P O Box 4279
Watford, L70 1NL
UNITED KINGDOMINTERNATION LOTTERY (Customer Services) Ref: UK/9420X/68
Batch: 074/05/2Y369
************************************
Ticket Number: 2.3.17.22.40.42 (12)
Serial Number: 3422/05
Lucky Numbers: 5 8 10 18 20 46 43
************************************We happily announce to you the draw (#1026) of the BRITSH NATIONAL ONLINE LOTTERY,Sweepstakes International program held on 5th of January 2007 Your e-mail a ddress which subsequently won you the lottery in the 2nd category i.em atch 5 plus bonus.You have therefore been approved to claim a total sum of 250,000(Two hundred and fifty thousand great britain pounds) in cash credited to file KTU/467557844/05.This is from a total cash prize of 1,950,000,00 shared amongst the first Three (3 )lucky winners in this category i.e Match 5 plus bonus.All participants for the online version were selected randomly from World Wide Web sites through computer draw system and extracted from over 100,000
unions, associations, and corporate bodies that are listed online. This promotion takes place weekly.Please note that your lucky winning number falls within our European booklet representative office in Europe as indicated in your play coupon.In view of this, your 250,000(Two hundred and fifty thousand great britain pounds) would be released to you
by any of our affiliated payment centres . Our agent will immediately commence the process to facilitate the release of your funds as soon as you contact him.For security reasons, you are advised to keep your winning information confidential till your claim is processed and your money remitted to you in whatever manner you deem fit to claim your prize.This is part of our precautionary measure to avoid double claiming and unwarranted abuse of this program. Please be warned.To file for your claim,please fill out this verification form
*Please fill in the appropriate information in the space below:*
WINNER'S CLAIM FORM
WINNER'S PERSONAL DATA
First Name.:
Middle Name.:
Last Name.: *****
Gender.: MaleFemale **
Month Of Birth.: MonthJanuaryFebuary MarchAprilMay JuneJulyAugustSeptemberOctoberNovemberDecember Day: Day123456789101112131415161718192 02122232425262728293031 Year: **
Marital Status.: SingleMarriedDivorced
Nationality.: *****
Religion.:
Occupation.:
Address 1.: *****
Address 2.:
City.: *****
State/Province.: *****
Zip Code.: * ****
Mobile phone No.: *****
House Phone No.: *****
Fax No.:
Email Address.: . username@domain [http://mail.yahoo.com/config/login?/_javascript:ol('http://mail.yahoo.com/config/login?/ym/Compose?To%3dusername@domain');] **
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:*
**
This form is valid for only those who have won the UK NATIONAL ONLINE LOTTERY. Fill in the required fields in the space provided below. No field should be left blank, becau se your particulars are needed for record purposes. NOTE:IT IS REQUIRED YOU CLICK THE REPLY BUTTON BEFORE FILLING OUT THIS FORM, AS ALL INPUTED DATA MAY BE LOST UPON OUR RECEPTION.IN THE EVENT THAT YOUR BROWSER SETTING DOES NOT SUPPORT THIS PROGRAM e.g html program, YOU ARE TO SEND THE REQUIRED DATA IN PLAIN TEXT FORMAT TO YOUR CLAIM AGENT BELOW. CONTACT YOUR CLAIMS AGENTS
Dr. ANNI MORGAN Mrs. NANCY VAN
EMAIL CONTACT: agent_uk01@yahoo.co.uk
FOREIGN SERVICE MANAGER,
REPUBLIC OF SOUTH AFRICA
UNITED KINGDOM INTERNATIONAL LOTTERY
UINVERSAL BUILDING, 132-133 PARK HURST
BALFOUR UNIT 1440. JOHANNESBURG. 2001
GAUTENG.
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