ACERTIFICATEOFTHERECEIVINGBANK

I ,The Manager of the ..................................................

BANK,.................................Branch solemnly affirm that, the proceeds of Ticket
No................. of Lottery No................ ,will be credited to the account of the Prize
Winner Shri/Smt...................................................on realisation.
I also authorise the Director of State Lotteries to pay the proceeds of the
above said lottery to the ........................................... Bank, ..............................
Branch who is acting as a collecting bank of us.

Place:
Date:

Name&SignatureoftheManager.

Seal

NB: Please refer the file number in all correspondence.