FORM VI JOINT CLAIM [See rule 9,(3)] That we undersigned hereunder do hereby solemnly affirm and state on oath as follows: That we together have purchased

FORM VI JOINT CLAIM [See rule 9,(3)] That we undersigned hereunder do hereby solemnly affirm and state on oath as follows: That we together have purchased .......................................................(Name of Lottery) Kerala Paper Lottery ticket series, bearing number .............................................................................. That our Bank Account details are provided (Extractive summary — verify with official source.)