SOVEREIGN SUKUK SUBSCRIPTION FORM

Up to N300 Billion 7 - Year Ijarah Sukuk Due 2032
On Behalf of the Federal Government of Nigeria
INSTITUTION/STOCKBROKER DOCKET UPLOAD

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Bank Name: Account Number Account Name
LOTUS BANK LIMITED 1009577081 FGN SUKUK 7 ISSUE PROCEEDS ACCOUNT



DECLARATION AND SIGNATURE

I confirm that that all information provided on behalf of the applicants in the uploaded file is accurate and authorized. We agree to indemnify and hold harmless the Issuer and its advisers from any liability, loss, or claim arising from errors, omissions, or misrepresentations in the submitted data.

  I AGREE AND SIGN