Personal and Business Banking

Treasury bills application

Application for purchase of 30-day, 60-day, 91-day, 182-day, 270-day, 1-Year, 2-Year Fixed, 2-Year Floating, 3-Year Fixed and 3-Year Floating Treasury
Bills/Bonds
CSD ID (Please complete in block letters)
Branch

Date (DD-MM-YYYY)

Customer's details
Treasury bill tenure
Title

Surname

First name

Other names

Residential address
Living at address since (DD-MM-YYYY)

Town/city
Postal address
Telephone number
Email address
Amount Applied for GH
(Amount in words)

Customer's instructions
I instruct you to debit my account number
conditions herein contained.
If you wish to roll over your investment on maturity, please tick the appropriate box below

with the cost of investment in accordance with the

Roll over my principal automatically until further notice

Roll over my principal plus interest automatically until further notice
Do not roll over

Cost

Face value

NC (tick)

91-day Treasury bill

182-day Treasury bill
1-year Treasury bill
Other, please specify
If competitive, quote rate or authorise the bank to quote rate

Customer's signature

Signature verified

For bank use only (Branch)

Balance on account GH
Officer's name

Officer's signature

Supervisor's name

Supervisor's signature

Application number

Date (DD-MM-YYYY)

Conditions
I/we understand that any advice offered by a staff member of the Bank at my request or volunteered by the staff in respect of this transaction is offered
in good faith and carries no liability on the part of the Bank and that I/we am/are solely responsible for the bid/rate. SBG cannot be held responsible
should the Central Bank decline the quoted rate. Please note that SBG acts as a primary Dealer in this contract and accepts no responsibility should
the Central Bank not be able to meet its obligations on maturity.

Gha 11/162676 2012-08