This document appears to be a distributor application form for an online services company called Share2Win. It requests personal information from applicants such as name, address, contact details, and identification numbers. It also asks for sponsor information if the applicant was referred by an existing distributor. The form provides fields for selecting an entry package priced at 1,200 pesos and initial number combination options. There are sections for office use only to record processing of the application.

1. Please print clearly in blue or black ink Control No: _______________
SHARE2WIN ONLINE SERVICES
DISTRIBUTOR APPLICATION FORM
1. PERSONAL INFORMATION
Complete Given Name:
Address:
City: Province: Country: Postal Code:
Email Address: TIN#: Date of Birth:
Phone Number Mobile #1: Mobile # 2:
Gender: Civil Status Nationality
2. SPONSOR'S INFORMATION
Complete Given Name: Sponsor's ID #:
Address:
City: Province: Country: Postal Code:
Email Address: TIN#: Date of Birth:
Phone Number Mobile #1: Mobile # 2:
Gender: Civil Status Nationality
3. DISTRIBUTOR'S PLACEMENT (Filled up by the Sponsor)
Placements Name is the same as Sponsor's Name unless indicated below:
Placements Name: Placement's ID #:
4. BENEFICIARY'S INFORMATION
Beneficiary's Name: Relation: Date of Birth:
5. ENTRY PACKAGE
Entry: Basic P1,200.00 (one month betting)
6. INITIAL NUMBER COMBINATIONS
6/55 6/49 6/45 6/42
7. FOR OFFICE USE ONLY
Received By: Approved by: Date:
Processed by: Activation Codes Received:
[ ] Over the Counter
Username and ID#: [ ] Handed Over [ ] Shipped
Pagsabungan, Mandaue City, Cebu 6014 htt://SHARE2WIN.BIZ.LY AppsForm - Share2Win - 001