Personal Details |
Simply
follow the instructions on the
next few screens.
Do not use the back button in
your browser, use the button provided under your form.
Fields marked with
an asterisk (*) are required. |
Title:
* |
|
First
Name: * |
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Middle
Name: |
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Last
Name: * |
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Email
Address: * |
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Date
of Birth: *
|
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Place
of Birth: * |
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SSN/Identity
No: * |
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Type
of ID: * |
|
Issued/Expiry
Date: * |
|
Issue
of Authority: * |
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Country
of Issue: * |
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Home Address |
Address:
* |
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Address
Line 2: |
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City:
* |
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State:
* |
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| Local Government Area: * |
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Country:
* |
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Telephone
No: * |
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Mobile
No: |
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You must be 18 or over and Nigeria resident to play or claim a prize
Vision Lottery & Games Limited is incorporated by the Corporate Affairs Commission under the Nigeria Company and Allied Matters Act.- RC865316.