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GS Form No.42

This document is a request form for approval of a proposed poker table layout from the Philippine Amusement and Gaming Corporation (PAGCOR). It includes details about the poker club such as the name, location, and authorized signatory requesting approval. The proposed layout is said to be consistent with relevant regulations and includes elements like poker variant name, operator name, and areas for bets and odds. Once completed, the form and necessary attachments can be submitted to PAGCOR for review.
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0% found this document useful (0 votes)
93 views2 pages

GS Form No.42

This document is a request form for approval of a proposed poker table layout from the Philippine Amusement and Gaming Corporation (PAGCOR). It includes details about the poker club such as the name, location, and authorized signatory requesting approval. The proposed layout is said to be consistent with relevant regulations and includes elements like poker variant name, operator name, and areas for bets and odds. Once completed, the form and necessary attachments can be submitted to PAGCOR for review.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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This is to request aporoval of the proposed poker table layout vrith true-to-s*ale rendering attach*d as Annex
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h. Narne of Operator r:r Foker Club Brand Nanre

e. Designated areas for placement of the following wagers


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d. Al!\l/innlng Odds / Pavo*t

Authorized Signatory: MARLYN M" MANGUBAT Signature:


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Once Section A is cornpleted, please submit this form to GI-DD along with the rlecessary atta*ltrnefits" Hard
e*pies may he suhmitt*d direet{y t* the GLry* ofd'ise *s" scanried ecpies st th* dozurc}efits r*ay he ervtai}ed
uslng the e-rnailaddresses indicated below:
Gaming Licensing and Development Department
Fhilippine &*t c,{eer}'ieffi t and Ga*n img Corp*rati*rt
3'd Floor PAGCOR House, 1330 Roxas Boulevard, Enrrita, Manila
Te[. Nos. 52?-34?$ I S2't-X543 !oc. SS5

E-mail address: [email protected]


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