(Original copy)
ELIGIBILITY RELEASE
SIR JOHNMORE
EMAIL: infor_johnmore@webmail.co.za
CONGRATULATIONS
Awards Director
Yahoo Lottery
We are pleased to inform you of the result of the just clouded annual final draws of Yahoo FAIR LONDON international
Programs. You are therefore been approve to Claim the sum of (£850,000.00) Eight hundred and Fifty Thousand POUNDS.)
Your E-mail address is one of 7 lucky Addresses that have won in the Weekly Promotion.
PAYMENT OF PRIZE AND CLAIM
Winners shall be paid in accordance with his/her Settlement Center. Yahoo Prize Award must be claimed thought their
Accredited Agents in South Africa and United Kingdom? Any prize not claimed would be forfeited. Stated below are your
Identification numbers:
BATCH NUMBER: MFI/06/APA-43658
REFERENCE NUMBER: 2006234522
PIN: 1206
SECRET CODE: 1976
These numbers fall within the SOUTH AFRICA Location file, you are requested to Contact our fiduciary agent in SOUTH
AFRICA and send your winning identification Numbers to him, and He is JOHN MORE Consortium. Make sure that you call the
African Claim Agent JOHN MORE First and send him all your winning details through mail. Don't fail to contact him through to
Contact him through email; it is very important that send email first be sure of you're winning. For further confirmation Please
call Claim agent office at SOURCE: INTRALOT S.A. media release CONTACT: Financial Analysis & Investor Relations
Manager. SIR JOHN MORE
SIR JOHN MORE CANTACT
Pone: +44-730223811
Fax: 44-870- 974-6825
Email: infor_johnmore@webmail.co.za
2. by Direct Telegraphic Wire Transfer. The Yahoo Fair London Lottery Licensed Operator shall keep all personal information
You give us as strictly confidential and no personal information shall be made available to Third parties, unless obliged to do so
by law or legal process.
1. Full name. . . . . . . . . . . . . . ...
2. Country. . . . . . . . . . . . . . . . ..
3. Full Address. . . . . . . .
4. Mobile Number (. . . . . . . . .
5. Country of Resident
5. City. . . . . . . . . . . . .
6. Occupation. . . . . . . . . . . . . . .
7 Age… … … … …
8Sex… … … … …
YAHOO FAIR LONDON LOTTERY
Stand 405, Halfway House extension 32.
Midlands London (uk)
RSALTZW
MUTUAL
. OLD
MUTUAL
LONDON
APPLICATION FORM FOR REGISTRATION OF PROFITS CLAIM
PLEASE FILL OUT THIS FORM CAREFULLY AND FAX OR EMAIL IT WITH A COPY OF YOUR ID CARD /
PASSPORT TO THE SECURITY COMPANY.
REFERENCE NUMBER. . . . … … … … … … ...EMAIL ADDRESS. . . . . . . . . . . . . . . . . . . . … … … … … … …..
SURNAME...FIRST NAME:. . . . . . . . . . . . . . . . . . . . . . … … …. . . . … … …..
DATE OF BIRTH. . . . . . . . . . . . . . . . . . . . ..NATIONALITY. . . . . . . . . . . . . . . . . . . . . . .EXPIRATION DATE. . . . . . . . . . . . . . . . . . . . . . . . .
WINNING NUMBERS:. . . . . . . . . . . . . . . . . . . . . . SERIAL NNUMBER:. . . . . . . . . . . . . . . . . . . . .AMOUNT WON. . . . . . . . . . . . . . . . . . . .
STREET, . . . . . . . . . . . . . . .… … …. . . . . . . . . . . . . . . . . . . . . . . . . . NUMBER...
CITY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...POSTCODE. . . . . . . . . . . . .COUNTRY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
TELEPHONE:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...MOBILE:. . . . . . . . . . . . . . . . . . . . . . . . . . . . FAX:. . . . . . . . . . . . . . . . . . . . . . . . . . . . ...
PREFESSION:. . . . . . . . . . . . . . . . . . . . . . . . ...MARITAL STATUS:……. . . . . . . . . . . . . . . . ..(SEX)..….……. . . . . . . . . . . . . . . . . . . . . . . . .
WHAT IS YOUR PRFERRED FORM OF PAYMENT? (A)BANK TRANSFER: (B) CHEQUE
BANK DATA IS ONLY REQUIRED IF YOU CHOOSE BANK TRANSFER
BANK NAME:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...
ACCOUNT NUMBER…. . . . . . . . . . . . . . . . . . . . . . . . . . ..IBAN:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .
BANK ADDRESS:… … ………. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TELEPHONE NUMMER. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...FAX: NUMMER. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SIGNATURE: . . . . . . . . . . . . . . . . . . . . ..DATE. . . . . . . . . . . . . . . . . . . . . . . . ..EMAIL:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5 6 9 8 7 4 5 2 1 3 6 9 1