Form for Non-competitive Bidders

Annexure III

FAX/TELEX
For: The Regional Director
Public Debt Office
Reserve Bank of India
------------------
From: (Name) -----------------------------
(Designation) ---------------------
(Address) -------------------------
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Dear Sir,
Tender for Government of India
________ @ day (Auction) Treasury Bills
I/We, the undersigned, hereby tender for purchase of _____ @ day Treasury Bills as set out
below at the auction to be held on _________________.
(i) Nominal value of _______ @ day Rs._______
Treasury Bills
(ii) Form in which Treasury Bills are required
Subsidiary General Ledger Account/Scrip
Undertaking
1. On acceptance of my/our bid, I/We authorise Reserve Bank of India, Central Accounts
Section, Nagpur, to debit our current account for value equivalent to the offer value of
accepted bid. $
2. On your acceptance of my/our bid, I/We, agree/undertake to immediately collect the
letter of acceptance from your office. I/We undertake to deposit the requisite amount at
Reserve Bank of India, -------------------------, on the day/time, as indicated therein/ I/We
authorise Reserve Bank of India, ---------, to debit our Current Account for value equivalent to
the offer value of accepted bid.$
I/We have read the Government notification No. __________ dated ______________ and
hereby undertake to abide by them.
(i) Siganture : _____________________________
and Office Stamp of the bidder/s
(ii) Designation : _____________________________
_____________________________
@ indicate the appropriate number