TO: ZENITH BANK PLC

_________________________________________ BRANCH DATE: ____________________________________________

APPLICATION FOR NIGERIA GOVERNMENT TREASURY BILLS

CUSTOMER’S NAME: _____________________________________________________________________________________________________

ADDRESS: _________________________________________________________________________________________________________________

ACCOUNT NO: ____________________________________________________________________________________________________________

I/We the under-signed hereby request Zenith Bank Plc (hereinafter called the Bank) to purchase on my/our behalf
Nigeria Government Treasury Bills under the stated terms and conditions.

FACE VALUE: …………………………………………………………………………………………………….…………….....................

AMOUNT IN WORDS: …………………………………………………………………………………………………..……..………….....

……………………………………………………………………………………………………………………………………………………….

RATE: OPTION (A) CUSTOMER BID RATE % (State rate if preferred option is A)

OPTION (B) BANK BID RATE* (Kindly tick preferred option)

TENOR: 91 DAYS 182 DAYS 364 DAYS (Kindly tick preferred option)

SOURCE OF FUNDS: CURRENT/SAVINGS/FIXED DEPOSIT A/C MATURED T-BILLS

I/We hereby authorize the Bank to debit my/our Current/Savings/Deposit Account No ________________________ _____
with the face value of the investment.

I/We further authorize the Bank to debit my/our account and set aside the sum pending when the investment is
concluded. I/We confirm that the fund so set aside for the investment shall not attract interest during the period prior
to the purchase of the Treasury Bills. Interest shall similarly not be payable by the bank if the Treasury Bill could not be
purchased for any reason.

A Confirmation letter will be forwarded to you upon the success of your bid.

Please note that this investment will be fully terminated into your account upon maturity.

*By ticking this option (B), I/We hereby accept unconditionally the rate bidded by the Bank on my/our behalf.
Signature/Company Seal if applicable: ___________________________________ ____________

BANK USE ONLY:

BRANCH/ACCOUNT OFFICER’S CONFIRMATION

I hereby confirm that the customer’s account has been debited accordingly.

___________________________________________ _______________________________________________
ACCOUNT OFFICER BRANCH HEAD
(NAME & SIGNATURE) (NAME & SIGNATURE)