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LETTEROFAUTHORISATIONOFTHEPRIZEWINNER

I here by request and authorise the Director of State Lotteries to pay the
Prize amount of the Lottery Ticket No. ...............................................................
of ........................................Lottery to the ...............................................
............. ........ ......................................Branch on demand. For this purpose
any discharge by the said bank on my behalf shall constitute a valid
one and irrecoverable from your side. Further I also affirm that this
authorisation shall never be a revocable one.

Signature:..................................................

Place:
Date:

Name&FullAddresswithPincode.

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