GT’ +t SOLUTIONS oman ‘ASIA DECLARATION | hereby certify that all information provided in this form is accurate and complete at the best of my knowedge. | understand that any misrepresentation and/or falsification of any fact may result in cancellation of employment or immediate dismissal, | recognize that in connection with my employment with IGT Technologies Philippines Inc., | may be Subjected to a background check enquiry and hereby authorize the same. LETIER_OF AUTHORIZATION | hereby authorize IGT Technologies Philippines Inc. and its accredited investigation company, Human Capital Asia Inc., to verily information provided in my form for pre-employment purposes. | authorize all persons who may have information relevant to this enquiry to disclose it to IGT Technologies Philippines Inc. | Human Capital Asia inc., and its partners, associates and to all persons concemed from liability on account of such disclosure. | voluntarily affixed my signature and represent this document tobe an original document. further authorize the procurement of aconsumer credit report or other like documents and understand the report may contain information on my background, mode of living, character, and personal reputation. | consent to a review and release of any information from my military records deemed necessary | acknowledge, consent and agree that photocopies of this Letter of Authorization may be made and used as if they were original copies. Signature: a 0 is Date Signed: 08/25/2022 _ Full Name: Kheanah Marie C. Dangan _ 7 Gender: Female 7 Date of Binh _September 3,199 _ Identification No.: 11-250593482-5