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 APPLICATION FOR EXCLUSION

 


I WANT TO BAN MYSELF. WHAT SHOULD I DO?

 

1.

Download the Self Exclusion Application Form here.

2.

Fill out the form completely and accurately.

3.

Attach a 2x2 photo of yourself taken within the last 6 months.

4.

Place the form inside a brown envelope together with a photocopy of a valid government ID card containing your photo and signature.

5.

Seal the envelope and address to:

APPLICATION FOR EXCLUSION ORDER
PAGCOR - GLDD
Ground Floor PAGCOR House
1330 Roxas Boulevard
Ermita, Manila 1000

6.

Send the envelope by mail or courier. You may also hand deliver to the dropbox marked "GLDD" located at the ground floor lobby, PAGCOR House, 1330 Roxas Boulevard, Ermita, Manila. The dropbox is located right beside the elevator.


I WANT TO BAN A FAMILY MEMBER. WHAT SHOULD I DO?

 

1.

Only if you are the spouse, a parent, or a child at least 18 years old, download the Family Exclusion Application Form here.

2.

Fill out the form completely and accurately. In the form, you are the "applicant" and the family member that you wish to ban is the "respondent".

3.

Place the form inside a brown envelope together with the following proofs of kinship:


If you are a parent of the respondent:
- Photocopy of respondent's valid government ID with picture
- Photocopy of respondent's birth certificate
- Photocopy of your valid government ID with picture and signature
- One 2x2 photo of respondent taken within the last 6 months


If you are a child of the respondent:
- Photocopy of respondent's valid government ID with picture
- Photocopy of your Birth Certificate
- Photocopy of your valid government or school ID with picture and signature
- One 2x2 photo of respondent taken within the last 6 months


If you are the spouse:
- Photocopy of respondent's valid government ID with picture
- Photocopy of your Marriage Contract
- Photocopy of your valid government ID with picture and signature
- One 2x2 photo of respondent taken within the last 6 months


For foreigners:
Instead of the Birth Certificate or Marriage Contract, you may submit an official document issued by your home country's government establishing your identity, the identity of the respondent, and your relationship with the respondent. The authenticity of which can be certified by the Department of Foreign Affairs (DFA) of the Republic of the Philippines or the appropriate competent authority in your home country.

4.

Seal the envelope and address to:

APPLICATION FOR EXCLUSION ORDER
PAGCOR - GLDD
Ground Floor PAGCOR House
1330 Roxas Boulevard
Ermita, Manila 1000

5.

Send the envelope by mail or courier. You may also hand deliver to the dropbox marked "GLDD" located at the ground floor lobby, PAGCOR House, 1330 Roxas Boulevard, Ermita, Manila. The dropbox is located right beside the elevator.

 

 

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