Name:

Date of Birth:

Mobile:

Address:

Annual Income (Rs.):

I do not own a house anywhere in my name

I agree to the following terms and conditions:

Only those who do not own a house anywhere in their name and whose income is less than Rs. 8 lakhs will be eligible.
The lottery holder can withdraw at any time before the draw and get a refund.
The lottery cannot be withdrawn after the draw.

We'll contact you on this number when you win.

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