Page 4 - Sidharta Auctioneer

Paddle Number:
REGISTRATION FORM
ASIAN MODERN FINE ART & Registration Number:
COLLECTIBLES AUCTION

I wish to place the following bids for the following auction on 25 September 2021. Each bid is per lot as indicated and is accepted
subject to the Terms for Buyers printed in this catalog. I am aware that Sidharta Auctioneer will strive to obtain the items for the
most reasonable price possible. I am also aware that a premium of 22% will be added to the Hammer Price. Refundable deposit
Rp. 10.000.000 applied for first time bidder of Asian Modern Fine Art Auction.
Please tick the appropriate box to indicate bid type:
Regular Bid Written Bid Phone Bid
ABSENTEE TELEPHONE : _____________________________ Telephone number(s) at which to be called

REGULAR EMAIL : _______________________________________________________________________
Due to limited number of phone bidder representatives, we can only cater to five (5) phone bidders of the same lot. It will be on
first come first served basis. So, if you wish to do phone bidding, we strongly advise you to register your bids at the soonest pos-
sible. If our phone bid representatives are already fully occupied, then you phone bids will be automatically switched to written
bids. For phone bidding you must place at least the published low estimate. As for written bidding, you must state the top limit of
the bid in the absentee bid form.
Sidharta Auctioneer requires your signature to execute your bids. Bids marked “Buy” or “Unlimited” will not be accepted. We will
not accept any liability for error or failure to execute bids. We must receive the absentee or phone bid instruction/registration no
later than 24 hours before the auction. Bids must be emailed and bidders should receive a written notification/confirmation from
Sidharta Auctioneer.
Please fill in the information below. Incomplete data will not be processed further.
Name (please print or type): _____________________________________ Date: _______________

Address: __________________________________________________________________________

City, Province: ____________________ Postal (Zip) Code: _____________ Telephone: ______________
Sidharta Auctioneer requires a bank reference and a credit card number on file to execute absentee bids or authorize telephone bidding.
By signing below, I agree to be bound by the Terms for Buyers printed in this catalog.
Name of Bank: _______________________________________ Branch: ___________________________
Account #: _________________________ Branch Manager: _______________ Telephone: _________________
Credit Card #: ________________________________________ Type:______________ Exp. Date: __________
bids
Lot Number Item Top Limit of Bid (Mandatory)
___________ ____________________________________________ _____________________
___________ ____________________________________________ _____________________
___________ ____________________________________________ _____________________

NOTE: Bids are per lot number as listed in the catalog and your bids exclude 22% premium.
I have seen and understand the condition of the pieces that I am interested to bid. By signing this form, the bidder declares the following:
I have read and understand the Guides for Bidders and Terms for Buyers printed in the Auction catalog and posted in the Auction room, and agreed
to be bound by them.
I Authorize Sidharta Auctioneer to request bank references relating to the account(s) specified above and to send invoice, via email: ____________
________________________
Signature: _________________________________ Date: ______________________________________

The Darmawangsa Square 2nd floor # 265
Jl. Darmawangsa VI Jakarta 12160, Indonesia
tel: +6221 7278 8366, WA +62 813 1255 5543 Email: info@sidharta.co

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