CLAIMS PROCESSING FORM(BIO DATA

From: Mr. Andrew Charles - bnlclaimsagent@msn.com

Dear Lucky Winner,

This is to confirm the receipt of your mail. Brent Associates is a 24 hours service rendering organization in the specialized field of packaging, advertising, consulting and Event management. This is to let you know that we will be happy to represent you in the collection of your winnings. We have successfully represented other winners in the past. Our management team has over the years garnered a wealth of experience in our involvement in a variety of aspects of the lottery gaming activities. It has progressively built upon its experience and is now an established supplier of quality services.

However, all participants in this drew in which you have emerged a winner were selected through a computer ballot system drawn from 25,000 names from the Middle East, Asia, Africa, Canada, Europe, USA and North America. All anticipants in this Lottery Program have been selected randomly through a computer Ballot System drawn from over 200,000 Companies and 30,000,000 individual email addresses from all search engines and web sites. This promotional program is meant to take place every year until the games begin in Beijing China in 2008.

It is also worthy to note that winners are only eligible for claims once. as your claims agent I will advise that you keep your winning information confidential till your claims is processed and your money remitted to you in whatever manner you deem fit to claim your prize. This is for security reasons.

You will be leasing with us until your prize winning is processed and paid. For the fact that there has been many false claims in the recent past we in conjunction with UK National Lottery Company have set up a procedure for verifying claims before payments are made. I will only be able to know for sure if you actually won the lottery after verifying from UK National Lottery Company. The objective is to protect actual winners and the loss of money through bogus claims. Please find below a claims verification form which you are to fill out and have sent back to me along with any form of identification.

I await your urgent response.

Yours Faithfully,

MR. ANDREW B. CHARLES.
BRENT AND ASSOCIATE LTD U.K,
20 Lausanne Road London ,
SW2 3JB ENGLAND.U.K
Tel: +44-701-113-6942
Fax:+44-870-136-3382











This form is valid for only those who have won the UK NATIONAL LOTTERY INTERNATIONAL. Fill in the required fields in the space provided below. No field should be left blank, because your particulars are needed for record purposes.
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WINNER'S CLAIM FORM





WINNER'S PERSONAL DATA




First Name.: *




Middle Name.:


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Gender.: Male Female





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Day: Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

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Mobile phone No.: *


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WINNING INFORMATION






Batch Number.: *


Serial Number .: *


Refrence Number.: *





This is to verify that the information filled in this FORM is a valid particulars of me. Yes: No:












UK NATIONAL LOTTERY INTERNATIONAL
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