Application to buy Premium Bonds for yourself or your ...

Application to buy Premium Bonds for yourself or your child under 16

Please write in BLACK CAPITAL LETTERS inside the boxes. This helps us process your form faster.

1 How much do you want to invest?

amount ?

amount in words

min ?25, max ?50,000 must be in whole pounds

application reference number

Leave this box blank

2a Holder's number Of the person named in section 3. If this is the first investment in Premium Bonds, leave this blank.

A holder's number has either 10 or 9 digits, or 8 digits followed by a letter.

2b NS&I number

If the person named in section 3 has an NS&I number, please write it here if known.

N S& I

3 Who are the Bonds for?

title

Please enter the holder's details in full here.

surname

If buying for yourself , enter your details.

If buying for a child, enter their details and leave the phone number and email blank.

forenames address

postcode

*Preferably a mobile so we can reach the holder more easily.

*phone number email

date of birth (this is essential)

D

DD M MM Y

Y

Y

Y

country of residence

nationality

4 Your details as parent/guardian

Only complete if you are buying Bonds for your child.

title surname forenames

date of birth (this is essential)

D

D MM M Y Y

Y

Y

Enter your details here .You will manage the Bonds for the child (named in section 3) until they reach 16.

*Preferably a mobile so we can reach you more easily.

address

postcode *phone number

email

country of residence

nationality

5 Want to reinvest prizes? 6 Your signature

You can choose to automatically reinvest prizes. If you win, your new Bonds will go straight into the next prize draw. Tick the box if you want to do this Declaration: I have had the opportunity to read the customer agreement (terms and conditions) dated 24 November 2019.

signature

date D D MM M Y Y Y Y

If you have already given us your marketing preferences, you don't need to do this again.You can change your marketing preferences at any time online or by contacting us.

Applicant's marketing preferences We may contact you occasionally to promote other NS&I accounts and investments that you might be interested in. If you don't want us to do this, mark the box(es) below:

by post

by phone

by email

online

If you mark the `online' box, you may still see promotional messages when logged in to our website, but they won't be tailored to you.

7a Paying by cheque

Give details of the account

on which your cheque is drawn.

name of

account holder account

number

sort code

7b OR by switching from another NS&I account

The NS&I account you want to switch from must be in your name. Or if you are applying for a child, it must be an account in their name and one you are responsible for as their parent or guardian. A penalty may apply if you cash in all or part of a fixed term investment before the end of the investment term. If you switch from a fixed term investment that's not on sale, you won't be able to switch back. Any amount you take out from a Direct ISA may not be able to be paid back in during this tax year.

type of NS&I account

switching from

account number

8 What to do next

Remember to sign and date your form, then send it to: NS&I, Sunderland, SR43 2SB If you are paying by cheque, make it payable to `NS&I' and enclose it.

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