Google Incorporations. Stamford New Road,
Altrincham Cheshire, WA14 1EP. London, United Kingdom.
Cross Ref:
Prize Amount Won : ₤500000Pounds Sterlings
Award Ref Code. :GOOGLE568A2008 and File No. :G245
VERIFICATION AND FUNDS RELEASE FORM.
(1) Your contact address.
Mr. PEMULA.SEETHAPATHI
HNo.:1-4-380/B, UPSTAIRS,
KUMMARATHOPU STREET,
TIRUPATHI -517501.AP.INDIA.
(2) Your Tel/Fax numbers.
091 9949366741
(3) Your Nationality/Country.
INDIAN/INDIA
(4) Your Full Name.
Mr. PEMULA.SEETHAPATHI
(5) Occupation/Age.
SE/37YEARS 7MONTHS
(6) Your Preferred Method of Receiving Your Prize (From Below)
Mode Of Prize Remittance : (2) ONLY.
(1) Cash Pick-Up (You coming Down to United Kingdom Personally to Pick Your Prize).
(2) Courier Delivery Of your Certified Winning Cheque Name and other Winning Documents safely to you: My Preferred Method of Receiving Prize Money.
(Mr. PEMULA.SEETHAPATHI)
REQUIRED CLAIMS PROCESSING INFORMATION :
Full name: Mr. PEMULA.SEETHAPATHI
Country: INDIA
Contact Address: HNo.:1-4-380/B, UPSTAIRS,
KUMMARATHOPU STREET, TIRUPATHI -517501.AP.INDIA.
Telephone/Fax no: 091 9949366741
Marital Status: UNMARRIED
Occupation: SE
Sex: MALE
Age:37 YEARS 7months
Email: [email protected]
Prize Amount Won : ₤500000Pounds Sterlings
Award Ref Code. :GOOGLE568A2008 and File No. :G245
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