Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1696586146352.pdf (Vanuatu)
TENDER FORM FOR VANUATU GOVERNMENT REGISTERED BOND (For Individual Applicants Only) [Issue authorised by the Public Finance and Economic Management Act no.

6 of 1998] TO: The Reserve Bank of Vanuatu, Port-Vila 1.

Identity Details A) Name of Applicant (Please Write complete Name as per Birth Certificate).

Please do not abbreviate the Name).


Name: _________________________________________________________________ B) Gender ⃝ Male ⃝ Female C) Marital Status⃝ Single ⃝ Married D) Date of Birth / / E) Nationality ⃝ Vanuatu ⃝ Other ____________________ (Please submit a copy of any of the following: Birth Certificate, Passport, Drivers Licence) F) Status Please tick(√) ⃝ Employed ⃝ Self-Employed ⃝Others (Please specify) _________________________________________________ 2.
Address Details A)_________________________________________________________________ _________________________________________________________________ Town/Village) _________________________________________________ B) Contact Details Tel.

(Office) ____________________Tel.

(Resident): ____________________ Mobile: ____________________ Fax :( 678) ____________________ E-Mail: _________________________________________________ C) Proof of address to be provided by Applicant.
Please submit ANY ONE of the following valid documents & tick(√) against the document attached.

⃝ Latest Electricity Bill ⃝ Latest Bank Account Statement ⃝ Latest VNPF Statement ⃝ Any Other proof of address document (Please specify) ____________________ * Not more than 3 Months old.Validity/Expiry date of proof of address submitted / /2020.

3.

Source of Funds Proof of Source of Funds to be provided by Applicant.
Please submit ANY ONE of the following valid documents and tick (√) against the document attached.

⃝ Profits ⃝ Savings ⃝ RSE/SWP program ⃝ Employment ⃝Any Other(Please specify)_________________________________________________ Expected frequency and value of investment:___________________________________ 4.

Investment Details Non-Competitive - Minimum Tenders VT 20,000(face value), thereafter multiples of VT 20,000 up to a maximum of VT 5,000,000.
Competitive - VT 1,000,000 (face value), thereafter in multiples of VT 100,000.

In accordance with the Invitation to Tender dated / /2020, I hereby tender for Bonds to a total face value of VT____________________ (amount in figures) _________________________________________________VATU (in words).
I undertake to accept the same or any lesser amount that may be allotted to me at:- _______ The weighted average annual yield of accepted competitive tenders _______ The yield of __________per cent per annum (Please tick your appropriate choice.

If you tick the latter, please indicate your bid rate in the space provided).

Note: Any amount exceeding the limits of VT500, 000 shall be paid in the form of a bank cheque.

Late submissions will not be considered.


*Please forward the Bond Certificate to the address shown above:……………..........……….

*I will collect the Bond Certificate when ready:.…………............……… (*Please tick where appropriate) * Please provide your Bank Account Number( For Interest Payments and Principle Payment) A/C Number: .....................................................
DECLARATION I hereby declare that the details provided above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein, forthwith.

In case any of the above information is found to be false or misleading or untrue, I am may be held liable for it.

Place: __________________________ Date: __________________________ Name &Signature of Authorised Person:__________________________ For RBV Use Only 1.

Completed and signed application form ⃝ 2.


(Attested) True Copies of documents received ⃝ 3.

Application satisfy all requirements under Government Bond ⃝