I/We would like Prizes lodged to my/our Bank Account. Please provide details below Unless otherwise agreed with you, all correspondence will be sent to the address in panel 1. Panel 1 First named holder Panel 2 Second named holder NATIONAL TREASURY MANAGEMENT AGENCY Section 1 – Existing Holders of Prize Bonds We will link your existing holdings to this purchase Section 3 – Prize Bond Holder(s) Details Section 4 – Method of Payment (Cheques to be made payable to NTMA State Savings) Gift Purchases If you are purchasing as a gift please use the Gift Purchase Application form Brochure 3b * Title * PPSN * First name(s) * Surname * Date of birth * Address line 1 * Address line 2 Address line 3 Eircode * Country of residence * Nationality * Place of birth Gender Contact Phone no. E-mail address Male Female Male Female Section 2 – Type of Holder Note-For applications for Charities, Clubs, other unincorporated bodies or Friendly Societies telephone State Savings at 1850 30 50 60/+353 1 705 7200 FOR OFFICIAL USE ONLY RECEIPT NO. GROF Office Name PLEASE ENDORSE ALL CHEQUES WITH THE RECEIPT NUMBER Signature of Officer: Date: DATE STAMP Prize Bonds Application Form for purchases after 16 April 2018 Existing Holders of Prize Bonds Please enter your Prize Bond (Customer) Account Number. Joint Applicants In the case of joint applicants, please quote the Prize Bond (Customer) Account Number (if available) which refers to a previous holding by both applicants. (8 Numeric) (3 Alpha) Purchases on behalf of a third party If you are purchasing Prize Bonds as a gift please use the Prize Bond Gift Application Form – Brochure 3b. Please tick type of holding required above Do you already hold Prize Bonds Yes No Consent Signature of nominated Parent/Guardian for a Minor (aged less than 18) Name Signature Sole Minor Joint Complete Section 3 Panel 1 Complete Section 3 Panels 1 & 2 Previous Prize Bond No. (Block Letters) ‡Source of Funds (Please tick appropriate option below) Personal Savings Other (Please specify) Inherited Funds DD MM YYYY DD MM YYYY Mr Mrs Ms Other Mr Mrs Ms Other THIS SECTION MUST BE COMPLETED Prize Payment Options (Select one option only) Transfer directly to your Bank Account OR Reinvest in Prize Bonds. BIC IBAN Name of Bank Bank Address Method of Payment Cheque Cash Debit Card Number of units (at €6.25 each) Value € , . Note: The maximum individual cumulative holding of Prize Bonds newly registered in your name on or after 1 November 2015 is €250,000. ‡Source of Funds: Please complete at right of section 3 above. All Panels marked with an asterisk must be completed in order to purchase State Savings Products. Signature of 1st Named Holder Date Signature of 2nd Named Holder Date I/We would like Prizes automatically reinvested into Prize Bonds Individual Amounts Minimum – Maximum €25 €250,000 Section 5 – Declaration and Signature I/We have read and accept the General Terms and Conditions and the Specific Conditions dated Monday 16 April 2018 including the use of my/ our PPSN. Please sign and date.
Transcript
32
4
Wh
at are State Savings?
• State Savings form
part of the N
ational Deb
t of Irelan
d which
is managed by th
e National Treasury
Managem
ent A
gency.
• Wh
en you
save with
State Savings you
are placing your
mon
ey directly with
the Irish
Governm
ent.
• The repaym
ent of all State Savin
gs mon
ey is a direct, un
conditional obligation
of the Irish
Governm
ent.
• Repaymen
t of your mon
ey inclu
des principal, in
terest an
d bonu
s paymen
ts if due.
How
to Purch
ase Prize Bon
ds?• C
all into any Post O
ffice.
• Onlin
e at StateSavings.ie
The com
plete range of State Savin
gs products are listed
on our w
ebsite StateSavings.ie. Cu
stomers can
buy Fixed
Term Produ
cts and Prize B
onds onlin
e.
To buy, online or by mail, you m
ust be an existing State Savings custom
er for whom
we already have the
necessary evidence of identity. Please contact us for further inform
ation – contact details are on page 6.
If you are n
ot an existin
g custom
er or if your last purchase of State Savin
gs products w
as prior 05 Octob
er 2014 you
mu
st first register by com
pleting a purchase
at a Post Offi
ce or by postal application
to State Savings,
GPO
Freepost, D
ublin 1, D
01 F5P2.
How
mu
ch can
I buy?
Prize Bon
ds are sold in units of €6.25 each
.
The m
inimum
purchase is €25 (4 units).
The m
aximum
holdin
gs of Prize Bon
ds new
ly registered in
your name on
or after 1 Novem
ber 2015 is €250,0
00.
There is n
o limit on
holdin
gs registered in your nam
e prior to 1 N
ovemb
er 2015.
For further Term
s & C
ondition
s relating to lim
its please see section
3 on reverse of application
form.
You can
encash
Prize Bon
ds at any time on
ce 90 days have elapsed sin
ce you purchased th
em.
A ch
ance to w
in every w
eek
You are eligible to w
in every w
eek for as long as you
hold
the b
onds. You
may h
old Prize Bon
ds indefi
nitely. Th
ere are thou
sands of cash
prizes to be w
on in
every w
eekly draw.
Win
nin
gs are tax free
Winnin
gs are not subject to any tax in
Ireland.
The Prize B
ond draw
The draw
takes place every week u
sually on
a Friday. Prize B
onds are au
tomatically en
tered into every draw
and
there are th
ousan
ds of cash prizes each
week.
A €1 M
ILLION
prize is awarded in
the last w
eekly draw
in Jun
e and D
ecemb
er. The top prize in
all other w
eekly draw
s is €50,00
0. The N
TMA
reserves the righ
t to amen
d th
e numb
er and valu
e of prizes at any time.
How
is the Prize Fu
nd calcu
lated?
The value of the mon
thly prize fund is recalculated at the start of each m
onth by applying a variable in
terest rate (currently
0.50%) to the value of all Prize B
onds outstanding at the end
of the previous mon
th. A
t any time the N
TMA
can amend the
variable percentage rate used to calculate the prize fund, can
change the value of prizes, and the prize structure. A
ny such
change will be advertised in the m
ainstream m
edia and on
StateSavings.ie
How
do I know
if I have w
on?
All Prize B
ond w
inners are n
otified by p
ost.
A full list of w
inning num
bers is available on
our website
StateSavings.ie
If you require furth
er inform
ation ab
out your w
inning Prize
Bon
ds please contact u
s (see page 6 for contact details).
Wh
at happen
s to un
claimed prizes?
Prize mon
ey is held in
definitely un
til the w
inner claim
s it.
103103
10294
94103
99
PERF
PERF
I/We would like Prizes lodged to my/our Bank Account. Please provide details below
ARE THESE BONDS A GIFT (PLEASE TICK)
SEPA DIRECT DEBIT MANDATEUNIQUE MANDATE REFERENCE (OFFICE ONLY)
CREDITOR IDENTIFIER
BANKS/BUILDING SOCIETIES MAY DECLINE TO ACCEPT INSTRUCTIONS TO PAY DIRECT DEBITS FROM SOME TYPES OF ACCOUNTS
THE PRIZE BONDS COMPANY DAC, FLOOR 3B, GPO, O’CONNELL STREET LOWER, DUBLIN 1, IRELAND
I E 1 9 Z Z Z 3 0 0 6 8 1
YD D M M Y Y YDATE OF SIGNATURE(S)*
SIGNATURE(S) OF BANK ACCOUNT HOLDERS*(AUTHORISED SIGNATORIES ON DEBTORS BANK ACCOUNT TO THE LEFT)
2.
1.
P Z B
PRIZE BOND HOLDER (1) NAME (IF DIFFERENT FROM A/C HOLDER OVERLEAF)
PRIZE BOND HOLDER (1) ADDRESS (IF DIFFERENT FROM A/C HOLDER OVERLEAF)
PRIZE BOND HOLDER (2) NAME (IF DIFFERENT FROM A/C HOLDER OVERLEAF)
PRIZE BOND HOLDER (2) ADDRESS (IF DIFFERENT FROM A/C HOLDER OVERLEAF)
VALUE OF PAYMENT* € . M M Y Y(FIRST PAYMENT FROM)
Y N
By signing this mandate form, you authorise (A) NTMA and/or its agents including The Prize Bonds Company to send instructions to your bank to debit your account and (B) your bank to debit your account in accordance with the instruction from NTMA and/or its agents including The Prize Bonds Company.
As part of your rights, you are entitled to a refund from your bank under the terms and conditions of your agreement with your bank. A refund must be claimed within 8 weeks starting from the date on which your account was debited.
Note: your rights regarding the above mandate are explained in a statement that you can obtain from your bank.
PLEASE COMPLETE ALL THE FIELDS FOLLOWING MARKED*
NAME(S) OF BANK ACCOUNT HOLDER* (Name on Debtor’s Account)
BANK ACCOUNT HOLDER ADDRESS*
COUNTRY*
PRIZE BOND CUSTOMER ACC. NO.
BANK ACCOUNT HOLDER’S IBAN NUMBER*
BANK ACCOUNT HOLDER IDENTIFER CODE - BIC/SWIFT*
CREDITORS NAME(PLEASE RETURN TO)
PLEASE ENTER THE IBAN NUMBER FROM TOP LEFT HAND BOX
TYPE OF PAYMENT: RECURRENT PAYMENT
THE MAXIMUM DIRECT DEBIT AMOUNT IS €1,000.00
EIRCODE
EIRCODE
CITY & EIRCODE
Unless otherwise agreed with you, all correspondence will be sent to the address in panel 1.Panel 1 First named holder Panel 2 Second named holder
NATIONAL TREASURY MANAGEMENT AGENCY
Section 1 – Existing Holders of Prize Bonds We will link your existing holdings to this purchase
Section 3 – Prize Bond Holder(s) Details
Section 4 – Method of Payment (Cheques to be made payable to NTMA State Savings)
Gift Purchases If you are purchasing as a gift please use the Gift Purchase Application form Brochure 3b
* Title
* PPSN
* First name(s)
* Surname
* Date of birth
* Address line 1
* Address line 2
Address line 3
Eircode
* Country of residence
* Nationality
* Place of birth
Gender
Contact Phone no.
E-mail address
Male Female Male Female
Section 2 – Type of Holder Note-For applications for Charities, Clubs, other unincorporated bodies or Friendly Societies telephone State Savings at 1850 30 50 60/+353 1 705 7200
FOR OFFICIAL USE ONLY
RECEIPT NO. GROF
Office Name
PLEASE ENDORSE ALL CHEQUES WITH THE RECEIPT NUMBER
Signature of Officer:
Date:
DATE STAMP
Prize Bonds Application Formfor purchases after 16 April 2018
Existing Holders of Prize BondsPlease enter your Prize Bond (Customer) Account Number.
Joint ApplicantsIn the case of joint applicants, please quote the Prize Bond (Customer) Account Number (if available) which refers to a previous holding by both applicants.(8 Numeric) (3 Alpha)
Purchases on behalf of a third partyIf you are purchasing Prize Bonds as a gift please use the Prize Bond Gift Application Form – Brochure 3b.
Please tick type of holding required above
Do you already hold Prize Bonds Yes No
Consent Signature of nominated Parent/Guardian for a Minor (aged less than 18)
Name Signature
Sole MinorJoint Complete Section 3 Panel 1
Complete Section 3 Panels 1 & 2
Previous Prize Bond No.
(Block Letters)
‡Source of Funds (Please tick appropriate option below)
Personal Savings
Other (Please specify)
Inherited Funds
DD MM YYYY DD MM YYYY
Mr Mrs Ms Other Mr Mrs Ms Other
THIS SECTION MUST BE COMPLETED
Prize Payment Options (Select one option only) Transfer directly to your Bank Account OR Reinvest in Prize Bonds.
BIC
IBAN
Name of Bank
Bank Address
Method of Payment Cheque Cash Debit Card
Number of units (at €6.25 each)
Value €, .
Note: The maximum individual cumulative holding of Prize Bonds newly registered in your name on or after 1 November 2015 is €250,000.
‡Source of Funds: Please complete at right of section 3 above.
All Panels marked with an asterisk must be completed in order to purchase State Savings Products.
Signature of 1st Named Holder Date Signature of 2nd Named Holder Date
I/We would like Prizes automatically reinvested into Prize Bonds
Individual AmountsMinimum – Maximum
€25 €250,000
Section 5 – Declaration and Signature I/We have read and accept the General Terms and Conditions and the Specific Conditions dated Monday 16 April 2018 including the use of my/our PPSN. Please sign and date.
BR3A 4418.indd 2
09/04/2018 12:49
You
can
slee
p so
undl
y, a
nd y
ou c
an st
ill d
ream
.5
ARE THESE BONDS A GIFT (PLEASE TICK)
SEPA DIRECT DEBIT MANDATEUNIQUE MANDATE REFERENCE (OFFICE ONLY)
CREDITOR IDENTIFIER
BANKS/BUILDING SOCIETIES MAY DECLINE TO ACCEPT INSTRUCTIONS TO PAY DIRECT DEBITS FROM SOME TYPES OF ACCOUNTS
THE PRIZE BONDS COMPANY DAC, FLOOR 3B, GPO, O’CONNELL STREET LOWER, DUBLIN 1, IRELAND
I E 1 9 Z Z Z 3 0 0 6 8 1
YD D M M Y Y YDATE OF SIGNATURE(S)*
SIGNATURE(S) OF BANK ACCOUNT HOLDERS*(AUTHORISED SIGNATORIES ON DEBTORS BANK ACCOUNT TO THE LEFT)
2.
1.
P Z B
PRIZE BOND HOLDER (1) NAME (IF DIFFERENT FROM A/C HOLDER OVERLEAF)
PRIZE BOND HOLDER (1) ADDRESS (IF DIFFERENT FROM A/C HOLDER OVERLEAF)
PRIZE BOND HOLDER (2) NAME (IF DIFFERENT FROM A/C HOLDER OVERLEAF)
PRIZE BOND HOLDER (2) ADDRESS (IF DIFFERENT FROM A/C HOLDER OVERLEAF)
VALUE OF PAYMENT* € . M M Y Y(FIRST PAYMENT FROM)
Y N
By signing this mandate form, you authorise (A) NTMA and/or its agents including The Prize Bonds Company to send instructions to your bank to debit your account and (B) your bank to debit your account in accordance with the instruction from NTMA and/or its agents including The Prize Bonds Company.
As part of your rights, you are entitled to a refund from your bank under the terms and conditions of your agreement with your bank. A refund must be claimed within 8 weeks starting from the date on which your account was debited.
Note: your rights regarding the above mandate are explained in a statement that you can obtain from your bank.
PLEASE COMPLETE ALL THE FIELDS FOLLOWING MARKED*
NAME(S) OF BANK ACCOUNT HOLDER* (Name on Debtor’s Account)
BANK ACCOUNT HOLDER ADDRESS*
COUNTRY*
PRIZE BOND CUSTOMER ACC. NO.
BANK ACCOUNT HOLDER’S IBAN NUMBER*
BANK ACCOUNT HOLDER IDENTIFER CODE - BIC/SWIFT*
CREDITORS NAME(PLEASE RETURN TO)
PLEASE ENTER THE IBAN NUMBER FROM TOP LEFT HAND BOX
TYPE OF PAYMENT: RECURRENT PAYMENT
THE MAXIMUM DIRECT DEBIT AMOUNT IS €1,000.00
EIRCODE
EIRCODE
CITY & EIRCODE
PTO for Direct Debit details
NATIONAL TREASURY MANAGEMENT AGENCY
Notes
103
103
102
9494
103
99
PERF
PERF Mail this form to – State Savings, GPO, Freepost, Dublin 1, D01 F5P2
NTM
A B
roch
ure
3(a
)16
Apr
il 20
18
Thou
san
ds o
f ch
ance
s of
w
inn
ing
ever
y w
eek
Each
indi
vidu
al P
rize
Bond
you
hol
d w
ill b
e en
tere
d in
to
the
wee
kly
priz
e dr
aw.
Ther
e ar
e th
ousa
nds
of t
ax-f
ree
cash
priz
es e
very
wee
k.
The
mor
e Pr
ize
Bond
s yo
u ho
ld, t
he m
ore
chan
ces
you
ha
ve o
f win
ning
.
The
priz
es a
re:
The
top
priz
e in
th
e la
st d
raw
in Ju
ne
and
Dec
emb
er is
€1
MIL
LIO
N a
nd
in e
very
oth
er w
eekl
y dr
aw t
he
top
priz
e is
€50
,000
.
Wee
kly
Priz
es
€
1,00
0 x
10
priz
es
€500
x
10
priz
es
€50
x A
ll ot
her
pri
zes
6
SAFE
ARE
A
An
Post
an
d th
e Pr
ize
Bon
d Co
mpa
nyar
e ag
ents
of t
he
Nat
iona
l Tre
asur
y M
anag
emen
t A
gen
cy
To b
e w
on tw
o tim
es e
ach
year
an
d th
ousa
nds
of c
ash
priz
es
ever
y w
eek.
1. Evidence of Identity
1.1 You are required to confirm your identity to us (including your surname, first name, date of birth and address) for the purposes of:
(a) the Agreement (including any Transaction);
(b) the administration of your Product(s) and any other State Savings Product(s) that you may hold now or in the future, and
(c) associated legal purposes, including compliance with statutory anti-money laundering obligations and account security and fraud prevention,
1.2 We may verify your identity:(a) electronically (by reference to information supplied
by you, including your Personal Public Service Number (PPSN)); or
(b) manually (by reference to acceptable original or certified copy documentation supplied by you, which may include documents such as your current passport, current EU driving licence, recent utility bill, recent account statement from a bank, building society or credit union, and/or your Public Services Card or other official documentation issued to you by the Revenue Commissioners or the Department of Employment Affairs and Social Protection).
2.3 Where you have not provided evidence of your identity to our satisfaction, we will advise you and we will not proceed with your application to purchase the Product until evidence of your identity has been verified to our satisfaction. For the avoidance of doubt, no interest, bonus or other amount shall accrue in respect of a Product during the period when evidence of identity is being verified under this condition.
2. Personal Data 2.1 The NTMA is the Data Controller (for the purpose
of the General Data Protection Regulation (GDPR)) for all personal data supplied by you. The Minister for Finance and the NTMA are each a ‘specified body’ for the purposes of sections 262 to 270 and schedule 5 of the Social Welfare Consolidation Act 2005, as amended, under which the NTMA and the Minister for Finance are both authorised to process personal data including PPSNs for certain purposes.
2.2 We will collect, process and use personal data relating to you, including your PPSN and the information referred to in Note 1 (Evidence of Identity):
(a) as necessary for the performance of the Agreement (including any Transaction);
(b) for the administration of your Product(s) and any other State Savings Product(s) that you may hold now or in the future, and
(c) for associated legal purposes, including compliance with statutory anti-money laundering obligations and account security and fraud prevention,
2.3 You acknowledge the collection, processing and use of your personal data (including your PPSN) for the purposes as outlined in 3.2.
2.4 Personal data may be processed by us, our Agents, and any third party service providers acting on our behalf for the purposes of the Agreement and for associated legal purposes and for any other purpose required for or reasonably incidental to the performance of the Agreement.
2.5 We will retain your personal data for as long as you have a holding with State Savings and otherwise in accordance with applicable data protection law and statutory obligations (including under anti-money laundering legislation).
2.6 Subject to your consent, your personal data may be used by us, or our Agents, for the purpose of marketing State Savings Products. Where you hold more than one Product, the preferences indicated most recently by you will apply to all Products held by you to which the General Terms and Conditions apply.
2.7 You have the right to request access to and a copy of your personal data held by us in accordance with the GDPR, to have your personal data corrected where it is inaccurate or misleading, to have your personal data erased, to object to the processing of your personal data by us, to request data portability in relation to your personal data. Should you wish to avail of any of these rights, please contact the Data Protection Officer, State Savings, GPO, FREEPOST, Dublin 1, D01 F5P2.
You also have the right to lodge a complaint with the Office of the Data Protection Commissioner. See www.dataprotection.ie for more information.
3 Limits3.1 Prize Bonds are sold in units of €6.25. There is a
minimum purchase of €25 (4 units). Please note that purchases of Prize Bonds cannot be registered or entered into the weekly draw until the necessary verification requirements have been completed (note 1).
3.2 The maximum holding limit for Prize Bonds added to the Prize Bond Register in your name on or after the 1 November 2015 is €250,000.
3.3 The maximum holding limit for Prize Bonds added to the Prize Bond Register in joint names on or after the 1 November 2015 is €500,000.
3.4 For the purposes of calculating a Joint Holders maximum holding limit in Prize Bonds newly registered on or after the 1 November 2015 the amount held jointly will be deemed to be owned in equal proportion by each Joint Holder and will be divided equally between each of the Joint Holders.
3.5 Transfers resulting from inherited holdings are allowed to exceed the maximum holding limit but all other transfers are subject to the maximum holding limit.
3.6 You may, within 30 days of the draw date in which you win a prize, re-invest your Prize Bond winnings and these will not be counted towards the maximum holding limit.
3.7 For the purposes of calculating any individual’s aggregate maximum holding limit in Prize Bonds, any bonds held in accordance with conditions 3.5 and or 3.6 will be added to any bonds that individual purchased on or after the 1 November 2015. If this calculation causes an individual to reach or exceed the maximum holding limit, no further Prize Bonds will be registered for that individual.
3.8 Where you encash Prize Bonds and use the proceeds to purchase new Prize Bonds this new purchase will be subject to the limits.
3.9 Where an application to purchase Prize Bonds is received that will result in any individual party to the application breaching their maximum limit, the application will not be processed and the full value of the application will be refunded.
Other Notes4 Prize Bonds are offered by the National Treasury
Management Agency (NTMA) on behalf of the Minister for Finance. The Prize Bonds Company DAC acts as agent of the NTMA in the operation of the Prize Bonds Scheme.
5 The NTMA and its agent The Prize Bonds Company reserves the right at their sole discretion to decline any purchase application and to refund the purchase amount to the Prize Bond applicants.
6 If you are purchasing Prize Bonds at a Post Office you will be given a Receipt of Purchase. The actual Prize Bond Certificate will be forwarded direct by post to the named Bondholder(s) within 10 working days on condition that the necessary verification requirements have been completed (note 1).
7 Prize Bonds may be registered in one or two names jointly, but not in more than two names. Do not enter collectives such as ‘Family’ etc. You must ensure you have full Name(s) and Address(es) and Date of Birth.
8 If you are purchasing Prize Bonds as a gift please use the Gift Purchase Application Form (Brochure 3b)
9 If you are purchasing Bonds in your own name, please sign the form. For joint purchases we require both signatures.
10 The Prize Bond Certificate, bearing the Serial Numbers of the bonds will be sent direct to the registered Bondholder(s), who should retain them safely for future reference. In the case of a joint holding, the Prize Bonds will be sent to the first named holder.
11 Prize Bonds can be held indefinitely, but must be held for a minimum of 90 days. All prize winners are notified by post at their current registered address. Bondholder(s) must inform us in writing of any changes of address.
12 This purchase form fully completed and signed can be handed in with the appropriate remittance to any Post Office. Purchases are accepted by cash, cheque (made payable to NTMA State Savings) or by monthly direct debit. Alternatively, you can send your application and remittance by post.
13 In the event of winning a prize you will be notified by post. You can choose to have your prize(s):
(a) lodged to your bank account.
(b) reinvested in Prize Bonds. Your new Prize Bonds will be forwarded by post
See details overleaf.
14 The value of the monthly prize fund is recalculated at the start of each month by applying a variable interest rate (currently 0.50%) to the value of all Prize Bonds outstanding at the end of the previous month. No interest is paid to Bondholders. Instead the interest is paid into the monthly prize fund, to be distributed to winners in the weekly draw.
The NTMA can amend the number and value of prizes at any time and any changes to the rate or prize structure will be advertised in the main daily newspapers and on www.StateSavings.ie.
15 For Direct Debits please complete and sign the SEPA Direct Debit mandate form specifying the BIC and IBAN number of the account from which the debits are to be made. Details of the amount of the debit should be entered on the back of the form. A copy of a bank statement verifying the account on which the Direct Debits are to be drawn must be enclosed with the form. You will be advised of the unique reference number and start date on which the recurring monthly deductions will commence.
16 Where payment is not received or fails to clear, the relevant bonds will be cancelled and no prizes will accrue.
17 The prize winnings are not subject to tax but you may have other tax liabilities depending on your specific circumstances (i.e. gifts/inheritance). We would therefore recommend that you consult your tax advisor.
Telephone purchases using a Debit Card can be made at Callsave 1850 30 50 60.
Mail application forms to: State Savings, GPO, Freepost, Dublin 1, D01 F5P2
For repayments, change of address, prize claims and general correspondence mail to:
State Savings, Prize Bonds, Fexco Centre, Killorglin, Freepost, Co. Kerry, V93 WN9T.
IMPORTANT
Before completing this Application Form and in particular Section 5‘Declaration and Signature’ you must read the Notes on this page.
NTM
A B
roch
ure
3(a
)16
Apr
il 20
18
SAFE
ARE
A
The
mai
n St
ate
Savi
ngs
Prod
ucts
are
:
Stat
e Sa
vin
gs p
rodu
cts
are
subj
ect
to T
erm
s an
d Co
ndi
tion
s an
d re
leva
nt
legi
slat
ion
.
For
mor
e in
form
atio
n o
n S
tate
Sav
ings
Web
: St
ateS
avin
gs.ie
Te
lep
hon
e:
1850
30
50 6
0 /
+353
1 7
05 7
200
SMS
Text
: 08
52 3
0 50
60
E-m
ail:
Serv
ice@
Stat
eSav
ings
.ie
Vis
it:
An
y Po
st O
ffice
M
ail t
o:
Stat
e Sa
vin
gs, G
PO, F
reep
ost,
Du
blin
1, D
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5P2
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e D
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ings
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ds2
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year
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iona
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ar S
avin
gs C
ertifi
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r Nat
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l Sol
idar
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21.
50%
16.0
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Inst
alm
ent S
avin
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(ALS
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CHIL
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IT)
1 A
ER =
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quiv
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t Rat
e”.
2 Not
subj
ect t
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x in
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and
but p
leas
e se
e Co
ndit
ion
4 Ta
xati
on in
Spe
cific
Con
diti
ons.
3 S
ave
in 1
2 m
onth
ly in
stal
men
ts (M
ax. €
1,00
0 pe
r mon
th) a
nd le
ave
for 5
yea
rs.
AER
cal
cula
tion
ass
umes
a 5
½ y
ear a
vera
ge li
fe.
4 Sub
ject
to D
IRT
(Dep
osit
Inte
rest
Ret
enti
on T
ax) a
t the
pre
vaili
ng ra
te.
5 Priz
e Bo
nds –
The
var
iabl
e ra
te u
sed
to c
alcu
late
priz
e fu
nd is
0.5
0%. T
here
are
two
€1
mill
ion
priz
es p
er a
nnum
and
thou
sand
s of w
eekl
y pr
izes
. No
inte
rest
is p
aid
to b
ond
hold
ers.
Inst
ead
the
inte
rest
is p
aid
into
the
mon
thly
priz
e fu
nd, t
o be
dis
trib
uted
to
win
ners
in th
e w
eekl
y dr
aw.
6 Var
iabl
e Ra
te m
eans
that
the
inte
rest
rate
pai
d on
this
Pro
duct
may
be
chan
ged
by th
e N
TMA
from
tim
e to
tim
e. S
uch
chan
ges w
ill b
e no
tifie
d by
at l
east
one
of t
he fo
llow
ing
met
hods
: dire
ct n
otifi
cati
on to
you
by
post
, pub
licat
ion
in a
nat
iona
l new
spap
er,
publ
icat
ion
on S
tate
Savi
ngs.
ie o
r not
ifica
tion
by
any
othe
r mea
ns.
Bro
chu
res
and
App
licat
ion
For
ms
for
Stat
e Sa
vin
gs P
rodu
cts
lis
ted
abov
e ar
e av
aila
ble
in a
ny
Post
Offi
ce o
r on
line
at
Stat
eSav
ings
.ie. S
tate
Sav
ings
pro
duct
s ar
e su
bjec
t to
Ter
ms
and
Con
diti
ons
and
rele
van
t le
gisl
atio
n. Y
ou m
ay fi
nd
our
Term
s an
d
Con
diti
ons
boo
klet
on
line
and
in P
ost
Offi
ces.
The following extract quotes three of the Conditions from the “General Terms and Conditions and the Specific Conditions” dated 16 April 2018. (Note: rather than being numbered as 1,2,3 these 3 conditions carry their original reference numbers (2,3,5) as published within the General Terms & Conditions)
1. Evidence of Identity1.1 You are required to confirm your identity to us (including your surname, first name, date of birth and
address) for the purposes of:
(a) the Agreement (including any Transaction);
(b) the administration of your Product(s) and any other State Savings Product(s) that you may hold now or in the future, and
(c) associated legal purposes, including compliance with statutory anti-money laundering obligations and account security and fraud prevention,
1.2 We may verify your identity:
(a) electronically (by reference to information supplied by you, including your Personal Public Service Number (PPSN)); or
(b) manually (by reference to acceptable original or certified copy documentation supplied by you, which may include documents such as your current passport, current EU driving licence, recent utility bill, recent account statement from a bank, building society or credit union, and/or your Public Services Card or other official documentation issued to you by the Revenue Commissioners or the Department of Social Protection).
1.3 Where you have not provided evidence of your identity to our satisfaction, we will advise you and we will not proceed with your application to purchase the Product until evidence of your identity has been verified to our satisfaction. For the avoidance of doubt, no interest, bonus or other amount shall accrue in respect of a Product during the period when evidence of identity is being verified under this condition.
2. Personal Data 2.1 The NTMA is the Data Controller (for the purpose of the General Data Protection Regulation (GDPR))
for all personal data supplied by you. The Minister for Finance and the NTMA are each a ‘specified body’ for the purposes of sections 262 to 270 and schedule 5 of the Social Welfare Consolidation Act 2005, as amended, under which the NTMA and the Minister for Finance are both authorised to process personal data including PPSNs for certain purposes.
2.2 We will collect, process and use personal data relating to you, including your PPSN and the information referred to in condition 2 (Evidence of Identity):
(a) as necessary for the performance of the Agreement (including any Transaction);
(b) for the administration of your Product(s) and any other State Savings Product(s) that you may hold now or in the future, and
(c) for associated legal purposes, including compliance with statutory anti-money laundering obligations and account security and fraud prevention,
2.3 You acknowledge the collection, processing and use of your personal data (including your PPSN) for the purposes as outlined in 3.2.
2.4 Personal data may be processed by us, our Agents, and any third party service providers acting on our behalf for the purposes of the Agreement and for associated legal purposes and for any other purpose required for or reasonably incidental to the performance of the Agreement.
2.5 We will retain your personal data for as long as you have a holding with State Savings and otherwise in accordance with applicable data protection law and statutory obligations (including under anti-money laundering legislation).
2.6 Subject to your consent, your personal data may be used by us, or our Agents, for the purpose of marketing State Savings Products. Where you hold more than one Product, the preferences indicated most recently by you will apply to all Products held by you to which the General Terms and Conditions apply.
2.7 You have the right to request access to and a copy of your personal data held by us in accordance with the GDPR, to have your personal data corrected where it is inaccurate or misleading, to have your personal data erased, to object to the processing of your personal data by us, to request data portability in relation to your personal data. Should you wish to avail of any of these rights, please contact the Data Protection Officer, State Savings, GPO, FREEPOST, Dublin 1, D01 F5P2.
You also have the right to lodge a complaint with the Office of the Data Protection Commissioner. See www.dataprotection.ie for more information.
purchases of Prize Bonds cannot be registered or entered into t
BR3A
441
8.in
dd
109
/04/
2018
12
:49
32 4
What are State Savings?• State Savings form part of the National Debt of
Ireland which is managed by the National Treasury Management Agency.
• When you save with State Savings you are placing your money directly with the Irish Government.
• The repayment of all State Savings money is a direct, unconditional obligation of the Irish Government.
• Repayment of your money includes principal, interest and bonus payments if due.
How to Purchase Prize Bonds?• Call into any Post Office.
• Online at StateSavings.ie
The complete range of State Savings products are listed on our website StateSavings.ie. Customers can buy Fixed Term Products and Prize Bonds online.
To buy, online or by mail, you must be an existing State Savings customer for whom we already have the necessary evidence of identity. Please contact us for further information – contact details are on page 6.
If you are not an existing customer or if your last purchase of State Savings products was prior 05 October 2014 you must first register by completing a purchase at a Post Office or by postal application to State Savings,
GPO Freepost, Dublin 1, D01 F5P2.
How much can I buy?
Prize Bonds are sold in units of €6.25 each.
The minimum purchase is €25 (4 units).
The maximum holdings of Prize Bonds newly registered in your name on or after 1 November 2015 is €250,000. There is no limit on holdings registered in your name prior to 1 November 2015.
For further Terms & Conditions relating to limits please see section 3 on reverse of application form.
You can encash Prize Bonds at any time once 90 days have elapsed since you purchased them.
A chance to win every week
You are eligible to win every week for as long as you hold the bonds. You may hold Prize Bonds indefinitely. There are thousands of cash prizes to be won in every weekly draw.
Winnings are tax free
Winnings are not subject to any tax in Ireland.
The Prize Bond draw
The draw takes place every week usually on a Friday. Prize Bonds are automatically entered into every draw and there are thousands of cash prizes each week.
A €1 MILLION prize is awarded in the last weekly draw in June and December. The top prize in all other weekly draws is €50,000. The NTMA reserves the right to amend the number and value of prizes at any time.
How is the Prize Fund calculated?
The value of the monthly prize fund is recalculated at the start of each month by applying a variable interest rate (currently 0.50%) to the value of all Prize Bonds outstanding at the end of the previous month. At any time the NTMA can amend the variable percentage rate used to calculate the prize fund, can change the value of prizes, and the prize structure. Any such change will be advertised in the mainstream media and on StateSavings.ie
How do I know if I have won?
All Prize Bond winners are notified by post.
A full list of winning numbers is available on our website StateSavings.ie
If you require further information about your winning Prize Bonds please contact us (see page 6 for contact details).
What happens to unclaimed prizes?
Prize money is held indefinitely until the winner claims it.
103 103 102 94 94 103 99
PERF
PERF
I/W
e w
ould
like
Pri
zes
lodg
ed t
o m
y/ou
r Ban
k A
ccou
nt. P
leas
e pr
ovid
e de
tails
bel
ow
ARE
TH
ESE
BON
DS
A G
IFT
(PLE
ASE
TIC
K)
SEPA
DIR
ECT
DEB
IT M
AN
DA
TEU
NIQ
UE
MA
ND
ATE
REF
EREN
CE
(OFF
ICE
ON
LY)
CRE
DIT
OR
IDEN
TIFI
ER
BA
NK
S/B
UIL
DIN
G S
OC
IET
IES
MA
Y D
EC
LIN
E T
O A
CC
EP
T I
NS
TR
UC
TIO
NS
TO
PA
Y D
IRE
CT
DE
BIT
S F
RO
M S
OM
E T
YP
ES
OF
AC
CO
UN
TS
TH
E PR
IZE
BON
DS
CO
MPA
NY
DA
C,
FL
OO
R 3B
, GPO
, O’C
ON
NEL
L ST
REET
LO
WER
, DU
BLIN
1, I
RELA
ND
IE
19
ZZ
Z3
00
68
1
YD
DM
MY
YY
DA
TE O
F SI
GN
ATU
RE(S
)*
SIG
NA
TURE
(S) O
F BA
NK
AC
CO
UN
T H
OLD
ERS*
(AU
THO
RISE
D S
IGN
ATO
RIES
ON
DEB
TORS
BA
NK
AC
CO
UN
T TO
TH
E LE
FT)
2.1.
PZ
B
PRIZ
E B
ON
D H
OLD
ER (1
) NA
ME
(IF D
IFFE
REN
T FR
OM
A/C
HO
LDER
OV
ERLE
AF)
PRIZ
E B
ON
D H
OLD
ER (1
) AD
DRE
SS (I
F D
IFFE
REN
T FR
OM
A/C
HO
LDER
OV
ERLE
AF)
PRIZ
E B
ON
D H
OLD
ER (2
) NA
ME
(IF D
IFFE
REN
T FR
OM
A/C
HO
LDER
OV
ERLE
AF)
PRIZ
E B
ON
D H
OLD
ER (2
) AD
DRE
SS (I
F D
IFFE
REN
T FR
OM
A/C
HO
LDER
OV
ERLE
AF)
VA
LUE
OF
PAYM
ENT*
€.
MM
YY
(FIR
ST P
AYM
ENT
FRO
M)
YN
By s
igni
ng th
is m
anda
te fo
rm, y
ou a
utho
rise
(A) N
TMA
and
/or i
ts a
gent
s in
clud
ing
The
Priz
e Bo
nds
Com
pany
to s
end
inst
ruct
ions
to y
our b
ank
to d
ebit
you
r acc
ount
and
(B) y
our b
ank
to
debi
t you
r acc
ount
in a
ccor
danc
e w
ith
the
inst
ruct
ion
from
NTM
A a
nd/o
r its
age
nts
incl
udin
g Th
e Pr
ize
Bond
s Co
mpa
ny.
As
part
of y
our r
ight
s, y
ou a
re e
ntit
led
to a
refu
nd fr
om y
our b
ank
unde
r the
term
s an
d co
ndit
ions
of y
our a
gree
men
t wit
h yo
ur b
ank.
A re
fund
mus
t be
clai
med
wit
hin
8 w
eeks
st
arti
ng fr
om th
e da
te o
n w
hich
you
r acc
ount
was
deb
ited
.
Not
e: y
our r
ight
s re
gard
ing
the
abov
e m
anda
te a
re e
xpla
ined
in a
sta
tem
ent t
hat y
ou c
an
obta
in fr
om y
our b
ank.
PLEA
SE C
OM
PLET
E A
LL T
HE
FIEL
DS
FOLL
OW
ING
MA
RK
ED*
NA
ME(
S) O
F BA
NK
AC
CO
UN
T H
OLD
ER*
(Nam
e on
Deb
tor’
s A
ccou
nt)
BAN
K A
CCO
UN
T H
OLD
ER A
DD
RESS
*
CO
UN
TRY*
PRIZ
E B
ON
D C
UST
OM
ER A
CC
. NO
.
BAN
K A
CC
OU
NT
HO
LDER
’S IB
AN
NU
MBE
R*
BA
NK
AC
CO
UN
T H
OLD
ER ID
ENTI
FER
CO
DE
- BIC
/SW
IFT*
CRE
DIT
ORS
NA
ME
(PLE
ASE
RET
URN
TO
)
PLEA
SE E
NTE
R T
HE
IBA
N N
UM
BER
FR
OM
TO
P LE
FT H
AN
D B
OX
TYPE
OF
PAYM
ENT:
REC
URR
ENT
PAYM
ENT
THE
MA
XIM
UM
DIR
ECT
DEB
IT A
MO
UN
T IS
€1,
000.
00
EIRC
OD
E
EIRC
OD
E
CIT
Y &
EIR
CO
DE
Unl
ess
othe
rwis
e ag
reed
wit
h yo
u, a
ll co
rres
pond
ence
will
be
sent
to th
e ad
dres
s in
pan
el 1
.Pa
nel
1 F
irst
nam
ed h
olde
rPa
nel
2 S
econ
d na
med
hol
der
NAT
ION
AL
TREA
SURY
MA
NA
GEM
ENT
AG
ENCY
Sect
ion
1 –
Exis
ting
Hol
ders
of P
rize
Bon
ds W
e w
ill li
nk y
our e
xist
ing
hold
ings
to t
his
purc
hase
Sect
ion
3 –
Priz
e B
ond
Hol
der(
s) D
etai
ls
Sect
ion
4 –
Met
hod
of P
aym
ent
(Ch
equ
es t
o b
e m
ade
paya
ble
to N
TMA
Sta
te S
avin
gs)
Gif
t Pu
rch
ases
If y
ou a
re p
urch
asin
g as
a g
ift p
leas
e us
e th
e G
ift P
urch
ase
Appl
icat
ion
form
Bro
chur
e 3b
* Tit
le
* PP
SN
* Fi
rst n
ame(
s)
* Su
rnam
e
* D
ate
of b
irth
* Ad
dres
s lin
e 1
* Ad
dres
s lin
e 2
Ad
dres
s lin
e 3
Ei
rcod
e
* Co
untr
y of
resid
ence
* N
atio
nalit
y
* Pl
ace
of b
irth
G
ende
r
Co
ntac
t Pho
ne n
o.
E-
mai
l add
ress
Mal
eFe
mal
eM
ale
Fem
ale
Sect
ion
2 –
Type
of H
olde
r Not
e-Fo
r app
licat
ions
for C
hari
ties,
Clu
bs, o
ther
uni
ncor
pora
ted
bodi
es o
r Frie
ndly
Soc
ietie
s te
leph
one
Stat
e Sa
ving
s at
185
0 30
50
60/+
353
1 70
5 72
00
FOR
OFF
ICIA
L U
SE O
NLY
RE
CEI
PT
NO
. G
RO
F
Offi
ce N
ame
PLEA
SE E
ND
OR
SE A
LL C
HEQ
UES
WIT
H T
HE
RECE
IPT
NU
MBE
R
Sign
atur
e of
Offi
cer:
Dat
e:
DA
TE S
TAM
P
Priz
e B
onds
App
licat
ion
For
mfo
r pu
rch
ases
aft
er 1
6 A
pril
2018
Exis
tin
g H
olde
rs o
f Pr
ize
Bon
dsPl
ease
en
ter
you
r Pr
ize
Bon
d (C
ust
omer
) Acc
oun
t N
um
ber.
Join
t A
pplic
ants
In t
he
case
of j
oin
t ap
plic
ants
, ple
ase
quot
e th
e Pr
ize
Bon
d (C
ust
omer
) Acc
ount
Num
ber
(if
avai
labl
e) w
hic
h r
efer
s to
a p
revi
ous
hol
din
g by
bo
th a
pplic
ants
.(8
Nu
mer
ic)
(3 A
lph
a)
Purc
hase
s on
beh
alf o
f a th
ird
part
yIf
you
are
purc
hasi
ng P
rize
Bond
s as
a
gift
ple
ase
use
the
Priz
e Bo
nd G
ift
Appl
icat
ion
Form
– B
roch
ure
3b.
Plea
se t
ick
type
of h
oldi
ng
requ
ired
abo
ve
Do
you
alre
ady
hold
Pri
ze B
onds
Yes
N
o
Con
sen
t Si
gnat
ure
of
nom
inat
ed P
aren
t/G
uar
dian
for
a M
inor
(a
ged
less
th
an 1
8)
Nam
e
Sign
atu
re
Sole
M
inor
Join
t Co
mpl
ete
Sect
ion
3 Pa
nel 1
Co
mpl
ete
Sect
ion
3 Pa
nels
1 &
2
Prev
ious
Priz
e Bo
nd N
o.
(Blo
ck L
ette
rs)
‡Sou
rce
of F
un
ds (P
leas
e ti
ck a
ppro
pria
te o
ptio
n be
low
)
Pers
onal
Sav
ings
Oth
er (P
leas
e sp
ecif
y)
Inhe
rite
d Fu
nds
DD
MM
YY
YY
DD
MM
YY
YY
Mr
Mrs
Ms
Oth
erM
rM
rsM
sO
ther
THIS
SEC
TIO
N M
UST
BE
COM
PLET
ED
Priz
e Pa
ymen
t O
ptio
ns
(Sel
ect o
ne o
ptio
n on
ly) T
rans
fer d
irec
tly
to y
our B
ank
Acc
ount
OR
Rein
vest
in P
rize
Bon
ds.
BIC
IBA
N
Nam
e of
Ban
k
Ban
k A
ddre
ss
Met
hod
of
Paym
ent
Ch
equ
e
C
ash
D
ebit
Car
d
Nu
mbe
r of
un
its
(at
€6.2
5 ea
ch)
Val
ue €
,.
Not
e: T
he m
axim
um in
divi
dual
cum
ulat
ive
hold
ing
of P
rize
Bon
ds n
ewly
re
gist
ered
in y
our n
ame
on o
r aft
er 1
Nov
embe
r 201
5 is
€25
0,00
0.
‡Sou
rce
of F
un
ds: P
leas
e co
mpl
ete
at ri
ght
of s
ecti
on 3
abo
ve.
All
Pane
ls m
arke
d w
ith
an a
ster
isk
mus
t be
com
plet
ed in
ord
er to
pur
chas
e St
ate
Savi
ngs
Prod
ucts
.
Sign
atu
re o
f 1s
t N
amed
Ho
lder
D
ate
Sign
atu
re o
f 2n
d N
amed
Ho
lder
D
ate
I/W
e w
ould
like
Pri
zes
auto
mat
ical
ly re
inve
sted
into
Pri
ze B
onds
Indi
vidu
al A
mou
nts
Min
imum
– M
axim
um
€
25
€25
0,00
0
Sect
ion
5 –
Dec
lara
tion
and
Sig
natu
re I
/We
have
read
and
acc
ept t
he G
ener
al T
erm
s an
d Co
nditi
ons
and
the
Spec
ific
Cond
ition
s da
ted
Mon
day
16 A
pril
2018
incl
udin
g th
e us
e of
my/
our P
PSN
. Ple
ase
sign
and
dat
e.
BR3A 4418.indd 2 09/04/2018 12:49
32
4
Wh
at are State Savings?
• State Savings form
part of the N
ational Deb
t of Irelan
d which
is managed by th
e National Treasury
Managem
ent A
gency.
• Wh
en you
save with
State Savings you
are placing your
mon
ey directly with
the Irish
Governm
ent.
• The repaym
ent of all State Savin
gs mon
ey is a direct, un
conditional obligation
of the Irish
Governm
ent.
• Repaymen
t of your mon
ey inclu
des principal, in
terest an
d bonu
s paymen
ts if due.
How
to Purch
ase Prize Bon
ds?• C
all into any Post O
ffice.
• Onlin
e at StateSavings.ie
The com
plete range of State Savin
gs products are listed
on our w
ebsite StateSavings.ie. Cu
stomers can
buy Fixed
Term Produ
cts and Prize B
onds onlin
e.
To buy, online or by mail, you m
ust be an existing State Savings custom
er for whom
we already have the
necessary evidence of identity. Please contact us for further inform
ation – contact details are on page 6.
If you are n
ot an existin
g custom
er or if your last purchase of State Savin
gs products w
as prior 05 Octob
er 2014 you
mu
st first register by com
pleting a purchase
at a Post Offi
ce or by postal application
to State Savings,
GPO
Freepost, D
ublin 1, D
01 F5P2.
How
mu
ch can
I buy?
Prize Bon
ds are sold in units of €6.25 each
.
The m
inimum
purchase is €25 (4 units).
The m
aximum
holdin
gs of Prize Bon
ds new
ly registered in
your name on
or after 1 Novem
ber 2015 is €250,0
00.
There is n
o limit on
holdin
gs registered in your nam
e prior to 1 N
ovemb
er 2015.
For further Term
s & C
ondition
s relating to lim
its please see section
3 on reverse of application
form.
You can
encash
Prize Bon
ds at any time on
ce 90 days have elapsed sin
ce you purchased th
em.
A ch
ance to w
in every w
eek
You are eligible to w
in every w
eek for as long as you
hold
the b
onds. You
may h
old Prize Bon
ds indefi
nitely. Th
ere are thou
sands of cash
prizes to be w
on in
every w
eekly draw.
Win
nin
gs are tax free
Winnin
gs are not subject to any tax in
Ireland.
The Prize B
ond draw
The draw
takes place every week u
sually on
a Friday. Prize B
onds are au
tomatically en
tered into every draw
and
there are th
ousan
ds of cash prizes each
week.
A €1 M
ILLION
prize is awarded in
the last w
eekly draw
in Jun
e and D
ecemb
er. The top prize in
all other w
eekly draw
s is €50,00
0. The N
TMA
reserves the righ
t to amen
d th
e numb
er and valu
e of prizes at any time.
How
is the Prize Fu
nd calcu
lated?
The value of the mon
thly prize fund is recalculated at the start of each m
onth by applying a variable in
terest rate (currently
0.50%) to the value of all Prize B
onds outstanding at the end
of the previous mon
th. A
t any time the N
TMA
can amend the
variable percentage rate used to calculate the prize fund, can
change the value of prizes, and the prize structure. A
ny such
change will be advertised in the m
ainstream m
edia and on
StateSavings.ie
How
do I know
if I have w
on?
All Prize B
ond w
inners are n
otified by p
ost.
A full list of w
inning num
bers is available on
our website
StateSavings.ie
If you require furth
er inform
ation ab
out your w
inning Prize
Bon
ds please contact u
s (see page 6 for contact details).
Wh
at happen
s to un
claimed prizes?
Prize mon
ey is held in
definitely un
til the w
inner claim
s it.
103103
10294
94103
99
PERF
PERF
I/We would like Prizes lodged to my/our Bank Account. Please provide details below
ARE THESE BONDS A GIFT (PLEASE TICK)
SEPA DIRECT DEBIT MANDATEUNIQUE MANDATE REFERENCE (OFFICE ONLY)
CREDITOR IDENTIFIER
BANKS/BUILDING SOCIETIES MAY DECLINE TO ACCEPT INSTRUCTIONS TO PAY DIRECT DEBITS FROM SOME TYPES OF ACCOUNTS
THE PRIZE BONDS COMPANY DAC, FLOOR 3B, GPO, O’CONNELL STREET LOWER, DUBLIN 1, IRELAND
I E 1 9 Z Z Z 3 0 0 6 8 1
YD D M M Y Y YDATE OF SIGNATURE(S)*
SIGNATURE(S) OF BANK ACCOUNT HOLDERS*(AUTHORISED SIGNATORIES ON DEBTORS BANK ACCOUNT TO THE LEFT)
2.
1.
P Z B
PRIZE BOND HOLDER (1) NAME (IF DIFFERENT FROM A/C HOLDER OVERLEAF)
PRIZE BOND HOLDER (1) ADDRESS (IF DIFFERENT FROM A/C HOLDER OVERLEAF)
PRIZE BOND HOLDER (2) NAME (IF DIFFERENT FROM A/C HOLDER OVERLEAF)
PRIZE BOND HOLDER (2) ADDRESS (IF DIFFERENT FROM A/C HOLDER OVERLEAF)
VALUE OF PAYMENT* € . M M Y Y(FIRST PAYMENT FROM)
Y N
By signing this mandate form, you authorise (A) NTMA and/or its agents including The Prize Bonds Company to send instructions to your bank to debit your account and (B) your bank to debit your account in accordance with the instruction from NTMA and/or its agents including The Prize Bonds Company.
As part of your rights, you are entitled to a refund from your bank under the terms and conditions of your agreement with your bank. A refund must be claimed within 8 weeks starting from the date on which your account was debited.
Note: your rights regarding the above mandate are explained in a statement that you can obtain from your bank.
PLEASE COMPLETE ALL THE FIELDS FOLLOWING MARKED*
NAME(S) OF BANK ACCOUNT HOLDER* (Name on Debtor’s Account)
BANK ACCOUNT HOLDER ADDRESS*
COUNTRY*
PRIZE BOND CUSTOMER ACC. NO.
BANK ACCOUNT HOLDER’S IBAN NUMBER*
BANK ACCOUNT HOLDER IDENTIFER CODE - BIC/SWIFT*
CREDITORS NAME(PLEASE RETURN TO)
PLEASE ENTER THE IBAN NUMBER FROM TOP LEFT HAND BOX
TYPE OF PAYMENT: RECURRENT PAYMENT
THE MAXIMUM DIRECT DEBIT AMOUNT IS €1,000.00
EIRCODE
EIRCODE
CITY & EIRCODE
Unless otherwise agreed with you, all correspondence will be sent to the address in panel 1.Panel 1 First named holder Panel 2 Second named holder
NATIONAL TREASURY MANAGEMENT AGENCY
Section 1 – Existing Holders of Prize Bonds We will link your existing holdings to this purchase
Section 3 – Prize Bond Holder(s) Details
Section 4 – Method of Payment (Cheques to be made payable to NTMA State Savings)
Gift Purchases If you are purchasing as a gift please use the Gift Purchase Application form Brochure 3b
* Title
* PPSN
* First name(s)
* Surname
* Date of birth
* Address line 1
* Address line 2
Address line 3
Eircode
* Country of residence
* Nationality
* Place of birth
Gender
Contact Phone no.
E-mail address
Male Female Male Female
Section 2 – Type of Holder Note-For applications for Charities, Clubs, other unincorporated bodies or Friendly Societies telephone State Savings at 1850 30 50 60/+353 1 705 7200
FOR OFFICIAL USE ONLY
RECEIPT NO. GROF
Office Name
PLEASE ENDORSE ALL CHEQUES WITH THE RECEIPT NUMBER
Signature of Officer:
Date:
DATE STAMP
Prize Bonds Application Formfor purchases after 16 April 2018
Existing Holders of Prize BondsPlease enter your Prize Bond (Customer) Account Number.
Joint ApplicantsIn the case of joint applicants, please quote the Prize Bond (Customer) Account Number (if available) which refers to a previous holding by both applicants.(8 Numeric) (3 Alpha)
Purchases on behalf of a third partyIf you are purchasing Prize Bonds as a gift please use the Prize Bond Gift Application Form – Brochure 3b.
Please tick type of holding required above
Do you already hold Prize Bonds Yes No
Consent Signature of nominated Parent/Guardian for a Minor (aged less than 18)
Name Signature
Sole MinorJoint Complete Section 3 Panel 1
Complete Section 3 Panels 1 & 2
Previous Prize Bond No.
(Block Letters)
‡Source of Funds (Please tick appropriate option below)
Personal Savings
Other (Please specify)
Inherited Funds
DD MM YYYY DD MM YYYY
Mr Mrs Ms Other Mr Mrs Ms Other
THIS SECTION MUST BE COMPLETED
Prize Payment Options (Select one option only) Transfer directly to your Bank Account OR Reinvest in Prize Bonds.
BIC
IBAN
Name of Bank
Bank Address
Method of Payment Cheque Cash Debit Card
Number of units (at €6.25 each)
Value €, .
Note: The maximum individual cumulative holding of Prize Bonds newly registered in your name on or after 1 November 2015 is €250,000.
‡Source of Funds: Please complete at right of section 3 above.
All Panels marked with an asterisk must be completed in order to purchase State Savings Products.
Signature of 1st Named Holder Date Signature of 2nd Named Holder Date
I/We would like Prizes automatically reinvested into Prize Bonds
Individual AmountsMinimum – Maximum
€25 €250,000
Section 5 – Declaration and Signature I/We have read and accept the General Terms and Conditions and the Specific Conditions dated Monday 16 April 2018 including the use of my/our PPSN. Please sign and date.
BR3A 4418.indd 2
09/04/2018 12:49
You
can
slee
p so
undl
y, a
nd y
ou c
an st
ill d
ream
.5
ARE THESE BONDS A GIFT (PLEASE TICK)
SEPA DIRECT DEBIT MANDATEUNIQUE MANDATE REFERENCE (OFFICE ONLY)
CREDITOR IDENTIFIER
BANKS/BUILDING SOCIETIES MAY DECLINE TO ACCEPT INSTRUCTIONS TO PAY DIRECT DEBITS FROM SOME TYPES OF ACCOUNTS
THE PRIZE BONDS COMPANY DAC, FLOOR 3B, GPO, O’CONNELL STREET LOWER, DUBLIN 1, IRELAND
I E 1 9 Z Z Z 3 0 0 6 8 1
YD D M M Y Y YDATE OF SIGNATURE(S)*
SIGNATURE(S) OF BANK ACCOUNT HOLDERS*(AUTHORISED SIGNATORIES ON DEBTORS BANK ACCOUNT TO THE LEFT)
2.
1.
P Z B
PRIZE BOND HOLDER (1) NAME (IF DIFFERENT FROM A/C HOLDER OVERLEAF)
PRIZE BOND HOLDER (1) ADDRESS (IF DIFFERENT FROM A/C HOLDER OVERLEAF)
PRIZE BOND HOLDER (2) NAME (IF DIFFERENT FROM A/C HOLDER OVERLEAF)
PRIZE BOND HOLDER (2) ADDRESS (IF DIFFERENT FROM A/C HOLDER OVERLEAF)
VALUE OF PAYMENT* € . M M Y Y(FIRST PAYMENT FROM)
Y N
By signing this mandate form, you authorise (A) NTMA and/or its agents including The Prize Bonds Company to send instructions to your bank to debit your account and (B) your bank to debit your account in accordance with the instruction from NTMA and/or its agents including The Prize Bonds Company.
As part of your rights, you are entitled to a refund from your bank under the terms and conditions of your agreement with your bank. A refund must be claimed within 8 weeks starting from the date on which your account was debited.
Note: your rights regarding the above mandate are explained in a statement that you can obtain from your bank.
PLEASE COMPLETE ALL THE FIELDS FOLLOWING MARKED*
NAME(S) OF BANK ACCOUNT HOLDER* (Name on Debtor’s Account)
BANK ACCOUNT HOLDER ADDRESS*
COUNTRY*
PRIZE BOND CUSTOMER ACC. NO.
BANK ACCOUNT HOLDER’S IBAN NUMBER*
BANK ACCOUNT HOLDER IDENTIFER CODE - BIC/SWIFT*
CREDITORS NAME(PLEASE RETURN TO)
PLEASE ENTER THE IBAN NUMBER FROM TOP LEFT HAND BOX
TYPE OF PAYMENT: RECURRENT PAYMENT
THE MAXIMUM DIRECT DEBIT AMOUNT IS €1,000.00
EIRCODE
EIRCODE
CITY & EIRCODE
PTO for Direct Debit details
NATIONAL TREASURY MANAGEMENT AGENCY
Notes
103
103
102
9494
103
99
PERF
PERF Mail this form to – State Savings, GPO, Freepost, Dublin 1, D01 F5P2
NTM
A B
roch
ure
3(a
)16
Apr
il 20
18
Thou
san
ds o
f ch
ance
s of
w
inn
ing
ever
y w
eek
Each
indi
vidu
al P
rize
Bond
you
hol
d w
ill b
e en
tere
d in
to
the
wee
kly
priz
e dr
aw.
Ther
e ar
e th
ousa
nds
of t
ax-f
ree
cash
priz
es e
very
wee
k.
The
mor
e Pr
ize
Bond
s yo
u ho
ld, t
he m
ore
chan
ces
you
ha
ve o
f win
ning
.
The
priz
es a
re:
The
top
priz
e in
th
e la
st d
raw
in Ju
ne
and
Dec
emb
er is
€1
MIL
LIO
N a
nd
in e
very
oth
er w
eekl
y dr
aw t
he
top
priz
e is
€50
,000
.
Wee
kly
Priz
es
€
1,00
0 x
10
priz
es
€500
x
10
priz
es
€50
x A
ll ot
her
pri
zes
6
SAFE
ARE
A
An
Post
an
d th
e Pr
ize
Bon
d Co
mpa
nyar
e ag
ents
of t
he
Nat
iona
l Tre
asur
y M
anag
emen
t A
gen
cy
To b
e w
on tw
o tim
es e
ach
year
an
d th
ousa
nds
of c
ash
priz
es
ever
y w
eek.
1. Evidence of Identity
1.1 You are required to confirm your identity to us (including your surname, first name, date of birth and address) for the purposes of:
(a) the Agreement (including any Transaction);
(b) the administration of your Product(s) and any other State Savings Product(s) that you may hold now or in the future, and
(c) associated legal purposes, including compliance with statutory anti-money laundering obligations and account security and fraud prevention,
1.2 We may verify your identity:(a) electronically (by reference to information supplied
by you, including your Personal Public Service Number (PPSN)); or
(b) manually (by reference to acceptable original or certified copy documentation supplied by you, which may include documents such as your current passport, current EU driving licence, recent utility bill, recent account statement from a bank, building society or credit union, and/or your Public Services Card or other official documentation issued to you by the Revenue Commissioners or the Department of Employment Affairs and Social Protection).
2.3 Where you have not provided evidence of your identity to our satisfaction, we will advise you and we will not proceed with your application to purchase the Product until evidence of your identity has been verified to our satisfaction. For the avoidance of doubt, no interest, bonus or other amount shall accrue in respect of a Product during the period when evidence of identity is being verified under this condition.
2. Personal Data 2.1 The NTMA is the Data Controller (for the purpose
of the General Data Protection Regulation (GDPR)) for all personal data supplied by you. The Minister for Finance and the NTMA are each a ‘specified body’ for the purposes of sections 262 to 270 and schedule 5 of the Social Welfare Consolidation Act 2005, as amended, under which the NTMA and the Minister for Finance are both authorised to process personal data including PPSNs for certain purposes.
2.2 We will collect, process and use personal data relating to you, including your PPSN and the information referred to in Note 1 (Evidence of Identity):
(a) as necessary for the performance of the Agreement (including any Transaction);
(b) for the administration of your Product(s) and any other State Savings Product(s) that you may hold now or in the future, and
(c) for associated legal purposes, including compliance with statutory anti-money laundering obligations and account security and fraud prevention,
2.3 You acknowledge the collection, processing and use of your personal data (including your PPSN) for the purposes as outlined in 3.2.
2.4 Personal data may be processed by us, our Agents, and any third party service providers acting on our behalf for the purposes of the Agreement and for associated legal purposes and for any other purpose required for or reasonably incidental to the performance of the Agreement.
2.5 We will retain your personal data for as long as you have a holding with State Savings and otherwise in accordance with applicable data protection law and statutory obligations (including under anti-money laundering legislation).
2.6 Subject to your consent, your personal data may be used by us, or our Agents, for the purpose of marketing State Savings Products. Where you hold more than one Product, the preferences indicated most recently by you will apply to all Products held by you to which the General Terms and Conditions apply.
2.7 You have the right to request access to and a copy of your personal data held by us in accordance with the GDPR, to have your personal data corrected where it is inaccurate or misleading, to have your personal data erased, to object to the processing of your personal data by us, to request data portability in relation to your personal data. Should you wish to avail of any of these rights, please contact the Data Protection Officer, State Savings, GPO, FREEPOST, Dublin 1, D01 F5P2.
You also have the right to lodge a complaint with the Office of the Data Protection Commissioner. See www.dataprotection.ie for more information.
3 Limits3.1 Prize Bonds are sold in units of €6.25. There is a
minimum purchase of €25 (4 units). Please note that purchases of Prize Bonds cannot be registered or entered into the weekly draw until the necessary verification requirements have been completed (note 1).
3.2 The maximum holding limit for Prize Bonds added to the Prize Bond Register in your name on or after the 1 November 2015 is €250,000.
3.3 The maximum holding limit for Prize Bonds added to the Prize Bond Register in joint names on or after the 1 November 2015 is €500,000.
3.4 For the purposes of calculating a Joint Holders maximum holding limit in Prize Bonds newly registered on or after the 1 November 2015 the amount held jointly will be deemed to be owned in equal proportion by each Joint Holder and will be divided equally between each of the Joint Holders.
3.5 Transfers resulting from inherited holdings are allowed to exceed the maximum holding limit but all other transfers are subject to the maximum holding limit.
3.6 You may, within 30 days of the draw date in which you win a prize, re-invest your Prize Bond winnings and these will not be counted towards the maximum holding limit.
3.7 For the purposes of calculating any individual’s aggregate maximum holding limit in Prize Bonds, any bonds held in accordance with conditions 3.5 and or 3.6 will be added to any bonds that individual purchased on or after the 1 November 2015. If this calculation causes an individual to reach or exceed the maximum holding limit, no further Prize Bonds will be registered for that individual.
3.8 Where you encash Prize Bonds and use the proceeds to purchase new Prize Bonds this new purchase will be subject to the limits.
3.9 Where an application to purchase Prize Bonds is received that will result in any individual party to the application breaching their maximum limit, the application will not be processed and the full value of the application will be refunded.
Other Notes4 Prize Bonds are offered by the National Treasury
Management Agency (NTMA) on behalf of the Minister for Finance. The Prize Bonds Company DAC acts as agent of the NTMA in the operation of the Prize Bonds Scheme.
5 The NTMA and its agent The Prize Bonds Company reserves the right at their sole discretion to decline any purchase application and to refund the purchase amount to the Prize Bond applicants.
6 If you are purchasing Prize Bonds at a Post Office you will be given a Receipt of Purchase. The actual Prize Bond Certificate will be forwarded direct by post to the named Bondholder(s) within 10 working days on condition that the necessary verification requirements have been completed (note 1).
7 Prize Bonds may be registered in one or two names jointly, but not in more than two names. Do not enter collectives such as ‘Family’ etc. You must ensure you have full Name(s) and Address(es) and Date of Birth.
8 If you are purchasing Prize Bonds as a gift please use the Gift Purchase Application Form (Brochure 3b)
9 If you are purchasing Bonds in your own name, please sign the form. For joint purchases we require both signatures.
10 The Prize Bond Certificate, bearing the Serial Numbers of the bonds will be sent direct to the registered Bondholder(s), who should retain them safely for future reference. In the case of a joint holding, the Prize Bonds will be sent to the first named holder.
11 Prize Bonds can be held indefinitely, but must be held for a minimum of 90 days. All prize winners are notified by post at their current registered address. Bondholder(s) must inform us in writing of any changes of address.
12 This purchase form fully completed and signed can be handed in with the appropriate remittance to any Post Office. Purchases are accepted by cash, cheque (made payable to NTMA State Savings) or by monthly direct debit. Alternatively, you can send your application and remittance by post.
13 In the event of winning a prize you will be notified by post. You can choose to have your prize(s):
(a) lodged to your bank account.
(b) reinvested in Prize Bonds. Your new Prize Bonds will be forwarded by post
See details overleaf.
14 The value of the monthly prize fund is recalculated at the start of each month by applying a variable interest rate (currently 0.50%) to the value of all Prize Bonds outstanding at the end of the previous month. No interest is paid to Bondholders. Instead the interest is paid into the monthly prize fund, to be distributed to winners in the weekly draw.
The NTMA can amend the number and value of prizes at any time and any changes to the rate or prize structure will be advertised in the main daily newspapers and on www.StateSavings.ie.
15 For Direct Debits please complete and sign the SEPA Direct Debit mandate form specifying the BIC and IBAN number of the account from which the debits are to be made. Details of the amount of the debit should be entered on the back of the form. A copy of a bank statement verifying the account on which the Direct Debits are to be drawn must be enclosed with the form. You will be advised of the unique reference number and start date on which the recurring monthly deductions will commence.
16 Where payment is not received or fails to clear, the relevant bonds will be cancelled and no prizes will accrue.
17 The prize winnings are not subject to tax but you may have other tax liabilities depending on your specific circumstances (i.e. gifts/inheritance). We would therefore recommend that you consult your tax advisor.
Telephone purchases using a Debit Card can be made at Callsave 1850 30 50 60.
Mail application forms to: State Savings, GPO, Freepost, Dublin 1, D01 F5P2
For repayments, change of address, prize claims and general correspondence mail to:
State Savings, Prize Bonds, Fexco Centre, Killorglin, Freepost, Co. Kerry, V93 WN9T.
IMPORTANT
Before completing this Application Form and in particular Section 5‘Declaration and Signature’ you must read the Notes on this page.
NTM
A B
roch
ure
3(a
)16
Apr
il 20
18
SAFE
ARE
A
The
mai
n St
ate
Savi
ngs
Prod
ucts
are
:
Stat
e Sa
vin
gs p
rodu
cts
are
subj
ect
to T
erm
s an
d Co
ndi
tion
s an
d re
leva
nt
legi
slat
ion
.
For
mor
e in
form
atio
n o
n S
tate
Sav
ings
Web
: St
ateS
avin
gs.ie
Te
lep
hon
e:
1850
30
50 6
0 /
+353
1 7
05 7
200
SMS
Text
: 08
52 3
0 50
60
E-m
ail:
Serv
ice@
Stat
eSav
ings
.ie
Vis
it:
An
y Po
st O
ffice
M
ail t
o:
Stat
e Sa
vin
gs, G
PO, F
reep
ost,
Du
blin
1, D
01 F
5P2
Actu
al B
efor
e D
IRT
VA
RIA
BLE
RAT
E6
0.15
%D
epos
it Ac
coun
t4
0.50
%Pr
ize
Bond
s5
GRO
SSSt
ate
Savi
ngs
Prod
ucts
NET
Tota
l Re
turn
AER
1FI
XED
RAT
E, F
IXED
TER
MA
ER1
Tota
l Re
turn
1.00%
0.33
%3
year
Sav
ings
Bon
ds2
0.33
%
1.00
%2.0
0%0.
50%
4
year
Nat
iona
l Sol
idar
ity
Bond
20.
50%
2.00
%5.0
0%0.
98%
5 ye
ar S
avin
gs C
ertifi
cate
s20.
98%
5.00
% 16
.00%
1.50
%10
yea
r Nat
iona
l Sol
idar
ity
Bond
21.
50%
16.0
0%
5.50%
0.98
%6
year
Inst
alm
ent S
avin
gs2,
30.
98%
5.50%
(ALS
O F
OR
CHIL
D B
ENEF
IT)
1 A
ER =
“Ann
ual E
quiv
alen
t Rat
e”.
2 Not
subj
ect t
o ta
x in
Irel
and
but p
leas
e se
e Co
ndit
ion
4 Ta
xati
on in
Spe
cific
Con
diti
ons.
3 S
ave
in 1
2 m
onth
ly in
stal
men
ts (M
ax. €
1,00
0 pe
r mon
th) a
nd le
ave
for 5
yea
rs.
AER
cal
cula
tion
ass
umes
a 5
½ y
ear a
vera
ge li
fe.
4 Sub
ject
to D
IRT
(Dep
osit
Inte
rest
Ret
enti
on T
ax) a
t the
pre
vaili
ng ra
te.
5 Priz
e Bo
nds –
The
var
iabl
e ra
te u
sed
to c
alcu
late
priz
e fu
nd is
0.5
0%. T
here
are
two
€1
mill
ion
priz
es p
er a
nnum
and
thou
sand
s of w
eekl
y pr
izes
. No
inte
rest
is p
aid
to b
ond
hold
ers.
Inst
ead
the
inte
rest
is p
aid
into
the
mon
thly
priz
e fu
nd, t
o be
dis
trib
uted
to
win
ners
in th
e w
eekl
y dr
aw.
6 Var
iabl
e Ra
te m
eans
that
the
inte
rest
rate
pai
d on
this
Pro
duct
may
be
chan
ged
by th
e N
TMA
from
tim
e to
tim
e. S
uch
chan
ges w
ill b
e no
tifie
d by
at l
east
one
of t
he fo
llow
ing
met
hods
: dire
ct n
otifi
cati
on to
you
by
post
, pub
licat
ion
in a
nat
iona
l new
spap
er,
publ
icat
ion
on S
tate
Savi
ngs.
ie o
r not
ifica
tion
by
any
othe
r mea
ns.
Bro
chu
res
and
App
licat
ion
For
ms
for
Stat
e Sa
vin
gs P
rodu
cts
lis
ted
abov
e ar
e av
aila
ble
in a
ny
Post
Offi
ce o
r on
line
at
Stat
eSav
ings
.ie. S
tate
Sav
ings
pro
duct
s ar
e su
bjec
t to
Ter
ms
and
Con
diti
ons
and
rele
van
t le
gisl
atio
n. Y
ou m
ay fi
nd
our
Term
s an
d
Con
diti
ons
boo
klet
on
line
and
in P
ost
Offi
ces.
The following extract quotes three of the Conditions from the “General Terms and Conditions and the Specific Conditions” dated 16 April 2018. (Note: rather than being numbered as 1,2,3 these 3 conditions carry their original reference numbers (2,3,5) as published within the General Terms & Conditions)
1. Evidence of Identity1.1 You are required to confirm your identity to us (including your surname, first name, date of birth and
address) for the purposes of:
(a) the Agreement (including any Transaction);
(b) the administration of your Product(s) and any other State Savings Product(s) that you may hold now or in the future, and
(c) associated legal purposes, including compliance with statutory anti-money laundering obligations and account security and fraud prevention,
1.2 We may verify your identity:
(a) electronically (by reference to information supplied by you, including your Personal Public Service Number (PPSN)); or
(b) manually (by reference to acceptable original or certified copy documentation supplied by you, which may include documents such as your current passport, current EU driving licence, recent utility bill, recent account statement from a bank, building society or credit union, and/or your Public Services Card or other official documentation issued to you by the Revenue Commissioners or the Department of Social Protection).
1.3 Where you have not provided evidence of your identity to our satisfaction, we will advise you and we will not proceed with your application to purchase the Product until evidence of your identity has been verified to our satisfaction. For the avoidance of doubt, no interest, bonus or other amount shall accrue in respect of a Product during the period when evidence of identity is being verified under this condition.
2. Personal Data 2.1 The NTMA is the Data Controller (for the purpose of the General Data Protection Regulation (GDPR))
for all personal data supplied by you. The Minister for Finance and the NTMA are each a ‘specified body’ for the purposes of sections 262 to 270 and schedule 5 of the Social Welfare Consolidation Act 2005, as amended, under which the NTMA and the Minister for Finance are both authorised to process personal data including PPSNs for certain purposes.
2.2 We will collect, process and use personal data relating to you, including your PPSN and the information referred to in condition 2 (Evidence of Identity):
(a) as necessary for the performance of the Agreement (including any Transaction);
(b) for the administration of your Product(s) and any other State Savings Product(s) that you may hold now or in the future, and
(c) for associated legal purposes, including compliance with statutory anti-money laundering obligations and account security and fraud prevention,
2.3 You acknowledge the collection, processing and use of your personal data (including your PPSN) for the purposes as outlined in 3.2.
2.4 Personal data may be processed by us, our Agents, and any third party service providers acting on our behalf for the purposes of the Agreement and for associated legal purposes and for any other purpose required for or reasonably incidental to the performance of the Agreement.
2.5 We will retain your personal data for as long as you have a holding with State Savings and otherwise in accordance with applicable data protection law and statutory obligations (including under anti-money laundering legislation).
2.6 Subject to your consent, your personal data may be used by us, or our Agents, for the purpose of marketing State Savings Products. Where you hold more than one Product, the preferences indicated most recently by you will apply to all Products held by you to which the General Terms and Conditions apply.
2.7 You have the right to request access to and a copy of your personal data held by us in accordance with the GDPR, to have your personal data corrected where it is inaccurate or misleading, to have your personal data erased, to object to the processing of your personal data by us, to request data portability in relation to your personal data. Should you wish to avail of any of these rights, please contact the Data Protection Officer, State Savings, GPO, FREEPOST, Dublin 1, D01 F5P2.
You also have the right to lodge a complaint with the Office of the Data Protection Commissioner. See www.dataprotection.ie for more information.
purchases of Prize Bonds cannot be registered or entered into t
BR3A
441
8.in
dd
109
/04/
2018
12
:49
You can sleep soundly, and you can still dream.5
ARE TH
ESE BON
DS A
GIFT
(PLEASE TIC
K)
SEPA D
IRECT DEB
IT MA
ND
ATE
UN
IQU
E MA
ND
ATE REFEREN
CE (O
FFICE O
NLY)
CRED
ITOR ID
ENTIFIER
BA
NK
S/B
UILD
ING
SO
CIE
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S M
AY
DE
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O A
CC
EP
T IN
ST
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CT
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S T
O P
AY
DIR
EC
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EB
ITS
FRO
M S
OM
E T
YP
ES
OF A
CC
OU
NT
S
TH
E PRIZE BON
DS C
OM
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OR 3B, G
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1
YD
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MY
YY
DA
TE OF SIG
NA
TURE(S)*
SIGN
ATU
RE(S) OF BA
NK
AC
CO
UN
T HO
LDERS*
(AU
THO
RISED SIG
NA
TORIES O
N D
EBTORS BA
NK
AC
CO
UN
T TO TH
E LEFT)
2. 1.
PZ
B
PRIZE B
ON
D H
OLD
ER (1) N
AM
E (IF DIFFEREN
T FROM
A/C
HO
LDER O
VERLEA
F)
PRIZE BO
ND
HO
LDER (1) A
DD
RESS (IF DIFFEREN
T FROM
A/C
HO
LDER O
VERLEA
F)
PRIZE B
ON
D H
OLD
ER (2) N
AM
E (IF DIFFEREN
T FROM
A/C
HO
LDER O
VERLEA
F)
PRIZE BO
ND
HO
LDER (2) A
DD
RESS (IF DIFFEREN
T FROM
A/C
HO
LDER O
VERLEA
F)
VA
LUE O
F PAYM
ENT*
€.
MM
YY
(FIRST PAYM
ENT FRO
M)
YN
By signing this mandate form
, you authorise (A) N
TMA
and/or its agents including The Prize Bonds Com
pany to send instructions to your bank to debit your account and (B) your bank to debit your account in accordance w
ith the instruction from N
TMA
and/or its agents including The Prize Bonds Com
pany.
As part of your rights, you are entitled to a refund from
your bank under the terms and
conditions of your agreement w
ith your bank. A refund m
ust be claimed w
ithin 8 weeks
starting from the date on w
hich your account was debited.
Note: your rights regarding the above m
andate are explained in a statement that you can
obtain from your bank.
PLEASE CO
MPLETE A
LL THE FIELD
S FOLLO
WIN
G M
AR
KED
*
NA
ME(S) O
F BAN
K A
CC
OU
NT H
OLD
ER* (Nam
e on D
ebtor’s Accou
nt)
BAN
K ACCO
UN
T HO
LDER A
DD
RESS*
CO
UN
TRY*
PRIZE BO
ND
CU
STOM
ER AC
C. N
O.
BAN
K A
CC
OU
NT H
OLD
ER’S IBAN
NU
MBER*
BA
NK
AC
CO
UN
T HO
LDER ID
ENTIFER C
OD
E - BIC
/SWIFT*
CRED
ITORS N
AM
E(PLEA
SE RETURN
TO)
PLEASE EN
TER TH
E IBA
N N
UM
BER
FRO
M TO
P LEFT HA
ND
BO
X
TYPE OF PA
YMEN
T: RECU
RRENT PA
YMEN
T
THE M
AX
IMU
M D
IRECT D
EBIT AM
OU
NT IS €1,000.00
EIRCO
DE
EIRCO
DE
CITY &
EIRCO
DE
PTO for
Direct D
ebit details
NATIO
NA
L TREA
SURY M
AN
AG
EMEN
T AG
ENCY
Notes
103103102949410399
PERF
PERF
Mail th
is form to – State Savin
gs, GPO
, Freepost, Du
blin 1, D
01 F5P2
NTMA Brochure 3(a)16 April 2018
Thousands of chances of winning every week
Each individual Prize Bond you hold will be entered into the weekly prize draw.
There are thousands of tax-free cash prizes every week.
The more Prize Bonds you hold, the more chances you have of winning.
The prizes are:
The top prize in the last draw in June and December is €1 MILLION and in every other weekly draw the top prize is €50,000.
Weekly Prizes €1,000 x 10 prizes
€500 x 10 prizes
€50 x All other prizes
6
SAFE AREA
An Post and the Prize Bond Companyare agents of the
National Treasury Management Agency
To be won two times each year and thousands of cash prizes
every week.
1. Evidence of Identity
1.1 You are requ
ired to confirm
your identity to u
s (in
cludin
g your su
rnam
e, first nam
e, date of birth
and address) for th
e purposes of:
(a) th
e Agreem
ent (inclu
ding an
y Transaction
);
(b) th
e admin
istration of you
r Product(s) an
d any
other State Savin
gs Product(s) th
at you m
ay hold
now
or in th
e futu
re, and
(c) associated legal pu
rposes, inclu
ding com
pliance
with
statutory anti-m
oney lau
nderin
g obligations
and accou
nt security an
d fraud prevention
,
1.2 We m
ay verify your identity:
(a) electronically (by referen
ce to inform
ation su
pplied by you
, inclu
ding you
r Personal Pu
blic Service N
um
ber (PPSN)); or
(b) man
ually (by referen
ce to acceptable original or
certified copy docum
entation su
pplied by you,
wh
ich m
ay inclu
de docum
ents such
as your cu
rrent passport, cu
rrent EU drivin
g licence, recent u
tility bill, recent accou
nt statement from
a bank, bu
ilding
society or credit un
ion, an
d/or your Pu
blic Services C
ard or other official docu
mentation
issued to you
by th
e Revenu
e Com
mission
ers or the D
epartment
of Employm
ent Affairs an
d Social Protection).
2.3 Wh
ere you h
ave not provided eviden
ce of your
identity to our satisfaction
, we w
ill advise you
and w
e will n
ot proceed with
your application
to pu
rchase th
e Product u
ntil evidence of you
r identity h
as been verified to ou
r satisfaction. For
the avoidan
ce of doubt, n
o interest, bonu
s or other
amou
nt shall accru
e in respect of a Produ
ct durin
g th
e period wh
en eviden
ce of identity is being
verified un
der this con
dition.
2. Personal D
ata 2.1 Th
e NTM
A is th
e Data C
ontroller (for the pu
rpose of th
e Gen
eral Data Protection
Regulation
(GD
PR)) for all person
al data supplied by you
. The M
inister
for Finan
ce and th
e NTM
A are each
a ‘specified body’ for th
e purposes of section
s 262 to 270 and
schedu
le 5 of the Social W
elfare Con
solidation A
ct 2005, as am
ended, u
nder w
hich
the N
TMA
and th
e M
inister for Fin
ance are both
auth
orised to process person
al data inclu
ding PPSN
s for certain pu
rposes.
2.2 We w
ill collect, process and u
se personal data
relating to you
, inclu
ding you
r PPSN an
d the
inform
ation referred to in
Note 1 (Eviden
ce of Identity):
(a) as n
ecessary for the perform
ance of th
e A
greement (in
cludin
g any Tran
saction);
(b) for th
e admin
istration of you
r Product(s) an
d an
y other State Savin
gs Product(s) th
at you m
ay h
old now
or in th
e futu
re, and
(c) for associated legal pu
rposes, inclu
ding
complian
ce with
statutory anti-m
oney lau
nderin
g obligation
s and accou
nt security an
d fraud
prevention,
2.3 You ackn
owledge th
e collection, processin
g and
use of you
r personal data (in
cludin
g your PPSN
) for th
e purposes as ou
tlined in
3.2.
2.4 Personal data m
ay be processed by us, ou
r Agents,
and an
y third party service providers actin
g on
our beh
alf for the pu
rposes of the A
greement an
d for associated legal pu
rposes and for an
y other
purpose requ
ired for or reasonably in
cidental to the
performan
ce of the A
greement.
2.5 We w
ill retain you
r personal data for as lon
g as you
have a h
olding w
ith State Savin
gs and oth
erwise in
accordan
ce with
applicable data protection law
and
statutory obligation
s (inclu
ding u
nder anti-m
oney
laun
dering legislation
).
2.6 Subject to you
r consent, you
r personal data m
ay be u
sed by us, or ou
r Agents, for th
e purpose of
marketin
g State Savings Produ
cts. Wh
ere you h
old m
ore than
one Produ
ct, the preferen
ces indicated
most recently by you
will apply to all Produ
cts held
by you to w
hich
the G
eneral Term
s and C
ondition
s apply.
2.7 You h
ave the right to requ
est access to and a copy
of your person
al data held by u
s in accordan
ce with
th
e GD
PR, to have you
r personal data corrected
wh
ere it is inaccu
rate or misleadin
g, to h
ave your
personal data erased, to object to th
e processing of
your person
al data by us, to requ
est data portability in
relation to you
r personal data. Sh
ould you
wish
to avail of an
y of these rights, please contact
the D
ata Protection O
fficer, State Savings, G
PO,
FREEPOST, D
ublin
1, D01 F5P2.
You also h
ave the right to lodge a com
plaint with
th
e Office of th
e Data Protection
Com
mission
er. See w
ww
.dataprotection.ie for m
ore inform
ation.
3 Limits
3.1 Prize Bonds are sold in
un
its of €6.25. There is a
min
imu
m pu
rchase of €25 (4 u
nits). Please n
ote th
at purch
ases of Prize Bonds can
not be registered
or entered into the w
eekly draw u
ntil the n
ecessary verification
requirem
ents have been
completed
(note 1).
3.2 The maxim
um holding lim
it for Prize Bonds added to the Prize Bond Register in your nam
e on or after the 1 N
ovember 2015 is €250,000.
3.3 The m
aximum
holding limit for Prize Bonds added to
the Prize Bond Register in joint names on or after the
1 Novem
ber 2015 is €500,000.
3.4 For the purposes of calculating a Joint H
olders m
aximum
holding limit in Prize Bonds new
ly registered on or after the 1 N
ovember 2015 the
amount held jointly w
ill be deemed to be ow
ned in
equal proportion by each Joint Holder and w
ill be divided equally betw
een each of the Joint Holders.
3.5 Transfers resulting from
inherited holdings are allow
ed to exceed the maxim
um holding lim
it but all
other transfers are subject to the maxim
um holding
limit.
3.6 You m
ay, within 30 days of the draw
date in
which you w
in a prize, re-invest your Prize Bond w
innings and these will not be counted tow
ards the m
aximum
holding limit.
3.7 For the purposes of calculating any individual’s aggregate m
aximum
holding limit in Prize Bonds,
any bonds held in accordance with conditions 3.5
and or 3.6 will be added to any bonds that individual
purchased on or after the 1 Novem
ber 2015. If this calculation causes an individual to reach or exceed the m
aximum
holding limit, no further Prize Bonds
will be registered for that individual.
3.8 W
here you encash Prize Bonds and use the proceeds to purchase new
Prize Bonds this new purchase w
ill be subject to the lim
its.
3.9 W
here an application to purchase Prize Bonds is received that w
ill result in any individual party to the application breaching their m
aximum
limit, the
application will not be processed and the full value of
the application will be refunded.
O
ther Notes
4 Prize Bon
ds are offered by the N
ational Treasu
ry M
anagem
ent Agen
cy (NTM
A) on
behalf of th
e M
inister for Fin
ance. Th
e Prize Bonds C
ompan
y DA
C
acts as agent of the N
TMA
in th
e operation of th
e Prize Bon
ds Schem
e.
5 Th
e NTM
A an
d its agent The Prize Bon
ds Com
pany
reserves the right at th
eir sole discretion to declin
e an
y purch
ase application an
d to refun
d the
purch
ase amou
nt to the Prize Bon
d applicants.
6 If you
are purch
asing Prize Bon
ds at a Post Office
you w
ill be given a Receipt of Pu
rchase. Th
e actual
Prize Bond C
ertificate will be forw
arded direct by post to th
e nam
ed Bondh
older(s) with
in 10
workin
g days on con
dition th
at the n
ecessary verification
requirem
ents have been
completed
(note 1).
7 Prize Bon
ds may be registered in
one or tw
o nam
es jointly, bu
t not in
more th
an tw
o nam
es. Do n
ot enter collectives su
ch as ‘Fam
ily’ etc. You m
ust
ensu
re you h
ave full N
ame(s) an
d Address(es) an
d D
ate of Birth.
8 If you
are purch
asing Prize B
onds as a gift
please use th
e Gift Pu
rchase A
pplication Form
(B
rochu
re 3b)
9 If you
are purch
asing Bon
ds in you
r own
nam
e, please sign
the form
. For joint purch
ases we requ
ire both
signatu
res.
10 The Prize Bon
d Certificate, bearin
g the Serial
Nu
mbers of th
e bonds w
ill be sent direct to the
registered Bondh
older(s), wh
o shou
ld retain th
em
safely for futu
re reference. In
the case of a joint
holdin
g, th
e Prize Bonds w
ill be sent to the first
nam
ed holder.
11 Prize Bonds can
be held in
definitely, bu
t mu
st be h
eld for a min
imu
m of 90 days. A
ll prize win
ners
are notified by post at th
eir current registered
address. Bondh
older(s) mu
st inform
us in
writin
g of an
y chan
ges of address.
12 This pu
rchase form
fully com
pleted and sign
ed can
be han
ded in w
ith th
e appropriate remittan
ce to an
y Post Office. Pu
rchases are accepted by cash
, ch
eque (m
ade payable to NTM
A State Savin
gs) or by m
onthly direct debit. A
lternatively, you
can sen
d you
r application an
d remittan
ce by post.
13 In th
e event of win
nin
g a prize you w
ill be notified
by post. You can
choose to h
ave your prize(s):
(a) lodged to your ban
k account.
(b) reinvested in
Prize Bonds. You
r new
Prize Bonds
will be forw
arded by post
See details overleaf.
14 The valu
e of the m
onthly prize fu
nd is recalcu
lated at th
e start of each m
onth by applyin
g a variable interest rate (cu
rrently 0.50%) to th
e value of all
Prize Bonds ou
tstandin
g at the en
d of the previou
s m
onth. N
o interest is paid to Bondh
olders. Instead
the interest is paid into th
e month
ly prize fun
d, to be distribu
ted to win
ners in
the w
eekly draw.
Th
e NTM
A can
amen
d the n
um
ber and valu
e of prizes at an
y time an
d any ch
anges to th
e rate or prize stru
cture w
ill be advertised in th
e main
daily n
ewspapers an
d on w
ww
.StateSavings.ie.
15 For Direct D
ebits please complete an
d sign th
e SEPA
Direct D
ebit man
date form specifyin
g the B
IC
and IBA
N n
um
ber of the accou
nt from w
hich
the
debits are to be made. D
etails of the am
ount of th
e debit sh
ould be entered on
the back of th
e form. A
copy of a ban
k statement verifyin
g the accou
nt on
wh
ich th
e Direct D
ebits are to be drawn
mu
st be en
closed with
the form
. You w
ill be advised of the
un
ique referen
ce nu
mber an
d start date on w
hich
th
e recurrin
g month
ly deduction
s will com
men
ce.
16 Wh
ere paym
ent is n
ot received or fails to clear, the
relevant b
onds w
ill be can
celled and n
o prizes w
ill accru
e.
17 The p
rize win
nin
gs are not su
bject to tax b
ut you
m
ay have oth
er tax liabilities dep
endin
g on you
r sp
ecific circum
stances (i.e. gifts/in
heritan
ce). We
wou
ld therefore recom
men
d that you
consu
lt your
tax advisor.
Contact details for State Savin
gs – Prize Bon
ds
Teleph
one: 1850 30 50 60/ +353 1 705 7200
SM
S Text: 0852 30 50 60
Em
ail: PrizeBonds@
StateSavings.ie
W
eb: ww
w.StateSavin
gs.ie
Teleph
one pu
rchases u
sing a D
ebit Card can
be m
ade at Callsave 1850 30 50 60.
M
ail application form
s to: State Savin
gs, GPO
, Freepost, Du
blin 1, D
01 F5P2
For repaym
ents, chan
ge of address, prize claims
and gen
eral corresponden
ce mail to:
State Savin
gs, Prize Bonds, Fexco C
entre, K
illorglin, Freepost, C
o. Kerry, V93 W
N9T.
IMPO
RTAN
T
Before com
pleting th
is Application
Form an
d in particu
lar Section 5
‘Declaration
and Sign
ature’ you
mu
st read the N
otes on th
is page.
NTMA Brochure 3(a)16 April 2018
SAFE AREA
The main State Savings Products are:
State Savings products are subject to Terms and Conditions and relevant legislation.
For more information on State SavingsWeb: StateSavings.ie Telephone: 1850 30 50 60 / +353 1 705 7200SMS Text: 0852 30 50 60 E-mail: [email protected] Visit: Any Post Office Mail to: State Savings, GPO, Freepost, Dublin 1, D01 F5P2
Actual Before DIRT VARIABLE RATE6
0.15% Deposit Account4
0.50% Prize Bonds5
GROSS State Savings Products NETTotal
Return AER1 FIXED RATE, FIXED TERM AER1 Total Return
1.00% 0.33% 3 year Savings Bonds2 0.33% 1.00%2.00% 0.50% 4 year National Solidarity Bond2 0.50% 2.00%5.00% 0.98% 5 year Savings Certificates2 0.98% 5.00%
16.00% 1.50% 10 year National Solidarity Bond2 1.50% 16.00%
5.50% 0.98% 6 year Instalment Savings2,3 0.98% 5.50%(ALSO FORCHILD BENEFIT)
1 AER = “Annual Equivalent Rate”.2 Not subject to tax in Ireland but please see Condition 4 Taxation in Specific Conditions. 3 Save in 12 monthly instalments (Max. €1,000 per month) and leave for 5 years.
AER calculation assumes a 5½ year average life.4 Subject to DIRT (Deposit Interest Retention Tax) at the prevailing rate.5 Prize Bonds – The variable rate used to calculate prize fund is 0.50%. There are two €1
million prizes per annum and thousands of weekly prizes. No interest is paid to bond holders. Instead the interest is paid into the monthly prize fund, to be distributed to winners in the weekly draw.
6 Variable Rate means that the interest rate paid on this Product may be changed by the NTMA from time to time. Such changes will be notified by at least one of the following methods: direct notification to you by post, publication in a national newspaper, publication on StateSavings.ie or notification by any other means.
Brochures and Application Forms for State Savings Products listed above are available in any Post Office or online at StateSavings.ie. State Savings products are subject to Terms and Conditions and relevant legislation. You may find our Terms and Conditions booklet online and in Post Offices.
The following extract quotes three of the Conditions from
the “General Term
s and Conditions and the Specific
Conditions” dated 16 April 2018.
(Note: rather than being num
bered as 1,2,3 these 3 conditions carry their original reference numbers (2,3,5) as
