Deadline

PAGCOR must be informed of any change in the composition of the

Board of Directors, partnership or sole proprietorship through the
immediate submission of copies of Security and Exchange Commission
(SEC) or Department of Trade and Industry (DTI) forms to the GLDD
office. Updates on the electronic PDS database must be made during the
submission period of the succeeding year.

D. Manual Submission

PDS forms required prior to PAGCOR’s approval of the issuance of a

Gaming License / Authority to Operate / Certificate of Registration will be
accomplished manually (refer to www.pagcor.ph/regulatory/cegs.php).

5
 Annex C

GS FORM NO. 33
(v.1) 04.30.2015
GLDD Reference No. ______________

CERTIFICATE OF NON-FILING OF
ANNUAL INCOME TAX RETURN
(Board of Directors)

NAME

COMPANY NAME

TYPE OF GAMING ACTIVITY Electronic Games Bingo Games Poker Games

GAMING SITE ADDRESS

I hereby certify that I did not file my Income Tax Return (ITR) for CY _____, as prescribed
under the provisions of the NIRC of 1997 and its amendments Title II Chapter IX, Sec. 51.A.2.

Attached are the pertinent documents to support my claim:

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

Signature: _____________________
Date: ______________

IN WITNESS WHEREOF, this certification has been signed this ___ day of ___________ ,
20____ at _____________, Philippines.

SUBSCRIBED AND SWORN to before me, a Notary Public and in the City/Municipality of
_________, Philippines, personally appeared _________________ with his/her
Identification No. ______________ issued at _______________ on ___________, known
to me to be the same person who executed the foregoing instrument and acknowledged
to me that the same is his/her own free and voluntary act and deed.

Doc. No. ___________________;

Page No. ___________________;
Book No. ___________________;
Series of 20__.
 Diagram 1

Employee Verification Flowchart

LICENSEE GLDD
(Authorized
(CDSPA Unit)
Officer/HR)

Fills out RG Form 1 Checks

(Employee completeness of
Verification Form) RG Form 1

Submits to GLDD Verifies

information in the
GEL Database

Conducts Returns
investigation if the accomplished RG
employee violated Form 1 to Licensee
his/her
employment
contract provision

Submits
GEL Form F Processes
(Notice of Employee GEL Form F
Separated for Cause)

Adds respondent
to Terminated
Employees
Database

Process Flow:

1. Licensee’s Authorized Officer/HR fills out and submits RG Form 1 to request verification
of employee from PAGCOR GLDD.
2. GLDD checks the completeness of information in the submitted form.
3. GLDD verifies the status of the subject employee in the GEL database.
4. GLDD returns the accomplished form to the Licensee after verification.
5. Licensee conducts full investigation to prove that the employee violated employment
contract provision or company policy on prohibition from playing in a gaming
establishment.
6. If proven, the Licensee submits the GEL Form F and keeps pertinent documents on file.
7. GLDD processes Notice of Employee Separated for Cause.
8. GLDD adds respondent to Terminated Employees Database.
 Diagram 2

How to Submit PDS Electronically?

1. Log in by keying in the Username, Password and Captcha;

2. Accept Terms and Conditions by clicking the designated box;

3. Click the “Membership” tab;

4. Click the “Enrollment” tab to access PDS online application;

5. Input the required information in the corresponding fields;

6. Click the “Create” icon to save and submit PDS application.