Unit Holding Option Existing Investor'S Folio Number

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FORM 1 - FOR LUMP SUM / SIP INVESTMENTS Application No.

THE APPLICATION FORM SHOULD BE FILLED IN BLOCK LETTERS ONLY.


Distributor ARN Sub-Distributor ARN Internal Sub-Broker / Sol ID Employee Code EUIN RIA CODE^ Serial No., Date & Time Stamp

ARN-0018 ARN E
Upfront commission shall be paid directly by the investor to the AMFI registered distributor based on the investor's assessment of various factors including the service rendered by the distributor.
^I/We, have invested in the scheme(s) of Axis Mutual Fund under Direct Plan. I/We hereby give my/our consent to share/provide the transactions data feed/ portfolio holdings/ NAV etc. in respect of my/our investments under Direct Plan of all schemes of Axis Mutual Fund, to the above
mentioned SEBI Registered Investment Adviser:
“I/We hereby confirm that the EUIN box has been intentionally left blank by me/us as this transaction is First / Sole Applicant /
executed without any interaction or advice by the employee/relationship manager/sales person of the above Second Applicant Third Applicant Power of Attorney Holder
distributor/sub broker or notwithstanding the advice of in-appropriateness, if any, provided by the Guardian
employee/relationship manager/sales person of the distributor/sub broker.”
TRANSACTION CHARGES FOR APPLICATIONS THROUGH DISTRIBUTORS ONLY (Refer 20) In case the subscription amount is ` 10,000 I confirm that I am a first time investor across Mutual Funds.
or more and your Distributor has opted to receive Transaction Charges, the same are deductible as applicable from the purchase/ subscription amount and payable to the Distributor.
Units will be issued against the balance amount invested. I confirm that I am an existing investor in Mutual Funds.
1 UNIT HOLDING OPTION (To be filed in case of demat holding only) 2 EXISTING INVESTOR'S FOLIO NUMBER
DEMAT MODE PHYSICAL MODE (If you have an existing folio with KYC validated, please mention here and skip to section 6/8.)
Demat Account Details of First / Sole Applicant Folio Number
(Name should be as per demat account)
Depository Participant Name 3 INVESTMENT TYPE (Please tick any one)

DP ID IN CDSL Beneficiery ID LUMP SUM LUMP SUM WITH SIP LUMP SUM WITH STP
NSDL
Beneficiery ID Note: Please attach copy of Client Master List.

4 MODE OF HOLDING (in case of Demat Purchase Mode of Holding should be same as in Demat Account) Single Joint (Default) Anyone or Survivor
5 FIRST APPLICANT'S DETAILS (Non-individual invertors please fill in FATCA / CRS, UBO annexure and attach along with application form) Ref. 9 & 22. All fields are mandatory. Gender Male Female
st
Name (1 ) (As in PAN card/
KYC/ Aadhaar records)
PAN (Minor/1st Holder) KIN CKYC FORM SUPPLEMENTARY CKYC FORM
Ref. 10 (Refer 8A)
Aadhaar No. (Ref. 23)
Father’s Name Date of birth (Minor / 1st Holder)
(as per Aadhaar records) D D M M Y Y

Name of the Guardian (in case of minor please attach proof of date of birth) / POA (Contact person for non individuals / PoA holder name) Guardian / PoA PAN

Guardian Aadhar No.


Country of Birth Place of Birth Nationality
For Investments "On behalf of Minor" (Refer 11) Birth Certificate School Certificate Passport Other Specify Guardian named above is Father Mother Court Appointed
Correspondence address (Please note: Address will be replace as per KYC records)

City State Country Pin Code


Overseas address (For FIIs/NRIs/PIOs)
City State Country Pin Code
Email Mobile Tel.
Status Resident Individual Proprietor HUF Minor Society FII NRI PIO
Partnership Firm Trust Company NPO* Other Specify *Other than NPO

Occupation Pvt. Sector Service Public Sector Gov. Service Housewife Defence Professional Retired Business
Agriculture Student Forex Dealer Other Specify
Are you FATCA Compliant (Please tick any one) Yes No (if no, please fill below details)
Address of tax residence would be taken as available in KRA database. In case of any change please approach KRA & notify the changes
Type of address given at KRA Residential or Business Residential Business Registered Office
Permissible documents are Passport Election ID Card PAN Card Govt. ID Card Driving License UIDAI Card NREGA Job Card Others specify
Gross Annual Income <1L 1-5L 5-10L 10-25L >25L <1L 1-5L 5-10L 10-25L >25L 25L-1C >1C Is the entity involved in any of the following:
NON-INDIVIDUALS

OR
INDIVIDUALS

Foreign Exchange/ Money Changer Yes No


Net-worth* in ` as on D D M M Y Y as on D D M M Y Y Gaming/ Gambling/ Lottery
(casinos, betting syndicates) Yes No
*Not older than one year Politically Exposed Related to Not Money Lending/ Pawning Yes No
Person (PEP) a PEP Applicable
Any other information
...Continued Overleaf

6 DEBIT MANDATE (For Axis Bank A/c only.) To be processed in CMS software under client code “AXISMF” TO BE DETACHED BY KARVY & PRESENTED TO AXIS BANK CMS Application No.

I/ We Name of the account holder(s) authorise you to debit my/our account no. Date D D M M Y Y

Account type Savings NRO NRE Current FCNR Others Specify to pay for the purchase of
Axis Income Saver Axis Midcap Fund Axis Triple Advantage Fund Axis Equity Fund Axis Focused 25 Fund Axis Long Term Equity Fund Axis Enhanced Arbitrage Fund Axis Equity Saver Fund

Amount (figures) (words)

Signature of First Account Holder Signature of Second Account Holder Signature of Third Account Holder

ACKNOWLEDGMENT SLIP Received subject to realisation, verification and conditions, an application for purchase of Units as mentioned in the application form. Application No.
From

Cheque no. Date Amount Scheme


Stamp & Signature
Are you a tax resident of any country other than India? Yes No (If yes, please indicate all countries in which you are resident for tax purposes and the associated Tax ID Numbers below.)
#
Country Tax identification number
%
Identification type (TIN or Other, please specify)

#To also include USA, where the individual is a citizen / green card holder of the USA %In case Tax Identification Number is not available, kindly provide its functional equivalent $

SECOND APPLICANT'S DETAILS (All fields are mandatory) Gender Male Female
nd
Name (2 ) (As in PAN card/
KYC/ Aadhaar records)

Father’s Name Email


PAN (Ref. 10) KIN CKYC FORM SUPPLEMENTARY CKYC FORM
(Refer 8A)

Aadhaar No. (Ref. 23)


Date of birth Enclose Attested PAN card copy
Mobile (as per Aadhaar records) D D M M Y Y KYC Acknowledgment (Refer 8)
Country of Birth Place of Birth Nationality
Status Resident Individual Proprietor HUF Minor Society FII Gross Annual Income <1L 1-5L 5-10L 10-25L >25L

INDIVIDUALS
NRI PIO Partnership Firm Trust Company Other Specify OR as on D D M M Y Y
Net-worth* in ` Politically Exposed Related to Not
Occupation Pvt. Sector Service Public Sector Gov. Service Housewife Defence Retired
*Should not be older than one year Person (PEP) a PEP Applicable
Professional Business Agriculture Student Forex Dealer Other Specify Any other information

Are you FATCA Compliant (Please tick any one) Yes No (if no, please fill below details)
Address of tax residence would be taken as available in KRA database. In case of any change please approach KRA & notify the changes
Type of address given at KRA Residential or Business Residential Business Registered Office
Permissible documents are Passport Election ID Card PAN Card Govt. ID Card Driving License UIDAI Card NREGA Job Card Others specify
Are you a tax resident of any country other than India? Yes No (If yes, please indicate all countries in which you are resident for tax purposes and the associated Tax ID Numbers below.)

Country# Tax identification number % Identification type (TIN or Other, please specify)

#To also include USA, where the individual is a citizen / green card holder of the USA %In case Tax Identification Number is not available, kindly provide its functional equivalent $

THIRD APPLICANT'S DETAILS (All fields are mandatory) Gender Male Female
Name (3rd) (As in PAN card/
KYC/ Aadhaar records)

Father’s Name Email


PAN (Ref. 10) KIN CKYC FORM SUPPLEMENTARY CKYC FORM
(Refer 8A)
Aadhaar No. (Ref. 23)

Mobile Date of birth Enclose Attested PAN card copy KYC Acknowledgment (Refer 8)
(as per Aadhaar records) D D M M Y Y

Country of Birth Place of Birth Nationality


Status Resident Individual Proprietor Minor HUF
Society FII Gross Annual Income <1L 1-5L 5-10L 10-25L >25L
INDIVIDUALS

NRI PIO Partnership Firm Company Other Specify


Trust OR as on D D M M Y Y
Net-worth* in ` Politically Exposed Related to Not
Occupation Pvt. Sector Service Public Sector Gov. Service Housewife Defence Retired Person (PEP)
*Should not be older than one year a PEP Applicable
Professional Business Agriculture Student Forex Dealer Other Specify Any other information

Are you FATCA Compliant (Please tick any one) Yes No (if no, please fill below details)
Address of tax residence would be taken as available in KRA database. In case of any change please approach KRA & notify the changes
Type of address given at KRA Residential or Business Residential Business Registered Office
Permissible documents are Passport Election ID Card PAN Card Govt. ID Card Driving License UIDAI Card NREGA Job Card Others specify
Are you a tax resident of any country other than India? Yes No (If yes, please indicate all countries in which you are resident for tax purposes and the associated Tax ID Numbers below.)

Country# Tax identification number % Identification type (TIN or Other, please specify)

#To also include USA, where the individual is a citizen / green card holder of the USA %In case Tax Identification Number is not available, kindly provide its functional equivalent $

QUICK CHECKLIST
KYC acknowledgement letter (Compulsory for MICRO Investments) SIP Registration Mandate - NACH for SIP investments
Multiple Bank Accounts Registration form (if you want to register multiple bank accounts so that future payments can be made
Self attested PAN card copy from any of the accounts)
Email id and mobile number provided for online transaction facility Relationship proof between Guardian and Minor (if application is in the name of a Minor) attached
Additional documents attached for Third Party payments. Refer instructions.
Plan / Option / Sub Option name mentioned in addition to scheme name
FATCA Declaration.
7 BANK ACCOUNT DETAILS FOR PAY-OUT (Mandatory. Refer 6 and avail of Multiple Bank Registration Facility.) (Please attach cancelled cheque copy or latest bank account statement.) (All fields are mandatory)

Bank Name
Bank A/c No. Type Current Savings NRO NRE FCNR Others Specify

Branch Name City Pin


IFSC Code (11 digit)* MICR Code (9 digit)* *Mentioned on your cheque leaf

8 INVESTMENT & PAYMENT DETAILS (Investors applying under Direct Plan must mention "Direct" against scheme name, refer 2) (All fields are mandatory)

Payment type Non-Third Party Payment Third Party Payment (Please attach 'Third Party Payment Declaration Form')

Scheme Plan Option Sub Option# Dividend Frequency (Quarterly/ Half Yearly/ Annual)*
# Dividend Re-Investment is not available for Axis Long Term Equity Fund *Applicable only for Axis Income Saver

8A LUMP SUM Do not submit SIP Registration Mandate - NACH (Form 2)


Mode Cheque DD Axis Bank Debit Mandate (Please fill section 6.) Cheque / DD no. Dated D D M M Y Y
Amount (figures) (words)

Pay-in A/c no.


Drawn on bank /
branch name
Account type Savings NRO NRE Current FCNR Others Specify
8B SIP (SIP Registration details (Form 2) with Form 1
Monthly SIP Amount (figure) (words)

SIP frequency (tick ü any one) If no debit date is mentioned default date would
Monthly Yearly (Default Frequency Monthly) Preferred Debit Date (Any date except 29th, 30th and 31st) (ref 13(b)) D D
be considered as 7th of every month.
OR If end date is not mentioned then the SIP
SIP period Start Date M M Y Y End Date M M Y Y End date (ref 13(i)) 1 2 9 9 will be considered for perpetuity (Dec 2099).

First SIP Installment details Mode Cheque / DD Axis Bank Debit Mandate (Please fill section 3.) Dated D D M M Y Y

Drawn on bank / branch name Cheque / DD no.

9 NOMINATION DETAILS (All fields are mandatory) (Refer 18)

First Nominee Second Nominee Third Nominee

Name (as in PAN card/KYC records)

PAN

Date of Birth D D M M Y Y Y Y D D M M Y Y Y Y D D M M Y Y Y Y

Relationship with Investor

Address

Guardian Name
(in case Nominee is a Minor)
Signature
(Guardian in case Nominee is a Minor)

Allocation % (Total to be 100%)

Unit Holder's Signature First / Sole Applicant Second Applicant Third Applicant Power of Attorney Holder
If you do not wish to nominate sign here.

10 DECLARATION AND SIGNATURE


Having read and understood the content of the SID / SAI of the scheme, I/we hereby apply for units of the scheme. I have read and understood the terms, conditions, details, rules and regulations governing the
scheme. I/We hereby declare that the amount invested in the scheme is through legitimate source only and does not involve designed for the purpose of the contravention of any Act, Rules, Regulations,
Notifications or Directives of the provisions of the Income Tax Act, Anti Money Laundering Laws, Anti Corruption Laws or any other applicable laws enacted by the Government of India from time to time. I/we have
not received nor have been induced by any rebate or gifts, directly or indirectly in making this investment. I/We confirm that the funds invested in the Scheme, legally belongs to me/us. In event “Know Your
Customer” process is not completed by me/us to the satisfaction of the Mutual Fund, (I/we hereby authorize the Mutual Fund, to redeem the funds invested in the Scheme, in favour of the applicant, at the
applicable NAV prevailing on the date of such redemption and undertake such other action with such funds that may be required by the law.) The ARN holder has disclosed to me/us all the commissions (trail
commission or any other mode), payable to him for the different competing Schemes of various Mutual Funds amongst which the Scheme is being recommended to me/ us. I/We confirm that I/We do not have any
existing Micro SIP/Lumpsum investments which together with the current application will result in aggregate investments exceeding ` 50,000 in a year (Applicable for Micro investment only.) with your fund
house. For NRIs only - I / We confirm that I am/ we are Non Residents of Indian nationality/origin and that I/We have remitted funds from abroad through approved banking channels or from funds in my/ our Non
Resident External / Non Resident Ordinary / FCNR account. I/We confirm that details provided by me/us are true and correct.
CERTIFICATION
I / We have understood the information requirements of this Form (read along with the FATCA & CRS Instructions) and hereby confirm that the information provided by me/us on this Form is true, correct, and
complete. I / We also confirm that I / We have read and understood the FATCA & CRS Terms and Conditions below and hereby accept the same.
AADHAAR DECLARATION
I/ We hereby provide my/our consent in accordance with Aadhaar Act, 2016 and regulations made thereunder, for (i) collecting, storing and usage (ii) validating/authenticating and (ii) updating my/ our Aadhaar
number(s) in accordance with the Aadhaar Act, 2016 (and regulations made thereunder) and PMLA. I/ We hereby provide my/our consent for sharing/disclosing of the Aadhaar number(s) including demographic
information with the asset management companies of SEBI registered mutual fund (s)and their Registrar and Transfer Agent (RTA) for the purpose of updating the same in my/our folios with my PAN.

First / Sole Applicant /


Second Applicant Third Applicant Power of Attorney Holder
Guardian

Date : D D M M Y Y Place :
FORM 2 - SIP REGISTRATION MANDATE - NACH
(Investor must read Key Scheme Features and Instructions before completing this form.)
THE APPLICATION FORM SHOULD BE FILLED IN BLOCK LETTERS ONLY.
Distributor ARN Sub-Distributor ARN Internal Sub-Broker / Sol ID Employee Code EUIN RIA CODE^ Serial No., Date & Time Stamp
ARN-0018 ARN E
Upfront commission shall be paid directly by the investor to the AMFI registered distributor based on the investor's assessment of various factors including the service rendered by the distributor.
^I/We, have invested in the scheme(s) of Axis Mutual Fund under Direct Plan. I/We hereby give my/our consent to share/provide the transactions data feed/ portfolio holdings/ NAV etc. in respect of my/our investments under Direct Plan of all schemes of Axis Mutual Fund, to the above
mentioned SEBI Registered Investment Adviser:
“I/We hereby confirm that the EUIN box has been intentionally left blank by me/us as this transaction is First / Sole Applicant /
executed without any interaction or advice by the employee/relationship manager/sales person of the above Second Applicant Third Applicant Power of Attorney Holder
distributor/sub broker or notwithstanding the advice of in-appropriateness, if any, provided by the Guardian
employee/relationship manager/sales person of the distributor/sub broker.”
TRANSACTION CHARGES FOR APPLICATIONS THROUGH DISTRIBUTORS ONLY
I confirm that I am a first time investor across Mutual Funds. I confirm that I am an existing investor in Mutual Funds.
In case the subscription amount is ` 10,000 or more and your Distributor has opted to receive Transaction Charges, the same are deductible as applicable from the purchase/ subcription amount and payable to the Distributor. Units will be issued against the balance amount invested.
Tick whichever is applicable : New SIP registration by new investor New SIP registration by existing investor
1 APPLICANT'S PERSONAL DETAILS (MANDATORY)
Application Form No. (For New Applicants) OR Folio No. (For Existing Unit holders)
Sole / 1st Unitholder First Name Middle Name Last Name
Guardian's Name Email ID For receiving statements over email instead of post
(in case of minor)
PAN 1st Applicant 2nd Applicant 3rd Applicant
Enclose Attested PAN card KYC Letter Attested PAN card KYC Letter Attested PAN card KYC Letter
KIN
(Refer 8A)
CKYC FORM SUPPLEMENTARY CKYC FORM CKYC FORM SUPPLEMENTARY CKYC FORM CKYC FORM SUPPLEMENTARY CKYC FORM
Aadhaar No.
(Ref. 23)

2 SIP DETAILS
Scheme Name Plan Option
SIP frequency (tick ü any one) Monthly Yearly (Default Frequency Monthly) th th st If no debit date is mentioned default date would
Preferred Debit Date (Any date except 29 , 30 and 31 ) (ref 12(b)) D D be considered as 7th of every month.
SIP period from M M Y Y to M M Y Y OR End date (ref 13(i)) 1 2 9 9 If end date is not mentioned then the SIP will be considered for perpetuity (Dec 2099).

SIP Amount (figures) ` (words)

First SIP Installment details Drawn on bank / branch name Cheque / DD Amount
Mode Cheque / DD Axis Bank Debit Mandate Cheque / DD no. MICR No. Dated D D M M Y Y
3 DECLARATION AND SIGNATURE (To be signed by ALL UNIT HOLDERS if mode of holding is ‘joint’)
I / We declare that the particulars furnished here are correct. I / We authorise Axis Mutual Fund acting through its service providers to debit my / our bank account towards payment of SIP instalments through an Electronic Debit arrangement / NACH (National
Automated Clearing House). If the transaction is delayed or not effected at all for reasons of incomplete or incorrect information, I/we would not hold the user institution responsible. I/We will also inform Axis Mutual Fund about any changes in my bank account.
This is to inform you that I/We have registered for making payment towards my investments in AXISMF by debit to my /our account directly or through ECS (Debit Clearing) / NACH (National Automated Clearing House). I/We hereby authorize to honour such payments and
have signed and endorsed the Mandate Form. Further, I authorize my representative (the bearer of this request) to get the above Mandate verified. Mandate verification charges, if any, may be charged to my/our account.
I also hereby agree to read the respective SID and SAI of the mutual fund before investing in any scheme of Axis Mutual Fund using this facility.

X Sole/ 1st Unit Holder / POA / Guardian X 2nd Unit Holder X 3rd Unit Holder

UMRN Bank use Date D D M M Y Y Y Y

Tick ( ) Sponsor Bank Code Bank use Utility Code Bank use
CREATE I/We hereby authorize Axis Mutual Fund to debit (tick ) SB CA CC SB-NRE SB-NRO Other
MODIFY
Bank a/c number
CANCEL

with Bank Name of customers bank IFSC or MICR

an amount of Rupees `
FREQUENCY Mthly Qtly H-Yrly Yrly As & when presented DEBIT TYPE Fixed Amount Maximum Amount
Reference 1 Folio No. Phone No.

Reference 2 Scheme Name Email ID


I agree for the debit of mandate processing charges by the bank whom I am authorizing to debit my accounts as per latest schedule of charges of the bank.

PERIOD
From D D M M Y Y Y Y

To D D M M Y Y Y Y Signature Primary Account holder Signature of Account holder Signature of Account holder

Or Until Cancelled 1. 2. 3.
Name as in bank records Name as in bank records Name as in bank records
This is to confirm that the declaration (as mentioned overleaf) has been carefully read, understood & made by me / us. I am authorizing the User Entity / Corporate to debit my account, based on the instructions as agreed and signed by me.
I have understood that I am authorized to cancel / amend this mandate by appropriately communicating the cancellation / amendment request to the User entity / Corporate or the bank where I have authorized the debit.
MANDATORY FIELDS : • Instrument Date • Account type • Bank A/c number (core banking a/c no only) • Bank name • IFSC code or MICR code (as per the cheque / pass book) • Amount in words (maximum amount) • Period start date and end
date or until cancelled • Account holder signature • Account holder name as per bank record
ACKNOWLEDGMENT SLIP (To be filled by the investor)
Folio No. Investor Name
Scheme Name (Scheme Name) Plan Option
SIP Period From D D M M Y Y to D D M M Y Y Amount ` Stamp & Signature

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