PB23C - Prize Bonds Form PDF

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Prize Bonds Form...

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(38284) (Form PB-23-C)

For Prizes above Rs. 200/- and upto Rs. 10,000/- to be used by offices of State Bank of Pakistan and Public Debt Offices in respect of Prize Bonds pertaining to the Other Public Debt Office.

The Chief Manager, State Bank of Pakistan, Dear Sir,

PRIZE WINNING BONDS—CLAIM FOR PRIZES I forward herewith the National Prize Bond particularized below and request you to kindly arrange for the payment of the prize money as the number of the enclosed Bond has been declared in the Prize List of . . . . . . . . . . . . . . draw: -Denomination of Bond . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Series and No. of Bond . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date of Issue

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Place of Issue

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Amount of Prize money claimed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I am, therefore, entitled for the prize of Rs. . . . . . . . . . . . . . which may please be paid to me at the State Bank of Pakistan / National Bank of Pakistan / Treasury/Sub-Treasury / Scheduled Bank */* Post Office /* National Savings Office . . . . . . . . . . . . . . . . . . . . . . . . . . ............................................................................ (Block Letters) I declare that the above-mentioned Bond was purchased by me on or before the . . . . . . . . . . . . . . . . . . . . . . . . 19 /** on or before the closing date of the series of Bond as notified in the Gazette of Pakistan. Yours faithfully, Identity Card No (Please Enclose Photo Copy) _

Signature/Thumb Impression of the Claimant

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Address of the claimant: Present . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Permanent . . . . . . . . . . . . . . . . . . . . . . . . . . . ......................................

Date: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Full name of the Claimant in Block Letters . . . . . . . . . . . . . . . . . . . . . . . . . . . .........................................

Nationality . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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*All the prizes will be paid at S.B.P/N.B.P./Treasury/Sub-Treasury. However, prizes up to Rs. . . . . . . . . . . . . will also be paid at Scheduled Offices. **Applicable in case of 11-Rupee Prize Bonds.

Bank/Post

Office/National Savings

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