CERTIFICATEOFTHECOLLECTINGBANK

ReferenceNo.

Date:

From

To
TheDirectorofStateLotteries,
Thiruvananthapuram.
Sir,
Sub:

PresentationofLotteryTicketsforPrizemoneyCertificateofthe
CollectingBankreg.
LotteryNo.
DateofDraw:

TicketNo.

HereIampresentingthreabovesaidLotteryTicketandrelevantdocuments
forcollectionofprizemoney.TheclaimantoftheprizemoneyisShri/Smt................
.........................................................................................................................................
.........................................................................................................................................
Ireceivedtheticketfromthe...............................................................................Bank,
Branch......................................................................................................................asa
CollectingAgent.Thereisnodelayinpresrentingtheticket,
Ialsocertifythattheprizeamountwillbetransfercreditedtothe.................
.............................................................................................................................(Name
ofBankwithBranch)onrealisation,throughwhomtheclaimanthaspresentedthe
ticket.
Yoursfaithfully,
(BankSeal)Name&signatureoftheManager
Documentsenclosed:
1.OriginalTicket.No.
2.PhotocopyoftheTicket(BothSides)Attested
3.TwoPassportsizePhotosAttested.
4.ProperPayee'sReceipt
5.AuthorisationfromthePrizewinner
6.CertificateoftheReceivingBank