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MINISTRY OF JUSTICE NATIONAL SECRETARIAT OF JUSTICE DEPARTMENT OF JUSTICE, RATINGS, TITLES AND QUALIFICATION 1. Platform: check more then one box if, and only if, the game content for all the checked boxes – including graphic detail, game style, interaction form, and interaction level – is the very same. Computer (PC) Computer (Mac) PlayStation One PlayStation 2 PlayStation 3 PlayStation Portable PlayStation Vita Game Cube Wii Wii U Nintendo DS Nintendo DSi Nintendo 3DS iPod / iPhone Cell / Smartphones 2. Distribution Media: check all that apply for the game in the platforms checked on item 1. CD-ROM DVD Mini DVD Blu-Ray HD-DVD UMD Cartridge Portable cartridge Xbox Xbox 360 Web GAME RATING FORM - FILE ID TAG - DO NOT FILL - FOR OFFICIAL USE ONLY - 3. Category: check all that apply. Console built-in Download Internet* Firefox Marketplace Action Adventure Cards or Cassino Racing Educational Sports *It means the game will not be saved or installed in the player’s device, being accessed only in the online environment of a browser. Strategy Trivia Fighting MMORPG Platformer Puzzle Rhythm RPG Simulation First Person Shooter Third Person Shooter Other (replace) 4. Title identification and content 1. Game Title in Brazil (just as it should be displayed): ROTOGAMEsq 2. Game original title: ROTOGAMEsq 3. Game publisher: Felix E. Klee, HIDDEN, Germany 4. Year of production: 2012 5. Country: Germany 6. Game distributor in Brazil: 7. Requested game rating (optional): Firefox Marketplace operated by Mozilla Livre 10 anos 12 anos 14 anos 16 anos 18 anos Corporation, 650 Castro Street Suite 300, Mountain View, CA, 94041-2021, USA 8. Reason for the requested rating: check all that 9. Media sent to the Ministry with the content for rating: apply, if any Violence Drug related content Educational content CD-ROM DVD Mini DVD Blu-Ray Sexual content Language Other (replace) HD-DVD UMD Cartridge Portable cartridge Console built-in Digital files / Pen-drive Internet Link Other (replace) 10. Violence: check all that apply Blood / Blood-like Fluids Cartoon Violence Corpses Cruelty Disturbing/Depressing Themes Killing Language/Profanity Mutilation Pain or Suffering Physical Aggression / Threats Rape Scary Scenes/Effects Strong Impact Violence / Gore Suicide Torture War-like Environment Weapons Wounds 11. Sexual content: check all that apply Partial Nudity Nudity Erotic Language Implied Sexual Relation Sexual Relation Explicit Sexual Relation Prostitution 12. Drug related content: check all that apply Use of Alcohol or Tobacco (NPC) Use of Alcohol or Tobacco (Player) Use of Illegal Drugs (NPC) Use of Illegal Drugs (Player) Drug Traffic Drug Reference 5. Rating Requester 1. Name (person or company): Felix E. Klee 2. CPF/CNPJ: 3. Address: HIDDEN 4. City: HIDDEN, Germany 7. Email: [email protected] 8. Fax: 5. State: 6. ZIP Code: HIDDEN 9. Phone: +49.HIDDEN 10. Person we may call in case of doubts or other issues, if there is one in specific: 11. Pertinent notes: 12. Place and date: HIDDEN, 28/11/2012 13. Signature: Send together with this form: game full synopsis, especially detailing contents regarding violence, sex and drugs; the game and/or a gameplay video of the game detailing the before mentioned contents.