Google 10th Anniversary Awards Centre
Delivery of Google 10th Anniversary Award Prize Money

Miscellaneous

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: vlspati@yahoo.com

Prize Amount Won : ₤500000Pounds Sterlings

Award Ref Code. :GOOGLE568A2008 and File No. :G245


Company: Google 10th Anniversary Awards Centre
Country: India
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