Lotto Form Revised
Lotto Form Revised
TANGGAPAN NG PANGULO
(Office of the President)
B.
C.
Application:
This application form is free. It can be obtained either from PCSO Main Office, all PCSO Provincial District Offices situated around the country
or can be downloaded from the PCSO Website at www.pcso.gov.ph.
Applicant must be:
For Natural Person (Individual Applicant):
1. Filipino Citizen; and
2. At least 21 years old
For Juridical Person (Corporation)
1. It must be duly registered and existing under Philippines laws
2. It must be 100% Filipino-owned
As per PCSO Board Resolution No. 0097, Series of 2011, the proposed site must meet the following distance requirements: (Note: The
distance is to be measured from the door of the establishment proper to the proposed outlet and shall follow road directions and not the
straight line or hypotenuse distance between the two points)
Establishments / Structures
Distance Restriction from the Proposed Lotto Outlet
50 meters
A. Existing Lotto Outlet/s
(minimum distance only)
B. Schools
2. Elementary Schools
100 meters
3. Secondary Schools
100 meters
D.
E.
a)
b)
c)
d)
e)
f)
2.
3.
4.
F.
1.
2.
3.
d)
e)
Sketch/Location Map of the proposed site showing location/s of existing lotto outlet/s in the area
Pictures/photos of the proposed outlet/site including its vicinity.
Proof of Ownership/Lease of Outlet
For Owner:
Land Title or TCT
For Lessee:
Authority/Certification from Building Owner (notarized)
Lotto Application Procedure/s:
Submit duly accomplished Lotto Application form set and COMPLETE DOCUMENTARY REQUIREMENTS to PCSO.
1.1 For outlets within Metro Manila at the PCSO Main Office
1.2 For outlets outside Metro Manila, at the PCSO Branch Office covering the location
Pay the required fee of P2,500.00 to the Treasury Department (Main Office) or Cashier (Branch Office)
Within 30 days from notice of approval:
3.1 Pay the Installation of fee of P10,000.00 to the Treasury Department (Main Office) or Cashier (Branch Office)
3.2 Post a Cash Bond of P300,000.00. In lieu of a cash bond, Surety Bond to cover the amount of P700,000.00 can be submitted.
3.3 Operate the outlet.
REPUBLIKA NG PILIPINAS
(Republic of the Philippines)
TANGGAPAN NG PANGULO
(Office of the President)
TANGGAPAN NG SWEEPSTAKES PANGKAWANGGAWA NG PILIPINAS
_____________________________
Signature over printed Name
REPUBLIKA NG PILIPINAS
(Republic of the Philippines)
TANGGAPAN NG PANGULO
(Office of the President)
TANGGAPAN NG SWEEPSTAKES PANGKAWANGGAWA NG PILIPINAS
Contact Details
-
Landline
Age
Gender
Male
Height (feetinches)
Mobile
Weight (kgs)
Place of Birth
Civil Status
Female
Single
Married
Nationality
Others, specify
Spouse Name
Occupation
Date of Birth
(mm/dd/yyyy)
Name of Children
School/Company
(if applicable)
Educational Background
Level
Name of School
Degree Course
Year
Graduated
Inclusive Dates of
Attendance (FromTo)
Elementary
High School
Vocational/
Trade
Course
College
Graduate Studies
PLEASE USE SEPARATE SHEET IF NECESSARY
Government
Position/Title
Casual/
Contractual
Permanent/
Regular
Department/Agency/Office/Company
Project
Based
Part-time
Retired
Salary
Unemployed
Private/Government
/Kind of Business
LIABILITIES
Php
TOTAL ASSETS
Accounts Payable
Misc Accruals
Loans Payable
Other Liabilities
Total Liabilities
Net Worth
TOTAL LIABILITIES & NET
WORTH
PLEASE USE SEPARATE SHEET IF NECESSARY
Php
Php
Php
Yes
No
No
Have you ever been formally charged? Have you ever been
convicted? Status?
Address
Date Accomplished
Contact Number
Signature
RIGHT
THUMBMARK