COMMON APPLICATION FORM FOR Sr.No.

2022/
OPEN-ENDED EQUITY AND HYBRID SCHEMES
(OCBs ARE NOT ALLOWED TO INVEST IN UNITS OF ANY OF THE SCHEMES OF UTI MF)
TIME STAMP
Registrar Sr. No.

(O.0-+0'#0-1'*%+&#?(&*$%+'(-#0"?..2'/0"$#0';..*%='&,0'"$#)'-%1'?+0'BLOCK LETTERS only) J6*0.1+'5-#E01'I*&,'KLM')?+&'/0'5-%1-&$#*.2';..01'*%N

D5<=35SB=A3 5?;A3:9=5A? !-+#, $QU%+$##$O D(&'4(06'-4&VS4-*$4& 1(## 0$ U$4Q(''$O '- O(&'4(06'$ B+('&2 !4$.$4 (+&'46)'(-+ 7/82 BDA / CA Code

ARN/RIA Code^ Name of Financial Advisor Sub ARN Code Sub Code/ M O Code EUI No.@ UTI RM No.
Bank Branch Code

ARN-4483
^ By mentioning RIA code, I/we authorise you to share with the Investment Adviser the details of my/our transactions.
!"#$%&'($))*++*$%'+,-..'/0'!-*1'1*#0(&.2'/2'&,0'*%30+&$#'&$'&,0'4567'8'97:5'(0#&*;01' <7'56'#0=*+&0#01'>*+&#*/?&$#+'/-+01'$%'&,0'*%30+&$#+@'-++0++)0%&'$"'
various factors including the service rendered by the distributor.
A' 78B0' ($%;#)' ' &,-&' &,0' C 79' /$D' *+' *%&0%&*$%-..2' .0"&' /.-%E' /2' )08?+' -+' &,*+' *+' -%' F0D0(?&*$%G$%.2H' &#-%+-(&*$%' I*&,$?&' -%2' *%&0#-(&*$%' $#' -13*(0' /2' &,0'
distributor personnel concerned or notwithstanding the advice of in-appropriateness, if any, provided by such distributor personnel and the distributor
has not charged any advisory fees for this transaction. ( Please tick and sign below when EUIN box is left blank) (refer instruction ‘w’).

Signature of 1st Applicant / Guardian Signature of 2nd Applicant Signature of 3rd Applicant

TRANSACTION CHARGES TO BE PAID TO THE DISTRIBUTOR !"#$%&$ '()* %+, -+$ -. '/$ 0$#-12 !3$.$4 5+&'46)'(-+ 7(82
5 9: 9 ;53<= =5:> 5?@><=A3 5? :B=B9C ;B?D< 5 9: 9? >E5<=5?F 5?@><=A3 5? :B=B9C ;B?D<
OR
` 150 will be deducted as transaction charges per Subscription of ` 10,000 and above ` 100 will be deducted as transaction charges per Subscription of ` 10,000 and above
Existing Unit Holder information : 5. ,-6 /%G$ %+ $H(&'(+I ;-#(- ?-J 1('/ "9? K LMN G%#(O%'(-+P Q$+'(-+ ,-64 ;-#(- ?-J R

APPLICANT’S PERSONAL DETAILS Mr. Ms. Mrs. M/s * Denotes Mandatory Fields
Name of First Applicant
; 5 3 < = : 5 D D C >
L A S T Date of Birth d d m m y y y y Mandatory for minors
Date of birth will be taken as per the KYC record (Not applicable for minor child)
NAME IN FULL OF THE FATHER (OR) MOTHER / GUARDIAN (IN CASE OF MINOR) $$ / CONTACT PERSON FOR INSTITUTIONAL APPLICANTS
Mr. Ms. Mrs.

; 5 3 < = : 5 D D C > L A S T
$$ Proof of date of birth and proof of relationship with minor to be attached or else sign the declaration on the reverse (Refer instruction ‘f ’).
*PAN/PEKRN$ OF 1ST APPLICANT/FATHER/MOTHER/GUARDIAN Enclosed "9?V">L3? N93DV5D "3AA; NA"M

CKYC ID Enclosed Know Your Customer (KYC)* Acknowledgement Copy

First Applicant’s Address (Do not repeat the name) Name & Address of resident relative in India !.-4 ?35&2 !"JAJ S-H ?-J (& +-' &6.T)($+'2

Village/Flat/Bldg./Plot*
Street/Road/Area/Post
City/Town* State Pin*

OVERSEAS ADDRESS !AG$4&$%& %OO4$&& (& Q%+O%'-4, .-4 ?35 V ;"5 %UU#()%+'& (+ %OO('(-+ '- Q%(#(+I %OO4$&& (+ 5+O(%2

City*
State Country* Zip/Pin*

DETAILS OF OTHER APPLICANTS

Name of 2nd Applicant Mr. Ms. Mrs. Date of Birth of 2nd Applicant d d m m y y y y
; 5 3 < = : 5 D D C > L A S T

*PAN/PEKRN$ OF 2ND APPLICANT Enclosed "9?V">L3? N93DV5D "3AA; NA"M

CKYC ID Enclosed Know Your Customer (KYC)* Acknowledgement Copy

Date of Birth of 3rd Applicant d d m m y y y y
Name of 3rd Applicant Mr. Ms. Mrs.
; 5 3 < = : 5 D D C > L A S T

*PAN/PEKRN$ OF 3RD APPLICANT Enclosed "9?V">L3? N93DV5D "3AA; NA"M

CKYC ID Enclosed Know Your Customer (KYC)* Acknowledgement Copy

W 3$X6(4$O .-4 :5N3A 5+G$&'Q$+' 6U'- ` 50,000/-. (refer instruction ‘q’)

PAYMENT DETAILS (Refer Instruction ‘y’) (Please ensure that the cheque complies to the CTS 2010 standard)

#Cheque/DD/NEFT/ RTGS Ref. No. Savings Current NRE

/ Unique Serial No. (For Cash) Cash Account type
(please ) NRO DD issued from abroad
Account No.
B=5 <Q%4' ;-4Q (. %#4$%O, 4$I(&'$4$O !9UU#()%0#$
Date Amt. of investment (i) for existing investors)
# Please mention the application No. on the reverse
Bank DD Charges if any (ii) of the cheque / DD, NEFT / RTGS advice. Cheque
Net amount paid (i-ii) / DD must be drawn in favour of “The Name of the
Branch
Scheme” & crossed “A/c Payee Only”
Amt. in words Investment amount shall be ` 2 lacs and above
in case of payments through RTGS.
 BANK PARTICULARS OF 1ST APPLICANT !:%+O%'-4, %& U$4 <>S5 F6(O$#(+$&2
Bank Name Branch

Address F;GH!G/7%
(this is a 9-digit number next to your cheque number)

5;< N-O$
City Pin*
(this is a 11-digit number)

Account type (please ) Savings Current NRO NRE

Account No.

INVESTMENT DETAILS (PLEASE USE SEPARATE FORM FOR EACH SCHEME)

Equity Schemes: B=5 C-+I =$4Q >X6(', ;6+O !=%H <%G(+I2 Index Schemes:
B=5 ?(.', [\\ :-Q$+'6Q ]\ 5+O$H ;6+O
B=5 :%&'$4&/%4$ B+(' <)/$Q$ B=5 5+O(% N-+&6Q$4 ;6+O
B=5 ?(.', ?$H' ^\ 5+O$H ;6+O
B=5 N-4$ >X6(', ;6+O B=5 5+.4%&'46)'64$ ;6+O B=5 ?(.', 5+O$H ;6+O
B=5 ;#$H( N%U ;6+O B=5 :?N ;6+O Hybrid Schemes:
B=5 ;-)6&$O >X6(', ;6+O B=5 S%+*(+I %+O ;(+%+)(%# <$4G()$& ;6+O B=5 940('4%I$ ;6+O
B=5 :(O N%U ;6+O B=5 Z$%#'/)%4$ ;6+O B=5 >X6(', <%G(+I& ;6+O
B=5 <Q%## N%U ;6+O B=5 =4%+&U-4'%'(-+ %+O C-I(&'()& ;6+O B=5 3$I6#%4 <%G(+I& ;6+O
B=5 @%#6$ AUU-4'6+('($& ;6+O B=5 Z,04(O >X6(', ;6+O
B=5 D(G(O$+O M($#O ;6+O B=5 :6#'( 9&&$' ;6+O
PLAN (For All Schemes) Regular Plan !J)&%+,!K2-$!L&%0%&!)$',&6+,)/$!M5NO
OPTION
1. For All Schemes L%P+%*,!E8;!H%.62-&!@-=)$.'!<6$7!-$7!E8;!AQ6),4!@-=)$.'!<6$7O
Growth !;JGR!LK-4/6,O!!! ;JGR!LH%)$=%',?%$,O!S$/,!-=-)2-92%!6$7%&!E8;!T8A<!L8-P!@-=)$.O>!E8;!@?-22!G-*!<6$7!-$7!E8;!</+6'%7!AQ6),4!<6$7U
</&!E8;!V)0,4!V%P,!WX!-$7!E8;!V)0,4!YXX!F/?%$,6?!ZX!;$7%P!<6$7!;$7%P!<6$7!,(%&%!)'!/$24![&/#,(!"*,)/$!
2. For UTI Regular Savings Fund Growth !F/$,(24!;JGR!LK-4/6,O!!!!!!! !F/$,(24!;JGR!LH%)$=%',?%$,O
!<2%P)!;JGR!LK-4/6,O! !<2%P)!;JGR!LH%)$=%',?%$,O! Monthly Payment (Default-Growth)
3. For UTI Equity Savings Fund Growth !;JGR!LK-4/6,O! !;JGR!LH%)$=%',?%$,O! !F/$,(24!;JGR!LK-4/6,O!
!F/$,(24!;JGR!LH%)$=%',?ent) !\6-&,%&24!;JGR!LK-4/6,O !\6-&,%&24!;JGR!LH%)$=%',?%$,O!!!!!!!!!!!!LJ%0-62,][&/#,(O

Unitholding Option Physical Mode Demat Mode (if Demat account details are provided below, units will be allotted, by default, in Electronic Mode only)

DEMAT ACCOUNT DETAILS - Please ensure that the sequence of names as mentioned in the application form matches with that of the account held with any one
of the Depository Participant. Demat Account details are compulsory if demat mode is opted above
National Depository Name _________________________________ Central Depository Name ___________________________________________________
Securities Depository
D" 5D ?-J Target
Depository Services
S$+$T)(%4, 5D ?-J
Limited (India)
Account No. Limited

Enclosures : Client Master List (CML) Transaction cum Holding Statement D$#(G$4, 5+&'46)'(-+ <#(U !D5<2
FRIEND IN NEED DETAILS 5+ )%&$ B=5 :; (& 6+%0#$ '- )-QQ6+()%'$ 1('/ Q$V6& %' Q, V -64 4$I(&'$4$O %OO4$&&P 5 V 1$ %6'/-4(Y$ B=5 :; '- )-44$&U-+O
with the following person to ascertain my/our updated contact details. (refer instruction - k)

Name ; 5 3 < = : 5 D D C > L A S T

Address:

Relationship with the applicant (optional) Email Mobile

DETAILS OF BENEFICIAL OWNERSHIP (Please tick applicable category).

QI%0#+,*!'10&-*.+'&$'/0'!#$3*101'*"'&,0'QI%0#+,*!'!0#(0%&-=08*%&0#0+&'*%'&,0'&#?+&'$"'-%2'P0%0;(*-#2'*+'-+'!0#'&,0'&,#0+,$.1'.*)*&'!#$3*101'
/0.$IR'>0&-*.+'&$'/0'!#$3*101'"$#'0-(,'+?(,'/0%0;(*-#2R' KS0"0#'*%+&#?(&*$%'TM
Category Unlisted Partnership Unincorporated Association Trust Foreign
Company Firm / Body of Individuals Investor $$$
Ownership per cent @@@ >25% >15% >15% >=15%
!"#$%&'()*!*%&+%$,-.%!/0!'(-&%'1+-*),-21*&/3,'1*&/*%&,4!/0!56&)7)+-2!*%&'/$1)$,%&%',!)$!,(%!8&6',!-'!/$!,(%!7-,%!/0!,(%!-**2)+-,)/$!'(-22!9%!06&$)'(%7!
by the investor.
:::!;$!,(%!+-'%!/0!</&%).$!)$=%',/&'>!,(%!9%$%3+)-2!/#$%&'()*!#)22!9%!7%,%&?)$%7!-'!*%&!@AB;!.6)7%2)$%'C!</&!7%,-)2'!&%0%&!,/!@D;1&%2%=-$,!D77%$76?C
;$! +-'%! /0! -$4! +(-$.%! )$! ,(%! 9%$%3+)-2! /#$%&'()*>! ,(%! )$=%',/&! #)22! 9%! &%'*/$')92%! ,/! )$,)?-,%! E8;!DFG! 1! ),'! H%.)',&-&! 1! IHD! -'! ?-4! 9%! -**2)+-92%!
immediately about such change.

>0&-*.+'$"'P0%0;(*-.'QI%0#+,*!'KO.0-+0'-&&-(,'-'+0!-#-&0'+,00&'I*&,'&,*+'"$#)-&'*"'&,0'+!-(0'!#$3*101'*+'*%+?";(*0%&M
Details of Identity
Sr.
Name Address such as PAN / % of ownership
No.
Passport

[Please attach self attested copy of PAN/Passport (proof of photo identity) along with application form]
?-'$ R 5DN_ ` 5+)-Q$ D(&'4(06'(-+ )6Q N%U('%# _('/O4%1%#
 GENERAL INFORMATION - Please ( ) wherever applicable
STATUS: H%')7%$,!;$7)=)76-2! Minor through guardian HUF Partnership Trust
Sole Proprietorship Society / Club Body Corporate AOP B";
##
<K;! VH;! Foreign Nationals Listed Company LLP
E$2)',%7!MV/,!0/&!K&/3,N^^!G/?*-$4! Other Unlisted Company K;"
Others (Please specify) ________________________________________________________________________________________

^^ MV/,!0/&!K&/3,N!G/?*-$4!-'!7%3$%7!6$7%&!G/?*-$)%'!D+,!LD+,!/0!_`Wa1YX_ZOC
##
"=%&'%-'!G/&*/&-,%!B/7)%'!L"GB'O!-&%!$/,!-22/#%7!,/!)$=%',!)$!6$),'!/0!-$4!/0!,(%!'+(%?%'!/0!E8;!F<

OCCUPATION: Business Student Agriculture Self-employed Professional

Housewife Retired Private Sector Service Public Sector Service Government Service
Forex Dealer Others (Please specify) ____________________________________________________________________

MODE OF HOLDING: Single Anyone or survivor ! b/)$,

MARITAL STATUS: Unmarried Married ! R%77)$.!!D$$)=%&'-&4!! D D M M

OTHER DETAILS (MANDATORY)

FOR INDIVIDUALS ONLY
1st Applicant: (A) Gross Annual Income Details Please tick ( )
Below 1 Lac 1-5 lacs 5-10 Lacs 10-25 Lacs >25 Lacs - 1 Crore >1 Crore
@AB;
(Net worth should not be older than 1 year)
Net-worth in ` _______________________________________________________________________ as on (date) D D M M Y Y Y Y

(B) Please tick if applicable: Related to a Politically Exposed Person (PEP)

Politically Exposed Person (PEP) ! L</&!7%3$),)/$!/0!KAK>!*2%-'%!&%0%&!)$',&6+,)/$!MPNOC
(C) Any other information: _____________________________________________________________________________________
2nd Applicant: (A) Gross Annual Income Details
Below 1 Lac 1-5 lacs 5-10 Lacs 10-25 Lacs >25 Lacs - 1 Crore >1 Crore
@AB;
(Net worth should not be older than 1 year)
Net-worth in ` _______________________________________________________________________ as on (date) D D M M Y Y Y Y
(B) Please tick if applicable: Politically Exposed Person (PEP) Related to a Politically Exposed Person (PEP)
(C) Any other information: _____________________________________________________________________________________
3rd Applicant: (A) Gross Annual Income Details
Below 1 Lac 1-5 lacs 5-10 Lacs 10-25 Lacs >25 Lacs - 1 Crore >1 Crore
@AB;
(Net worth should not be older than 1 year)
Net-worth in ` _______________________________________________________________________ as on (date) D D M M Y Y Y Y
(B) Please tick if applicable: Politically Exposed Person (PEP) Related to a Politically Exposed Person (PEP)
(C) Any other information: _____________________________________________________________________________________
FOR NON-INDIVIDUALS ONLY
(A) Gross Annual Income Details
Below 1 Lac 1-5 lacs 5-10 Lacs 10-25 Lacs >25 Lacs - 1 Crore >1 Crore
@AB;
(Net worth should not be older than 1 year)
Net-worth in ` _______________________________________________________________________ as on (date) D D M M Y Y Y Y
(B) Is the entity involved in / providing any or the following services
– Foreign Exchange / Money Changer Services YES NO – Gaming / Gambling/Lottery Services (e.g. casinos, betting syndicates) YES NO
– Money Lending / Pawning YES NO
(C) Any other information: _____________________________________________________________________________________

DETAILS UNDER FATCA (FOREIGN TAX COMPLIANCE ACT) AND CRS (COMMON REPORTING STANDARD) (Refer Instruction ‘z’)
Information to be provided by all Applicants in the same sequence of Names as given in this Application form
D&%!4/6!-!,-P!&%')7%$,!/0!-$4!+/6$,&4!/,(%&!,(-$!;$7)-!c
;0!No, please tick here: First Applicant Second Applicant Third Applicant
;0!Yes>!*2%-'%!322!)$!,(%!K-&,)+62-&'!)$!,(%!*&%'+&)9%7!</&?!0/&!<D8GD1GH@!-$7!-,,-+(!),!#),(!,()'!D**2)+-,)/$!</&?C

ACKNOWLEDGEMENT
!"#$%#&''%(#)*#$+#,-%#.//')01*,2
[UTI-LTEF (Tax Saving) is eligible for deduction under section 80C Sr. No. 2022/
"3#,-%#4*0"5%#!16#.0,7#89:8;
Received from Mr / Ms / M/s
(scheme name)
An application under
along with Cheque$/DD$/NEFT/RTGS dated
Ref. No./Unique Serial No. (For Cash)
Drawn on (Bank) @,-?*!/0!E8;!DFG!"03+%1
Authorised Collection Centre
for `# )*#&<=>%?2
$
!G(%Q6%'!-$7!7&-0,'!-&%!'695%+,!,/!&%-2)'-,)/$C
 NOMINATION DETAILS (Please ) (please sign if you do not wish to nominate)
;1R%!(%&%94!$/?)$-,%!,(%!6$7%&?%$,)/$%7!V/?)$%%!,/!&%+%)=%!,(%!-?/6$,'!,/!?4!1!/6&!+&%7),!)$!,(%!%=%$,!/0!?4!1!/6&!7%-,(C!!;1R%!-2'/!6$7%&',-$7!
that all payments and settlements made to such Nominee and signature of the Nominee acknowledging receipt thereof, shall be a valid discharge by
the AMC / Mutual Fund / Trustee.

To be furnished in case nominee is a minor

Name of Nominee
Name of the guardian
Address of guardian
Date of Birth d d m m y y y y (in case of nominee is a minor)
Signature of Nominee / guardian
*PAN (for minor)

;$=%',/&'!#(/!#)'(!,/!$/?)$-,%!,#/!/&!,(&%%!*%&'/$'!?-4!322!)$!,(%!'%*-&-,%!0/&?!*&%'+&)9%7!0/&!,(%!'-?%!-$7!-,,-+(!),!#),(!,()'!-**2)+-,)/$!0/&?C
;1R%!7/!$/,!#)'(!,/!$/?)$-,%
Sign.
here

Signature of 1st Applicant / Guardian Signature of 2nd Applicant Signature of 3rd Applicant

DECLARATION AND SIGNATURE OF APPLICANT/s

!" ;1R%!(-=%!&%-7!-$7!6$7%&',//7!,(%!+/$,%$,'!/0!,(%!@+(%?%!;$0/&?-,)/$!J/+6?%$,>!Statement of Additional ;$0/&?-,)/$!-$7!I%4!;$0/&?-,)/$!
F%?/&-$76?>!-77%$7-!)''6%7!,)22!7-,%!-$7!-**24!,/!,(%!8&6',%%!/0!E8;!F6,6-2!<6$7!-'!)$7)+-,%7!-9/=%C!;1R%!-.&%%!,/!-9)7%!94!,(%!,%&?'!-$7!
+/$7),)/$'>!&62%'!-$7!&%.62-,)/$'!/0!,(%!'+(%?%!-'!/$!,(%!7-,%!/0!)$=%',?%$,C!;1R%!6$7%&,-f%!,/!+/$3&?!,(-,!,()'!)$=%',?%$,!(-'!9%%$!7624!
authorised by appropriate authorities in terms of all relevant documents and procedural requirements. !! ;1R%!(-=%!$/,!&%+%)=%7!$/&!9%%$!
induced by any rebate or gifts, directly or indirectly in making investments. ! The ARN holder has disclosed to me/us all the commissions (in
the form of trail commission or any other mode), payable to him for the different competing Schemes of various Mutual Funds from amongst
which the Scheme is being recommended to me/us. !! ;1R%!(%&%94!-6,(/&)l%!E8;!F<1E8;!DFG!,/!'(-&%!?4!7-,-!06&$)'(%7!)$!,(%!</&?!,/!
?4!7)',&)96,/&!-$7!/,(%&!'%&=)+%!*&/=)7%&'!/0!,(%!E8;!F<!0/&!,(%!*6&*/'%!/0!'%&=)+)$.>!)''6%!/0!-++/6$,!',-,%?%$,1+/$'/2)7-,%7!',-,%?%$,!/0!
-++/6$,!%,+!-$7!+&/''!'%22)$.!/0!*&/76+,'1'+(%?%'!/0!,(%!E8;!F<C! !! ;1R%!+/$3&?!,(-,!#%!-&%!V/$]H%')7%$,'!/0!;$7)-$!V-,)/$-2),41"&).)$!
-$7!,(-,!,(%!06$7'!-&%!&%?),,%7!0&/?!-9&/-7!,(&/6.(!-**&/=%7!9-$f)$.!+(-$$%2'!/&!0&/?!?4!1!/6&!VHA!1!VH"!D++/6$,C!;1R%!6$7%&,-f%!,/!
*&/=)7%!06&,(%&!7%,-)2'!/0!'/6&+%!/0!06$7'!-$7!-$4!'6+(!/,(%&!&%2%=-$,!7/+6?%$,'>!)0!+-22%7!0/&!94!E8;!F6,6-2!<6$7!LD**2)+-92%!,/!VH;N'OC!
!!;!(%&%94!'/2%?$24!7%+2-&%!,(-,!;!-?!,(%!0-,(%&1?/,(%&1.6-&7)-$!/0!,(%!?)$/&!+()27!)$!#(/'%!$-?%!,(%!-**2)+-,)/$!)'!?-7%C!8(%!7-,%!/0!9)&,(!
stated by me is true and correct. !";1R%!#)'(!,/!&%+%)=%!A]?-)2!-$7!@F@!+/??6$)+-,)/$!0&/?!E8;!DFG1!E8;!F<"
"

OPTION FOR DESPATCH OF STATEMENT OF ACCOUNT (SoA) / ABRIDGED ANNUAL REPORT (AAR)n
Applicable to NRIs
SoA in Physical Form At my Overseas address as mentioned above
AAR in Physical Form 8/!9%!7)'*-,+(%7!,/!?4!&%')7%$,!&%2-,)=%N'!-77&%''!)$!;$7)-!-'!?%$,)/$%7!-9/=%
n "$!*&/=)7)$.!%?-)2])7!)$=%',/&'!'(-22!&%+%)=%!'+(%?%!#)'%!-$$6-2!&%*/&,!/&!-$!-9&)7.%7!'6??-&4!,(%&%/01!-++/6$,!',-,%?%$,'1!,&-$'-+,)/$!+/$3&?-,)/$>!+/??6$)+-,)/$!/0!+(-$.%!/0!-77&%''>!+(-$.%!/0!9-$f!7%,-)2'!%,+C!,(&/6.(!%?-)2!/$24C

*Mobile No. Tel. (R) STD CODE Tel. (O) STD CODE
First
Applicant
Details
*E-mail Alternate E-mail
;1#%! (%&%94! -6,(/&)'%! E8;! DFG1! E8;! F<! ,/! '%$7! )?*/&,-$,! )$0/&?-,)/$>! ,&-$'-+,)/$! 6*7-,%'! -$71/&! -$4! /,(%&! &%2%=-$,! 7%,-)2'! ,/! ?%16'! /$
R(-,'D**!$6?9%&C!;0!4/6!J"!V"8!#)'(!,/!&%+%)=%!+/??6$)+-,)/$!/$!R(-,'D**>!,)+f!,(%!9/P!#
Sign.
here

Signature of 1st Applicant / Guardian / POA^^ Signature of 2nd Applicant / POA^^ Signature of 3rd Applicant / POA^^
Name of 1st Authorised Signatory Name of 2nd Authorised Signatory Name of 3rd Authorised Signatory
_____________________________________ __________________________________ ___________________________________
Designation ___________________________ Designation __________________________ Designation _________________________

^^K/#%&!/0!D,,/&$%4!LK"DO!H%.)',&-,)/$!V/CmmmmmmmmmmmmmmmmmmmmmmmmmL)0!-2&%-74!&%.)',%&%7O!L&%0%&!)$',&6+,)/$!M-9NO

Notes :
_C! ;0!,(%!-**2)+-,)/$!)'!)$+/?*2%,%!-$7!-$4!/,(%&!&%Q6)&%?%$,!)'!$/,!062322%7>!,(%!-**2)+-,)/$!)'!2)-92%!,/!9%!&%5%+,%7C
2. Consolidated Account Statement (CAS) will be sent within 10 days of the following month of the transaction.
3. C'%1?%#%*?=>%#,-1,#1''#DEF#F"5/')1*0%#C>""3#1*(#C.G##(%,1)'?#1>%#<)H%*7#31)')*<#I-)0-#+"=>#1//')01,)"*#I)''#$%#>%J%0,%(K#C.G#*",#
applicable for Micro SIP.
4. All communication relating to issue of Statement of Account, Change in name, Address or Bank particulars, Nomination, Redemption, Death
Claims etc., may please be addressed to the Registrar :
LM?#D&*#!%0-*"'"<)%?#C>)H1,%#N)5),%(O!E$),!d!E8;F<>!@%2%$)6?!8/#%&!B>!K2/,!V/'C!Z_!e!ZY>!<)$-$+)-2!J)',&)+,!>V-$-f&-?.67->!@%&)2)$.-?*-224!F-$7-2>!
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