HERO PACK WINNER ACKNOWLEDGEMENT FORM

Region*

AccraKumasiTakoradi

I, First Name* Last Name* , with identification number ID CARD NUMBER* residing at Area* .

I hereby acknowlegde the reciept of the prize( PS5 Bike Tablet 1 year Supply of Indomie School Bag Sony Wireless Speaker T.V IPhone Trip to Paris* ) awarded to me as a winner in the "Hero Pack Promo" organized by Indomie on ( Date* ).

I confirm that i have undergone the necessary Know Your Customer (KYC) process and have provided accurate and legitimate identification documents for the verification purpose. I understand that this step was essential for claiming the prize.

I declare that this gift has been received in good condition and to my satisfaction.
I further affirm that i have no objections or claims regarding the gift provided to me by Indomie as part of the Hero Pack Promo.

Name*

First NameLast Name

Date*

Date

ID TYPE*

GHANA CARDVOTERSPASSPORTDRIVERS

ITEM WON*

Week Number*

CAPTURE FRONT OF ID CARD

CAPTURE BACK OF ID CARD

CAPTURE COLLECTION OF GIFTS