Self-Exclusion Application Portal

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Fast & Convenient
No need to courier forms or visit PAGCOR’s main office. Submit everything online in minutes.

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Secure Handling
Your information and attachments are processed with strict confidentiality.

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Guided Process
Clear instructions at each step so you don’t miss any requirement.

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Hassle-Free Processing
We handle the submission and tracking for you.


How It Works

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Complete the Application Form
Fill out the digital version of PAGCOR’s official self-exclusion form right here on this page. Provide your personal details, gaming venues you frequent, and choose the exclusion period: 6 months, 1 year, or 5 years.

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Upload Required Documents
Attach a scanned copy of your valid government-issued ID and one (1) recent 2×2 colored photo (full face). Family applicants must also upload proof of relationship (e.g., birth certificate, marriage certificate).

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We Submit to PAGCOR
Our team files your application with PAGCOR and ensures it is officially recorded.

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Receive Confirmation
You’ll get confirmation once your self-exclusion order is in effect, with copies of all submitted documents for your records.


Self-Exclusion Application Form

Application Type

Personal Information

Gender

Contact Information

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Should be (1) taken within the last 6 months prior to application, (2) full-face view directly facing the camera, (3) no facial accessory (hat, glasses, facemask, etc.)
Gaming Establishment Visited Regularly
Period of Self-Exclusion
Terms and Conditions
Drag & Drop Files, Choose Files to Upload