LETTER OF INTENT

Hon.___________________
Chairman of the Board of Directors/General Manager
Philippine Charity Sweepstakes Office
E. Rodriguez Sr. Ave., Quezon City

Dear Sir/Madam:

This is to signify my intention to apply as a Lotto Agent of the Philippine Charity

Sweepstakes Office in the _______________________________________________

Specific Address of the Proposed Outlet Sites:

1. ___________________________________________________

2. ___________________________________________________

As an applicant-agent, i hereby affirm that the information given by me in my

application is true and correct. I hereby allow the PCSO to verify and investigate it. I
understand 1) that falsifying any of the information is sufficient ground for the
rejection of my application 2) that in the case my application be denied PCSO has
no obligation to provide reason for rejection. I have read and accepted terms and
conditions governing the operation of the On-Line Agent. I hereby authorize any of the
PCSO On-Line Lottery personnel to conduct an ocular inspection of the said proposed
site/s for evalution.

Thank you.

Yours truly,

_______________________
Signature over printed name