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Wealth Common Transaction Slip Folio No.

________________________________________
Optional
PAN No.________________________________________
Optional
Aadhaar No._____________________________________
For existing unit/account holder(s) of the respective scheme(s) of the relevant mutual fund.

ARN-1563 EUIN Code Internal Sub Broker Code

EUIN is mandatory for “Execution Only” transaction Red. Instruction No. 9

Name of Sole/First Unit Holder Name of Second Unit Holder Name of Third Unit Holder

Additional Purchase Request


I/We wish to make an (aditional) purchase of (figure) Rs. ______________________ . (in words) Rupees_______________________________________________
_______________________________________ in Scheme name _____________________________________________________________________________
plan/option ___________________________________________ I am/we are enclosing the cheque/DD no ______________________ dated _________________
drawn on ________________________________ Bank, branch ______________________________________________ A/c type _________________________
w.e.f. January 1, 2011 all Investors need to be KYC compliant to invest in Mutual Funds, Please attach copy of PAN Card and KYC letter with additinal purchase request.

Switch Request
I/We wish to Switch Rs. _________________________________________ or ____________________________________________ units(s) form my/our account
from scheme name ________________________________________________________________________ plan/option_________________________________
to scheme name __________________________________________________________________________ plan/option _________________________________

Redemption Request
I/We wish to redeem Rs. ________________________________________ or ___________________________________________ units(s) form my/our account in
scheme name ____________________________________________________________________________ plan/option_________________________________
I understand that if my balance is inadequate to meet the request, available units will be redeemed out. Redemption proceeds will be credited to our existing
registered Bank Account only. Please refer T & C overleaf for more details.

Non - Financial Transaction


Change of Address: Where the First Unit Holder is KYC compliant, change of address request has to be submitted at POS OF CVL using “KYC details change”.
New Address _______________________________________________________________________________________________________________________
____________________________________________________________________ City _______________________________________ Pin________________
Office Tel. __________________ Resi. Tel.____________________ Mobile No. ______________________ Email Id______________________________________

Change / Record of Bank Mandate


Bank Name ____________________________________________________ Branch________________________________ Branch Address ________________
____________________________________________________ City ______________________________________ A/c No. _____________________________

A/c. Type: Current Saving NRE NRO Others (Please Specify) ___________________________________________________________________
MICR Code_______________________________________________________ IFSC Code ________________________________________________________
Please provide a cancelled cheque or photocopy of the cheque of the bank account you wish to register of multiple bank accounts, please use the separate Multiple
Bank Account Registration Form Refer T & C overleaf for more details.
Declaration: I/We hereby confirm that this is an “Execution Only” transaction.
I/We have read and understood the contents of the Additional Information Document and addendums issued to the scheme(s) in which I am/ We are making the above transaction and I/We agree to abide by the terms, conditions, rules, regulations
and take note of the risk factors of the respective scheme(s) as on the date of this transaction. I/We have neither received nor been induced by any rebate or gifts, directly or indirectly in making the above transaction.
I/We hereby declare that I am / We are authorized to make the above transaction and the amount invested by me / us in the scheme(s) is through legitimate sources only and does not involve and is not designed for the purpose of any contravention
or evasion of any Act, rules, Regulations, Notification or Directions of the provisions of the Income Tax Act, Anti Money Laundering Laws, Anti Corruption Laws or any other application laws enacted by the government of India form time to time.
For NRI’s) delet/strike off if not applicable). I/We confirm that I am / We are non-Resident (s) of Nationality / Origin and that the funds for additional purchase are remitted from aboard through approved banking channels or from my/our NRE/ NRO
/FCNR account. I/We are not a resident/incorporated body under the laws of United State of America or Canada.
e 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 scheme of various Mutual Funds from amongst which the scheme is being recommended to
me/us.
I/We confirm and believe that this transaction is appropriate for me/us as per my/our invetsment objective. I/We agree to the terms and condition overleaf.

Signature of the Holders (Mandatory)

Sole/First Unit Holder/Guardian/POA Holder Second Unit Holder/Guardian/POA Holder Third Unit Holder/Guardian/POA Holder

Acknowledgment (To be given by the fund house only)


Broker Code : Internal Sub-broker Code (ARN)_____________________________
Received form Mr./Mrs./Ms._________________________________________________________________________________ Folio No.______________________________
Date ______________ Scheme ________________________________________ Option __________________________________________________________________ for
Additional Purchase for amount (Rs. In figures)______________________ Rs. (in words) _____________________________________________________________________
Chq. No. & Date _____________________ Bank ___________________________________ Branch ___________________________________________________________
Switch/Redeemption: Amount (Rs.)_________________________ /Units_________________ Changes of Address Changes of Bank Account
(Please tick the appropriate box)

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