application for purchasing a treasury bill annexure- iv (company) treasury bill code no. to be filled in block capitals (please ente


Application for Purchasing a Treasury bill Annexure- iv
(Company) Treasury bill code No.
TO BE FILLED IN BLOCK CAPITALS (Please enter previous code, if any)
C ompany Information
===========================
Name of the /Company:- …………………………………………………………………………
………………………………………………………………………... (Company Registration No.
Registered Address. …………….. ….………………………………………………………… please attach a
certified copy)
…….…………………………………………………………….…………………………………….……………
Tel. Nos. of the Director/s and the Secretary
………………………/……………………/…………….… Fax No. :- ……………...
Tel No of the Company ……………………..……………….
M obile Nos. ………………………………………/……………………/………………..… Email
…………………………………......
R esidential Tele Nos ………………/………………… Resident Yes No
Tax Payer Yes No.
I
=
For Office use only
-------------------
Price
W.e.f.
nvestment Information
Investment Value: - …………………………… Yield: - ………………% p.a.
=====================================================

Face Value : - …………………………… From: - …… /……. /…………
========================================================
Period : - ………….…… Days (91day s =3months / 182 days=6 months / 364
days = 12 months)
===================================================================
Funds availability:-
====================
(a)Source of funds.(e.g.:-Shareholder
contribution/business/………………………………………………………………….
================================================
(b) Purpose of investment…...….…………………………………………………………………………………………………..
======================================================================
(c) Debit the Company Current/savings account No……………………………..
at………………………………..Branch.
M aturity Instructions (a) Do not reinvest. (b)
Reinvest for same face value and remit interest (c) Reinvest with
interest Subject to the Companies written instructions)
======================================================================
General terms and conditions The authorize officers of the said
Company hereby declare that the information given above is true and
correct. The Company agrees to abide by the Central Bank and Bank of
Ceylon (Bank) Rules and Regulations /Terms and Conditions already in
force and that will be enforced in due course in respect of investment
in Government Securities. The Company is aware that the Bank will
purchase Government securities (Treasury bills) on behalf the Company
subject to issuance and availability of securities and the customer
rate will be decided based on the published Central Bank Weighted
Average rates and/or market rates on weekly basis. Bank bears no
responsibility whatsoever for changes of the investment period,
interest rates and or paying back proceeds to the Company without
investing/reinvesting, due to insufficient funds in company’s account
or unavailability of securities under any reason. It is company’s
responsibility to verify the accuracy of details of Treasury Bill
operations on due dates through the account/s. Adhering to “Central
Bank “Customer Charter, “The Company agrees to submit new
applications/written reinvestment instructions (07) seven days prior
to the maturity date enabling Bank to purchase Government Securities
on behalf of the Company. The company is also aware that due to
Company’s failure to provide written reinvestment instructions on
time/non issuance or non availability of Treasury bills, the Bank
bears no responsibility for reinvestment or any losses arising out of
it. The Company is aware that there might be a financial disadvantage
on premature withdrawal of investment due to prevailing market
interest rates. The Company is aware that in the event of the
Company’s failure to claim proceeds sent by the(Bank) Primary Dealer
Unit within 90 days of such payment made, Bank shall transfer such
proceeds to the Central Bank as required by directions issued by the
Central Bank under sections 10 (6) and 10 (7)of the Local Treasury
Bill Ordinance. The Company agrees to pay fees, commissions or any
other service charges if any for additional services provided by the
Bank on Company’s investments as per the schedule to this application.
The Company agrees to inform the Primary Dealer Unit immediately of
any changes of address/contact details or any other relevant
information. All documents relating to Government Securities
Transactions will be signed by duly authorized Officers of the said
Company according to Articles of Association /Resolutions passed by
the Directors. The Company agrees to inform BOC Primary Dealer Unit
any discrepancy in a transaction on Company’s investments within 14
days of such transaction. Bank shall pay the proceeds of company’s
T/Bill investment/s to an account/s nominated by the company and the
bank shall not be liable for any changes made to such account/s by the
company from time to time contrary to the instructions given in T/Bill
application/s.
FATCA - declaration. Currently the Company is governed/not governed
under Foreign Accounts Tax Compliance Act (FATCA),of the United States
of America (USA) and The Company attaches herewith FATCA
declaration/and in the event of the Company becoming US Person/persons
under the above Act the Company agrees to submit FATCA declaration
immediately to PDU/BOC.
Operating Instructions -.. ……………………………………………………………………………………………………………
(Title e.g.:- Director/ Secretary) (1)……………………………. (2)…………………………
(3)…………………………….
Name ……………………………… …………………………… ……………………………
NIC Number ……………………………… …………………………… ……………………………..
(Authorized signatories of the
Company / and Company seal) *(1) …………………………... (2) ………………………… (3)
….……………………… (signatories/ Director’s Seal/ Secretary’s Seal)
Date …………………………………
For the use of Bank of Ceylon Branches
======================================
Branch …………………………………………
=======================
Having verified the customer KYC Compliance, and the signatures of the
authorized signatories of the above said Company we reserved a sum of
Rupees……………………(Rs……………………………) in current/savings/suspense account No.
……………….
======================================================================
with us in respect of the above application to purchase a
Treasury bill.
=================================================================
…………………………
==========
Authorized officer’s signature
==============================
Name ………………………………… PF No. ……………..
=================================
Sig No……………… Date……………….
========================
*where the Company Seal has to be affixed as per the Resolution of the
Company then the Company Seal must be affixed and witnessed by the
Directors.

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