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    Individual Form - New

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    The document appears to be a registration form for individuals and senior citizens to register as mutual fund distributors with the Association of Mutual Funds in India (AMFI). It requests basic personal information, qualifications, bank details, and includes an undertaking to comply with AMFI guidelines. Applicants must submit the completed form along with supporting documents and payment to be considered for registration.

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    Download as PDF, TXT or read online from Scribd

    Individual Form - New

    Uploaded by

    dd
    75 views4 pages
    The document appears to be a registration form for individuals and senior citizens to register as mutual fund distributors with the Association of Mutual Funds in India (AMFI). It requests basic personal information, qualifications, bank details, and includes an undertaking to comply with AMFI guidelines. Applicants must submit the completed form along with supporting documents and payment to be considered for registration.

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    arn form

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    The document appears to be a registration form for individuals and senior citizens to register as mutual fund distributors with the Association of Mutual Funds in India (AMFI). It requests basic personal information, qualifications, bank details, and includes an undertaking to comply with AMFI guidelines. Applicants must submit the completed form along with supporting documents and payment to be considered for registration.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    75 views4 pages

    Individual Form - New

    Uploaded by

    dd
    The document appears to be a registration form for individuals and senior citizens to register as mutual fund distributors with the Association of Mutual Funds in India (AMFI). It requests basic personal information, qualifications, bank details, and includes an undertaking to comply with AMFI guidelines. Applicants must submit the completed form along with supporting documents and payment to be considered for registration.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    ASSOCIATION OF MUTUAL FUNDS IN INDIA th

    One Indiabulls centre, Tower 2, Wing B, 701, 7 Floor, 841, Senapati Bapat Marg,
    Elphinstone Road, Mumbai - 400013

    REGISTRATION FORM FOR INDIVIDUAL / SENIOR CITIZENS

    1.6 *1.8cm W *
    NAME OF THE APPLICANT H Two Colour
    Photographs

    FIRST NAME :

    MIDDLE NAME :

    LAST NAME :

    GENDER :
    F M

    DATE OF BIRTH :
    D D M M Y Y Y Y

    PERMANENT ACCOUNT NUMBER (PAN) :

    WHETHER KYD COMPLIANT :


    YES NO
    If yes, attach a copy of KYD acknowledgement

    TEST DETAILS

    CERTIFICATE NUMBER :

    DATE OF PASSING TEST :

    D D M M Y Y Y Y

    CPE CERTIFICATE DETAILS (ONLY FOR SENIOR CITIZENS)

    CPE CERT. NO. :

    DATE OF CPE :

    D D M M Y Y Y Y
    &
    D D M M Y Y Y Y
    1
    ADDRESS :

    CITY :

    PIN CODE :

    STATE :

    COUNTRY :

    TELEPHONE NUMBER :

    MOBILE NUMBER :

    E-MAIL ID :

    QUALIFICATIONS

    COURSE :

    UNIVERSITY/INSTITUTE :

    YEAR OF PASSING :
    Y Y Y Y

    BANK DETAILS

    NAME OF THE BANK :

    BRANCH :

    ACCOUNT NUMBER :

    MICR/ NEFT :

    ACCOUNT TYPE

    SB CURRENT ANY OTHER (Please Specify) :-

    2
    PAYMENT DETAILS

    DEMAND DRAFT NUMBER :

    DD DATE :
    M M D D Y Y Y Y
    AMOUNT :

    DRAWN ON (Name of the Bank and Branch) :

    SIGNATURE OF THE APPLICANT :

    PLACE :

    DATE :

    M M D D Y Y Y Y

    UNDERTAKING

    I hereby apply for allotment of AMFI Registration Number (ARN) by Association of Mutual Funds in India (AMFI). I
    acknowledge that allotment of ARN is solely for the purpose of enabling me to empanel with AMC for distribution of
    Mutual Fund schemes.

    I warrant that I will canvass business of mutual fund products in accordance with SEBI Regulations and AMFI
    Guidelines and Norms for Intermediaries (AGNI) including Code of Conduct and any Rules and Regulations that may
    be framed or amended by SEBI/ AMFI from time to time.

    I confirm that I have truthfully filled up the Form above and supplied all the information therein which is considered
    relevant for the purposes of allotment of ARN. I shall promptly notify AMFI of any changes in the information during
    the period ARN is in force.

    I understand that allotment of ARN by AMFI is in accordance with the requirement stipulated by SEBI for marketing
    Mutual Fund product and should not, in any way, be deemed to imply that AMFI takes any responsibility for any of my
    acts as intermediary or has vouched for my credentials as intermediary and I shall bring this to the notice of all
    concerned while acting as intermediary.

    I undertake that any breach of Guidelines and Code of Conduct or any Rules and Regulations framed by SEBI/ AMFI
    will render my registration liable to be cancelled.

    DATE: (SIGNATURE OF THE APPLICANT)

    PLACE:

    3
    The prescribed fees can be paid only by demand draft in favour of the 'Association of Mutual Funds
    in India' payable at the location of the CAMS office to which the form is submitted.

    DOCUMENTS TO BE SUBMITTED ALONGWITH THE APPLICATION


    PLEASE ( ) AGAINST DOCUMENTS ATTACHED
    DD Rs. 3000/-
    SENIOR CITIZENS Two Stamp Size Colour Photographs
    CATEGORY, IN TERMS OF Copy of NISM Continuing Professional Education for Mutual Fund
    SEBI CIRCULAR DATED Distributors
    JUNE 24, 2010
    Copy of KYD acknowledgement
    DD Rs. 3000/-
    Two Stamp Size Colour Photographs
    INDIVIDUALS Copy of Passing Certificate for NISM Series V-A - Mutual Fund
    Distributors Certification Examination
    Copy of KYD acknowledgement

    ACKNOWLEDGEMENT

    Received Registration Form from ________________________________________________________

    along with a Demand Draft No. _________________ dated _________________ for Rs. __________

    (Rs.__________________ _______________________________________) being Fees for Registration

    with AMFI.

    (SIGNATURE OF THE RECEIVER)

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