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From: Mr Richard Cook <bnlofficer02@yahoo.co.uk>
Sent: Sunday, June 1, 2008 1:56:19 AM
Subject: Verification/Claims Processing Form
BRITISH NATIONAL LOTTERY
Unit 11, Ashford Industrial Estate,
Shield Road, Ashford, Middx,
TW15 1AU,United Kingdom.
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TICKET NO: 8603775966738
REF NO: UK/776090X2/23
BATCH NO: 013/06/8394369
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ATTN: Winner,
I am Mr. Richard Cook your claims officer andiam in receipt of your recent email regarding the claim of the just concluded BRITISH NATIONAL LOTTERY Email Online Promotion.Your application for claim of lottery winning prize is under process and full settlement will be made upon certification of your details.
Be informed that we are in possession of your prize-winner certificate which will be sent to the financial institution to effect your payment when you have completed the form below and return it to us within 48 hrs of this email.
Hence, carefully fill in the appropriate information in the spaces provided in the Claim Form to
facilitate our immediate processing of your prize claim. Your funds have since been deposited with a Finance Company in The United Kingdom for settlement of your winning. Once we receive the requested information, your claims file will be sent to the Firm for your settlement. Please, you are advised to send along the filled form, a copy of your personal Identification preferably the photo page of your international passport or license for proper identification.
THE BENEFICIARY/OWNER OF THE WINNING EMAIL OF THE FUNDS SHOULD COMPLETE THIS CLAIMS FORM.
| 1.FULL NAMES OF BENEFICIARY: |
| 2.RESIDENTIAL ADDRESS: |
| 3.DATE AND PLACE OF BIRTH: |
| 4.PHONE/FAX NUMBERS: |
| 5.NAME AND ADDRESS OF NEXT OF KIN: |
| 6.SEX: |
| 7.OCCUPATION: |
| 8.MARITAL STATUS: |
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9.COUNTRY: | |
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