EMERGENCY MONEY RELOCATION FORM

GERMAN EDITION - EML-02E ((English))

To be completed by RECEIVER
Wir Ficken Bock…. Fur Sie!

MTCN

Sender First Name Sender Last Name

The following questions relate to the RECEIVER of the transfer

First Name Last Name

Other Names

House No Street

District Post Town

Country Post Code

Date of birth Passport/ID No.

Weight Height

Colour of eyes Color of hair

Ethnicity Religion

Mother's Name Father's Name

Sex

>
Number of criminal convictions (tick one) 1 2 3 4 5 6
6

>
Number of Western Union transfers received a year 1 2 3 4 5 6
6

>
Number of Western Union transfers sent a year 1 2 3 4 5 6
6
ABOUT THE TRANSFER

Where has it gone to?

Where should it go to?

Why did it not go to where it should have gone to?

Whose fault is it it went to the wrong place?

Why did you give incorrect information to the sender?

What did you do when you realized your mistake?

How long did it take you to realize you made a mistake?

What have you done to make sure that you do not make
same mistake again?

How many Western Union transfers have you made >

1 2 3 4 5 6
mistakes on previously 6

Do you consider yourself to be a fit person to receive

money? Why do you believe this to be the case?

If you believe that the sender made a mistake please

provide a full explanation here so that corrective action can
be taken

Explain what this money will be used for when you receive
it?
FRAUD PREVENTION TEST
The following questions are designed to ensure that this form is being completed by a human and not a machine in order
to prevent fraudulent redirection requests. Answer all questions fully. Failure to answer will automatically invalidate the
redirection request.

What is the name of this animal?

If you wanted this animal for a pet, how would you obtain
one?

Give your reasons as to why this animal would make a

suitable pet for a family with young children

Give your reasons as to why this animal would NOT make

a suitable pet for a family with young children

How big would this animal normally grow to?

How long would you normally expect this animal to live for?

The following questions relate to this block of numbers: (NB: Number block extends to the next page)
7630064741303041014847195289652747913427581072395250968459105752154439802511549456817257920773533267
7407037102318151247586835435447635977605479883634095652199410729410532700048981684313199071109627302
6972295991027150602261815406745349776139786167838298567181795394546772180290829422398251809723270586
0065241355605124825884965586478393967021762014861165996590397034816697257379089559043942126442937227
7102498423266437530397425115442702219918166194934368858325860845953325911245611261599865864883167970
6706972153725628899374839562219057959306051814743119680122237657306070576089208747048414715083367368
5093725429104528744216326734907397125444528197622593909918076541570047776132625573644477968451704512
0054475823788043346426550720007104637557299589377863184191504199354601719145367927229087021024992055
1519564981015814646320145942111077112796898410266087365432591325994779583223269395149076080210785070
8677963167149272097381264668162375406221484130083676441214895570456466479191530354377082650291148748
1051824312307400903041917705822150104494975931317305205666475036773850339922695013767874010895166497
0135545482327807731276776987039391373630373401539543529603709067008045730127877425916861180336641478
7181247199733221164035234359045992307728515651620890947562343496688200508276850634596070760403099057

Take every thirteenth number and add them up, what is the
result?

Take every seventh number and add them up, what is the
result?

From your answers above subtract the first number you

obtained from the second number you obtained and then
add the number from the above block that is the first
number after the seventeenth occurrence of the number 0.
Show your working

Did you enjoy solving this problem?

Explain why or why not.

In the box to the right draw a picture of a tree

How many windows does your drawing of the tree have?

Is there a bird in the tree?

If there is no bird why did you not draw one? If there is a

bird what species of bird is it (please give full Latin
Linnaean classification)

DECLARATION
Please sign each declaration separately

I have honestly answered all questions to the best of my

ability

All the answers are my own work

I did not use any calculating device to answer the numeric

questions

I honestly believe that the money has been sent to me and

is rightfully mine

Affix your RIGHT index fingerprint in BLUE ink on the box

to the right

FOR OFFICE USE ONLY

Approved/Rejected

Authorising officer

Redirection code

Copyright © Western Union™ Payment Systems (Deutschland) GMbH. All rights reserved. No part of this form may be copied or duplicated. Any attempt to use this form for fraudulent
purposes is punishable under German Law (Statute 95-7419 Fraudundscammermenchbeslappung Ordnung, section 5, subsection 12, paragraph 22) with up to 5 years imprisonment, a
fine of €200,000, being rogered by an eagle or all three. This form was designed by Sonnenshine Mit Glizerstrahl GMbH for Western Union™ Payment Systems (Deutschland) GMbH
and was typeset in Monotype Klunk on the WANKTEX image processing system. This form may not be used as a life saving device and is not to be loose or hump shunted. You know
I'm not sure if being rogered by an eagle would be a reward or a punishment but you should probably tell the truth on this form anyway. Maybe you could file it's talons down.