SB 000401639888 / ICICI Bank Ltd / Mumabai / Mumbai
E I S C - E T R X N - 1 0 1 2 1 3 1 1 3 0 3 5 - V 1 1 . 1 1 . 2 Account Statement Units are allotted subject to clearance of cheque. * 1016326621$N$$101213* 1016326621 Second Holder Third Holder N/A N/A Folio Number Bank Details SB 000401639888 / ICICI Bank Ltd / Mumabai / Mumbai Status : Individual First Holder Yogesh Subhash Pote PAN 1 : AMNPP7599L - Verified PAN 2 : N/A PAN 3 : N/A Mode : Single : : : : : KYC : Not Verified Broker : ARN-61012 EUIN : E056851 I/We would like to submit following transaction in scheme. Additional purchase Amount Rs.: Cheque/DD No.: Date : A/c. type: Saving/Current/NRE/NRO Bank Name : Branch : Redemption Amount Rs.: or Units : Switch To Amount Rs.: or Units : Scheme : Plan : Option: Sub. Option: Signatures of Account holder(s): 1. 2. 3. BIRLA SUN LIFE MUTUAL FUND Yogesh Subhash Pote K-1, ROOM NO. 1 BARVENAGAR MUNICIPAL COLONY GHATKOPAR WEST Mumbai - 400084 Maharashtra INDIA Email : yogesh980173@yahoo.com Phone Off : N.A Phone Res : N.A Mobile : XXXXXXXX74273 Second Holder PAN 1 PAN 2 PAN 3 PAN Guardian : AMNPP7599L - Verified : N/ A : N/ A : N/ A Nominee 1 Status : Individual NON-TRANSFERABLE Mode of Holding : Single Third Holder Guardian Name : N/A : N/A : N/A : N/A KYC : Not Verified Statement Date : 10-Dec-2013 Your Branch : BSL AMC - Thane Folio Number : 1016326621 Nominee 2 : N/A Nominee 3 : N/A B92 Birla Sun Life Frontline Equity Fund -Growth-Regular Plan - INF209K01BR9 NAV as on 09/ 12/ 2013 : 108.37 NAV Price Amount Number of Units Value Date Transaction Type Balance Units Opening Balance as on 06/ 12/ 2013 0.000 06/12/2013 3,000.00 106.76 28.100 Purchase-SIP 106.76 28.100 10/12/2013 SIP Registered Entry Load: NIL, Exit Load-Normal: For redemption/switch-out of units within 365 days from the date of allotment: 1.00% of applicable NAV.For redemption/switch-out of units after 365 days from the date of allotment: Nil. CSIP w.e.f 11 J an 2012 - Exit load 2% of applicable NAV is payable if units allotted under CSIP are redeemed /switch-out within 1 year from the date of allotment. Exit load 1 % of applicable NAV is payable if units allotted under CSIP are redeemed /switch-out after 1 year but upto 3 years from the date of allotment. Nil : if units allotted under CSIP are redeemed / switch-out after 3 years from the date of allotment. SB 000401639888 / ICICI Bank Ltd / Mumabai / Mumbai, IFSC code : ICIC0000004, ECS No. : 400229002 Lien Units Bank Details 0.000 : : Redemption Payout Type Dividend Payout Type : : ELECTRONIC PAYMENT N/A Current Load Structure : Your Broker/ EUIN : ARN-61012/DHIRAJ GOPAL HEGDE/E056851 Scheme Unit Balance NAV as on NAV Current Value Cost of Investment Dividend Earned PORTFOLIO SUMMARY 28.100 09-Dec-2013 108.37 3,045.20 3,000.00 0.00 BSL Frontline Equity Fund -Grow TOTAL : 3,045.20 3,000.00 0.00