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Efun company limited
The account holder claim formTime: year 2013 month 12 day 24
Account_magicfail____ , game nick name_VNmagic____ , as_____ held, now I am provided the evidences to
Efun company limited to prove that I was the account holder. However, __i (febrina)___ declare that if the applier
attempts or deliberately to conceal the truths, or the account is held by other people, the applier has to take all the
legal responsibility, and Efun company limited does not take the responsibility.
the information of the account
name Febrina rahayu ID
Home number 0747-21146 Mobile number 085266996267
Game account magicfailThe name of the
gamePet Alliance
Server name S10-aquarius Role name VNmagic
Address Jln.pramuka no 33,rajabasa
E-Mail [email protected]
Apply reasonsI want change my old email because i forget and i cant change my id and password if i dont
remember my old email
the ID documents of the applier
Front page of the IDIf the applier under 18, please provide the ID copy
of lega l guardian
Back page of the IDIf the applier under 18, please provide the ID copy
of legal guardian
Notice:
1. We cannot process the program if the information is insufficiency or cannot provide the ID
documents.
2. xxxx may provides the information to the police directly according to different cases.
Email: [email protected]
Efun company limited
Applier _________febrina ______________（signature & stamp）
