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ELECTRONIC GAMING MACHINE Form No. GLDD – 996
TOURNAMENT FORM Revision No. 1
Effectivity June 15, 2021
CRM FORM NO. 57
Use this form to request approval from or notify PAGCOR regarding the conduct of an Electronic Gaming
Machine Tournament(EGM), to wit:
a) For all proposed EGM Tournaments, the Licensee shall request approval from PAGCOR at least fifteen
(15) business days prior to implementation date.
b) For an EGM Tournament with the same terms and conditions as a previously approved tournament, the
Licensee only needs to notify PAGCOR of the intended EGM Tournament at least one (1) business day
prior to implementation date.
All requests for approval with incomplete information and/or attachment/s shall not be processed.

PLEASE NOTE THAT PAGCOR RESERVES THE RIGHT TO CONDUCT POST-AUDIT OF THE
ELECTRONIC GAMING MACHINE TOURNAMENT.

Licensee :
Name of Casino: Date :
Title of Tournament:
Period Covered:

SECTION A: PROPOSED EGM TOURNAMENT (TO BE PROVIDED BY LICENSEE)

Slot Machine Tournament Electronic Table Game Tournament


_____ Regular _____ Regular
_____ Promotional _____ Promotional

A. Request for approval of proposed EGM Tournament with accompanying IRG attached as Annex ___

B. Notification of EGM Tournament with the same terms and conditions as a previously approved
tournament; accompanying IRG attached as Annex ____

This is also to certify that the attached IRG of the said EGM Tournament is consistent with PAGCOR’s
prescribed standard format and contains the following details:

a. Tournament title and venue h. Tournament mechanics and tournament dates


b. Date of EGM tournament for elimination round, quarter finals, semi finals
c. Tournament objectives and finals
d. Eligibility criteria of participants i. Tournament rules and regulations including those
e. Registration time and location for disqualification of players
f. Amount of buy-ins, re-buys, j. Prize (details and amount)
tournament certificates or other For non-cash prizes, proof of the retail value of
sources of cash receipts/sales the merchandise or goods must be submitted/
to be generated from the furnished in order to ascertain its value
tournament k. Irregularities and resolution
g. Tournament location (i.e., slot
machine area and slot machine
asset and location numbers)

We confirm and undertake to do the following:

 Conduct of the EGM Tournament is compliant with the conditions stated under Regulation 4 Section 11
of the Casino Regulatory Manual.
Page No. Page 2 of 2
ELECTRONIC GAMING MACHINE Form No. GLDD – 996
TOURNEMENT FORM Revision No. 1
Effectivity June 15, 2021
 The EGM Tournament shall be carried out in close coordination with the Compliance Monitoring and
Enforcement Department and the PAGCOR Monitoring Team.

Name of Requestor: ______________________________ Signature: ________________________


Position Title: ______________________________ Date: ________________________

SECTION B: SUBMISSION INSTRUCTIONS


Once Section A is completed, please submit this form to GLDD together with the IRG of said EGM tournament.
Hard copies may be submitted directly to the GLDD office or scanned copies of the documents may be emailed
using the e-mail address of the concerned licensed casino indicated below:

Gaming Licensing and Development Department


Philippine Amusement and Gaming Corporation
12th Floor, iMET BPO Tower, CBP-1A Metropolitan Park, Roxas Blvd, Pasay City
Tel. No. (02) 755-3199 / 755-3299 / 755-3999

E-mail addresses: gldd_bloomberryresorts@pagcor.ph / gldd_resortsworldmanila@pagcor.ph


gldd_okadamanila@pagcor.ph / gldd_codmanila@pagcor.ph
gldd_widuscasino@pagcor.ph / gldd_fiestacasino@pagcor.ph
gldd_fontanacasino@pagcor.ph / gldd_dheightscasino@pagcor.ph
gldd_midoricasino@pagcor.ph / gldd_roycecasino@pagcor.ph
gldd_fortunegatecasino@pagcor.ph

If submission of this notification form is done thru e-mail, the Licensee should ensure that it has been duly received
and acknowledged by GLDD. The Licensee shall be notified by GLDD thru e-mail confirming receipt of this
notification form. If no e-mail confirmation is received from GLDD, the Licensee should submit the notification form’s
hard copy directly to GLDD.
SECTION C: ACTION TAKEN (TO BE FILLED UP BY GLDD)

A. RECEIVED with Reference No.: ____________________ (applicable only to submission involving


notification as per Item B of Section A above)

B. RETURNED due to incomplete tournament details

C. RECEIVED FOR PROCESSING with assigned Reference No. ________________

By: Printed Name: ___________________________ Signature: ____________________


Position Title: ___________________________ Date: ____________________

D. RECOMMENDATION FOR APPROVAL subject to the following:

1. Conduct of the EGM tournament shall be coordinated with the PAGCOR Monitoring Team assigned
in the Casino.
2. The Licensee shall not directly poach on another licensees’ or PAGCOR’s customers by actively
enticing or transporting them to the Licensee’s casino.
3. Please see the REMARKS below for additional conditions.

By: Printed Name: ______________________________ Signature: _____________________


Position Title: ______________________________ Date: _____________________

Approved by:

Regulatory Manager, CLRD

REMARKS

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