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Prospectus and Application Form

south australian government financing authortiy bonds

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SOUTH AUSTRALIAN GOVERNMENT FINANCING AUTHORITY BONDSAPPLICATION FORMIn accordance with the South Australian Government Financing Authority Bonds Terms <strong>and</strong> Conditions I/We apply for Inscribed Stock as shownhereunder <strong>and</strong> I/We undertake to pay in full for the amount of Inscribed Stock.BLOCK LETTERS PLEASETITLE FULL GIVEN NAME (S) SURNAME DATE OF BIRTHdd/mm/yy/ // // // /TAX FILENUMBER/ // // // /ADDRESS (must be street address)STATEPOSTCODETELEPHONE NO.(S)EMAIL ADDRESSAMOUNT APPLIED FOR($Aust. ONLY)INTEREST FREQUENCY MATURITY DATE INTEREST RATE(%p.a.) Quarterly Semi-Annual 22nd / / 20 .................... %Please pay Principal <strong>and</strong> interest by credit to the following Australian Bank, Building Society or Credit Union accountBank/Building Society/Credit Union:Branch Address, Street:State:Suburb:Postcode:Account Name:Account Number:BSB (Only if known)Signature of Applicant(s)/ / / // / / /REGISTRYUSEONLYStockholder No.Series IDSouth Australian Government Financing Authority, Locked Bag A14, Sydney South, NSW 1235 Telephone 61 8 8226 947111

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