NJDGE - DATATABLE SUBMISSION FORM

New Jersey Division of Gaming Enforcement

technical Services Bureau

Datatable Submission Form

A. List each program included in this submission:

Manufacturer I.D. Number / Theme(s)
Name / Total # Of
Percentages / Version or
Date Code / Memory
Device / Position / Checksum

B. Include a color proof of the pay schedule for each theme.

C. Does a hardware submission accompany this submission? Y N

D.  Provide the following information for each datatable available in the program:

Datatable I.D. / Payout % Minimum / Payout % Maximum / Volatility / Maximum Odds

E. If modification of previously approved program, provide file # and program ID.

File Number Program ID

F. Is this a Mandatory replacement of a previously approved program?

Y N

If yes, list program:

G. List main program used to create this datatable:

H. Provide mathematical calculation in Excel®, and any executables for simulation programs.

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NJDGE - DATATABLE SUBMISSION FORM

I. Test results for each pay emulated to include a summary of all test results.

(a) Document the emulation of pays, using either option (1) or option (2):

_____ (1) 100 % of base game pays plus evidence of manual bonus pay test conducted in accordance with section (2)(ii) and (iii).

_____ (2) Each pay combination total is to be a selected line/coin combination such that all combinations of coin and line values are selected throughout the testing process for the following:

(i) Top awards and hand pays.

(ii) Bonus pays

(iii)  Wild symbol combinations

J. Mapping – Virtual reel games.

1.  Provide mapping ratio to reel stops above and below the Top Award Symbols and Bonus/Feature trigger symbols.

Top Award Bonus/Feature

2.  Are all virtual reel stop selections represented on the physical reels?

Yes No

K. Emulation Procedure

Provide breakpoints necessary to emulate pays to each game in submission.

L. For all products submitted, either new or modification to previously approved products, the modifications introduce no impact to the slot machine with regard to its integrity, security or available options.

____ Yes _____ No

M.  Is game in compliance with regulations regarding the following?

N.J.A.C. 19:46-1.28A

Skill Factor Yes No N/A Strategy Feature Yes No N/A Game Within A Game Yes No N/A Extended Play Feature Yes No N/A Scripting Yes No N/A

If no, fully explain.

CERTIFICATION

(To be completed by the person responsible for accuracy of this checklist and attached documents).
I hereby certify that the information and representations made in this “Datatable submission Form” and in the attachments hereto are true, accurate and complete. I understand that if any of the statements, data or information contained herein are willfully false, I am subject to punishment. I further understand that if the information contained herein is inaccurate, for any reason, the company is subject to a civil penalty to be imposed by the New Jersey Division of Gaming Enforcement.

Signature

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Title

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Date

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PRINT NAME

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