Freedom SIP - Common Application Form Application No.

Investor must read Key Scheme Features and Instructions before completing this form.
All sections to be completed in ENGLISH in BLACK / BLUE COLOURED INK and in BLOCK LETTERS.

BROKER CODE (ARN CODE)/ SUB-BROKER ARN CODE SUB-BROKER CODE Employee Unique
RIA/PMRN CODE# (As allotted by ARN holder) Identification No. (EUIN)

#By mentioning RIA/PMRN code, I/we authorize you to share with the Investment Adviser the details of my/our transactions in the scheme(s) of ICICI Prudential Mutual Fund.
Declaration for “execution-only” transaction (only where EUIN box is left blank) (Refer Instruction No. XII). – I/We hereby confirm that the EUIN box has been intentionally left blank by me/
us as this is an “execution-only” transaction without any interaction or advice by the employee/relationship manager/sales person of the above distributor or notwithstanding the advice of
in-appropriateness, if any, provided by the employee/relationship manager/sales person of the distributor and the distributor has not charged any advisory fees on this transaction.

SIGNATURE OF SOLE / FIRST APPLICANT SIGNATURE OF SECOND APPLICANT SIGNATURE OF THIRD APPLICANT

TRANSACTION CHARGES FOR APPLICANTS THROUGH DISTRIBUTORS ONLY [Refer Instruction XI]
• In case the purchase/subscription amount Rs 10,000/- or more and your Distributor has opted to receive transactions charges, the same are deductible as applicable from the purchase/
subscription amount and paid the distributor. Units will be issued against the balance amount invested. • Upfront commission shall be paid directly by the investor to the AMFI registered
Distributors based on the investors’ assessment of various factors including the service rendered by the distributor.

1. EXISTING UNITHOLDERS INFORMATION (Please refer to Instruction No. II (a) & IV) (Name should be as per the PAN)
Mr. Ms. M/s FIRST MIDDLE LAST Folio No.

2. APPLICANT(S) DETAILS (Please refer to Instruction No. II (b) & IV) (Name should be as per the PAN)
SOLE / 1ST Mr. Ms. M/s FIRST MIDDLE LAST
APPLICANT
PAN/PEKRN* KYC Id No.¥ Enclosed (Please )§* KYC Acknowledgement Letter Date of Birth
D D M M Y Y Y Y

CONTACT PERSON-DESIGNATION/PoA HOLDER# (in case of Non-Individual Investors)

Mr. Ms. FIRST MIDDLE LAST
PAN/PEKRN* KYC Proof Attached (Mandatory) Date of Birth
KYC D   D M M Y Y Y Y
Id No.¥
LEI (Legal Entity Identifier Number is for Transaction value of INR 50
Number crore and above. See Instruction No. XIV)
2ND APPLICANT Mr. Ms. M/s FIRST MIDDLE LAST
PAN/PEKRN* KYC Id No.¥ KYC Proof Attached (Mandatory) Date of Birth
D   D M M Y Y Y Y

Approved on May 12, 2023

3RD APPLICANT Mr. Ms. M/s FIRST MIDDLE LAST
PAN/PEKRN* KYC Id No.¥ KYC Proof Attached (Mandatory) Date of Birth
D   D M M Y Y Y Y
If mandatory information left blank, the application is liable to be rejected. ¥ Individual client who has registered under Central KYC Records Registry (CKYCR) has to fill the 14 digit KYC Identification Number (KIN).

3. BANK ACCOUNT (PAY-OUT) DETAILS OF SOLE/FIRST APPLICANT (Please Refer to Instruction No. III)
Mandatory information – If left blank the application is liable to be rejected. (Mandatory to attach proof, in case the pay-out bank account is different from the source bank account.)
Account
MANDATORY

Number Account Type Savings Current NRE NRO FCNR

Name & Branch

of Bank
Branch City 9 Digit 11 Digit
MICR Code IFSC
Enclosed (Please ): Bank Account Details Proof Provided.

4. INVESTMENT DETAILS (Refer Instruction No. IV) (For Plans & Sub-options please see key scheme features). Please mention scheme name below:
ICICI Prudential __________________________________________________________ Plan: ________________________ Amt (Rs.)__________________
ICICI Prudential __________________________________________________________ Plan: ________________________ Amt (Rs.)__________________
ICICI Prudential __________________________________________________________ Plan: ________________________ Amt (Rs.)__________________
ICICI Prudential __________________________________________________________ Plan: ________________________ Amt (Rs.)__________________
In case of multiple schemes, Cheque/DD should be drawn in favour of “ICICI Prudential Mutual Fund Collection A/c.” and the cheque amount should match with the Total Investment amount mentioned here.
For investors investing in Income Distribution cum Capital Withdrawal (IDCW) option of the Scheme may note that the amounts can be distributed out of investors capital (Equalization Reserve), which is
part of sale price that represents realized gains.

5. PAYMENT DETAILS Mode of Payment Cheque DD Funds Transfer NEFT RTGS

Investment DD Charges Total
Amount ` A (if applicable)
` B Amount ` A+B
Cheque /
DD Number
Date D  D M M Y Y Y Y
BANK DETAILS: Same as above [Please tick () if yes] Different from above [Please tick () if it is different from above and fill in the details below]

A/c Number Account Type Savings Current NRE NRO FCNR

Name & Branch
of Bank
Mandatory Enclosures (Please tick () Cheque Bank Banker’s Attestation______________
Branch City if the first instalment is not through cheque) Copy Statement ________________________________
Applications with Third Party Cheques, prefunded instruments etc. and in circumstances as detailed in AMFI Circular No.135/BP/16/10-11 shall be processed in accordance with the said
circular. Please read the instruction no. VI(e). Third Party Payment Declaration form is available in www.icicipruamc.com or ICICI Prudential Mutual Fund branch offices.

ACKNOWLEDGEMENT SLIP (Please Retain this Slip) Application No.

To be filled in by the Investor. Subject to realization of cheque and furnishing of Mandatory Information.

Name of the Investor:_____________________________________________________________ EXISTING FOLIO NO.

TOLL FREE NUMBER: 1800 222 999 (MTNL/BSNL) 1800 200 6666 (OTHERS) EMAIL: enquiry@icicipruamc.com WEBSITE: www.icicipruamc.com

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6. CORRESPONDENCE DETAILS OF SOLE/FIRST APPLICANT: Overseas Address (Mandatory for NRI / FII Applicants)
Correspondence Address (Please provide full address)* (Please refer to the instruction No. II (b) 2)
HOUSE / FLAT NO. HOUSE / FLAT NO.

STREET ADDRESS STREET ADDRESS

CITY / TOWN STATE CITY / TOWN STATE

COUNTRY PIN CODE COUNTRY PIN CODE

Tel. Office Residence

First Unitholder:
Mobile Email£
Mobile No.* provided pertains to: [Please tick ()] Email ID* provided pertains to: [Please tick ()]
Self Spouse Dependent Children Dependent Siblings Self Spouse Dependent Children Dependent Siblings
Dependent Parents Guardian PMS Custodian POA Dependent Parents Guardian PMS Custodian POA

*if above any option is not ticked () or selected then [Self] option is considered as a default.

2nd Unitholder : Mobile Email£

3rd Unitholder : Mobile Email£

Please tick () if you wish to receive Annual Report or Abridged Summary via Post - (Default communication mode is E-mail) [Refer Instruction No.IX(a)]
Please tick () if you wish to receive Account statement / Other statutory information via Post instead of Email [Refer Instruction No.IX(b)]
Please  any of the frequencies to receive Account Statement through e-mail £ : Daily Weekly Monthly Quarterly Half Yearly Annually
* Mandatory information – If left blank the application is liable to be rejected. #
Name of Guardian/Contact Person is Mandatory in case of Minor/Non-Individual Investor.
** Mandatory in case the Sole/First applicant is minor and/or if investing in Retirement For documents to be submitted on behalf of minor folio refer instruction II-b(2)
Fund. § For KYC requirements, please refer to the instruction Nos. II b(5) & X £
Please refer to instruction no. IX

7. MODE OF HOLDING [Please tick ()] Single Joint Anyone or Survivor (Default)

8. TAX STATUS [Please tick ()]

Resident Individual NRI Partnership FIRM Government Body FPI category I NPS Trust Bank
Company AOP/BOI FPI category II FPI category III Mutual Funds NON Profit Organization/Charities
HUF Body Corporate Private Limited Company Public limited company Mutual Funds FOF Schemes Defence Establishment
Financial Institution Trust/Society/NGO Limited Partnership (LLP) Sole Proprietorship Others (Please specify) ___________________________________

9. FATCA AND CRS DETAILS FOR INDIVIDUALS (Including Sole Proprietor) (Mandatory)
Non-Individual investors should mandatorily fill separate FATCA Form (Annexure II). The below information is required for all applicants/guardian
Place/City of Birth Country of Birth Country of Citizenship / Nationality
First Applicant / Guardian Indian U.S. Others (Please specify) _____________________
Second Applicant Indian U.S. Others (Please specify) _____________________
Third Applicant Indian U.S. Others (Please specify) _____________________
Are you a tax resident (i.e., are you assessed for Tax) in any other country outside India? Yes No [Please tick ()]
If ‘YES’ please fill for ALL countries (other than India) in which you are a Resident for tax purpose i.e. where you are a Citizen/Resident / Green Card Holder / Tax Resident in the respective countries.
Tax Identification Number or Identification Type If TIN is not available please tick ()
Country of Tax Residency
Functional Equivalent (TIN or other please specify) the reason A, B or C (as defined below)
First Applicant / Guardian Reason : A B C

Second Applicant Reason : A B C

Third Applicant Reason : A B C
q Reason A _ The country where the Account Holder is liable to pay tax does not issue Tax Identification Numbers to its residents.
q Reason B _ No TIN required (Select this reason Only if the authorities of the respective country of tax residence do not require the TIN to be collected)
q Reason C _ Others, please state the reason thereof: _________________________________________________________________________________________________
Address Type of Sole/1st Holder: Address Type of 2nd Holder: Address Type of 3rd Holder:
Residential Registered Office Business Residential Registered Office Business Residential Registered Office Business
Annexure I and Annexure II are available on the website of AMC i.e. www.icicipruamc.com or at the Investor Service Centres (ISCs) of ICICI Prudential Mutual Fund.

10. KYC DETAILS (Mandatory)

Occupation [Please tick ()]
Sole/First Private Sector Service Public Sector Service Government Service Business Professional Agriculturist Retired
Applicant Housewife Student Forex Dealer Others (Please specify)_______________________________________________
Second Private Sector Service Public Sector Service Government Service Business Professional Agriculturist Retired
Applicant Housewife Student Forex Dealer Others (Please specify)_______________________________________________
Third Private Sector Service Public Sector Service Government Service Business Professional Agriculturist Retired
Applicant Housewife Student Forex Dealer Others (Please specify)_______________________________________________
Gross Annual Income [Please tick ()]
Sole/First Applicant Below 1 Lac 1-5 Lacs 5-10 Lacs 10-25 Lacs >25 Lacs-1 crore >1 crore
OR Net worth (Mandatory for Non-Individuals) ` ___________________________ as on D D M M Y Y Y Y (Not older than 1 year)

Second Applicant Below 1 Lac 1-5 Lacs 5-10 Lacs 10-25 Lacs >25 Lacs-1 crore >1 crore OR Net worth ` ________________________________
Third Applicant Below 1 Lac 1-5 Lacs 5-10 Lacs 10-25 Lacs >25 Lacs-1 crore >1 crore OR Net worth ` ________________________________

Scheme Names Plans Options/Sub-options Payment Details

Amt. __________________________________________________________________________
Cheque/DD No. ____________________________________ dtd.___________________________
Bank & Branch____________________________________________________________________

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Others [Please tick ()]
For Individuals [Please tick ()]: I am Politically Exposed Person (PEP) I am Related to Politically Exposed Person (RPEP) Not applicable
Sole/First
Applicant For Non-Individuals [Please tick ()] (Please attach mandatory Ultimate Beneficial Ownership (UBO) declaration form - Refer instruction no. IV(h)):
(i) Foreign Exchange / Money Changer Services – YES NO; (ii) Gaming / Gambling / Lottery / Casino Services – YES NO; (iii) Money Lending / Pawning – YES NO
Second Applicant Politically Exposed Person (PEP) Related to Politically Exposed Person (RPEP) Not applicable
Third Applicant Politically Exposed Person (PEP) Related to Politically Exposed Person (RPEP) Not applicable

11. NOMINATION
NOMINEE (OPT-IN) Details or OPT-OUT Declaration is Mandatory to process the application. Please tick () from below Option A or Option B as appropriate. (Refer instruction VII).

A) FOR NOMINATION OPT-IN: I/We hereby nominate the undermentioned nominee(s) to receive the amount to my/our credit in event of my/our death as follows:

Name and address of PAN of the Nominee Relationship with Date of Birth Name and address of Signature of Guardian’s Relation- Allocation % to each
Nominee(s) [Guardian PAN to be Sole / First unit [Mandatory]* Guardian Nominee / ship with Nominee nominee
[Mandatory] quoted if Nominee is holder (Mandatory if nominee Guardian* [Mandatory] [Mandatory]
Minor] [Mandatory] is minor) (Aggregate should be
100%]

Mother
d d/mm/yyyy Father
Legal Guardian

Mother
d d/mm/yyyy Father
Legal Guardian

Mother
d d/mm/yyyy Father
Legal Guardian

* Applicable in case the Nominee is a Minor. (Also, please attach a copy of the minor’s birth certificate)

B) FOR NOMINATION OPT-OUT: (Please tick () if the unit holder does not wish to nominate anyone)

I / We hereby confirm that I / We do not wish to appoint any nominee(s) for my mutual fund units Signature of First Unit holder
held in my / our mutual fund folio and understand the issues involved in non appointment of
nominee(s) and further are aware that in case of death of all the account holder(s), my / our legal
heirs would need to submit all the requisite documents issued by Court or other such competent Signature of 2nd Unit holder
authority, based on the value of assets held in the mutual fund folio.

Signature of 3rd Unit holder

INVESTOR(S) DECLARATION & SIGNATURE(S): To the Trustee, ICICI Prudential Mutual Fund, I/We have read, understood and hereby agree to abide by the Scheme Information Document/
Key Information Memorandum of the Scheme(s), Foreign Account Tax Compliance Act (FATCA) and Common Reporting Standards (CRS) under FATCA & CRS provision of the Central Board of Direct Taxes
notified Rules 114 F to 114H,as part of the Income-tax Rules,1962. I/We apply for the units of the Fund and agree to abide by the terms, conditions, rules and regulations of the scheme and other statutory
requirements of SEBI, AMFI, Prevention of Money Laundering Act, 2002 and such other regulations as may be applicable from time to time. I/We confirm to have understood the investment objectives,
investment pattern, and risk factors applicable to Plans/Options under the Scheme(s). I/We have not received nor been induced by any rebate or gifts, directly or indirectly, in making this investment. I/
We declare that the amount invested in the Scheme is through legitimate sources only and is not designed for the purpose of contravention or evasion of any Act, Regulations or any other applicable laws
enacted by the Government of India or any Statutory Authority. I/We agree that in case my/our investment in the Scheme is equal to or more than 25% of the corpus of the plan, then ICICI Prudential Asset
Management Co. Ltd. (the ‘AMC’), has full right to refund the excess to me/us to bring my/our investment below 25%. I/We hereby declare that I/we do not have any existing Micro SIPs which together
with the current application will result in a total investments exceeding Rs.50,000 in a year. The 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 Schemes of various Mutual Funds from amongst which the Scheme is being recommended to me/us. I/We have read and understood the instructions on
nomination and I/We hereby undertake to abide by the same. I/We interested in receiving promotional material from the AMC via mail, SMS, telecall, etc. If you do not wish to receive, please call
on tollfree no. 1800 222 999 (MTNL/BSNL) or 1800 200 6666 (Others).
Applicant

Applicant

Applicant
Sole/1st

2nd

3rd

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 PAN BASED MANDATE CUM SIP REGISTRATION FORM
[For investment through NACH (Not eligible for Minors Bank Account)]
PAN BASED MANDATE

Declaration: I/We hereby declare that the particulars given on this mandate are correct and complete and express my willingness and authorize to make payments referred above through participants in NACH/SI/any other mode as may be
preferred by the AMC from time to time. I/We hereby confirm adherence to the terms of this facility offered by ICICI Prudential Asset Management Company Limited (the AMC) as specified in Terms & Conditions under Registration of OTM/PAN
Based Mandate Facility and amended from time to time and of NACH (Debits). Authorization to Bank: This is to confirm that the declaration has been carefully read, understood & made by me/us. I am authorizing the user entity/corporate
to debit my account. I/We have understood that I/we authorized to cancel/amend this mandate by appropriately communicating/amendment to the User entity/corporate or the or the bank where I have authorized the debit. This is
to inform that I/we have registered for this facility and that my/our investment in ICICI Prudential Mutual Fund shall be made from my/our above mentioned bank account with your Bank and to debit my/our account for any charges towards
mandate verification, registration, transactions, transactions, returns, etc, as applicable.

SIP Registration-Cum-Mandate Form for Freedom SIP Application No.

Investor must read Key Scheme Features and Instructions before completing this form. All sections to be completed in ENGLISH in BLACK/BLUE INK and BLOCK LETTERS.
BROKER CODE (ARN CODE)/ SUB-BROKER ARN CODE SUB-BROKER CODE Employee Unique
RIA/PMRN CODE# (As allotted by ARN holder) Identification No. (EUIN)
#By mentioning RIA code, I/We authorize you to share with the Investment Adviser the details of my/our transactions in the scheme(s) of ICICI Prudential Mutual Fund.
TRANSACTION CHARGES FOR APPLICANTS THROUGH DISTRIBUTORS ONLY: In case the purchase/subscription amount Rs 10,000/- or more and your Distributor has opted to receive transactions charges,
the same are deductible as applicable from the purchase/subscription amount and paid the distributor. Units will be issued against the balance amount invested. Upfront commission shall be paid directly by the investor to
the AMFI registered Distributors based on the investors’ assessment of various factors including the service rendered by the distributor.
Declaration for “execution-only” transaction (only where EUIN box is left blank) - I/We hereby confirm that the EUIN box has been intentionally left blank by me/ us as this is an “execu- F
tion-only” transaction without any interaction or advice by the employee/relationship manager/sales person of the above distributor or notwithstanding the advice of in-appropriateness, if
any, provided by the employee/relationship manager/sales person of the distributor and the distributor has not charged any advisory fees on this transaction. R
SIGNATURE OF SOLE / FIRST APPLICANT SIGNATURE OF SECOND APPLICANT SIGNATURE OF THIRD APPLICANT
E
The Trustee, ICICI Prudential Mutual Fund, I/We have read and understood the contents of the Scheme Information Document of the following Scheme and the terms and conditions of the SIP Enrolment.

FOLIO NO.
Date of D D M M Y Y Y Y Registration via Existing OTM [Please tick ()]
E
Birth
Sole/1st
Mr. /Ms. / M/s FIRST MIDDLE LAST
D
Applicant:
INVESTMENT DETAILS (For Plans please see key scheme features) O
Please mention scheme name below: Direct Regular [Please tick ()] SIP Frequency : Monthly Option : Growth
SIP Scheme Name SIP Amt (`) SIP
Yrs
SIP
Date#
SIP Start Month/Year SWP Target Scheme SWP Amt (`) M
ICICI Prudential... ICICI Prudential...
D D M M Y Y Y Y
Default SWP Amt will
D D M M Y Y Y Y be as per the grid
below, for any other
D D M M Y Y Y Y amt refer T&C point C

D D M M Y Y Y Y
S
#In case the choosen date is a non-business day, the transaction would be processed on the next business day. Post completion of SIP Tenure written above, also refer T&C point B, D & E. In case of
multiple schemes, Cheque/DD should be drawn in favour of “ICICI Prudential Mutual Fund Collection A/c.” and the cheque amount should match with the Total Investment amount mentioned here.
Refer the illustration below to derive the default SWP amount assuming SIP amount of Rs. 10000 per month I
For SIP Tenure 8 Years 10 Years 12 Years 15 Years 20 Years 25 Years 30 Years
Default Monthly SWP Amount in case no `10,000 `15,000 `20,000 `30,000 `50,000 `80,000 `1,20,000
P
SWP amount is mentioned by the investor
Please note the default SWP amounts will change as per the SIP amount invested and the tenure selected.
SIP TOP UP Percentage: 10% 15% 20% other_________ (multiples of 5% only) OR TOP UP Amount: Rs._________________TOP UP amt in multiples of `100
(Optional) /- Frequency:   Half Yearly   Yearly
(Tick to avail SIP TOP UP CAP Amount: Rs.____________________________ OR Month-Year#: M M Y Y Y Y
#
Investor has to choose only one option – either
this facility) CAP Amount or CAP Month-Year
EXISTING OTM / FIRST INSTALLMENT BANK DETAILS:
Cheque/DD No.__________________ Cheque/DD Amount Rs. ___________________________ A/c No. ______________________________
Bank Name: _______________________________________________________________________________________________________ (Please sign overleaf)

ACKNOWLEDGEMENT SLIP FOR FREEDOM SIP Folio No./ Application No.

(To be filled in by the investor)

Name of the Investor:_____________________________________________________________________________________________________________

Acknowledgement Stamp
Scheme:________________________________________ SIP Amount Rs.________________________ SIP Frequency: Monthly

SIP TOP UP Amt. Rs.______________________ TOP UP CAP: Amt:Rs.________________________ OR Month-Year: M

M Y Y Y Y

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Mandatory fields in OTM form as per NPCI: • Bank account number and Bank name • IFSC and/or MICR Code • PAN • Signatures as per bank records • OTM start
date, end date • Account type to be selected • Name as per bank records • Transaction type to be selected • Maximum amount to be mentioned.
GENERAL INSTRUCTIONS
UMRN (Unique Mandate Reference Number) is provided by NPCI, which is assigned to every mandate that has been submitted to them.
Investor will not hold ICICI Prudential Mutual Fund, its registrars and other service providers responsible if the transaction is delayed or not effected or the investor bank
account is debited in advance or after the specific SIP date due to various clearing cycles.
The Bank & AMC shall not be liable for, nor be in default by reason of, any failure or delay in completion of its obligations under this Agreement, where such failure or
delay is caused, in whole or in part, by any acts of God, civil war, civil commotion, riot, strike, mutiny, revolution, fire, flood, fog, war, lightening, earthquake, change of
Government policies, unavailability of Bank’s computer system, force majeure events, or any other cause of peril which is beyond the Bank’s reasonable control and
which has effect of preventing the performance of the contract by the Bank.
The investor hereby agrees to indemnify and not hold responsible, AMC/Mutual Fund (including its affiliates), and any of its officers directors, personnel and employees,
the Registrars & Transfer (R&T) agent and the service providers incase for any delay/wrong debits on the part of the bank for executing the debit mandate instructions
for any sum on a specified date from your account. If the transaction is delayed or not effected at all for reasons of incomplete or incorrect information, the investor
would not hold the user institution responsible. Investor confirm to have understood that the introduction of this facility may also give rise to operational risks and
hereby take full responsibility.
Registration of OTM/PAN BASED MANDATE FACILITY: As an investor I/we hereby request you to register me/us for availing the facility of OTM/PAN based mandate
and carrying out transactions of additional purchase/redemption/switch in my/our folio through Call Centre and/or also authorize the distributor(s) to initiate the
above transactions on my/our behalf. In this regard, I/we also authorize the AMC, on behalf of ICICI Prudential Mutual Fund (Mutual Fund) to call/email on my/our
registered mobile number/email id for due verification and confirmation of the transaction(s) and such other purposes. The mobile number provided in the common
application form will be used as registered mobile number for verification and confirmation of transactions. If the transaction is delayed or not effected at all for reasons
of incomplete or incorrect information or non-confirmation/ verification of the transaction due to any reason, I/we shall not hold AMC, Mutual Fund, its sponsors,
representatives, service providers, participant banks responsible in this regard. The AMC would not be liable for any delay in crediting the scheme collection accounts
by the Service Providers which may result in a delay in application of NAV. I/We hereby confirm that the information/documents provided by me/us in this form are true,
correct and complete in all respect. I/We hereby agree and confirm to inform AMC promptly in case of any changes. I/We interested in receiving promotional material
from the AMC via mail, SMS, telecall, etc. If you do not wish to receive, please call on tollfree no. 1800 222 999 (MTNL/BSNL) or 1800 200 6666 (Others).
Maximum Amount: The MAXIMUM AMOUNT is the per transaction maximum limit. Investor can register multiple SIPs but the amount should not exceed the maximum
amount mentioned per transaction.

INSTRUCTIONS FOR EXISTING OTM AND PAN BASED MANDATE FACILITY

1) Investor can transact through OTM facility registered for the PAN in the respective folio(s).
2) If more than one bank accounts are registered for OTM facility, investor is requested to mention the bank account number and bank name
from where amount is to be debited. If the same is not mentioned or no OTM mandate is registered for the given bank details, AMC reserves
the right to initiate the debit through any of the valid OTM’s registered or reject the request.
3) The units shall be allotted based on the day on which funds are credited to AMC’s collection account by the service provider/ bank. This is
subject to compliance with the time stamping provision as contained in the SEBI (mutual funds) regulations, 1996.
4) Registration request or any other subsequent transaction may be liable for rejection, if the frequency for the registered OTM is other than “As
and when presented” and/ or if the transaction amount is other than fixed amount or more than maximum amount registered in the mandate.
5) AMC reserves right to reject or process the application subject to internal verification.
6) PAN based mandate will be mapped to all the folios wherever investor is the Sole/First holder subject to completion of mandate registration
with the banker.
7) PAN based mandate will not be applicable, if bank details provided is for Minor’s Account.
8) Investor can transact using this mandate, within the limit of maximum amount and tenure specified.

YOUR CONFIRMATION/DECLARATION: I/We hereby declare that I/we do not have any existing Micro SIPs which together with the current application will result in a total investments
exceeding Rs.50, 000 in a year as described in the Instruction No.IV(d) of the common application form. The 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 Schemes of various Mutual Funds from amongst which the Scheme is being recommended to me/us. The
AMC would not be liable for any delay in crediting the scheme collection accounts by the Service Providers which may result in a delay in application of NAV.

Signature(s) as per ICICI Prudential Mutual Fund Records (Mandatory)

2nd Holder

3rd Holder
Sole/First
Holder

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 TERMS AND CONDITIONS
SIP Payment through NACH Please view below illustration for Fixed TOP-UP:
1. The bank account provided for NACH should be participating in NACH clearing respectively. • SIP Tenure: 07Jan 2015 to 07 Dec 2020 • Monthly SIP Installment: Rs. 2000/-
2. Investors can choose any preferred date of the month as SIP debit date. In case the chosen date • TopUp Amount: Rs.100/- • TopUp Frequency: Yearly
falls on a Non-Business Day or on a date which is not available in a particular month, the SIP will Installment From Date To Date Monthly SIP SIP Top-Up SIP Amount
be processed on the immediate next Business Day.. In case the Debit does not take effect for five No(s) Installment Amount (`) with TOP-UP
consecutive times then the SIP would be liable for cancellation. Amount (`) (`)
3. In case of SIP transaction where the mode of payment is through NACH, investors are not required 1 to 12 7-Jan-16 7-Dec-16 2000 100 2100
to do an initial purchase transaction for the minimum amount as applicable. However, investors are 13 to 24 7-Jan-17 7-Dec-17 2100 100 2200
required to submit SIP request at least 30 days prior to the date of first installment. AMC reserves
25 to 36 7-Jan-18 7-Dec-18 2200 100 2300
the right to register the first triggered SIP installment from subsequent month onwards, in case the
period between the time-stamping of the SIP request and the first triggered SIP installment is less 37 to 48 7-Jan-19 7-Dec-19 2300 100 2400
than 30 days. In case of SIP via existing OTM, investor can choose to start the SIP in 15 days after 49 to 60 7-Jan-20 7-Dec-20 2400 100 2500
the date of submission. In case of incomplete mandate form, AMC may initiate remediation process Variable TOP-UP: With this option, investor can increase SIP amount at regular interval, TOP-UP
to obtain incomplete details. This process may exceed 30 days and in such case it may also impact amount will be based on the percentage (%) opted by investor of SIP amount. For said option
the registration of the SIP facility and subsequent installments. SIP start date shall not be beyond 100 SIP TOP-UP frequency is at half yearly and yearly basis. The minimum TOP-UP percentage (%)
days from the date of submission of SIP application. The applicant will have the right to discontinue should be 10% and in multiple of 5% thereof. Also the TOP-UP amount will be rounded off to the
SIP at any time he or she so desires by providing a written request at the office of the ICICI Prudential nearest highest multiple of Rs.10.
Mutual Fund Customer Service Centres. Notice of discontinuance should be received 30 days prior
to the subsequent SIP date. All terms and conditions for SIP, including Exit Load, if any, prevailing in Please view below illustration for Variable TOP-UP:
the date of SIP enrolment/registration by the fund shall be levied in the Scheme. • SIP Tenure: 07Jan 2015 to 07 Dec 2020 • Monthly SIP Installment: Rs. 2000/-
4. The investor agrees to abide by the terms and conditions of NACH facilities of Reserve Bank of India • TopUp percentage: 10% • TopUp Frequency: Yearly
(RBI). Installment From Date To Date Monthly SIP SIP Top-Up SIP Top-UP SIP Amount
5. Investor will not hold ICICI Prudential Mutual Fund, ICICI Prudential Asset Management Company No(s) Installment Amount round off with TOP-
Limited (the AMC), ICICI Prudential Trust Limited (the Trustee), its registrars and other service Amount (`) (10%) (`) Amount (`) UP (`)
providers responsible and/or liable for any damages/compensation for any loss or if the transaction 1 to 12 7-Jan-16 7-Dec-16 2000 N.A N.A 2000
is delayed or not effected or the investor bank account is debited in advance or after the specific 13 to 24 7-Jan-17 7-Dec-17 2000 200 200 2200
SIP date due to various clearing cycles for NACH or any other reason/fault not attributable to ICICI 25 to 36 7-Jan-18 7-Dec-18 2200 220 220 2420
Prudential Mutual Fund/the AMC/ the Trustee.
37 to 48 7-Jan-19 7-Dec-19 2420 242 240 2660
6. ICICI Prudential Mutual Fund reserves the right to reject any application without assigning any reason
49 to 60 7-Jan-20 7-Dec-20 2660 266 270 2930
thereof.
7. In case of “At Par” Cheques, investors need to mention the MICR No. of his/her actual Bank branch. Investor can either opt for Fixed Top-up facility or Variable Top-up facility under SIP Top-up.
In case, Investor opts for both the options, than Variable top-up feature shall be triggered.
8. New Investor: If the investor fails to mention the scheme name in the SIP Mandate Form, then the
In case the TOP UP facility is not opted by ticking the appropriate box and/or frequency is
Fund reserves the right to register the SIP as per the scheme name available in the main application
not selected, the TOP UP facility may not be registered.
form. Incase multiple schemes are mentioned in the main application form, the Fund reserves the
right to reject the SIP request. In a scenario where investor selects multiple % option under variable SIP Top-up plan,
9. Existing Investor: If the investor fails to mention the scheme name in the SIP Mandate Form, the higher percentage will be considered.
Fund reserves the right to register the SIP in the existing scheme (eligible for SIP) available in the Other Information:
investor’s folio. Incase multiple schemes or Equity Linked Savings Scheme (ELSS) are available in SIP TOP UP will be allowed in Micro SIP folio subject to condition that total investment including
the folio, the Fund reserves the right to reject the SIP request. SIP TOP UP does not exceed Rs. 50,000/- in a rolling 12 month period or financial year i.e. April
10. In case the SIP date is not mentioned/not legible, then the SIP will be registered on 10th (default date) to March, the limit on Micro SIP investments.
of each Month, as applicable.
The investor agrees to avail the TOP UP facility for SIP and authorize his/her bank to execute the
11. a) For Monthly frequencies, the transaction will be processed on any day basis. NACH/SI for a further increase in installment from his/her designated account.
b) Incase the SIP Date selected is a non-business day the transaction will be processed on the next SIP TOP-UP CAP:
business day.
(i) Cap Amount: Investor has an option to freeze the SIP Top-Up amount once it reaches a fixed
12. If the investor has not mentioned the SIP start month, SIP will start from the next applicable month,
predefined amount. The fixed pre-defined amount should be same as the maximum amount
subject to completion of 30 days lead time from the receipt of SIP request.
mentioned by the investor in the bank mandate. In case of difference between the Cap amount
13. In case End date mentioned on SIP form, falls beyond the date mentioned in Mandate form, then SIP & the maximum amount mentioned in bank mandate, then amount which is lower of the two
shall be registered as per date mentioned on mandate. amounts shall be considered as the default amount of SIP Cap amount
14. Existing investors have to provide their folio numbers. (ii) Cap Month-Year: It is the date from which SIP Top-Up amount will cease and last SIP installment
15. For minimum application amount to be invested in SIP, risk factors, features, load structurees, etc. including Top-Up amount will remain constant from Cap date till the end of SIP tenure.
please refer to the scheme related documents available on www.icicipruamc.com or with any of the
Investor shall have flexibility to choose either Top-Up Cap Amount OR Top-Up Cap Month-Year.
customer service centres of ICICI Prudential Mutual Fund.
In case of multiple selection, Top-Up Cap Amount will be considered as default selection.
16. ICICI Prudential Mutual Fund, its registrars and other service providers shall not be responsible and
liable for any damages/compensation for any loss, damage etc. incurred by the investor. The investor In case of non selection, the SIP variable Top-Up amount will be capped at a default amount of
assumes the entire risk of using this facility and takes full responsibility. Rs.10 lakhs.
SIP amount will remain constant from Top-Up Cap date/amount till the end of SIP Tenure.
17. SIP TOP UP Facility:
With this facility, investor can opt to increase the SIP amount at regular fixed intervals.
There are two type of SIP TOP-UP:
(1) Fixed TOP-UP. (2) Variable TOP-UP.
Fixed TOP-UP: With this option, investor can increase SIP amount at regular interval with fixed
amount. Minimum TOP-UP amount has to be Rs.100 and in multiples of Rs.100 thereof. For said
option SIP TOP-UP frequency is at Half Yearly and Yearly basis. In case of Quarterly SIP, only the
Yearly frequency is available under SIP TOP UP.

61
 TERMS & CONDITIONS FOR FREEDOM SIP
A) SIP is to be registered into below mentioned schemes for a fixed period of either 8 years, ii) ICICI Prudential Retirement Fund - Pure Equity Plan/ Hybrid Aggressive
10 years, 12 years, 15 years, 20 years, 25 years or 30 years.The following schemes Plan can only be as a target SWP scheme where SIP is opted from ICICI
are included for SIP under Freedom SIP: ICICI Prudential Asset Allocator Fund (FOF), Prudential Retirement Fund - Pure Equity Plan.
ICICI Prudential Balanced Advantage Fund, ICICI Prudential Bharat Consumption iii) In case the investor opts for SIP in ICICI Prudential Long Term Equity Fund
Fund, ICICI Prudential Bluechip Fund, ICICI Prudential Business Cycle Fund, ICICI (Tax Saving) then the target scheme for SWP selected shall only be ICICI
Prudential Dividend Yield Equity Fund, ICICI Prudential Equity & Debt Fund, ICICI Prudential Long Term Equity Fund (Tax Saving).
Prudential ESG Fund, ICICI Prudential Exports and Services, ICICI Prudential Flexicap
iv) In case ICICI Prudential Bluechip Fund, ICICI Prudential Multicap Fund,
Fund, ICICI Prudential Focused Equity Fund, ICICI Prudential India Opportunities
ICICI Prudential Flexicap Fund or ICICI Prudential Long Term Equity Fund
Fund, ICICI Prudential Large & Mid Cap Fund, ICICI Prudential Long Term Equity Fund
is selected as Target Scheme then the Source Scheme for SIP will be same
(Tax Saving), ICICI Prudential Manufacturing Fund, ICICI Prudential Nifty Midcap
as Target Scheme. In this case switch will not be applicable.
150 Index Fund, ICICI Prudential MidCap Fund, ICICI Prudential MNC Fund, ICICI
Prudential Multi-Asset Fund, ICICI Prudential Multicap Fund, ICICI Prudential Nifty F) During Freedom SIP registration itself, the SWP scheme selected shall be the target
50 Index Fund, ICICI Prudential Nifty Next 50 Index Fund, ICICI Prudential Passive scheme and the SWP will be registered for monthly frequency. The Start date of SWP
Strategy Fund (FOF), ICICI Prudential Retirement Fund Hybrid Aggressive Plan, ICICI will be the month following the trigger date and the End Date will be 31 Dec 2099.
Prudential Retirement Fund Pure Equity Plan, ICICI Prudential S&P BSE Sensex Index However the SWP under Freedom SIP shall be processed till units are available. In
Fund, ICICI Prudential Smallcap Fund, ICICI Prudential Nifty Smallcap 250 Index case, the trigger date is non- business day, the next business day will be taken. SWP
Fund, ICICI Prudential Thematic Advantage Fund(FOF) and ICICI Prudential Value Date will be same as the SIP date.
Discovery Fund. G) In case, the investor does not fill in any SWP target scheme the default scheme shall
B) On completion of the SIP period , the entire accumulated clear units via the respective be ICICI Prudential Balanced Advantage Fund.
Freedom SIP will be transferred into a pre-defined target scheme as opted by the H) In case, the investor does not fill in any SIP tenure, the default tenure shall be 12 years.
investor on T+15 days (T is the last SIP transaction date of the Freedom SIP). The In case any other tenure is mentioned , apart from the ones mentioned in Pt C, the
plan chosen (direct or other than direct) at the time of selecting the source scheme application shall be rejected.
shall also be considered for the target scheme. For ex, if the investor selects “direct I) Purchase and Switch In (SI) is allowed under the Target Scheme and SWP amount
plan” for the source scheme, the target scheme shall also be “direct plan” and so on. being triggered would be on a first in first out (FIFO) basis.
C) Post the transfer, SWP is to be activated for an amount which is as per the amount J) Freedom SIP shall get discontinued in the following cases:
mentioned by the investor in the mandate form. In case the investor does not fill in

Approved on May 12, 2023

i) On cancellation of SIP before the end of tenure, the underlying trigger and SWP
any SWP amount the default SWP amount will be derived as per the illustration below
will cease.
for a SIP amount of Rs 10,000. Please note the default SWP amounts will vary based
on the SIP amount invested and the tenure selected. ii) Redemption and Switch Out (SO) is also allowed under the Target Scheme. In
case redemption / SO is processed in Source Scheme after the SIP tenure till the
Default monthly SWP amount in case no execution of trigger switch, the trigger and the SWP will cease.
SIP Tenure
SWP amount is mentioned by the investor iii) In case, redemption / SO is processed in Source Scheme during the SIP tenure
8 years Rs. 10,000 the trigger and SWP will cease but SIP shall continue.
10 years Rs. 15,000 iv) In case of investor’s demise intimation during the SIP tenure, the switch and the
SWP shall cease. In case of investor’s demise intimation post SIP tenure but upto
12 years Rs. 20,000 Dec 2099 (or till units are available), the SWP shall cease.
15 years Rs. 30,000 K) SIP Top-Up and SIP Pause is allowed under this feature. SIP pause is available only
20 years Rs. 50,000 under monthly frequency. However the SWP would get registered only based on the
initial SIP amount, where investor has not specified the same in the application form.
25 years Rs. 80,000
L) Minor Tax status will not be allowed for Freedom SIP registration.
30 years Rs. 1,20,000
M) The minimum installment amount under Freedom SIP / SWP shall be the same as
For example, if an investor does an SIP of Rs 5000 per month and selects Tenure as
minimum amount prescribed for SIP/SWP under monthly frequencies in the respective
15 years, the default monthly SWP amount will be Rs. 15000 in case no SWP amount
schemes.
is mentioned in the form.
N) Freedom SIP is not available under DEMAT mode.
D) Freedom SIP is allowed only for the SIP Eligible schemes with monthly frequency. SIP
and SWP shall be registered only in the growth option of the Scheme. The Source O) In case the investor does not fulfill any criteria, the Freedom SIP application may be
scheme (SIP) and the Target Scheme (SWP) can be the same for the following schemes: rejected. ICICI Prudential Mutual Fund reserves the right to reject any application.
ICICI Prudential Asset Allocator Fund (FOF), ICICI Prudential Balanced Advantage Fund, P) The AMC reserves the right to make changes in the list of eligible schemes from time
ICICI Prudential Equity & Debt Fund, ICICI Prudential Multi-Asset Fund, ICICI Prudential to time.
Bluechip Fund, ICICI Prudential Multicap Fund, ICICI Prudential Long Term Equity Fund Q) ICICI Prudential Freedom SIP (the Facility) including the default monthly SWP payouts do
(Tax Saving), ICICI Prudential Retirement Fund - Hybrid Aggressive Plan and ICICI not guarantee, assure, promise or indicate fixed returns/performance of any schemes
Prudential Flexicap Fund, ICICI Prudential Value Discovery Fund, ICICI Prudential Large of ICICI Prudential Mutual Fund or under SIP or of the withdrawal under the Facility.
& Mid Cap Fund, ICICI Prudential Dividend Yield Equity Fund, ICICI Prudential Business
The Facility is an optional feature that allows initial monthly investments through SIP
Cycle Fund, ICICI Prudential Thematic Advantage Fund (FOF), ICICI Prudential Nifty Next
in the source scheme, switch to target scheme after a pre-defined tenure and then
50 Index Fund, ICICI Prudential S&P BSE Sensex Index Fund, ICICI Prudential Nifty 50
monthly SWP from the target scheme. The SWP will be processed either till Dec 2099
Index Fund, ICICI Prudential Retirement Fund - Pure Equity Plan and ICICI Prudential
or till the units are available in the target scheme, whichever is earlier. The default
Passive Strategy Fund (FOF).
monthly SWP payout amounts indicates the likely amount that can be withdrawn.
E) i) In case the investor opts for SIP in ICICI Prudential Retirement Fund - Hybrid
Please read the terms and conditions in the application form before investing or visit
Aggressive Plan, then the target scheme for SWP selected shall only be
www.iciciprumf.com
ICICI Prudential Retirement Fund - Hybrid Aggressive Plan.

62
 INSTRUCTIONS FOR FILLING UP THE COMMON APPLICATION FORM
Please read the Key Scheme Features and the terms of the Scheme Information Document(s) of the respective
Scheme(s) and Statement of Additional Information carefully before filling the Application Form.
I. GENERAL INSTRUCTIONS per the Scheme Information Document will be considered if the customer has not specified
a) Please read the Key Scheme Features and the terms of the Scheme Information Document(s) the Plan/Option. However, in case additional purchase is under the same scheme as fresh
of the respective Scheme(s) and Statement of Additional Information carefully before filling the purchase, then the AMC reserves the right to allot units in the option under which units were
Application Form. The application form must be filled in English in BLOCK letters. Incomplete allotted at the time of fresh purchase.
applications are liable to be rejected. Please ensure that the requisite details and documents have III. BANK DETAILS
been provided. All subscription application forms should be submitted only at the designated
Investor Service Center of ICICI Prudential Mutual Fund. The first Unit-holder should provide the name of the bank, branch, complete address of the branch,
account type and account number, which is mandatory as per Securities Exchange Board of India
b) If you are a new investor and wish to apply for SIP through Auto Debit by way of Electronic
circular IIAMRP/MF/CIR/07/826/98 dated April 15, 1998. Applications without this information will
Clearing Service (ECS) or Standing Instructions to your bank account, you are required to fill in
be deemed to be incomplete. An investor at the time of purchase of units must provide the details
the respective form, in addition to the Common Application Form.
of the pay-out bank account (i.e. account into which redemption / IDCW proceeds are to be paid)
c) The investors who wish to avail Systematic Withdrawal Plan (SWP) / Systematic Transfer in Section 3 in the Application Form. Please quote 9 Digit MICR Code No. and 11 Digit IFSC code of
Plan (STP) / IDCW Transfer Plan / Trigger/ Entry Trigger / Liquity facilities must fill in the Smart your Bank and Branch corresponding to Bank Account details. (This number appears on every leaf
Features form available in any of the ICICI Prudential Mutual Fund Customer Service Centres. of your cheque book). The AMC reserves the right to make IDCW/redemption payments through
d) The application form number, the scheme name and the name of the applicant should be Electronic mode where details are available.
mentioned on the reverse side of the instrument (Cheque, Demand Draft etc) that accompanies Investors/Unit Holders are requested to note that,any one of the following documents shall be
the application. submitted,if cheque provided alongwith fresh subscription/new folio creation does not belong to
e) The Application completed in all respects along with the cheque/demand draft, must be bank mandate in Section 3 in the Application Form.
submitted to the nearest Customer Service Centre. Applications incomplete in any respect or 1. Original cancelled cheque having the First Holder Name printed on the cheque.
not accompanied by a cheque or demand draft for the amount payable, are liable to be rejected
and the money paid will be refunded without interest. 2. Original bank statement reflecting the First Holder Name, Bank Account Number and Bank Name
as specified in the application.
f) No receipt will be issued for the Application money. The Customer Service Centers will stamp
and return the acknowledgment slip in the application form, to acknowledge receipt of the 3. Photocopy of the bank statement duly attested by the bank manager with designation, employee
application. number and bank seal.
g) In case of corrections / overwriting on key fields (as may be determined at the sole discretion 4. Photocopy of the bank pass book duly attested by the bank manager with designation,employee
of the AMC) of the application forms/transaction slips, the AMC reserves the right to reject the number and bank seal.
application forms/transaction slips, in case the investor(s) has/have not countersigned in every 5. Photocopy of the bank statement/passbook/cheque duly attested by the AMC branch
place where such corrections/overwriting has/have been made. officials after verification of original bank statement/passbook shown by the investor or their
h) Investors are advised to retain the acknowledgement slip signed/stamped by the collection representative.
centre where they submit the application. 6. Confirmation by the bank manager with seal, designation and employee number on the bank’s
i) As required under applicable regulations, additional details like status, occupation details, letter head confirming the investor details and bank mandate information.
gross annual income, net worth and other details as mentioned in the relevant sections of the Please note for unit holder opting to invest in demat, please ensure that the bank account linked with
application form are mandatory for all applicants as applicable, including joint holders. Details the demat account is mentioned in the application form.
of net worth are mandatory for Non Individual applicants and optional for Individual applicants Maturity payment or IDCW payment would be made as per the bank account details available in
in lieu of gross annual income. While providing details of net worth, the same should be of a BENPOS file.
date which is within one year of the application.
Multiple Bank Account Registration: The AMC/ Mutual Fund provides a facility to the investors
j) Applications are liable to be rejected without any intimation to the applicants, if requirement to register multiple bank accounts (currently upto 5 for Individuals and 10 for Non – Individuals)
under “KYC details” are not complied with/filled by all the applicants, KYC acknowledgement is for receiving redemption/IDCW proceeds etc. by providing necessary documents. Investors must
not enclosed or any of the additional details are not mentioned for any of the applicant. specify any one account as the “Default Bank Account”. The investor, may however, specify any
k) Politically Exposed Persons (PEP) are individuals who are or have been entrusted with prominent other registered bank account for credit of redemption proceeds at the time of requesting for the
public functions in a foreign country, e.g., Heads of States or of Governments, senior politicians, redemption. Investors holding units in non-demat form are requested to avail the facility of registering
senior government/judicial/military officers, senior executives of state-owned corporations, multiple bank accounts by filling in the ‘Multiple Bank Accounts Registration Form’ available at our
important political party officials, etc. Investor Service Centres (ISCs) or on our website www.icicipruamc.com.
II. UNITHOLDERS INFORMATION Change of Bank Mandate: With effect from October 25, 2011, the request for change of bank (COB)
shall be submitted along with the original cancelled cheque of the new bank with the investor name
a) Existing Unit-holders: If you have an existing folio, please mention the Folio Number. Please
mentioned on the cheque or copy of the bank statement/pass book duly attested by the new Bank,
note that the applicable details and mode of holding will be as per the existing folio. Partial Demat
evidencing the name and bank account details of the investor.
of units is not allowed.
b) New Applicant IV. INVESTMENT DETAILS
1. Name and address must be given in full (P.O. Box Address is not sufficient). In the case of a) Introduction of Direct Plan:- The AMC has introduced a separate plan for direct investments
NRI/PIO/FII investors, an overseas address must also be provided. (i.e. investments not routed through an AMFI Registration Number (ARN) Holder (“Distributor”)
(hereinafter referred to as “Direct Plan”) with effect from January 1, 2013 (“Effective Date”).
2. In case of an application under Power of Attorney (PoA) or by a Limited Company, Body
Corporate, Registered Society, Trust or Partnership etc., the relevant Power of Attorney Direct Plan is only for investors who purchase /subscribe Units in a Scheme directly with the
or the relevant resolution or authority to make the application as the case may be, or duly Fund and is not available for investors who route their investments through a Distributor.
certified copy thereof, along with the Memorandum and Articles of Association / bye-laws Investors subscribing under Direct Plan of the Schemes should indicate the Scheme/Plan name
must be lodged along with the application form. in the application form as “Scheme Name – Direct Plan” for e.g. “ICICI Prudential Liquid Fund
Power of Attorney (POA): In case an investor has issued Power of Attorney (POA) for – Direct Plan”. Investors should also indicate “Direct” in the ARN column of the application
making investments, switches, redemptions etc., under his/her folio, both the signature of form. However, in case Distributor code is mentioned in the application form, but “Direct Plan”
the investor and the POA holder have to be clearly captured in the POA document, to be is indicated against the Scheme name, the Distributor code will be ignored and the application
accepted as a valid document. At the time of making redemption / switches the fund would will be processed under Direct Plan.
not be in a position to process the transaction unless, PoA holder’s signature is available in Please note, where application is received under Scheme name without Distributor code or
the PoA or proof of identity along with signature is produced along with the PoA. “Direct” is mentioned in the ARN Column, the application will be processed under Direct Plan.
3. PAN is mandatory: As per SEBI Circular MRD/Dop/Cir/-05/2007 dated April 27, 2007 b) The Investor has to fill separate form for each scheme that he/she wishes to invest in through
Permanent Account Number (PAN) has been made the sole identification number for all a Lumpsum Investment or Systematic Investments.
participants transacting in the securities market, irrespective of the amount of transaction,
c) Investor should select scheme and option under which you wish to invest. Also Investor needs
w.e.f. July 02, 2007. PAN is mandatory for all mutual fund investments w.e.f. 1st January,
to indicate his/her choice of payout of Income Distribution cum Capital Withdrawal option or
2008. However, PAN is not required for investors who are exempted from PAN requirement,
re-investment along with the Income Distribution cum Capital Withdrawal option frequency (in
please refer to KYC Form for exemption of PAN requirement. case there are more than one Income Distribution cum Capital Withdrawal option frequency). In
4. Applicants should indicate their status by ticking the appropriate check-box. For all fresh case, the investor has not selected the option/sub-option for his/her investments, default option/
purchases, in case the investor has not selected/incorrectly selected the tax status in the sub-option as prescribed in the Scheme Information Document of the relevant scheme will be
application form, the AMC reserve the right to update the tax status based on Permanent applied. In case of Transfer of Income Distribution cum Capital Withdrawal Plan, the Investor
Account Number/Bank account details or such other information of the investor available must fill in the Smart Features form separately available in any of the ICICI Prudential Mutual
with the AMC for the purpose of determining the tax status of the investor. The AMC shall Fund Customer Service Centres.
not be responsible for any claims made by the investor/third party on account of updation For investors investing in Income Distribution cum Capital Withdrawal (IDCW) option of the
of tax status. Those who select the status as “Others”, they should specify their status in Scheme may note that the amounts can be distributed out of investors capital (Equalization
the space provided. Reserve), which is part of sale price that represents realized gains.
5. Applicants should specify the mode of holding. In case it is not mentioned, the default will be d) Exemption from requirement of Permanent Account Number (PAN) for micro investments
“anyone or survivor”. In the case of joint holders, the first named holder shall receive all the in the schemes of the Fund: Investment in mutual fund schemes [including investments through
Account Statements, IDCWs / redemptions / refund warrants and any other correspondence Systematic Investment Plan (SIP)] upto Rs. 50,000/- per investor per year per mutual Fund, shall
sent from time to time. be exempted from the requirement of PAN.
6. Name of a contact person should be mentioned in case of the investment by a Company/ • The exemption shall be available under all the schemes of the Fund for investments upto
Body Corporate/Partnership Firm/Trust/Foreign Institutional Investors (FIIs)/Society/AOP/ Rs. 50,000/- (aggregate under all the schemes of the Fund) in a rolling 12 month period or
BOI. financial year i.e. April to March by individuals (including NRIs but not PIOs), Minors, Sole
7. In case of fresh/additional purchases, if the name of the Scheme on the application form/ proprietary firms and Joint holders. HUFs and other categories will not be eligible.
transaction slip differs with the name on the Cheque/Demand Draft, then the AMC will • In case the first Micro SIP installment is processed (as the cheque may be banked), and
allot units under the Scheme mentioned on the application form/transaction slip. In case of the application is found to be defective, the Micro SIP registration will be ceased for future
fresh/additional purchases, if the Scheme name is not mentioned on the application form/ installments. No refunds to be made for the units already allotted. Investor will be sent a
transaction slip, then it may be liable for rejection. The default Plan/Option of the scheme as communication to this effect, however, redemptions shall be allowed.

63
 INSTRUCTIONS FOR FILLING UP THE COMMON APPLICATION FORM (Contd.)
• In case of investments held jointly, first holder must not possess a PAN. first installment.
• Eligible Investors may invest in the schemes of the Fund (through SIP or lumpsum/additional 2. Option 2: In case all the installments (i.e. including the first Installment) are paid through
purchase) without providing PAN subject to the threshold amount as specified above. post-dated cheques, the SIP Application along with the post-dated cheques should be
• Eligible Investors should attach a copy of Know Your Client (KYC) acknowledgement letter submitted at the Official Points of Acceptance of Transactions of the AMC, at least 30 days
quoting PAN Exempt KYC reference no. (PEKRN) obtained from KYC Registration Agency before the start of the SIP. The Post dated cheques for all of the SIP installments (including
alongwith the investment application form. the first installment), should be dated opted by the investor.
• Eligible Investors must have only one PEKRN. h. SIP TOP UP Facility:
• Incase KYC status is failed for a particular PEKRN further SIP transaction/investments will With this facility, investor can opt to increase the SIP amount at regular fixed intervals.
not be allowed in such folios having such PEKRN. There are two type of SIP TOP-UP:
e) For minimum application amount etc., please refer to Key Scheme Features Tables. (1) Fixed TOP-UP.
f) Please submit the following documents alongwith your application (where applicable). All (2) Variable TOP-UP.
documents should be original/true copies by director/trustee/company secretary/authorised
signatory: Fixed TOP-UP: With this option, investor can increase SIP amount at regular interval with fixed
amount. Minimum TOP-UP amount has to be Rs.100 and in multiples of Rs.100 thereof. For said
Partneship Investments option SIP TOP-UP frequency is at Half Yearly and Yearly basis. In case of Quarterly SIP, only
Documents Companies Societies Trusts NRIs FIIs*
Firms through POA the Yearly frequency is available under SIP TOP UP.
1. Resolution/Authorisation to invest P P P P P Please view below illustration for Fixed TOP-UP:
2. List of Authorised Signatories with
Specimen Signature(s) P P P P P P • SIP Tenure: 07Jan 2015 to 07 Dec 2020 • Monthly SIP Installment: Rs. 2000/-
3. Memorandum & Articles of Associa- • TopUp Amount: Rs.100/- • TopUp Frequency: Yearly
tion P
Installment From Date To Date Monthly SIP SIP Top-Up SIP Amount
4. Trust Deed P No(s) Installment Amount (`) with TOP-UP
5. Bye-laws Amount (`) (`)
P
1 to 12 7-Jan-16 7-Dec-16 2000 100 2100
6. Partnership Deed P 13 to 24 7-Jan-17 7-Dec-17 2100 100 2200
7. Overseas Auditors’ Certificate P 25 to 36 7-Jan-18 7-Dec-18 2200 100 2300
8. Notarised Power of Attorney P 37 to 48 7-Jan-19 7-Dec-19 2300 100 2400
9. Foreign Inward Remittance Certif- 49 to 60 7-Jan-20 7-Dec-20 2400 100 2500
icate in case of payment is made
by DD from NRE/FCNR A/c where P Variable TOP-UP: With this option, investor can increase SIP amount at regular interval, TOP-UP
applicable amount will be based on the percentage (%) opted by investor of SIP amount. For said option
10. PAN SIP TOP-UP frequency is at half yearly and yearly basis. The minimum TOP-UP percentage (%)
P P P P P P P
should be 10% and in multiple of 5% thereof. Also the TOP-UP amount will be rounded off to the
11. Know Your Customer (KYC) P P P P P P P nearest highest multiple of Rs.10.
*For FIIs copy of the SEBI registration certificate should be provided. In case of corporates or individual Please view below illustration for Variable TOP-UP:
investors, all the necessary documents are to be submitted along with the application.
• SIP Tenure: 07Jan 2015 to 07 Dec 2020 • Monthly SIP Installment: Rs. 2000/-
g) Investors opting for the Automatic Encashment Plan (AEP) option (under ICICI Prudential Regular
• TopUp percentage: 10% • TopUp Frequency: Yearly
Savings Fund, ICICI Prudential Ultra Short Term Fund & ICICI Prudential Long Term Bond Fund) are
requested to choose either the AEP-Regular option or the AEP Appreciation Option. The investor Installment From Date To Date Monthly SIP SIP Top-Up SIP Top-UP SIP Amount
has the option of selecting either Monthly/Quarterly/Half Yearly sub option under the Appreciation No(s) Installment Amount round off with TOP-
Amount (`) (10%) (`) Amount (`) UP (`)
Option. In case investor has selected multiple options under AEP, the default option would be
AEP Regular option, and the default sub option under Appreciation Option would be Monthly. 1 to 12 7-Jan-16 7-Dec-16 2000 N.A N.A 2000
13 to 24 7-Jan-17 7-Dec-17 2000 200 200 2200
h) Ultimate Beneficial Owners(s) [UBO(s)]: Pursuant to SEBI Master Circular No. CIR/ISD/
AML/3/2010 dated December 31, 2010 on Anti Money Laundering Standards and Guidelines 25 to 36 7-Jan-18 7-Dec-18 2200 220 220 2420
on identification of Beneficial Ownership issued by SEBI vide its Circular No. CIR/MIRSD/2/2013 37 to 48 7-Jan-19 7-Dec-19 2420 242 240 2660
dated January 24, 2013, investors (other than Individuals) are required to provide details of 49 to 60 7-Jan-20 7-Dec-20 2660 266 270 2930
UBO(s). In case the investor or owner of the controlling interest is a company listed on a stock Investor can either opt for Fixed Top-up facility or Variable Top-up facility under SIP Top-up.
exchange or is a majority owned subsidiary of such a company, the details of shareholders or In case, Investor opts for both the options, than Variable top-up feature shall be triggered.
beneficial owners are not required to be provided. In case the TOP UP facility is not opted by ticking the appropriate box and/or frequency is
Non-individual applicants/investors are mandated to provide the details on UBO(s) by filling not selected, the TOP UP facility may not be registered.
up the declaration form for ‘Ultimate Beneficial Ownership’ which is available on our website In a scenario where investor selects multiple % option under variable SIP Top-up plan,
www.icicipruamc.com or at any of the Investor Service Centre (ISC) of ICICI Prudential Mutual higher percentage will be considered.
Fund.
Other Information:
i) FATCA and CRS Details: Tax Regulations require us to collect information about each investor’s SIP TOP UP will be allowed in Micro SIP folio subject to condition that the total investment
tax residency. In certain circumstances (including if we do not receive a valid self-certification including SIP TOP UP does not exceed Rs. 50,000/- in a rolling 12 month period or a financial
from you) we may be obliged to share information on your account with the relevant tax authority. year i.e. April to March, the limit on Micro SIP investments.
If you have any questions about your tax residency, please contact your tax advisor. Further if
The investor agrees to avail the TOP UP facility for SIP and authorize his/her bank to execute the
you are a Citizen or resident or green card holder or tax resident other than India, please include
NACH/SI for a further increase in installment from his/her designated account.
all such countries in the tax resident country information field along with your Tax Identification
Number or any other relevant reference ID/ Number. If there is any change in the information TOP-UP CAP:
provided, promptly intimate the same to us within 30 days. (i) Cap Amount: Investor has an option to freeze the SIP Top-Up amount once it reaches a
j) All the switch request received on the last day of the NFO scheme shall be reversed and credited fixed predefined amount. The fixed pre-defined amount should be same as the maximum
back to the source scheme, in case the scheme is aborted due to not meeting Minimum Target amount mentioned by the investor in the bank mandate. In case of difference between the
amount or Minimum No. Of Investors. Cap amount & the maximum amount mentioned in bank mandate, then amount which is
lower of the two amounts shall be considered as the default amount of SIP Cap amount
k) This form can be used for making one or more investments.
(ii) Cap Month-Year: It is the date from which SIP Top-Up amount will cease and last SIP
V. SYSTEMATIC INVESTMENT PLAN (SIP) installment including Top-Up amount will remain constant from Cap date till the end of SIP
a) For availability of Systematic Investment Plan (SIP) Facility, please refer to the Key Scheme tenure.
Features and also refer to Instruction No.VI (a) for mode of payment for SIP through PDCs. Investor shall have flexibility to choose either Top-Up Cap Amount OR Top-Up Cap Month-Year.
b) Investors opting for the SIP Facility, need to fill the Common Application Form. If the payment In case of multiple selection, Top-Up Cap Amount will be considered as default selection.
option is NACH/SI, investor also need to fill & sign the SIP registration cum mandate form. In case of non selection, the SIP variable Top-Up amount will be capped at a default amount
c) The Second SIP installment amount and the subsequent SIP installment amounts should be of of Rs.10 lakhs.
the same amount. However, the First SIP installment need not be of the same amount as Second SIP amount will remain constant from Top-Up Cap date/amount till the end of SIP Tenure.
and Subsequent SIP installments amount. (i) Registration of OTM/Bank Debit Mandate Facility: As an investor I/we hereby request
d) Investors/unitholders subscribing for SIP are required to submit SIP request at least 30 days prior you to register me/us for availing the facility of OTM/Bank Debit Mandate and carrying out
to the date of first debit date and SIP start date shall not be beyond 100 days from the date of transactions of additional purchase/redemption/switch in my/our folio through Call Centre and/
submission of SIP application. or also authorize the distributor(s) to initiate the above transactions on my/our behalf. In this
regard, I/we also authorize the AMC, on behalf of ICICI Prudential Mutual Fund (Mutual Fund)
e) In case of SIP with payment mode as NACH/SI, the investors are required to submit a cancelled
to call/email on my/our registered mobile number/email id for due verification and confirmation
cheque or a photocopy of a cheque of the bank account for which the debit mandate is provided.
of the transaction(s) and such other purposes. The mobile number provided in the common
f) For exit load structure under the Schemes, please refer to the Key Scheme Features. application form will be used as registered mobile number for verification and confirmation
g) Please issue post dated cheques for the respective SIP dates. A credit confirmation will be sent of transactions. If the transaction is delayed or not effected at all for reasons of incomplete or
to the unit holder indicating the new balance to his or her credit in the account. incorrect information or non-confirmation/verification of the transaction due to any reason, I/we
shall not hold AMC, Mutual Fund, its sponsors, representatives, service providers, participant
For cheques drawn from locations as determined by ICICI Prudential Asset Management Company banks responsible in this regard. The AMC would not be liable for any delay in crediting the
Ltd. (the AMC) from time to time and notified on its website www.icicipruamc.com scheme collection accounts by the Service Providers which may result in a delay in application
1. Option 1: The First SIP installment should be paid through a Demand Draft payable at of NAV. I/We hereby confirm that the information/documents provided by me/us in this form
places where the Official Points of Acceptance of Transaction of the AMC are located. All are true, correct and complete in all respect. I/We hereby agree and confirm to inform AMC
the other installments should be through post dated cheques for the respective SIP dates. promptly in case of any changes. I/We interested in receiving promotional material from the
However, investors are required to submit SIP request at least 30 days prior to the date of

64
 AMC via mail, SMS, telecall, etc. If you do not wish to receive, please call on tollfree no. 1800 transactions, it is advisable to register all such accounts, as the investments/subscriptions
222 999 (MTNL/BSNL) or 1800 200 6666 (Others). received from the said multiple accounts shall be treated as 1st party payments.
VI. MODE OF PAYMENT Refer Third Party Payment Declaration form available on our website www.icicipruamc.com or
in ICICI Prudential Mutual Fund branch offices.
a) The cheque/demand draft should be drawn in favour of ICICI Prudential “Scheme Name” for
example ICICI Prudential Liquid Plan, as the case may be and crossed “Account Payee Only”. f) NRI/FII/PIO Investors
1. Repatriation basis: Payments by NRIs / FIIs / Persons of Indian Origin (PIOs) residing abroad,
b) Separate Cheques / Demand Drafts are required for each scheme in which an investor invests.
may be made either by way of Indian Rupee demand drafts or cheques by means of (i) inward
c) Payments by Stock-invests, cash, postal orders, money orders, outstation cheques and Non CTS remittance through normal banking channels; (ii) or out of funds held in NRE/FCNR accounts
will not be accepted. payable at par and payable at the cities where the Customer Service Centres are located.
d) Bank charges for outstation demand drafts will be borne by the AMC and will bear the demand In case of Indian Rupee drafts purchased or cheques issued from NRE/ FCNR Account, an
draft charges subject to maximum of Rs.50,000/-. Outstation Demand Draft has been defined account debit certificate from the bank issuing the draft confirming the debit should also be
as a demand draft issued by a bank where there is no ISC available for Investors. In case of any enclosed. In case the debit certificate is not provided, the AMC reserves the right to reject
multiple investments (more than three) in same scheme & transaction date, the DD charges will the application of the NRI investors.
not be reimbursed. 2. Non Repatriation basis: NRIs or people of Indian origin residing abroad investing on a non-
The AMC reserves the right to refuse the reimbursement of demand draft charges, in case of repatriable basis may do so by issuing cheques/ demand drafts drawn on a Non-Resident
investments made by the same applicant(s) through multiple applications at its own discretion, Ordinary (NRO) account payable at the cities where the Customer Service Centre’s are
which will be final and binding on the investor. located.
Investors residing at places other than where the AMC Customer Service Centers/ Collection 3. FIRC certificate: In case of investments by Non Resident Indians (NRIs), if FIRC certificate
Centers are located are requested to make the payment by way of demand draft(s) after deducting was not submitted, CAMS/AMC will not provide FIRC outward letters to banks.
bank charges as per the rates indicated in the table below. It may be noted that additional charges,
if any, incurred by the investor over and above the levels indicated above will not be borne by VII. NOMINATION
the Fund. a. Investors need to mandatorily submit either the nomination or the declaration for opting out of
nomination for individuals applying for / holding units on their own behalf singly or jointly else
Amount of Investment Rate of Charges of Demand Draft(s) the application is liable to be rejected.
Upto Rs.10,000/- At actual, subject to a maximum of Rs. 50/- b. You may nominate persons to receive the Units/amounts standing to your credit payable in the
Above Rs.10,000/- Rs. 3/- per Rs. 1000/- event of death of the Unit Holder(s) in respect of investment under a folio. In case Unit holder do
not wish to nominate, please tick the declaration for non-intention to nominate in this form or
Maximum Charges Rs. 50,000/- submit the signed Declaration form seperately available in our website www.icicipruaamc.com
No demand draft charges will be reimbursed by the Fund for purchase of Units by investors c. Non-individuals including society, trust, body corporate, partnership firm, Karta of Hindu Undivided
residing at such locations where the Customer Service Centers/ Collection Centers of the AMC Family, holder of Power of Attorney cannot nominate. All joint holders need to sign the nomination
are located. form. Nomination is not allowed in case the first applicant is a minor. Nomination form cannot be
The AMC will not accept any request for refund of demand draft charges, in such cases. signed by Power of Attorney (PoA) holders.
The demand draft charges will not be reimbursed for ICICI Prudential Liquid Fund, ICICI Prudential d. Nomination will be registered where nomination is made by a sole proprietorship as the proprietor
Short Term Plan, Prudential ICICI Short Term Gilt Fund, ICICI Prudential Floating Interest Fund is providing his/ her personal pan card for KYC and all the details are of the individual itself.
and ICICI Prudential Money Market Fund. e. All payments and settlements made to such nominee and signature of the Nominee acknowledging
e) Third Party Payments : Investment/subscription made through Third Party Cheque(s) will not receipt thereof, shall be a valid discharge by the AMC / Mutual Fund / Trustees.
be accepted. Third party cheque(s) for this purpose are defined as: f. A minor can be nominated and in that event, the name, relationship and address of the guardian
(i) Investment made through instruments issued from an account other than that of the of the minor nominee shall be provided by the unit holder. Guardian of the minor should either
beneficiary investor, be a natural guardian (i.e. father or mother) or a court appointed legal guardian. Nomination can
also be in favour of the Central Government, State Government, a local authority, any person
(ii) in case the investment is made from a joint bank account, the first holder of the mutual fund
designated by virtue of his office or a religious or charitable trust.
folio is not one of the joint holders of the bank account from which payment is made.
g. The Nominee shall not be a trust (other than a religious or charitable trust), society, body corporate,
Third party cheque(s) for investment/subscription shall be accepted, only in exceptional
partnership firm, Karta of Hindu Undivided Family or a Power of Attorney holder. A non-resident
circumstances, as detailed below:
Indian can be a Nominee subject to the exchange controls in force, from time to time.
1) Payment by Parents/Grand-Parents/related persons on behalf of a minor in consideration h. Nomination in respect of the units stands withdrawn upon the transfer of units.
of natural love and affection or as gift. However, this restriction will not be applicable
i. Every new nomination for a folio/account will overwrite the existing nomination.
for payment made by a guardian whose name is registered in the records of Mutual
Fund in that folio. j. Transfer of units in favour of a Nominee shall be valid discharge by the Asset Management
Company (AMC) against the legal heir.
2) Payment by Employer on behalf of employee under Systematic Investment Plans or
k. The cancellation of nomination can be made only by those individuals who hold units on their
lump sum/one-time subscription through Payroll deductions.
own behalf, singly or jointly and who made the original nomination and the request has to signed
3) Custodian on behalf of a Foreign Institutional Investor (FII) or a client. by all the holders.
The above mentioned exception cases will be processed after carrying out necessary checks l. On cancellation of the nomination, the nomination shall stand withdrawn and the AMC shall not
and verification of documents attached along with the purchase transaction slip/application be under any obligation to transfer the units in favour of the Nominee.
form, as stated below: m. Investors who want to make multiple nominations (Maximum 3) need to fill the separate Multiple
(1) Determining the identity of the Investor and the person making payment i.e. mandatory Nomination Form available on www.icicipruamc.com and submit it to the AMC. Separate form
Know Your Client (KYC) for Investor and the person making the payment. is available on www.icicipruamc.com and submit it to the AMC.
(2) Obtaining necessary declaration from the Investor/unitholder and the person making the n. Nomination can be made for maximum number of three nominees. In case of multiple nominees,
payment. Declaration by the person making the payment should give details of the bank the percentage of allocation/share in whole numbers and without decimals in favour of each of
account from which the payment is made and the relationship with the beneficiary. the nominees should be indicated against the name of the nominees. Such allocation/ share
(3) Verifying the source of funds to ensure that funds have come from the drawer’s account should total to 100 percent. In the event of the Unit holder(s) fail to indicate the percentage of
only. allocation/share for each of the nominees, the Fund/ AMC, by invoking default option shall settle
the claim equally amongst all the nominees.
The Schemes will accept payment of any amount from any donor for making investment in the
Schemes on behalf of a minor. However, the following conditions have to be fulfilled: o. In case of multiple nominees, on the death of one or more nominee, the transmission of units
shall be made in favour of the remaining nominee(s).
1) Investment is made in the name of a minor.
2) Mandatory KYC for the investors and the person making the payment i.e. third party. VIII. DIRECT CREDIT OF IDCW/REDEMPTION: ICICI Prudential AMC had entered into an arrangement
3) Submission of Third Party declaration form(s) by persons other than the Registered Guardian. with certain banks; such as Citibank N.A., HDFC Bank, AXIS Bank, HSBC and ICICI Bank, for direct
Please contact the nearest Investor Service Centre (ISC) of the Fund or visit our website credit of redemption and IDCW proceeds if the investors have a bank mandate in any of the specified
www.icicipruamc.com for the said Declaration Form. banks. However, the Fund reserves the right to issue a payment instrument in place of this electronic
payment facility, and will not be responsible for any delay on the part of the bank for executing the
4) Submission of all documents as applicable for making investment in these Schemes.
direct credit. The AMC may alter the list of the banks participating in direct credit arrangement from
ICICI Prudential Asset Management Company Limited (the AMC) reserves a right to
time to time / withdraw direct credit facility from the banks, based on its experience of dealing with
seek information and/or obtain such other additional documents other than the aforesaid
any of these banks or add / withdraw the name of the bank with which the direct credit facility
documents from third party for establishing the identity of the Third Party, before processing
arrangements can be introduced/ discontinued, as the case may be.
such applications.
In case of investment/subscriptions made via Pay Order, Demand Draft, Banker’s cheque, RTGS, IX. E-MAIL COMMUNICATION:
NEFT, ECS, bank transfer, net banking etc. Following additional checks shall be carried out: (a) As per circular no. SEBI/HO/IMD/DF2/CIR/P/2018/92 issued by SEBI on Go Green Initiatives for
(1) If the investment/subscription is settled with pre-funded instruments such as Pay Order, Mutual Funds, we have been asked to seek your confirmation to continue to receive the Scheme-
Demand Draft, Banker’s cheque, etc., a Certificate from the Issuing banker must accompany wise Annual Report or Abridged Summary in physical mode since your email id is not registered
the purchase application, stating the Account holder’s name and the Account number with us.
which has been debited for issue of the instrument. The funds should be debited from a (b) Delivering service through the internet & web-based services such as e-mail is a more efficient
pre-registered pay in account available in the records of the Mutual fund, or from the account delivery channel. When an investor has provided an email address, the same will be registered
of the first named unit holder. Additionally, if a pre-funded instrument issued by the Bank in our records for eDocs and will be treated as your consent to receive, allotment confirmations,
against cash, it shall not be accepted for investments of Rs.50,000/- or more. Such prefunded consolidated account statement/account statement, annual report/abridged summary and any
instrument issued against cash payment of less than Rs.50,000/- should be accompanied statutory / other information as permitted via electronic mode/email. These documents shall be
by a certificate from the banker giving name, address and PAN (if available) of the person sent physically in case the Unit holder opts/requests for the same. It is deemed that the Unit holder
who has requested for the demand draft. is aware of all the security risks associated with online communication, including the possibility
(2) If payment is made by RTGS, NEFT, ECS, bank transfer, etc., a copy of the instruction to of third party interception of the documents sent via email. The Mutual Fund / Registrars are not
the bank stating the account number debited must accompany the purchase application. responsible for email not reaching the investor and for all consequences thereof. The Investor
The account number mentioned on the transfer instruction should be from pay in account shall from time to time intimate the Mutual Fund / its transfer agents about any changes in the
available in the records, or from the account of the first named unit holder. email address. In case of a large document, a suitable link would be provided and investor can
Investors are requested to note that AMC reserves right to have additional checks of verification download, save and print these documents. However, the investor always has a right to demand
for any mode of payment received. AMC reserves the right to reject the transaction in case a physical copy of any or all the service deliverables, and the Fund would arrange to send the
the payment is received in an account not belonging to the first unit holder of the mutual fund. same to the investor.
The AMC / Trustee reserve the right to send any communication in physical mode.
In case of investors with multiple accounts, in order to ensure smooth processing of investor

65
X. KNOW YOUR CUSTOMER (KYC) NORMS: With effect from 1st January, 2011, KYC (Know Distributors are advised to ensure that the sub broker affixes his/her ARN code in the column
Your Customer) norms are mandatory for ALL investors for making investments in Mutual Funds, separately provided in addition to the current practice of affixing the internal code issued by
irrespective of the amount of investment. Further, to bring uniformity in KYC process, SEBI has the main ARN holder and the EUIN of the Sales Person (if any) in the EUIN space.
introduced a common KYC application form for all the SEBI registered intermediaries. With effect Investors are requested to note that EUIN is applicable for transactions such as
from 1st January 2012, all the new investors are therefore requested to use the Common KYC Purchases,Switches, Registrations of SIP/STP/Trigger/IDCW Transfer Plan and EUIN is not
application form to apply for KYC and mandatorily undergo In Person Verification (IPV) requirements applicable for transactions such as Installments under SIP/STP/SWP/EBT Triggers, IDCW
with SEBI registered intermediaries. Individual client who has registered under Central KYC Records Reinvestments, Redemption, SWP Registration, Zero Balance Folio creation and installments
Registry (CKYCR) has to fill the 14 digit KYC Identification Number (KIN) in application form as per under IDCW Transfer Plans.
AMFI circular 135/BP/68/2016-17. For Common KYC Application Form please visit our website Investors are requested to note that EUIN is largely applicable to sales persons of non individual
www.icicipruamc.com. ARN holders (whether acting in the capacity of the main distributor or sub broker). Further,
XI. TRANSACTION CHARGES EUIN will not be applicable for overseas distributors who comply with the requirements as
Pursuant to SEBI Circular No. Cir/ IMD/ DF/13/ 2011 dated August 22, 2011 transaction charge per AMFI circular CIR/ ARN-14/12-13 dated July 13, 2012.
per subscription of Rs.10,000/- and above may be charged in the following manner: XIII. SIGNATURES : The signature(s) should be in English or in any of the Indian languages specified
i. The existing investors may be charged Rs.100/- as transaction charge per subscription of in the eighth schedule of the constitution of India. Applications on behalf of minors should be signed by
Rs.10,000/- and above; their Guardian. Thumb impressions must be attested by a Magistrate or a Notary Public or a Special
ii. A first time investor may be charged Rs.150/- as transaction charge per subscription of Executive Magistrate under his/her official seal. Applications by minors should be signed by their
Rs.10,000/- and above. guardians. In case of a Hindu Undivided Family (HUF), the Karta should sign on behalf of the HUF.
There shall be no transaction charge on subscription below Rs. 10,000/- and on transactions If the application form is signed by a Power of Attorney (PoA) holder, the form should be accompanied
other than purchases/ subscriptions relating to new inflows. by a notarised photocopy of the PoA. Alternatively, the original PoA may be submitted, which will be
returned after verification. If the PoA is not submitted with the application, the Application Form will
In case of investment through Systematic Investment Plan (SIP), transaction charges shall be rejected. The POA should contain the signature of the investor (POA Donor) and the POA holder.
be deducted only if the total commitment through SIP amounts to Rs. 10,000/- and above. The
In case of corporates or any non-individual investors, a list of authorised signatories should be
transaction charges in such cases shall be deducted in 4 equal installments.
submitted along with Application form or in case of any change in the authorised signatory list, the
However, the option to charge “transaction charges” is at the discretion of the distributors. AMC / Registrar must be notified within 7 days.
Investors may note that distributors can opt to receive transaction charges based on ‘type of
In case of application under POA or by a Non-Individual (i.e. Company, trust, society, partnership
the Scheme’. Accordingly, the transaction charges would be deducted from the subscription
firm etc.) the relevant POA or the resolution should specifically provide for/authorize the POA holder/
amounts, as applicable.
authorized signatory to make application/ invest moneys on behalf of the investor.
Transaction charges shall also be deducted on purchases/subscriptions received through Signature mismatch cases: While processing the redemption / switch out request in case the AMC/
non-demat mode from the investors investing through a valid ARN holder i.e. AMFI Registered Registrar come across a signature mismatch, then the AMC/ Registrar reserves the right to process
Distributor (provided the distributor has opted-in to receive the transaction charges) in respect the redemption only on the basis of supporting documents (like copy of passport, driving license
of transactions routed through Stock Exchange(s) platform viz. NSE Mutual Fund Platform etc.), confirming the identity of the investors.
(“NMF-II”) and BSE Mutual Fund Platform (“BSE STAR MF”).
The aforesaid transaction charge shall be deducted by the Asset Management Company from XIV. As per the RBI circular “Introduction of Legal Entity Identifier for Large Value Transactions
the subscription amount and paid to the distributor, as the case may be and the balance amount in Centralised Payment Systems” vide notification RBI/2020-21/82 DPSS.CO.OD
shall be invested in the relevant scheme opted by the investor. No.901/06.24.001/2020-21 dated 5th January 2021. RBI vide this notification has decided to
introduce the LEI system for all payment transactions of value INR 50 crore and above undertaken
However, upfront commission to distributors will be paid by the investor directly to the by entities (non-individuals) using Reserve Bank-run Centralised Payment Systems viz. Real Time
distributor, based on his assessment of various factors including the service rendered by Gross Settlement (RTGS) and National Electronic Funds Transfer (NEFT).
such distributor.
From April 1, 2021, 20-digit Legal Entity Identifier (LEI) information is included while initiating
Transaction Charges shall not be deducted if: any transaction of value INR 50 crore and above by entities (non-Individual).
• Purchase/Subscription made directly with the fund through any mode (i.e. not through any
distributor/agent).
• Purchase/ subscription made in demat mode through stock Exchange, irrespective of
investment amount.
CAS/ Statement of account shall state the net investment (i.e. gross subscription less
transaction charge) and the number of units allotted against the net investment.
XII. EMPLOYEE UNIQUE IDENTIFICATION NUMBER (EUIN) : Investors procuring advisory
services from non Individual distributors are requested to note that EUIN would assist in tackling
the problem of misselling even if the employee/relationship manager/sales person leave the
employment of the distributor.

66
 ICICI Prudential Mutual Fund Official Points of Acceptance
• Agra: Shop No. 2 & 9, Block No. 54/4, Ground Floor, Nehru Place, New Delhi, PIN - 110019, Delhi • Delhi Maharashtra • Mumbai (Kalyan): Unit no.7, Vikas
Prateek Tower, Sanjay Palace, Agra-282 010, PIN - (NSP): Shop No.112, First Floor, Plot No. C 123, PP Heights, Santoshi Mata Road, Kalyan West, PIN -
282010, Uttar Pradesh • Ahmedabad: Shop No 2 & 3, Tower, Netaji Subhash Palace, Pitampura, New Delhi., 421301, Maharashtra • Mumbai (Malad): Ground
Ground Floor, 323 Corporate Park, Umashankar Joshi PIN - 110034, Delhi • Delhi: 1201-1212, 12th Floor, Floor, 301, Pai Mansion, 5, Padma Nagar, Ramachandra
Marg, Nr Girish Coldrink, C.G Road Ahmedabad, PIN - Narian Manzil, 23, Barakambha Road, Connaught Lane, Evershine Nagar, Malad West, PIN - 400064,
380009, Gujarat • Allahabad: 1st floor, FF-1, FC2, Place, New Delhi, PIN - 110001, Delhi • Durgapur: Maharashtra • Mumbai (Thane): Ground Floor,
Vashistha Vinayak Tower, 38/1, Tashkent Marg, Civil Lokenath Mansion, Mezzainine Floor, Shahid Khudiram Mahavir Arcade, Shop No 4&5, Ghantali Devi Mandir
Lines, Prayagraj, PIN - 211001, Uttar Pradesh • Sarani, City Centre, Durgapur, PIN - 713216, West Road, Naupada, Thane West, PIN - 400602,
Ambala: Plot no.5318/2 and 5314/1, Ground floor, Bengal • Faridabad: SCF-38, Ground Floor, Sector-19, Maharashtra • Mumbai (Virar): Shop no A1, Ground
Near B.D. High School, 3 Cross Road, Ambala Cantt, Market-2, Faridabad, Haryana, PIN - 121002, Haryana • Floor, Dhaiwat Viva Swarganga, Aghashi Road, Virar
Ambala, Haryana, PIN - 133001, Haryana • Amritsar: Ghaziabad: Unit No. C-65, Ground Floor, Raj Nagar West, Dist Palghar, PIN - 401303, Maharashtra •
SCO-30, Ground Floor, Ranjit Avenue, B-Block, District Center, Ghaziabad, Uttar Pradesh, PIN - 201002, Mumbai: Shop No. 4,5,6,7, Ground Floor, Suchitra
Amritsar, Punjab, PIN - 143008, Punjab • Anand: First Uttar Pradesh • Gurugram: Unit No. 125, First Floor, Enclave, Maharashtra Lane, Borivali, Mumbai, PIN -
Floor, Shop No 109, 110, Maruti Sharnam Complex, Vipul Agora, M.G Road, Gurugram, Haryana, PIN - 400092, Maharashtra • Mumbai: 2nd Floor, Brady
Vallabh Vidyanagar, Anand Gujarat, PIN - 388001, 122002, Haryana • Guwahati: Ground Floor, Jadav House, 12/14, Veer Nariman Road, Fort, Mumbai, PIN
Gujarat • Asansol: Shop A & B, Block - A, Apurba Bora Complex, G. S. Road, M Dewan Path, Ulubari, - 400001, Maharashtra • Mumbai: Block B-2, 2nd
Complex, Senraleigh Road, Apcar Garden, Near AXIS Guwahati, Assam, PIN - 781007, Assam • Gwalior: Floor, Nirlon Knowledge Park, Western Express
Bank, Asansol, PIN - 713304, West Bengal • The Empire, 1st Floor, Unit No. F-04, 33, Commercial Highway, Goregaon East, Mumbai, PIN - 400063,
Aurangabad: Ground Floor, Unit no. 137-B, Samarth Scheme, City Center, Gwalior - MP, PIN - 474009, Maharashtra • Mysore: No 230/1, New CH 13, First
Nagar, Aurangabad, PIN - 431001, Maharashtra • Madhya Pradesh • Hyderabad (Begumpet II): Ground Floor, 12th Main Road, 5th Cross, Saraswathipuram,
Bangalore (Jayanagar): 311/7, Ground Floor 9th Main, & First Floor, No.1-10-72/A/2, Pochampally House, Mysore, PIN - 570009, Karnataka • Nagpur: Shop No
5th Block, Jayanagar, Bangalore, PIN - 560041, Sardar Patel Road, Begumpet, Hyderabad, PIN - 1,2,3, Ground Floor of Cross wind, City Survey no 597,
Karnataka • Bangalore (Koramangla): AARYAA Centre 500016, Telangana • Indore: Unit no G3 Ground Floor, Mauza Ambazari, North Ambazari Road, Gandhi Nagar,
No. 1 MIG, 1st floor KHB Colony, 1A Cross, 5th Block, and unit no 104, 1st Floor, Panama Tower, Manorama Nagpur, PIN - 440010, Maharashtra • Nashik: Shop
Koramangala, Bengaluru, PIN - 560095, Karnataka • Ganj Extn, Near Crown Palace Hotel, Indore, PIN - No.3&4, Ground Flr, Plot No.57, Karamakala, New
Bangalore (Malleshwaram II): Ground Floor, Lakshmi 452001, Madhya Pradesh • Jabalpur: Ground Floor, Pandit Colony, Opp. Old Muncipal Corporation
Arcade, no. 298/1, 17th Cross 2nd Main Road, Sampige Unit no.112/113, Plot no. 42/B3, Napier Town, Opp (N.M.C.), Off. Sharanpur Road, Nashik, PIN - 422002,
Road, Malleshwaram, Bengaluru, PIN - 560003, Bhawartal garden, Jabalpur, PIN - 482001, Madhya Maharashtra • Navi Mumbai: Vardhaman Chambers,
Karnataka • Bangalore (Ulsoor Road): Unit # 101-104, Pradesh • Jaipur: D34, Ground Floor, G-Business park, Shop No 15 B & C, Plot no 84, Sector 17, Vashi, Navi
First Floor, Phoenix PIN -nacle, # Ulsoor Road, Subhash Marg, C-Scheme, Jaipur, Rajasthan, PIN - Mumbai, PIN - 400705, Maharashtra • Navsari: 1st
Bangalore - 560042, PIN - 560042, Karnataka • 302001, Rajasthan • Jalandhar: Unit no.22, Ground Floor, Unit no 106 Prabhakunj Heights, Sayaji, Station
Bankura: Ground Floor, Vani Vihar, 74/A, Natunchati, Floor, City Square Building, EH 197, Civil Lines, Road, Opp ICICI Bank, Navsari, PIN - 396445, Gujarat •
PO & District Bankura West Bengal, PIN - 722101, West Jalandhar, PIN - 144001, Punjab • Jamnagar : Ground Noida: Unit No. K-20, First Floor, Sector-18, (NEXT TO
Bengal • Bharuch: 108 & 107-Nexus Business Hub, Floor, Unit no 2&3, Bhayani Mansion, Gurudwara AXIS BANK), Noida, PIN - 201301, Uttar Pradesh •
City Surve Ward no.1, City Serve No. 2513, Paiki, Road, Jamnagar, PIN - 361001, Gujarat • Jamshedpur: Panipat: 510-513, Portion of First Floor, Ward-8, Opp.
beside Rajeshwaar Petrol Pump, opp Pritam Society-2, Padmalaya, 18 Ram Mandir Area, Ground Floor, Bhatak Chowk, G.T.Road, Panipat, PIN - 132103,
Mojampur, Bharuch, PIN - 392001, Gujarat • Bistupur, Jamshedpur, Jharkhand, PIN - 831001, Haryana • Panjim: Office no.3, 1st Floor, Landmark,
Bhavnagar: Office No F1, 1st Floor, Gangotri Plaza, Jharkhand • Jodhpur: Plot No.3,First Floor, Shindhi Lawande-Sarmalkar Bhavan, Panaji-Goa Street, Opp.
Opp Daxina Murti School, Waghwadi Road, Bhavnagar, Colony Near Jodhpur Hospital Shastri Nagar, Jodhpur, Mahalaxmi Temple, PIN - 403001, Goa • Panvel: Shop
PIN - 364002, Gujarat • Bhopal: Ground Floor, Kay Kay PIN - 342003, Rajasthan • Kalyani: B- 9 / 14 (C.A), 1st no 5 & 6, Ground Floor, Neel Empress, Plot no 92 93,
Business Center, Ram Gopal Maheshwari, Zone 1, Floor, Central Park, P.O. Kalyani, Dist Nadia, West Sector No.1, New Panvel, PIN - 410206, Maharashtra •
Maharana Pratap Nagar - Bhopal, MP, PIN - 462011, Bengal, PIN - 741235, West Bengal • Kanpur (Kan Patiala: SCO No.64, Ground Floor, leela Bhawan,
Madhya Pradesh • Bhubaneshwar: Plot No – 381, Chambers II): Unit No. 1, Ground Floor, 14/113, Civil Commercial Complex, Supplementary Town Planning
Khata – 84, MZ Kharvel Nagar, (Near Ram Mandir) Dist Line, Kan Chamber, Kanpur, Uttar Pradesh, PIN - Scheme, Patiala, PIN - 147001, Punjab • Patna: 1st Flr,
– Khurda, Bhubaneshwar, Odisha, PIN - 751001, 208001, Uttar Pradesh • Kanpur: Unit No. G-5, Sai Kashi Palace, Hariniwas, Dak Bungalow Road, Patna,
Odisha • Bhuj: Ground Floor - 43, Jubilee Colony, Square, 16/116, (45), Bhargav Estate, Civil Lines, PIN - 800001, Bihar • Pune (CAMP): Shop No.6,
Jubilee Circle, Near Phone Wale, Bhuj - Kutch, Bhuj Kanpur, PIN - 208001, Uttar Pradesh • Kolhapur: First Ground Floor, Chetna Co-operative Housing Society
Gujarat, PIN - 370001, Gujarat • Chandigarh: 1st Floor, Floor, Anand Plaza, 1089, E ward, Rajaram Road, Near Ltd, 2423, general Thimayya marg, Camp, Pune, PIN -
SCO - 137-138, F.F., Sec-9C, Chandigarh, PIN - 160017, ICICI Bank, Kolhapur, PIN - 416008, Maharashtra • 411001, Maharashtra • Pune (Pimpri): Unit No.A 19,
Punjab • Chennai (Anna Nagar): First Floor, A wing, Kolkata (Apeejay House): Ground & 3rd Floor, Block A, No.4510- Ground Floor, Empire Estate Bldg, Premier
Kimbarley Tower, Y222, 2nd Avenue, Anna Nagar, Apeejay House, 15 Park Street, Kolkata, PIN - 700016, City, Pune, PIN - 411019, Maharashtra • Pune: Ground
Chennai, PIN - 600040, Tamilnadu • Chennai (Ashok West Bengal • Kolkata (Dum Dum): 1st Flr, Siddheswari Floor, Chimbalkar House, 1205/4/6, Opp Sambhaji
Nagar): Unit 2E, at New Door Nos43 & 44/ Old Nos Garden, 181-Dum Dum Road, Kolkata, PIN - 700074, Road, Jungli Maharaj Road, Pune, PIN - 411004,
96&97, 11th Avenue, Ashok nagar, Chennai, PIN - West Bengal • Kolkata (South): Flat no.1A, 1st floor, Maharashtra • Raipur: Shop No. 10,11 & 12, Ground
600083, Tamilnadu • Chennai (Tambaram): Door No 1/393, Gariahat Road, (South), P.S. - lake, Kolkata, PIN Flr, Raheja Towers, jail Road, Raipur, PIN - 492001,
24, Ground Floor, GST Road, Tambaram Sanitorium, - 700068, West Bengal • Kolkata: Howrah (Dalhousie): Chattisgarh • Rajkot: Shop No 2 3 4 & 5 Madhav
Chennai 600 047, PIN - 600047, Tamilnadu • Chennai: Room No. 208, 2th Floor, Oswal Chambers, 2, Church Arcade, opp Garden, Nr RMC Commissioner
Abithil Square, No. 189, Lloyds Road, Royapettah, Lane, Kolkata, PIN - 700001, West Bengal • Lucknow: Bungalow, Ram Krishna Nagar Main Road, Rajkot, PIN
Chennai, PIN - 600014, Tamilnadu • Cochin: Parambil Regency Plaza, Ground and First Floor, 5 Park Road, - 360001, Gujarat • Shimla II: Unit No.21, First Floor,
Plaza, Ground & First Floor, Kaloor Kadavanthra Road, Lucknow. UP, PIN - 226001, Uttar Pradesh • Ludhiana: The Mall, Shimla, PIN - 171001, Himachal Pradesh •
Kathrikadavu, Ernakulam, Cochin, PIN - 682017, Kerela SCO-121, Ground Floor, Feroze Gandhi Market, Siliguri: Ground Floor, Shanti Square, 2nd Mile, Sevok
• Coimbatore: Ground Floor, No:1, Father Rhondy Ludhiana, PIN - 141001, Punjab • Mangalore: Maximus Road, Siliguri, West Bengal. 734001, PIN - 734001,
Street, Azad Road, R.S.Puram, Coimbatore, PIN - Commercial Complex, Upper Ground flr II 3 & 4, Light West Bengal • Surat: Shop no 2, Ground Floor, Solaris
641002, Tamilnadu • Dehradun: Aarna Tower, Shop House Hill Road, Mangalore, PIN - 575001, Karnataka • Royce, Opp Old RTO, Besides AGS Eye Hospital,
No C, Ground Floor, 1- Mahant Laxman Dass Road, Margao: Upper Ground Floor, Vasant Arcade, Unit No. Athwagate, Surat, PIN - 395007, Gujarat • Trivandrum:
Dehradun Uttarakhand, PIN - 248001, Uttarakhand • US20, Near Popular High-School, Comba, Madgaon, TC 15/1926, Near Ganapathy Temple, Vazhuthacaud,
Delhi (Chawri Bazar): Unit no 3504 to 3509, 2nd Floor, PIN - 403601, Goa • Moradabad: Plot No.-409, 1st Thiruvananthapuram, PIN - 695014, Kerela • Udaipur:
Chawri Bazar, Delhi, PIN - 110006, Delhi • Delhi floor, Gram Chawani, near Mahila Thana, Civil Lines, Shop no.2, Ratnam, Plot No.-14, Bhatt Ji Ki Badi,
(Connaught Place): Unit No. 6 & 7, Ground Floor, Moradabad, PIN - 244001, Uttar Pradesh • Mumbai Udaipur, PIN - 313001, Rajasthan • Vadodara: Unit No.
Narain Manzil, 23, Barakhamba Road, Connaught (Andheri): Shop No.1, Vivekanand Villa Co-Op 108/109/110, 1st Floor, Midtown Heights, Opp BOB,
Place, New Delhi, PIN - 110001, Delhi • Delhi (Dwarka): Housing Society Ltd, 139, Opp. HDFC bank, Swami Jetalpur Road, Vadodara, PIN - 390007, Gujarat •
Unit No. G-95, Ground Floor, Vegas Mall, Next to Axis Vivekanand Rd, Andheri West, Mumbai, PIN - 400058, Valsad : Unit no.A1 & A2, Ground Floor, Zenith Doctor
Bank, Sector-14, Dwarka, New Delhi, PIN - 110075, Maharashtra • Mumbai (Bandra West): Ground and Hosue, Halar Cross Road, Valsad, Gujarat, PIN -
Delhi • Delhi (Janakpuri): Unit No. 108, First Floor, First Floor, Unit no 3 and 13, Esperanza, Linking Road, 396001, Gujarat • Vapi: Third Floor, Unit no 301, Bhula
Mahatta Tower, 54, Community Center, B-Block, Bandra West. Mumbai, PIN - 400050, Maharashtra • Laxmi Business Center, Vapi Silvasa Road, Opp DCB
Janakpuri, New Delhi, PIN - 110058, Delhi • Delhi Mumbai (Ghatkopar II): Unit No. 1, Ground Floor, RNJ Bank, Vapi, PIN - 396191, Gujarat • Varanasi:
(Nehru Place): Unit no. 17-24, S-1 Level, Ground Floor, Corporate, Plot no 9, Jawahar Road, Opp Ghatkoper D-58/12A-7, Ground & 1st Floor, Sigra, Varanasi, Uttar
Block F, American Plaza, International Trade Tower, Rly Station, Ghatkopar East, Mumbai, PIN - 400077, Pardesh, PIN - 221010, Uttar Pradesh
Toll Free Numbers: (MTNL/BSNL) 1800222999 ; (Others) 18002006666 • Website: www.icicipruamc.com
Other Cities: Additional official transaction acceptance points (CAMS Transaction Points)
• Agartala: 2nd Floor, 60 Hari Ganga Basak Road, PS Aligarh: Shop No. 2, Ground Floor, Regency Complex, District- Azamgarh, Uttar Pradesh, Pin 276001, Uttar
West Agartala, District West Tripura, Pin 799001, Shyam Nagar, Center Point, Railway Station Road, Pradesh • Balasore: OT Road, Police Line chowk, plot
Tripura • Ahmedabad (Maninagar - DET): Shop No 2, Aligarh, Uttar Pradesh, Pin 202001, Uttar Pradesh • no.52 (khata no. 299/604), PO Padhuapada, Baleshwar,
First Floor, Devang Society, Opposite Rajkamal Bakery, Alwar: No. 2, Opposite UIT Building, Near Bhagat Odisha, Pin 756001, Odisha • Bardoli: Shop no 4,
Above Axis Bank Bhairavnath Road, Jawahar chowk, Singh Circle, HDFC Bank Lane, Alwar, Pin 301001 , Laxmi House, M G Road, Bardoli, Gujarat, Pin 394601 ,
Maninagar, Ahmedabad, Pin 380008, Gujarat • Rajasthan • Amravati: Ground Floor, Karwa Gujarat • Bareilly: Unit No.: 116, Floor No. 1st ,
Ahmednagar: Unit no. 11-12, Govardhan Apartment, Commercial, Beside Dr. Panjabrao Deshmukh Urban Location: Civil Line, Bareilly (U.P.), Pin 243001, Uttar
Near Market Yard, Maliwada, Ahmednagar, Pin 414001, Bank , New Irwin Square, Amravati, Pin 444602, Pradesh • Behrampore: Ground Floor, Dharma Nagar,
Maharashtra • Ajmer: Unit No. 2&3, KC Complex, Maharashtra • Amreli: Shop No 2 & 3, Jay Sardar Lane 5, Berhampur, District - Ganjam Odisha, Pin
711/4, Opposite Daulat Bagh, Ajmer, Pin 305001, Complex, Manekpura Opp HDFC Bank, Amreli, Pin 760002, Odisha • Belgaum: Shop No.2 of Ravishree
Rajasthan • Akola: Shop 4, 5 in Shree Swami Arcade, 365601, Gujarat • Ankleshwar: Shop no G-6, Shree Building, No. 79-B, Ground Floor, Somwarpeth
Plot No, 8A, Sheet No 76A, Jatharpet, Akola Narmada Arcade, Old N.H.8 Road, Nr Kotak Mahindra Tilakwadi, Belgaum Karnataka, Pin 590006, Karnataka
Maharashtra, Pin 444005, Maharashtra • Alappuzha Bank, Ankleshwar, Pin 393002, Gujarat • Azamgarh: • Bellary: Gnananandam No.2 02, 1st Cross, Gandhi
(Allepey): Ground Floor, Indigra Building, Church Aniruddha Tower, Ground Floor, Mohalla Ailwal, Nagar, Opp ASM Women’s College, Ballari, Pin 583103,
Road, Mullakkal, Alappuzha, Pin 688011, Kerela • Tappa-Attishee, Pergana-Nizamabad, Tehsil-Sadar, Karnataka • Bhagalpur: Hakim Devi Prasad Bhawan,

67
 Other Cities: Additional official transaction acceptance points (CAMS Transaction Points) (Contnd.)
Holding No. 65A and 65B, ward no.38. Dr Rajendra Baug, Collage Road, Junagadh, Pin 362001, Gujarat • Madhya Pradesh • Saharanpur: Plot No. 144, Ground
Prasad road Khalifabag, Bhagalpur, Bihar, Pin 812001, Kangra: Ground Floor, S S Tower, Village Birta, Khata Floor, Dara Pathanpura, Mission Compound, (Near
Bihar • Bhatinda: Unit no.9959, Main G.T. Road, No.23, Khasra No. 1069/1, 1701/1 & 1070/1, Near Parasnath Plaza), Saharanpur, Pin 247001, Uttar
adjoining ICICI Bank Ltd, Bhatinda, Pin 151001, Punjab Petrol Pump, Kangra, Pin 176001, Himachal Pradesh • Pradesh • Salem: ICICI Prudential AMC Ltd. Ground
• Bhillai: Shop no.107, A&B, Buniyad Complex, Nehru Kannur: Ground Floor, No. 47/2535-1, Jayaram’s Floor, D.No.259-B, Shiva Towers, Advaida Ashram Rd,
Nagar east, (Near Agrasen Chowk), Bhilai, Dist - Durg, Arcade, AKG - Stadium Road, Next to MAKS Hospital, Fairlands, Salem, Pin 636004, Tamilnadu • Sambalpur:
Chattisgarh, Pin 490020, Chattisgarh • Bhilwara: Talap, Kannur, Pin 670002, Kerela • Karnal: DSS Shop Samal Complex, Ground Floor, Shop no. 1,2 & 3, main
Kashra No. 2742/4 Me, Ground Floor, Shop No.5, No.211, Sector-12, Urban Estate Karnal, Tehsil and Road, Budharaja, PS-AINTHAPALI, Sambalpur, Pin
Shree Mahalaxmi Chamber, Near Sandeep Bajaj District Karnal, Pin 132001, Haryana • Kharagpur: 768004 , Odisha • Sangli: Shop no 6 and 7, Ground
Showroom, Pur Road, Gandhi Nagar, Bhilwara, Pin Ground Floor, Sai Complex, O.T. Road, Inda, floor, Aditya Sai Landmark, Civil Hospital Road, Near
311001, Rajasthan • Biharshariff (Rohtas): Mohalla, Kharagpur, Dist West Mednipur, Pin 721305, West Ram Mandir, Sangli, Pin 416416, Maharashtra •
Bhaishasaur, Ranchi Road, Bihar Shariff, Nalanda, Pin Bengal • Kolkata (Saltlake): 1st Floor at Premises No. Satara: Ground Floor, Plot no.221, Pawar Pride, Pratap
803101, Bihar • Bikaner: Unit no. 5,6 &7, Ground BD-15, Sector-1, Saltlake, Kolkata, Pin 700064, West Ganj Peth, Opp SBI, Satara, Pin 415002, Maharashtra
Floor, Silver Square Building, in front of Income Tax Bengal • Kolkata (Trinity): Trinity Building, Ground • Satna: Ground Floor, Shop no.1, Ward no 21,
office, Rani Bazar, Bikaner, Pin 334001, Rajasthan • Floor, 226/1 A.J.C Bose Road, Kolkata, (Mohan Motor Jeevan Jyoti Colony, Rewa Road, Satna. MP, Pin
Bilaspur: 1st Floor, Shriji Plaza, Beside Kotak Mahindra Building & Near Mintoo Park Crossing) West Bengal, 485001, Madhya Pradesh • Shillong: Main Road
Bank, Near Shiv Takies Square, Bilaspur, Chattisgarh, India, Pin 700020, West Bengal • Kollam: Door No. Laitumkhrah, Phlory Mansion, 1st Floor, 2nd Row,
Pin 495001, Chattisgarh • Bokaro: Office No-GA7, 16,Ground Floor, Aravind Chamber, Near DCC office Shop No. 18. Shillong-3, Dist - East Khasi Hills,
City Centre, Sector – 4, Bokaro Steel City, Bokaro, MUNDAKKAL West, Kollam, Pin 691001, Kerela • Meghalaya (Covered by Municipal Holding No. 212,
Jharkhand, Pin 827004, Jharkhand • Burdwan: Korba: Indira Commercial & Residential Centre, Plot 213 under Ward No, 4), Pin 793003, Meghalaya •
Ground Floor, G.T. Road East end Muchipara, Burdwan No 86, Satyam Orcade, Ward No. 13, T.P. Nagar, Korba, Shimoga: Ground Floor, no.321, P Square, 5th Parallel
Sadar, Purba Burdwan, West Bengal. PIN 713103, Chattisgarh, Pin 495677, Chattisgarh • Kota: Unit Road, Durgigudi, Shimoga, Pin 577201, Karnataka •
West Bengal • Calicut: 6/842, “Charismaa Building” No.381-382, Shopping Center, Rawat Bhatta Road, Sirsa: Garg Tower, First Floor, Opposite AROMA
Opp. ICICI Bank, YMCA Road Calicut, Pin 673001, (Near IDBI Bank), Kota, Pin 324006, Rajasthan • HOTEL, Dabwali Road, Sirsa, Haryana, Pin 125055,
Kerela • Chennai (Alwarpet): 4A 1st Flr, Urmilla Kottayam: Pulimoottil Arcade Ground Floor, Haryana • Solan: Kapoor Complex, Lower Ground
House, No.15 ARK Colony, Eldams Road, Alwarpet, K.K.Road, KANJIKUZHY, Kottayam, Kerala, Pin Floor, Mall Road, Solan, Pin 173212, Himachal Pradesh
Chennai, Pin 600018, Tamilnadu • Chennai (OMR): 686001, Kerela • Kumbakonam: 137, Gandhiadigal • Solapur: Ground Floor, Shop No 2, Rajgir Building,
Kailash OMR, Door #292, Old Mahabalipuram Road, Salai, 1st Floor, Kumbakonam, Pin 612001, Tamilnadu 96 Railway Lines, Opposite St Joseph High School,
Sholinganallur, Chennai, Pin 600119, Tamilnadu • • Kurnool: Ground Floor, Shop No: 1, 2, 3, Door No: Solapur, Pin 413001, Maharashtra • Sonipat: Unit No.
Cuttack: Room 2A 2nd Floor, City Mart, Above Vishal 40/39 & 40/39-3-1A, Bangurpet, Bellary Road, Kurnool, 23L, First Floor, Above Kivam Motors, Atlas Road,
Garments Bajrakabati Road, Cuttack, Pin 753001, Pin 518001, Andhra • Latur: Ground floor, Madhu Model Town, Sonipat, Haryana, Pin 131001, Haryana •
Odisha • Darbhanga: Gr Flr, Raj complex, Near Poor Mira Complex, Desi Kendra School Road, Opp. Sri Ganganagar: Shop no 96 & 97, Ground Floor, new
Home, Station Road, Behind Sahil Hyundai Dolphin Hotel, Shivajinagar, Latur, Pin 413512 , cloth Market, Suratgarh road, National Highway
Showroom, Mirzapur, Dt. Darbhanga, Bihar, Pin Maharashtra • Madurai: No.1 First Floor, Suriya No.15, Sri Ganganagar, Rajashtan, Pin 335001,
846004, Bihar • Davangere: Ground Floor, Door no. Towers, 272/273 - Goodshed Street, Madurai, Pin Rajasthan • Srinagar: 1st floor above ICICI Bank,
172 & 172/1, P.J.Extension, 2nd Main, Chetna Hotel 625001, Tamilnadu • Mahesana: Unit no F-28/29, First Karan Nagar, Near Gole Market, Srinagar, J & K, Pin
Road, Davangere, Pin 577002, Karnataka • Delhi (East Floor, Orbit Complex, Randhanpur Road, Mahesana, 190010, Jammu and Kashmir • Surendranagar: Mega
Of Kailash II): Crescent Commercial Complex, Plot Pin 384002, Gujarat • Malappuram: UMK Tower, Mall, 102 FF, Bus Stand Road, Surendranagar, Pin
no.5, 3rd Floor, DDA East of Kailash Community Building no: 110(Q), 110Q (32), No: 10/77, Jubliee 363001, Gujarat • Thiruvalla: Roy Building, Ground
center, New Delhi, Pin 110065, Delhi • Delhi (Vikas Road, Uphill Malappuram, Pin 676505, Kerela • Floor, No. 24/420, Valayil, Court Junction, Thiruvalla,
Marg): Unit no.6, 1st Floor, Opposite Metro Pillar No. Malda: Room No. 3, Ground Floor, 76/A Sarbomongala Pin 689101, Kerela • Thrissur: Sree Lakshmi Building
75, Shankar Vihar, Main Vikas Marg, Delhi, Pin 110092, Pally, Manoskamona Road, Near Kabi Sukanta Corner, (K.A. kumaran Memorial Building) Shornur Road, P.O.
Delhi • Deoria: Unit No. 781(Old No. 437), Kotwali Pin 732101, West Bengal • Mandi: Unit No. 118/9, Thiruvambady, Pin 680022, Kerela • Tinsukia: Albee’s
Road, First Floor, (Above SBI Bank), Deoria, Uttar Lower Ground Floor, Old Bus Stand, Mandi, Pin Commercial Complex, Ground Floor, S R Lohia Road,
Pradesh, Pin 274001, Uttar Pradesh • Dhanbad: Upper 175001, Himachal Pradesh • Mathura: Shop Left Tinsukia, Assam, Pin 786125, Assam • Tirunelveli:
Ground Floor, Shop No-8,9,10 &10A, Sri Ram Mall, Lower Ground, Atul Tower, Near tera Tower, Door No.256G, First Floor, Tiruchendur Road,
Shastri Nagar, Dhanbad, Pin 826001, Jharkhand • Bhuteshwar Road, Mathura, Pin 281001, Uttar Pradesh murugankurichi, Palayamkottai, Tirunelveli, Pin
Dhule: Unit no.2, 1st Floor, Bafna House, Parola Road, • Meerut: 1st Floor, Shree Ram Plaza Mangal Pandey 627002, Tamilnadu • Tirupati: Manoj Complex Door
Above PNG Jewellers, Dhule, Pin 424001 , Nagar, Garh Road, Meerut, Pin 250001 , Uttar Pradesh No. 20-1-207/1, Tirumala byepass Rd, maruti Nagar,
Maharashtra • Erode: Shivang Plaza, Mousavana • Mirzapur: Unit no 7/337, Ground Floor, Swami Tirupati, Andra Pradesh, Pin 517501, Andhra •
street, oppsite to E.B. office, Erode, Pin 638001, Dayanand Marg, Girdhar Ka Chauraha, Mahuaria, Tirupur: Ground Floor, Door no.23, Block no24, Balaji
Tamilnadu • Faizabad: Unit no. 2/4/30, Plot No. 141, Near Arya Kanya Inter College, Mirzapur Uttar Layout, Tirupur, Pin 641601, Tamilnadu • Trichy:
Ground Floor, Rekab Ganj, Faizabad, Pin 224001, Uttar Pradesh, Pin 231001, Uttar Pradesh • Mohali: Unit No D-27, 7th Cross Road, Thillai Nagar, Trichy, Pin 620018,
Pradesh • Firozabad: 20, S N Marg, Novelty Glass SCO 662, Ground Floor, Sector -70, Mohali, Punjab, Tamilnadu • Tuticorin: Ground Floor, No. 332, WGC
Works, Firozabad, Uttar Pradesh, Pin 283203, Uttar Pin 160071, Punjab • Mumbai (Andheri): 309/310, A Road (VOC Road), Melur Post, Thoothukudi, Pin
Pradesh • Gandhidham: Shop no 6, Ground Floor, Wing, 3rd Flr, Bonanza, Sahar Complex, J B nagar, 628002, Tamilnadu • Udupi: Ground Floor, Door no
Aum Corner, Plot no. 336 / 337/343, ward 12/B, Andheri east, Mumbai, Pin 400059, Maharashtra • 4.5.10, Ballal Towers, Court Road, Near Jodukatte,
Gandhidham, Pin 370201, Gujarat • Gandhinagar: Mumbai (Thane): 2nd Floor, Unit no. 207, Excellencia Udupi, Pin 576101, Karnataka • Ujjain: Unit no 59,
Ground Floor Plot no 281, Sector 16, Near Swagat Lodha Supremus, Plot no. F4/1, Road No.22, Wagle Ground Floor, Plot no 90, Ward no. 38, Tatya Tope
Hotel, GH Road, GH Bus Depot, Gandhinagar, Pin Industrial Area, Thane West, Pin 400604 , Maharashtra Marg, Free Ganj, Ujjain-Madhya Pradesh, Pin 456001,
382016, Gujarat • Gaya: Vijaya Complex, Ground • Mumbai: One BKC, A - Wing, 13th Floor, Bandra Madhya Pradesh • Vadodara (CEC): 101 & 102 ( N )
Floor, Gewalbigha, Gaya, Bihar, Pin 823001, Bihar • Kurla Complex, Mumbai, Pin 400051, Maharashtra • 1st Floor, Sneh Signature, Tulsidham Makarpura
Gorakhpur: Shop No. UGF 1-4, Ground Floor, Cross Muzaffarnagar: Unit No 414, Ground Floor, Jansath Road, Nr Tulsidham Cross Road, Manjalpur Vadodara,
Road, Bank Road, Situated at A.D.College Chowk, Road, Kambal Wala Bagh, New Mandi Near ICICI Bank Pin 390011, Gujarat • Vasco: Unit no 105 and 106,
Goarkhpur, Pin 273001, Uttar Pradesh • Guntur: Door Ltd, Muzaffarnagar, Pin 251001, Uttar Pradesh • First Floor, Anand Chambers, Opp SBI Bank Vasco Da
No 6/11/14, Ground Floor, 11th Lane, 2nd Cross Road, Muzaffarpur: Ground floor, pani Tanki chowk, Club Gama, Vasco, GOA, Pin 403802, Goa • Vellore:
Arundelpet, Guntur, Andhra Pradesh, Pin 522002, Road, Ramna, Muzaffarpur, Pin 842002, Bihar • Lingam Plaza, Door No. 104, Ground Flr, Arani Road,
Andhra • Haldwani: Shop No 4, First Floor, Durga City Nadiad: Unit No. 103, 1st floor, City Centre, Beside Sankarampalayam, Vellore, Pin 632001, Tamilnadu •
Center, Bhotia Parao , Haldwani, Nainital, Uttarakhand, City Point, Opp Ipcowala Hall, Nadiad, Pin 387001, Vijaywada: 40-1-129, 2nd Floor, Centurion Plaza,
Pin 263139, Uttarakhand • Haridwar: Khasra No.656M Gujarat • Nagercoil: Ashrama Towers 285/14/3 Police Beside ICICI Bank, Near Benz Circle, M G Road,
657M, Ground Floor, Ashirwad Tower, Model Town Station Road, Near Nagaraja Temple, Nagercoil, Pin Vijaywada, Pin 520010, Andhra • Vishakhapatnam:
Colony, Opp Prem nagar Ashram, Pargana-Jwalapur, 629001, Tamilnadu • Nanded: 1st Floor, Shop No -19, Sai Grace 1st Floor, Door No 47-9-19, 3rd Lane,
Haridwar, Pin 249407, Uttarakhand • Himmatnagar: Sanman Prestige, Station Road, Nanded, Pin 431601, Dwarka Nagar, Vishakapatnam, Pin 530016, Andhra •
Shop no. 7, 8 & 9, Rajendra Sinh Maharaj Rajput Samaj Maharashtra • Palakkad: KHOLE COMPLEX Ground Warrangal: Shop No. 24, Hno.5-9-36&37/24, 1st Floor,
Bhavan, Panchbatti Station Road, Himmatnagar Floor, Chandra Nagar Post, Palakkad, Pin 678007, BVSS Mayuri Complex, Opp Public Gardens, Lashkar
Gujarat, Pin 383001, Gujarat • Hisar: House/DSB no Kerela • Palanpur: Shop No 6 & 7, First Floor, New Bus Bazar, Hanam Konda, Warangal, Pin 506001, Telangana
112, Sector C.U.E.-I, Hisar, Pin 125001, Haryana • Port, Nr Sarkari Vasahat, Opp Tirupati Plaza, Palanpur, • Yamunanagar: Model Town, First Floor, Near Nehru
Hooghly: 37, Mukherjee Para Lane, Serampore, West Pin 385001, Gujarat • Pathankot: Revenue Estate, Park, Yamunanagar Jagadhri, Pin 135003, Haryana
Bengal, Pin 712201, West Bengal • Hoshiarpur: Dhami SCF-12, First Floor, patel Chowk, Pathankot, tehsil & addition to the existing Official Point of Acceptance of
Comercial Complex, 1st Floor, Sutheri Road, Distt, Pathankot, Punjab, Pin 145001, Punjab • Patna transactions, Computer Age Management Services
Hoshiapur, Punjab, Pin 146001, Punjab • Hosur: VG (Rajabazar): 1st Floor, Rajabazar, Bailley Road, Prabhat Ltd. (CAMS), the Registrar and Transfer Agent of ICICI
Towers, Ground Floor, No: 40/5, Royakotta Road, 1st Market Building, (Opposite Pillar No. 56), Patna, Pin Prudential Mutual Fund, having its office at New No
Cross, Hosur, Pin 635109, Tamilnadu • Hubli: Shop 800014, Bihar • Porbander: Shop no.2, Ground Floor, 10. Old No. 178, Opp. to Hotel Palm Grove, MGR Salai
no.1 & 2, South wing, Ground Floor, Sona Chambers, Gitanjali Complex, Opp Pujara Telecom, M.G. Road, (K.H.Road), Chennai - 600 034 shall be an official point
Club Road, Hubli, Pin 580020, Karnataka • Hyderabad Porbander, Pin 360575, Gujarat • Puducherry: Ground of acceptance for electronic transactions received
(HiTech City): Srishiti Towers, Door No.1-98/2/11/3, Floor, No.172/2, Oulgaret Commune, Natesan Nagar, from the Channel Partners with whom ICICI Prudential
1st Floor, Shop No.3, Arunodaya Colony, Hi-tech city, Pondicherry, Pin 605005, Puducherry • Rajahmundry: Asset Management Company Limited has entered or
Madhapur, Hyderabad, Ranga Reddy District, Pin Door No. 6-7-7, Vadrevuvari Street, T Nagar, may enter into specific arrangements for all financial
500081, Telangana • Hyderabad: 3rd Floor, H. No. Rajahmundry, Pin 533101, Andhra • Ranchi: Shop no. transactions relating to the units of mutual fund
1-8.303/30, Sindhi Colony, PG Road, Secunderabad, 204, 2nd Floor, Shrilok Complex, 4HB Road, Ranchi, schemes. Additionally, the secure Internet sites
Pin 500003, Telangana • Jalgaon: Ground Floor,Trade Pin 834001, Jharkhand • Ratlam: Unit no.18, Datki operated by CAMS will also be official point of
Center, Plot no 243/1,Near Jalgaon People’s Bank, Puliya, Do Batti - Ratlam, Madhya Pradesh, Pin 457001 acceptance only for the limited purpose of all channel
Jalgaon, Pin 425001, Maharashtra • Jammu: Unit no. , Madhya Pradesh • Rohtak: Unit No.: 31, Ground partners transactions based on agreements entered
101, First Floor, South Block A2, Bahu Plaza Shopping Floor, Ashoka Plaza, Rohtak, Haryana, Pin 124001 , into between IPMF and such authorized entities. In
Center, Jammu, Pin 180020, Jammu and Kashmir • Haryana • Roorkee: Shop No.10, Ground Floor, City addition to the existing Official Point of Acceptance of
Jaunpur: Unit No. 88 (Old No. 62), Ground Floor, Pride, Civil Line, Roorkee. Uttarakhand, Pin 247667 , transactions, authorized Points of Service (POS) of
Mohalla Jahangeerabad, Parg Haveli, Tehsil & District Uttarakhand • Rourkela: Holding no-74 (old no-72), MF Utilities India Private Limited (MFUI) shall be an
Jaunpur, Pin 222002, Uttar Pradesh • Jhansi: Unit No. Uditnagar Main Road, Plot no. 304, (beside meher eye official point of acceptance for all financial and non-
372/A, Janaki Complex, Portion of First Floor, Civil hospital), Rourkela, Odisha, Pin 769012, Odisha • financial transactions. The updated list of POS of
Lines, Gwalior Road, Jhansi, Pin 284001, Uttar Pradesh Sagar: Ground Floor, Poddar House, Plot no 7, Ward MFUI is available on www.mfuindia.com. The online
• Junagadh: Unit no 3, Ground Floor, Platinum 2, Moti 6, 2- Civil Lines, Sagar, Madhya Pradesh, Pin 470001, transaction portal of MFU is www.mfuonline.com.

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