Yi Wo De3 Promo Acknowledgement Form

Yi Wo De3 Winners Acknowledgement Form
Region
I,   First Name*   Last Name*   , with identification number      ID CARD NUMBER*   residing at   Area*   .

I hereby acknowlegde the reciept of the prize(   Cash 5000Ghcanding Fan Shopping Voucher 500Ghc   Standing Fan   Blenders   Deep Freezer- 400L   TV Set   1Yr Indomie Supply   Microwaves   Cooking Utensils   Gas Cooker                              ) awarded to me as a winner in the "Yi Wo De3 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 Yi Wo De3 Promo. *   Samsung Galaxy A07   Car*   p>
Winner:
Name

First NameLast Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
ID TYPE
ITEM WON
Week Number
CAPTURE FRONT OF ID CARD
CAPTURE BACK OF ID CARD
CAPTURE COLLECTION OF GIFTS
Occupation
Enter work winner does.
CAPTURE FRONT OF ID CARD

Cancelof
CAPTURE BACK OF ID CARD

Cancelof
CAPTURE COLLECTION OF GIFTS

Cancelof
Signature
INDOMIE POINT OF CONTACT:
Name

First NameLast Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Signature
Should be Empty: