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.... [ ] Cash Cheque/DD No... dated. ../.. [ ] Cheque/DD drawn on (Bank/branch).... [ ] Electronic Transfer for (Amount) ……………………. …………………………………. (Rupees........ ..only) In case, investment exceeds Rs. 50,000 in cash, PAN number 4) Depository participant details (to avail of option to hold the bond in demat form) Depository Name DP / Client ID NSDL [ ]; CDSL [ ]; For NSDL, enter 8 digit dp ID followed by 8 digit client ID, For CDSL enter 16 digit client ID 5) Bank Details (for Interest/Redemption payment) Bank Name: Account No.: Type of Account: ( ) Saving Branch Name: IFSC Code: ( ) Current 6) Declaration: I/We hereby declare and undertake that (i) my/our aggregate investment in Sovereign Gold bonds does not exceed 500 Grams during the financial year 2015-16 and (ii) the Information furnish in this application form is correct, (iii) I have read and understood the details of information for the investors as well as rights and duties of investors (copy attached). The agent/bank h....

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....terest is not payable It is mandatory for the investors to provide bank account details to facilitate payment of interest /maturity value The sole Holder or all the joint holders may nominate one or more persons as nominee 8 years from date of issue On the coupon dates from the 5th year of issuance. these bonds on Trading of exchanges/NDS-OM shall be notified. The holders of the said securities shall be entitled to create pledge, hypothecation or lien in favour of scheduled banks. Branches of all the scheduled commercial banks, and designated Post offices Instructions for Investor/ Applicants a) Application should be complete in all respects. b) Incomplete applications may be rejected or delayed till full particulars are available. c) In case the application is submitted by a Power of Attorney (POA) holder, please submit original POA for verification, along with an attested copy. d) In case the application is on behalf of a minor, please submit the original birth certificate from the School or Municipal Authorities for verification, together with an attested copy. e) Please note that nomination f....

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....€¦./…………………………./………….. drawn on (Bank and branch) for Application No... grams totaling an amount of (Rupees.. .Cash/ dated only) for the purchase of Sovereign Gold Bond for a period of 8 years, interest payable on basis of the nominal value of (Rupees........ .....only). (Stamp Seal of the Receiving Office) Form 'C' [See paragraph 6 (1)] सत्यमेव जयते भारत सरकार Government of India राष्ट्रिक स्वर्ण बंधपत्र (सॉवरेन गोल्ड बॉण्ड)- 2015-16 SOVEREIGN GOLD BONDS-2015-16 Certificate Number- मैं एतद द्वारा प्रमाणित करता/करती हूँ कि श्री / श्रीà....

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....rly intervals on every year. The Bonds are redeemable on Rs.. units of Sovereign Gold Bonds 2015-16. -percent per annum on initial investment of -and with the option for early redemption from fifth year on interest payment dates. आवेदन प्राप्तकर्ता कार्यालय का नाम Application Receiving Office name- यह प्रमाणपत्र प्रणाली आधारित है अतः हस्ताक्षर आवश्यक नहीं। This is a system generated certificate and does not require any signature. Form 'D' [See paragraph 15] NOMINATION I/We (Name and address), for the loan the holder/s of Stock certificate/BLA No hereby nominate the following person/s who shall on my/our death have the right to the Government securities/Bonds and receive payment of the amount for the time being due ....