APPLICATION To, The Director, Institutional Finance & State Lottery Government of Mizoram, Tuikhuahtlang, Aizawl – 796 001, Mizoram

APPLICATION To, The Director, Institutional Finance & State Lottery Government of Mizoram, Tuikhuahtlang, Aizawl – 796 001, Mizoram. I HEREWITH SUBMIT MY PRIZE WINNING TICKET FOR YOUR KIND Prize Winning Ticket No. Name of Lottery Draw No. Full Name of the Prize winner Address Email Father’s/ Husband’s Name Profession Name of the Organization Nature of Business Rank of the Prize Prize Amount My PAN (Extractive summary — verify with official source.)