This form is in JPEG format. Tap on the picture and save picture in your mobile and take a print out. If you are using a desktop computer, right click the image and use "save the image as.....".
You have to fill the above form duly and affix a revenue stamp worth Rs.1. While affixing your signature take care to put your sign as it overlaps the revenue stamp. If you are making your Kerala lottery prize claim through a bank then submit this form to your bank, they will forawd the application to the Kerala lottery Director.