Application Form (Except for ETFs, HDFC Retirement Savings fund and HDFC Children’s Gift Fund)

Investors must read the Key Information Memorandum, the instructions and Product Labeling on cover page before completing this Form.
The Application Form should be completed in English and in BLOCK LETTERS only.

KEY PARTNER / AGENT INFORMATION (Investors applying under Direct Plan must mention “Direct” in ARN column.) (Refer Instruction 1) FOR OFFICE USE ONLY
Internal Code Employee Unique
(TIME STAMP)
ARN/RIA Code ARN/RIA Name Sub Agent’s ARN Bank Branch Code for Sub-Agent/ Identification Number
Employee (EUIN)

ARN-
EUIN Declaration (only where EUIN box is left blank) (Refer Instruction 1)
I/We hereby confirm that the EUIN box has been intentionally left blank by me/us as this transaction is executed without any interaction or advice by the employee/relationship manager/sales person
of the above distributor/sub broker or notwithstanding the advice of in-appropriateness, if any, provided by the employee/relationship manager/sales person of the distributor/sub broker.
SIGN

First/ Sole Applicant/ Guardian Second Applicant Third Applicant

TRANSACTION CHARGES FOR APPLICATIONS THROUGH DISTRIBUTORS ONLY (Refer Instruction 2)
In case the purchase/ subscription amount is Rs. 10,000 or more and your Distributor has opted in to receive Transaction Charges, the same are deductible as applicable from the purchase/
subscription amount and payable to the Distributor. Units will be issued against the balance amount invested. Upfront commission shall be paid directly by the investor to the ARN Holder (AMFI
registered Distributor) based on the investors’ assessment of various factors including the service rendered by the ARN Holder.
1. EXISTING UNIT HOLDER INFORMATION (IF YOU HAVE EXISTING FOLIO, PLEASE FILL IN SECTIONS viz. 1, 5, 6, 10 AND 13 ONLY. Refer instruction 3).
Folio No. The details in our records under the folio number mentioned alongside will apply for this application.

2. MODE OF HOLDING [Please tick (P

) Single Joint Anyone or Survivor

3. UNIT HOLDER INFORMATION (Refer instruction 4) DATE OF BIRTH@ Proof of date of birth@ Please (P)
NAME OF FIRST / SOLE APPLICANT (In case of Minor, there shall be no joint holders) DD MM YYYY Attached
Mr. Ms. M/s.
Nationality PAN#/ PEKRN#
KYC Number KYC # [Please tick (P )] (Mandatory) Proof Attached
Status of First/ Sole Applicant [Please tick (P
)] Individual Non - Individual [Please attach FATCA, CRS & Ultimate Beneficial Ownership (UBO) Self Certification Form] (Refer
Instruction 4 & 19) (Mandatory)
Resident Individual NRI-Repatriation NRI-Non Repatriation Partnership Trust HUF AOP PIO Company FIIs Minor through guardian BOI OCI
Body Corporate LLP Society / Club Foreign National Resident in India FPI Sole Proprietorship Non Profit Organisation (please specify)
Others _________________________
NAME OF GUARDIAN (in case of First / Sole Applicant is a Minor) / NAME OF CONTACT PERSON – DESIGNATION (in case of non-individual Investors)
Mr. Ms.
Nationality Designation Contact No.
PAN#/ PEKRN#
KYC Number KYC # [Please tick (P )] (Mandatory) Proof Attached
Relationship with Minor@ Please (P
) Father Mother Court appointed Legal Guardian Proof of relationship with minor@ Please (P) Attached @ Mandatory
MAILING ADDRESS OF FIRST / SOLE APPLICANT (Mandatory) (Refer Instruction 4a)

CITY STATE PIN CODE

CONTACT DETAILS OF FIRST / SOLE APPLICANT Country Code STD Code
Telephone : Off. Res. Fax
eAlerts Mobile eDocs Email^
I/ We would like to register for my/our HDFCMF Personal Identification Number (HPIN) to transact online as per the terms & conditions displayed on website:www.hdfcfund.com (Email id mandatory).
^ On providing email-id investors shall receive scheme wise annual report or an abridged summary thereof/ account statements/ statutory and other documents by email. (Refer Instruction 10 & 12)
4. JOINT APPLICANT DETAILS, If any (Refer instruction 4) (In case of Minor, there shall be no joint holders)
1. NAME OF SECOND APPLICANT
Mr. Ms. M/s.
Nationality PAN#/ PEKRN#
KYC Number KYC # [Please tick (P
)] (Mandatory) Proof Attached
2. NAME OF THIRD APPLICANT
Mr. Ms. M/s.
Nationality PAN#/ PEKRN#
KYC Number KYC # [Please tick (P
)] (Mandatory) Proof Attached
5. ADDITIONAL KYC DETAILS (Refer instruction 4b)
Occupation details for 1st Applicant 2nd Applicant 3rd Applicant Guardian Politically Exposed Person (PEP) details: Is a PEP Related to PEP Not Applicable
Private Sector Service st
1 Applicant
Public Sector Service 2nd Applicant
Government Service rd
3 Applicant
Business
Mandatory

Guardian
Professional
Agriculturist Authorised Signatories
Retired Promoters
April, 2017

Housewife Partners
Student Karta
Proprietorship Whole-time Directors
Others (Please specify) Trustee
Non-Individual Investors involved/ providing any of the mentioned services Foreign Exchange / Money Changer Services Gaming / Gambling / Lottery / Casino Services
Money Lending / Pawning None of the above
# Please attach Proof. Refer instruction No 16 for PAN/PEKRN and No 18a for KYC (KRA). Refer instruction No 18b for KYC Identification Number issued by CKYCR.

ACKNOWLEDGEMENT SLIP (To be flled in by the Investor) [For any queries please contact our nearest Investor Service Centre or call us at our Customer Service Number 1800 3010 6767 / 1800 419 7676 (Toll Free)]
HDFC MUTUAL FUND Date :
Head Office : HDFC House, 2nd Floor, H.T. Parekh Marg,
165-166, Backbay Reclamation, Churchgate, Mumbai - 400 020.
ISC Stamp & Signature
Received from Mr. / Ms. / M/s. ________________________________________________________________________________________________
an application for Purchase of Units of the Scheme(s) alongwith Cheque / DD / Payment Instrument as detailed overleaf.

... continued overleaf

 5. ADDITIONAL KYC DETAILS, If any (Refer instruction 4b) Contd.
Gross Annual Income Range (in Rs.) 1st Applicant 2nd Applicant 3rd Applicant Guardian Gross Annual Income Range (in Rs.) 1st Applicant 2nd Applicant 3rd Applicant Guardian
Below 1 lac 10-25 lac
1-5 lac 25 lac- 1 cr
5-10 lac > 1 cr

OR Networth in Rs. (Mandatory as on

for Non Individual) (not older
than 1 year) DD MM YYYY

6. FATCA & CRS INFORMATION (for Individual including Sole Proprietor) (Self Certification) (Refer instruction 4)
The below information is required for all applicant(s)/ guardian
Address Type: Residential or Business Residential Business Registered Office (for address mentioned in form/existing address appearing in Folio)
Is the applicant(s)/ guardian's Country of Birth / Citizenship / Nationality / Tax Residency other than India? Yes No
If Yes, please provide the following information [mandatory]
Please indicate all countries in which you are resident for tax purposes and the associated Tax Reference Numbers below.
Category First Applicant (including Minor) Second Applicant/ Guardian Third Applicant
Place/ City of Birth
Country of Birth
Country of Tax Residency#
Tax Payer Ref. ID No^
Mandatory

Identification Type
[TIN or other, please specify]
Country of Tax Residency 2
Tax Payer Ref. ID No. 2
Identification Type
[TIN or other, please specify]
Country of Tax Residency 3
Tax Payer Ref. ID No. 3
Identification Type
[TIN or other, please specify]
#To also include USA, where the individual is a citizen/ green card holder of USA. ^In case Tax Identification Number is not available, kindly provide its functional equivalent.
7. POWER OF ATTORNEY (PoA) HOLDER DETAILS
Name of PoA Mr. Ms. M/s.
PAN#/ PEKRN#
KYC Number KYC # [Please tick (P
)] (Mandatory) Proof Attached
# Please attach Proof. Refer instruction No 16 for PAN/PEKRN and No 18a for KYC (KRA). Refer instruction No 18b for KYC Identification Number issued by CKYCR.
8. BANK ACCOUNT DETAILS OF THE FIRST / SOLE APPLICANT (For redemption/ dividend if any) (refer instruction 5)
(Mandatory to attach proof, in case the pay-out bank account is different from the bank account mentioned under Section 10 below.)
For unit holders opting to hold units in demat form, please ensure that the bank account linked with the demat account is mentioned here.
Bank Name
Mandatory

Branch Name Bank City

Account Number
MICR Code (The 9 digit code appears on your cheque next to the cheque number)
Account Type (Please P
) Savings Current NRO NRE FCNR Others (please specify) _______________________
*** Refer Instruction 5C (Mandatory for Credit via NEFT / RTGS) (11 Character code appearing on your
IFSC Code*** cheque leaf. If you do not find this on your cheque leaf, please check for the same with your bank)

9. MODE OF PAYMENT OF REDEMPTION / DIVIDEND PROCEEDS (refer instruction 11)

Unitholders will receive redemption/ dividend proceeds directly into their bank account (as furnished in Section 8) via Direct credit/ NEFT/ECS facility
I/We want to receive the redemption / dividend proceeds (if any) by way of a demand draft instead of direct credit / credit through NEFT system / credit through ECS into my / our bank account

10. INVESTMENTS & PAYMENT DETAILS [Please (P

)] (refer instruction 6 & 7 for Scheme details and instruction 8 & 9 for Payment Details) The name of the first/ sole applicant must be pre-printed on the cheque.
Regular Plan (Purchase/ Subscription routed through Distributor) Direct Plan (Purchase/ Subscription made directly with the Fund)
Mention valid ARN in Key Par tner/ Agent Information Mention DIRECT in Key Par tner/ Agent Information
Scheme/Plan/Sub Option
Mode of Payment Cheque Demand Draft NEFT/ RTGS/ Fund Transfer One Time Mandate (OTM)
Please note that OTM can be selected as mode of payment provided OTM is already registered. In case OTM is not registered please fill in the attached OTM Debit Mandate to make future
transactions via OTM
Payment Type [Please (P
)] Non-Third Party Payment Third Party Payment (Please attach ‘Third Par ty Payment Declaration Form’)
Pay-In Bank Account No. Cheque/ DD/ Cheque/ DD/ Amount of Cheque / DD / DD Charges, Net Cheque/ DD
Drawn on Bank / Branch (For Cheque Only) Payment Instrument/ Payment Instrument/ Payment Instrument / if any Amount
April, 2017

UTR No. UTR Date RTGS/ NEFT in figures (Rs.)

Particulars
Scheme Name / Plan / Option / Sub-option / Cheque / DD / Payment Instrument /
Drawn on (Name of Bank and Branch) Amount in figures (Rs.)
Payout Option UTR No. / Date

Please Note: All Purchases are subject to realisation of cheques / demand drafts / Payment Instrument.
11. UNIT HOLDING OPTION DEMAT MODE* PHYSICAL MODE (Default) ( refer instruction 13)
*Demat Account details are mandatory if the investor wishes to hold the units in Demat Mode
Beneficiary
NSDL DP Name DP ID I N Account No.

Beneficiary
CDSL DP Name Account No.
*Investor opting to hold units in demat form, may provide a copy of the DP statement enable us to match the demat details as stated in the application form.
12. NOMINATION (refer instruction 15) (Mandatory for new folios of Individuals where mode of holding is single) (For Units in Non-Demat Form)
[Please (P
) and sign] I/We do not wish to Nominate

First / Sole Applicant Second Applicant Third Applicant

OR
I/We wish to nominate as under:

Proportion (%) in which

Relationship Date of Birth Name and Address of Guardian Signature of Nominee
the units will be shared by
Name and Address of Nominee(s) with (Optional)/ Guardian of
each Nominee
Applicant (to be furnished in case the Nominee is a minor) Nominee (Mandatory)
(should aggregate to 100%)

Nominee 1

Nominee 2

Nominee 3

13. DECLARATION & SIGNATURE/S (refer instruction 14)

I / We have read, understood the terms and conditions of the scheme related documents and agree to comply
with the same as an Unitholder. I /We hereby apply for allotment of Units of the Scheme(s) of HDFC Mutual Fund SIGN HERE
(‘Fund’) and confirm and declare as under:
(Please write Application Form No. / Folio No.
(a) I/We am/are eligible Investor(s) as per the scheme related documents and not prohibited by any order/ruling
/judgement passed by SEBI/ Statutory Authority or Courts in India and Foreign laws. I am/We are authorised on the reverse of the Cheque / Demand Draft /
to make this investment as per the Constitutive documents/ authorization(s). The amount invested in the Payment Instrument.)
Scheme(s) is through legitimate sources only and is not for the purpose of contravention and/or evasion of
any act, rules, regulations, notifications or directions issued by any regulatory authority in India.
(b) The information given by me /us in or along with this application form is true and correct and shall furnish First / Sole
such other further/additional information as may be required by the HDFC Asset Management Company
Limited (AMC)/ Fund .I/We undertake to promptly inform the AMC / Fund/Registrars and Transfer Agent Applicant /
(RTA) in writing about any change in the information furnished by me/us from time to time. Guardian
(c) I/We hereby authorize you to disclose, share, remit in any form/manner/mode the above information and/or
any part of it including the changes/updates that may be provided by me/us to the Fund, its Sponsor/s,
Trustees, Asset Management Company, its employees, agents and third party service providers, SEBI SIGN
registered intermediaries for single updation/ submission, any Indian or foreign statutory, regulatory, judicial,
quasi- judicial authorities/agencies including but not limited to Financial Intelligence Unit-India (FIU-IND) etc
without any intimation/advice to me/us.
(d) I/We shall be liable and responsible for any loss, claims suffered, directly or indirectly by AMC/ Fund/ RTA/
SEBI Intermediaries, arising out of any false, misleading, inaccurate and incomplete information furnished
SIGNATURE(S)

by me/us at the time or investing/redeeming the units. I/We hereby unconditionally and irrevocably Second
indemnify and at all time keep indemnified, save and harmless AMC/Fund/Trustee and their officers, Applicant
directors and employees against all actions, proceedings, claims, losses, damages, charges and expenses

April, 2017
incurred or suffered /paid by AMC/Fund in this regard and in case of any dispute regarding the eligibility,
validity and authorization of my/our transactions.
(e) The ARN holder (AMFI registered Distributor) has disclosed to me/us all the commissions (in the form of SIGN
trail commission or any other mode), payable to him/them for the different competing Schemes of various
Mutual Funds from amongst which the Scheme is being recommended to me/us.
(f) I/WE HEREBY CONFIRM THAT I/WE HAVE NOT BEEN OFFERED/ COMMUNICATED ANY INDICATIVE
PORTFOLIO AND/ OR ANY INDICATIVE YIELD BY THE FUND/AMC/ITS DISTRIBUTOR FOR THIS
INVESTMENT.
For Foreign Nationals Resident in India only: Third
I/We will redeem my/our entire investment/s before I/We change my/our Indian residency status. I/We Applicant
shall be fully liable for all consequences (including taxation) arising out of the failure to redeem on
account of change in residential status.
For NRIs/ PIO/OCIs only: SIGN
I/We confirm that my application is in compliance with applicable Indian and foreign laws.
Please (P ) Yes No If Yes, (P ) Repatriation basis Non-repatriation basis

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OTM Debit Mandate Form NACH/ECS/DIRECT DEBIT/SI Date D D M M Y Y Y Y
[Applicable for Lumpsum Additional Purchases as well as SIP Registrations]

(tick✓) UMRN OFFICE USE ONLY

CREATE
Sponsor Bank Code OFFICE USE ONLY Utility Code OFFICE USE ONLY
MODIFY
CANCEL I/We hereby authorize: HDFC Mutual Fund to debit (tick✓) SB / CA / CC / SB-NRE / SB-NRO / Other

Bank A/c No.:

With
Bank Name & Branch IFSC OR MICR
Bank:
an amount of Rupees `
FREQUENCY Monthly Quarterly Half Yearly Yearly As & when presented DEBIT TYPE Fixed Amount ✓ Maximum Amount
Reference 1 Folio No: Phone No:

Reference 2 Appln No: Email ID:

I agree for the debit of mandate processing charges by the bank whom I am authorizing to debit my account as per latest schedule of charges of the bank.
PERIOD
From D D M M Y Y Y Y Signature of Primary Account Holder Signature of Account Holder Signature of Account Holder

to D D M M Y Y Y Y
or Until Cancelled 1. 2. 3.
Name as in Bank Records Name as in Bank Records Name as in Bank Records
This is to confirm that the declaration has been carefully read, understood & made by me/us. I am authorizing the User entity/ corporate to debit my account, based on the instructions as agreed and signed by me.
I have understood that I am authorized to cancel/ amend the mandate by appropriately communicating the cancellation/ amendment request to the User entity/ corporate or the bank where I have authorized the debit.
 CHECKLIST
☞ Please ensure that your Application Form is complete in all respect and signed by all applicants:
• Name, Address and Contact Details are mentioned in full. • Status of First/Sole Applicant is correctly indicated. • Bank Account Details are entered completely and correctly.
• Permanent Account Number (PAN) of all Applicants is mentioned irrespective of the amount of purchase and proof attached (if not already validated) OR PAN Exempt KYC Reference Number
(PEKRN) in case of PAN exempt investment.
• Please attach proof of KYC Compliance status if not already validated. • Appropriate Plan / Option is selected.
• If units are applied by more than one applicant, Mode of Operation of account is indicated.
☞ Your investment Cheque / DD is drawn in favour of 'the Specific Scheme A/c PAN' or 'the Specific Scheme A/c Investor Name' dated, signed and crossed ‘A/c Payee only’. Application Number / Folio No.
is mentioned on the reverse of the Cheque/DD.
☞ Documents as listed below are submitted along with the Application Form (as applicable to your specific case).
Documents Companies / Trusts / FPI NRI/ Minor Investments through
Societies/ Partnership Firms / OCI/ Constituted Attorney
LLP / FIIs* PIO
1. Board/ Committee Resolution/ Authority Letter ✓
2. List of Authorised Signatories with Specimen Signature(s) @ ✓ ✓ ✓
3. Notarised Power of Attorney ✓
4. Account Debit Certificate in case payment is made by DD from NRE / FCNR A/c. where applicable ✓
5. PAN Proof ✓ ✓ ✓ ✓# ✓
6. KYC Acknowledgement Letter / Print out of KYC Compliance Status downloaded from CDSL Ventures Ltd.
#
website (www.cvlindia.com) ✓ ✓ ✓ ✓ ✓
7. Proof of Date of Birth ✓
8. Proof of Relationship with Guardian ✓
9. PIO / OCI Card (as applicable) ✓
10. Certificate of registration granted by Designated Depository Participant on behalf of SEBI ✓
11. Ultimate Beneficial Owner ✓ ✓ ✓
12. FATCA & CRS ✓ ✓ ✓ ✓ ✓
@ Should be original or true copy certified by the Director / Trustee / Company Secretary / Authorised Signatory / Notary Public, as applicable.
* For FIIs, copy of SEBI registration certificate should be provided. # If PAN/PEKRN/KYC proof of Minor is not available, PAN/PEKRN/KYC proof of Guardian should be provided.

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INSTRUCTIONS TO FILL ONE TIME MANDATE (OTM)
1. Investors who have already submitted a One Time Mandate (OTM) form or already registered 6. Date and the validity of the mandate should be mentioned in DD/MM/YYYY format.
for OTM facility should not submit OTM form again as OTM registration is a one-time process 7. Utility Code of the Service Provider will be mentioned by HDFC Mutual Fund
only for each bank account. However, if such investors wish to add a new bank account 8. Tick on the respective option to select your choice of action and instruction.
towards OTM facility may fill the form.
2. Investors, who have not registered for OTM facility, may fill the OTM form and submit duly 9. The numeric data like Bank account number, Investors account number should be left
signed with their name mentioned. padded with zeroes.
3. Mobile Number and Email Id: Unit holder(s) should mandatorily provide their mobile number 10. Please mention the Name of Bank and Branch, IFSC / MICR Code also provide An Original
and email id on the mandate form. Where the mobile number and email id mentioned on the Cancelled copy of the cheque of the same bank account registered in One Time Mandate.
mandate form differs from the ones as already existing in the folio, the details provided on the 11. Amount payable for service or maximum amount per transaction that could be processed in
mandate will be updated in the folio. All future communication whatsoever would be, words. The amount in figures should be same as the amount mentioned in words, in case of
thereafter, sent to the updated mobile number and email id. ambiguity the mandate will be rejected.
4. Unit holder(s) need to provide along with the mandate form an original cancelled cheque (or a 12. If the investor wishes to opt for more than one dates / frequencies for debit from the bank
copy) with name and account number pre-printed of the bank account to be registered or account as in case of Systematic Investment Plan, it is advisable to select - "As & when
bank account verification letter for registration of the mandate failing which registration may presented".
not be accepted. The Unit holder(s) cheque/ bank account details are subject to third party 13. There is no maximum duration for enrolment.
verification. An investor has an option to choose the ‘End Date’ of the SIP by filling the date or the Default
5. Investors are deemed to have read and understood the terms and conditions of OTM Facility, Date i.e. December 2036 will be the end date.
SIP registration through OTM facility, the Scheme Information Document, Statement of 14. Please affix the Names of customer/s and signature/s as well as seal of Company (where
Additional Information, Key Information Memorandum, Instructions and Addenda issued required) and sign the undertaking.
from time to time of the respective Scheme(s) of HDFC Mutual Fund.

% %

Declaration: I/We hereby declare that the particulars provided in this mandate are correct and complete and hereby agree to participate in the NACH/ECS/Direct Debit/Standing Instructions (SI) and make
payments through the NACH platform according to the terms and conditions thereof. I/We further hereby agree and acknowledge that I/we will not hold the AMC and/or responsible for any delay and/or
failure in debiting my bank account for reasons not attributable to the negligence and/or misconduct on the part of the AMC I/We hereby declare and confirm that, irrespective of my/our registration of the
above mobile number in the 'DO NOT DISTURB (DND)', 'or in any similar register maintained under applicable laws, now or subsequent to the date hereof, I/We hereby consent to the Bank communicating
with me/us in any manner whatsoever on the said mobile number with respect to the transactions carried out in my/our aforementioned bank account(s). I/We hereby agree to abide by the terms and
conditions that may be intimated to me/us by the AMC/Bank with respect to the NACH/ECS/Direct Debit/SI from time to time.
April, 2017

Authorisation to Bank: This is to inform that I/We have registered for ECS / NACH (Debit Clearing) / Direct Debit / SI facility and that the payment towards my/our investments in the Schemes of HDFC
Mutual Fund shall be made from my/our above mentioned bank account with your Bank. I/We hereby authorize the representatives of HDFC Asset Management Company Limited, Investment Manager to
HDFC Mutual Fund carrying this mandate form to get it verified and executed. I/We authorize the Bank to debit my/our above-mentioned bank account for any charges towards mandate verification,
registration, transactions, returns, etc, as applicable for my/our participation in NACH/ECS/Direct Debit/SI.