ORDER–FORM For Offline (Manual) booking (Booking Period – 01-04-2013 to 31-05-2013) To The General Manager, India Government Mint, Alipore, Kolkata – 700053.
Sir, Please book my order for Sl. No.
Name of Coin Set
Denominations of Coin Sets
Price Per Set Proof Coin Uncirculated Coin Set Set 4,414 3,955/-
1.
SWAMI VIVEKANANDA-150 Birth Anniversary(1863-1902)
2 Coins Set of 150/- & 5/-
2
60 YEARS OF INDIA GOVT. MINT, KOLKATA (1952-2012)
2 Coins Set of 60/- & 5/-
3,408/-
2,950/-
3.
60 YEARS OF INDIA GOVT. MINT, KOLKATA (1952-2012)
1 Coin Set ( 60/- )
2,944/-
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4.
SANT TUKARAM
4 Coin Set (Rs.100,Rs.50,Rs.10,Rs.2)
10,000
5,
DR. SHYAMA PRASAD MOOKERJEECENTENARY
4 Coin Set (Rs.100,Rs.50,Rs.10,Rs.2)
11,004
10,526
6.
LAL BAHADUR SHASTRI-BIRTH CENTENARY(1904-2004)
2 Coin Set-(Rs.100& Rs.5)
8,101
7,667
NAME OF COIN SET
NO. OF SETS ORDERED PROOF SETS UNC SETS
•
9,534`
TOTAL PRICE
Name (full in capital) ……………………………………………………………………………………………………………….. Postal address (full in capital): House No.………………………………………………Street…………………………. City……………………………………State: ……………………………………..Pin Code: ……………………………………..
Phone No …………………………………………….. Mobile No ………………………………………………………………..
Email ID: …………………………………………………………………………………………………………………………………..
D.D. No………………………………Date………………………………..Drawn on……………..............................