OXFORD INTERNATIONAL
LOTTERY
32 Hurst
Street
Birmingham, B5 4TB
United
Kingdom
.
Ref: OXS/812/07
Batch:
322056Q
Dear Award
Beneficiary,
CONGRATULATIONS!!!
I am Dr. Martin Jean, the fiduciary agent assigned to your case
to help you in the claims process of your funds. I wish to congratulate you
and to say you are a lucky person to have won this lottery. All the winners
in the Lottery were selected randomly through a computer ballot system from
Email addresses.
You are required to fill the form below to facilitate the processing
of your claims and certificate which will lead to the payment of your prize
of 1,000.000.00 (One Million Great Britain Pounds) to you as required.
Duly complete the Prize Award Verification forms to enable this
office verify and process your winnings, and have your Won Sum and winning
Certificate sent to you.
All information is strictly confidential and will only be used for
the purpose to which it is been requested.
A Prize Award Verification & Payment Form Draft below which
you are expected to fill out and return by fax or email to this office
within 72 hours of receipt.
(PRIZE AWARD VERIFICATION FORM.(PERSONAL
DETAILS)
NAME( MR. MRS.
MISS.):. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
COMPANY NAME: (IF
APPLICABLE). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ADDRESS:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CITY:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
STATE:. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ZIP
CODE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
COUNTRY:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TEL:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
FAX:. . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
HOME. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
EMAIL
ADDRESS:. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
WEBSITE:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
OCCUPATION:. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
MARITAL
STATUS:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DATE OF PRIZE
WON:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DATE OF
BIRTH:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CLAIMANT SIGNATORY
DECLARATION:
I
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Declare as the
lotto prize winner that all information I have provided for my winning
claims are true and correct. I agreed with the instructions in line with the
processing and transfer of my Lottery Award Prize.
NOTE: THIS VERIFICATION FORM SHOULD BE COMPLETELY
FILLED OUT AND RETURN BY EMAIL WITHIN 72HOURS OF RECEIPT OF THIS
FORM.
Once again,
CONGRATULATIONS!!!!
Yours Sincerely,
Dr. Martin
Jean
Claims Processing Agent.
Tel: +44 701 114
0992