CERTIFICATE OF THE RECEIVING BANK I, the manager of the........Bank, Br......, solemly affirm that, the proceeds of the Ticket No........ of Lottery No......will be credited to the account of the prizewinner 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..........., Thiruvananthapuram, who is acting as a collecting Bank for us. Place: Name & Signature of the Manager. Date:
