ASSOCIATION OF MUTUAL FUNDS IN INDIA
RENEWAL FORM FOR CORPORATE
(NOTE: Please read the instructions given at the end of application form carefully before filling the form.)
NAME OF CORPORATE :
ARN :
VALIDITY DATE OF LETTER OF REGISTRATION :
D D M M Y Y Y Y
GSTIN :
(Attach a copy of the GST Certificate)
WHETHER KYD COMPLIANT :
If yes, attach a copy of KYD acknowledgement
YES NO
CATEGORY OF CORPORATION: PLEASE TICK WHICHEVER APPLICABLE
BANK
Public Sector Private Sector Foreign Bank Regional Rural Bank
Co- Operative Bank District Central Co- Operative Bank Urban Co- Operative Bank
Public Ltd. Co. Private Ltd. Co. Partnership Firm NBFC Societies & Trust
Micro Finance Institution HUF Limited Liability Partnership (LLP)
Any Other Please Specify :-
ADDRESS :
CITY :
1
STATE :
PINCODE :
COUNTRY :
TELEPHONE NUMBER 1 :
TELEPHONE NUMBER 2 :
FAX :
E-MAIL :
MAIN BANK :
BRANCH :
BANK CITY :
ACCOUNT NUMBER :
NAME AND DESIGNATION OF AUTHORISED SIGNATORY
NAME :
DESIGNATION :
PAN NO. :
NAME/S OF MUTUAL FUNDS WITH WHICH EMPANELLED:
Sr. Name of the MF Sr. Name of the MF Sr. Name of the MF
No. No. No.
1. 10. 19.
2. 11. 20.
3. 12. 21.
4. 13. 22.
5. 14. 23.
6. 15. 24.
7. 16. 25.
8. 17. 26.
9. 18. 27.
2
NUMBER OF YEARS IN BUSINESS :
NUMBER OF INVESTORS SERVICED :
AVERAGE AUM (Rs. in crore) :
NUMBER OF BRANCHES :
NUMBERS OF PERSONS EMPLOYED :
NUMBER OF EMPLOYEES ENGAGED IN MARKETING / SELLLING OF MUTUAL FUNDS:
NUMBER OF EMPLOYEES REGISTERED UNDER CORPORATE:
PAYMENT DETAILS
DD NO :
DATE :
AMOUNT :
DRAWN ON :
UNDERTAKING
We hereby apply for renewal of Letter of Registration with Association of Mutual Funds in India (AMFI), which is solely for
the purpose of enabling us to canvass sale of mutual fund schemes.
We confirm that we have canvassed business for products of mutual funds in accordance with Code of Conduct and
Guidelines prescribed by SEBI and AMFI and any Rules and Regulations that are framed or amended by SEBI and AMFI
from time to time.
We undertake that any breach of Guidelines and Code of Conduct or any Rules and Regulations framed by SEBI and
AMFI will render our registration liable to be cancelled.
We confirm that all our employees who are engaged in sale, distribution and advise regarding investment in mutual fund
products have passed NISM Certification Test and obtained Registration with AMFI under our corporate ARN, before
engaging themselves in canvassing business for mutual funds.
We undertake to promptly notify AMFI of any changes in the information furnished to AMFI, during the period the Letter
of Registration is in force.
Place : FOR AND ON BEHALF OF
Date : (Signature of Authorized person and company seal)
3
ACKNOWLEDGEMENT
Received Renewal Form from _______________________________________along with a Demand Draft
No._________________ dated_______________ for Rs.___________ (Rs.________________________
_____________________________) being Fees for Renewal of ARN with AMFI.
(SIGNATURE OF THE RECEIVER)
INSTRUCTIONS
Form should be completed in all respects. None of the column should be left blank. Incomplete form
shall be liable for rejection.
All the ARN holders are required to complete KYD process. For more details visit www.amfiindia.com.
Please attach a copy of KYD acknowledgement along with the form.
The prescribed fees along with applicable GST is to be paid only by a Demand Draft (DD) in favor of
‘ASSOCIATION OF MUTUAL FUNDS IN INDIA’ payable at the place of CAMS center at which form is
submitted. For more details about fees please visit www.amfiindia.com
List of CAMS centers is available on AMFI Website www.amfiindia.com. You may submit the form at
center convenient to you.
Please send your application well in advance before due date for renewal.
