DFGGF

1. DELIVERY CONFIRMATION FORM:
1. Full Names: ....................................
2. Address: ........................................
3. State: .............................................
4. Age: ...............................................
5. Sex: ……..........................................
6. Mobile Number: ……….…….........
7. Bank account details: ......................
8. Country: .........................................

2. 9. Occupation: ....................................
10. Nationality: ...................................
11. Annual
Income............................
12. Your Won
Amount........................
DECLARATION:
I.......................................... hereby declare that the above information provided are true and
correct for the payment of my Award to my bank account which i will provide as soon as i
hear from the bank.

3. You are to send the above information to the RESERVE BANK OF INDIA immediately
for your Award Demand Draft, below are the contact details of the the bank.
Bank Name:Reserve Bank Of India.
Central Office,Jeevan Bharathi Building,
Connaught Place, New Delhi
Contact Person: Mr.Pram Kumar
(Account Department)
E-mail Address: rbi-h@h.fo