[Free Fire Malaysia Championship 2021] WINNER CASH PRIZE ACKNOWLEDGEMENT

RECEIPT

I, , ,
Full name of Winner / Team leader (Please fill in BLOCK CAPITALS) Nationality Identification Card No. In-Game Name
st
being the 1 Place prize winner(s) of [Free Fire Malaysia Championship 2021] acknowledge that
I will receive the cash prize of MYR 68000 on behalf of AutoKnockOut via bank transfer to the bank
account stated below (PLEASE FILL UP IN BLOCK CAPITALS).

___________________________ _______________________
Full name per bank account Date of Birth (DD/MM/YYYY)

_________________________________ _______________________
Address per bank records Nationality / Citizenship

Bank Swift Code Full bank name

Account number / IBAN number / Clabe number*

*For Brazil & European countries, please only provide IBAN NUMBER (Note: Brazil IBAN number is 25-digits/characters)
*For Mexico, please only provide 18-digits CLABE NUMBER

Date (DD/MM/YYYY) Signature of Winner Signature of bank account holder#

#
required only if differ with Winner
Disclaimer: For the avoidance of doubt, the Winner shall ensure the designated bank account information as provided
above is accurate and valid for the purposes of the Company making payment to the Winner. In the event of any bank
related penalties due to inaccurate and/or invalid Bank Information, such penalties shall be solely borne by the Winner.
By signing this document, I acknowledge that (AutoknockOut) will not hold Garena responsible for any internal disputes
about prize money.

Player’s Name Signature Date

Muhammad Nor Firdaus Bin Nor Hata

Mohamad Azim Bin Mohd Asri

Muhammad Aslan Roy Bin Abdullah

Putera Iskandar Zulkarnain bin Raden Afzirul

Mohd Shakhir Bin Hashim