Undertaking of The Lotto Agents

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_____________________________

NAME OF AGENT
_____________
AGENCY NO.
______________________________________
ADDRESS OF LOTTO/KENO OUTLET

UNDERTAKING OF THE LOTTO AGENT

I, _____________________________, hereby undertakes to continuosly and faithfully comply


with the Health and Safety Protocols of the Philippine Charity Sweepstakes Office (PCSO) and
that the lotto site has been duly inspected by the authorized inspector of PCSO.

_________________________________
Signature Over Printed Name & Agency No.

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