DOMESTIC FGN US DOLLAR BOND Please enable JavaScript in your browser to complete this form.LayoutNameAmount (Minimum $10,000.00) *Subsequent Multiples of 1,000Email *Source of FundsNew InflowsExisting InflowsTenor: 5 YearsI agree to the terms and conditions below.Terms and Conditions I guarantee that all information herein is complete and correct. I am aware a 0.5% one-off transaction fee chargeable on the face value of the investment plus VAT on the transaction fee at the point of purchase on my behalf. These charges should be added to the investment amount upon transfer to MWML. I am aware coupons will be paid twice annually, net of custody fees of 0.15% P.A on face value +7.5% VAT on the custody fee I am aware the investment is expected to be a long-term investment. All amounts relating to this investment, in particular, payments and benefits, will be expressed, calculated and paid in the currency applicable for such investment. I accept full responsibility for informing MWML of any changes in current identification information provided (e.g. address change, surname change, contact details, etc.). If any details change, I will provide MWML with new certified proof of identity and a utility bill, not older than 3 months. In terms of the Anti-money Laundering (Prohibition) Act (2011), I confirm that the funds with which any payment is or will be made to MWML, in terms of this investment, are derived from a lawful source. In addition, I am willing to answer any questions regarding the origin of such funds and to provide additional information as and when it may be required by MWML or other Regulatory Agencies. I understand that information in this application may be recorded electronically with MWML in addition to physical records. Such records will form the record of this investment for all purposes and may be used as evidence at any proceedings. AuthorizationI hereby authorize MWML to act in accordance with our instructions or that of any person authorized by us in respect of this investment (including those transmitted and received by telephone, fax, electronic mail or the internet), and to do all things necessary to give effect thereto; deduct sufficient amounts from our chosen investment for the purposes of transaction charges or its fees; provide our details and details in respect of this investment to companies with whom it has business arrangements or MWML’s regulators to retain interest pro rata across the selected Investments in order to collect charges, including reduction charges.Submit