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RG Form 7 - User Access Control Form

The document is a user access control form for a licensed casino that collects personal information such as name, position, contact details, and requested access rights for either an administrator or encoder role and outlines policies for appropriate access and use of accounts. The user must agree to the access agreement and signatures are required from both the user and an authorized approver before PAGCOR can process and confirm the requested access.

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Sunshine Enriquez
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358 views1 page

RG Form 7 - User Access Control Form

The document is a user access control form for a licensed casino that collects personal information such as name, position, contact details, and requested access rights for either an administrator or encoder role and outlines policies for appropriate access and use of accounts. The user must agree to the access agreement and signatures are required from both the user and an authorized approver before PAGCOR can process and confirm the requested access.

Uploaded by

Sunshine Enriquez
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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RG Form 7

Page No. Page 1 of 1

PERSONAL DISCLOSURE Form No. GLDD-894


STATEMENT
Revision No. 0
USER ACCESS CONTROL FORM
Effectivity August 8, 2019

LICENSEE / COMPANY NAME: ___________________________________________________

Licensed-casino e-Games e-Bingo Instawin Poker

User Information
Family Name First Name Middle Name

Position: GEL ID No.:


Office Tel. No.: Email:

Access Rights

Administrator (for PAGCOR only) Encoder

Access Agreement (Please read before signing)


1. Access account must not be allowed to be used by unauthorized persons.
2. Password must not be inserted into email messages or other forms of electronic
communication.
3. Access level account must not be used to breach security permission level or interruptions to
the program. Security breaches include, but are not limited to: accessing data of which the
employee is not an intended recipient or logging into the program or account that the
employee is not authorized to access.
4. For security and network maintenance purposes, authorized personnel from PAGCOR may
monitor equipment, systems and network traffic at any time.
5. Any User found to have violated these policies may be subjected to disciplinary action, which
could lead to revocation of the Gaming Employment License (GEL).

Authorization
User/Compliance Officer: Authorized by:

_______________________________________ _______________________________________
Signature over printed name Signature over printed name
Position: _______________________________ Position: _______________________________
(Corp. Sec./Partner/Proprietor)
Date: Date:

FOR PAGCOR USE ONLY


Confirmation
Approved access by: Enrolled by:

__________________________________________ ______________________________________
Signature over printed name Signature over printed name
Date: Date:

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