Form 1 - For Lumpsum / Sip Investments: Application No
Form 1 - For Lumpsum / Sip Investments: Application No
Form 1 - For Lumpsum / Sip Investments: Application No
Application No.
Distributor ARN Sub-Distributor ARN Sol ID / Internal Sub-Broker Employee Code EUIN Serial No., Date & Time Stamp
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 hereby confirm that the EUIN box has been intentionally left blank by me/us as this transaction is
executed without any interaction or advice by the employee/relationship manager/sales person of the above
distributor/sub broker or notwithstanding the advice of in-appropriateness, if any, provided by the
employee/relationship manager/sales person of the distributor/sub broker.”
TRANSACTION CHARGES FOR APPLICATIONS THROUGH DISTRIBUTORS ONLY 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 EXISTING INVESTOR'S FOLIO NUMBER (If you have an existing folio with KYC validated, please mention here and skip to section 3/5.)
2 FIRST APPLICANT'S DETAILS (Non-individual invertors please fill in UBO annexure and attach along with application form) Mr. Ms. M/s
st
Name (1 )
Date of birth PAN Nationality Country of Birth
For Investments "On behalf of Minor" Birth Certificate School Certificate Passport Other Guardian named below is Father Mother Court Appointed^
Name of the Guardian if minor attach proof of date of birth / Contact person for non individuals / PoA holder name Guardian / PoA PAN
OR
INDIVIDUALS
SECOND APPLICANT'S DETAILS Mode of Holding Joint (Default) Anyone or Survivor Nationality Country of Birth Mr. Ms. M/s
nd
Name (2 )
PAN Mobile Email
Are you a tax resident of any country other than India?
Gross Annual Income <1L 1-5L 5-10L 10-25L >25L
INDIVIDUALS
Status
OR as on
Net-worth* in `
Occupation *Should not be older than one year Politically Exposed Person (PEP) Related to a PEP
Any other information
Status OR as on
Net-worth* in `
*Should not be older than one year Politically Exposed Person (PEP) Related to a PEP
Occupation
Any other information
3 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 authorise you to debit my/our account no. Date
Account type to pay for the purchase of
Amount
ACKNOWLEDGMENT SLIP Received subject to realisation, verification and conditions, an application for purchase of Units as mentioned in the application form. Application No.
From
Investment Amount
In words
Cheque / DD / No.
Cheque / DD / Date
Drawn on Bnak / Branch Name
Pay-in Bank Account No.
Account Type
Second & Subsequent SIP Installment Details
SIP Period
Preferred Date for Monthly Debt
SIP through
NSDL / CDSL
DEMAT
5. NOMINATION DETAILS
Name Signature
Guardian Name Allocation
Address (Guardian in case
%
(Date of Birth if nominee is minor) (in case Nominee is a Minor) Nominee is a Minor)
NOTE : The NAV applicability shall be based on Time stamp at OPAs or ISCs of Mutual Fund.