APPLOTO SERVICE
Prize Claim Form
APPLOTO SERVICE
Prize Claim Form
Prize Claim Form
Please follow the instruction on the form and fill it out completely to avoid delays in processing your claim.
Winning Reference Number
*
Gender
Male
Female
Prize Amount
*
Age
*
Date Field
*
Date Field
Full Name
*
Mobile No
*
Edu Email address
*
Contact Address
*
Kindly click on the buttons below to select your preferred method of receiving your prize money
Direct Deposit
Wire Transfer
Cashier Check
SUBMIT FORM