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Common Application Form (@ Suinse! Investments APPLICATION NO: ‘Dinributor's Name & Code ‘Sulb-Broker Name & Code eitrar's Sera No Date Tine of Receipt ARN-17636 Sole et Aspeantpereoral tle ‘Name | Mr[ Ms Ps] } ee a] Enoned Plas 7) |] PANCand Copy |) RYE Acnowledgeent Letar® att nyt mmand (| Td Beart 0) Cas acer Sane Rear [reno Thame Cel ies Chand ewe Flscare Bremen Flosens [Jeune [IPE [Jott ae pc “Gearon Namo Fst peat sh) Contact Person caso Newel ar ni) Name tHe ee score Pee “) |] PAN Cand Cony [RVC Andgpa Let oweottett [tI (PA0E Campane neta er ett porn et etd urd a er) evento [ | country ot Reson? [ ‘Adress fr Correspondance? (PO, Box Advcse NOT afin, refr atrctn ) ci ° Ean Fm ata | Phone Mob L Recor Account Statement. Amal Reports en ther information tat by ema fer mstructon ) |_| We wish to ace pds wa SMS on my mata (7) C11 We nec to recone the above documents wa eral nad of phy mode. || We de nt who cea the above by ral Email | ‘Overseas Addron manstoryn cre of NRF ppicant mado te correspondence adres, ler tron O) iP Code Sate Couey State (Pmaee [Redon dal [ [Minor [Parts [Company [HUF] [ ]NRI[ [et [Soceey -/AOPZBON | JBan [J Oe Mode af Holding [Sue [Clare lAnyone or Sunivor (nae of more han oe pent, dala wl aan fo) [Name of the Scond Aoptcant [FFs] 1 panes Mondaror[ TT TT TT TT 1) Enctoned (Pease ¥) [__] PAN Card Copy |__| KYC Acknowledgement Lottr® Name ofthe Thind Applicant [Fe[PEFE] 1 panes cranasron) | T) EL LL) Enon Plone )[__]FAN Card Copy |_| RVC Acnowndpement Laer oA Holder's Details * Ose nvesene berg ade by a Const Acorn. ese farih Name and PAN of Po halen) [Name [Pe] Me) 1 pare esnon) LTT TET 1) Eni Pane 2) [| PAN Ca capy_ [AC Anta are “hytas gFOA ole) sng 508 nd abr we egret cae bea eer ean caer Mart iacraanon tn Sy fe a Plain AN cage ga poten cheeitercanel er aytsone te ation SFiraitadamuscgceeaic este im nc dttinaigh 000s eet Cay ACKNOWLEDGEMENT SUP (lots io by mc) ‘ARN-17636 —appLiCATION NO: [Note Tir Ackmrcament Sips fa you racecar provided onthe ern x contdrad tral APPLICATION NO: Recerwed from [Mr |Ms| Mis | seamen ores Shane = Omen Sian Oe Foam Sa Chap BO Soe oma ———————— | Dae Pot Note: Alps sis atc fanaa y/o ‘citi, Sire & Oe ARN-17636 Ae No CEE TTT TTT Je toe 9 caren 7 Savines CINRO® CINRES [1] Others orn sco fank Name | 1 rach Aes | [ee TrNcee TTT 1 mcrcede || rset | nertirsccete| | | (9 dgenumberneeeto you Cheave No) Peas ale provides ancl shoqus et fhe sare bank sceaut a mensoned bows Mantioning your RTGS IFSC Code oF NEFT IFSC Code, appcable wil help us transfor the amount to your bank account quicker slctronicay ‘Scheme Pan Option Scboption Dae Fresiency Investmen Arount (A) DD Charges (Re) (B)_NetAmeunt(Chesue/ DDarount) Fe) (Amnus 8) Mee of Payment I 1 1 | [Ficheque [DDT i Fand Tranter | ‘Avountinwonte | 1 Ghennsoone, ELL L iti} om) PPP itil) Cheaue/ DD Draw on Bark [ ] Branch [ J ein | ] weNol TL TL LL LL LL LL E11) Ae pe 0) learont [Save CINRO® [INRE® (For NR oestors) ANOATORY DECLARATION The et te ok cut reed soe porate nyo 2m be mur rae) 1 Ne He, yen wh ‘the bank accouehlder (7) Spouse JChld [Part [Relate [Sig [Fond [Ocho “Repcton Form whoa tis forint be isc |SSTEFATIC INVESTMENT FLAW (I) Investor an op for SF by ling SP / Pero SF Auta Dabe/ ECS fly Ragstaton cum Manges Form (RersewAuthereon to ret || Let of authorized gratonce wath specmen agri || Mamerandum & Aries of Azoeton (| rrt Deed Byodaws (|Parmercip Ded []Notarand POA Proof f Aes |_|Copy of PAN Car KC in cae of tnt >= Re $0200 ]P10 Car | Foreign Rare Carats | SIMro SP Fer We ad (aha cut whichever ot applet) do herby nana te undarmenaoned norinea() recive the uns allowed to myour edn my Fao mth evento my/our death: UW avo wndertand ta al payments ad 2Stlemere mae tosh nance) ackrontodggrecop roa sal ve charge bythe ata Fond ston! APC [Name and Aarons of Nominas()/ Guardian (i ease Nominee t3 Mino) First Nominee ‘Second Nemines “Third Nominee Nari and Adres ofthe Guardian on eve of minor) ‘Allocation 9 Date of Birth (in cane nominees a minor) ic ve edn net eck ote her tion Dvr) ate Sater of on nara Sen ht nd tra Whe ‘ina wvest Preventon of Honey Laundering Kew Your Casomar and vera Protect’ We has ape for ascot perchse of Une the chert) oe cad Saeaagey sae tte cst dept oe Sr) IMe ern tog teem ofr ee) or re rsd orn Induced ry rebate ge, dro or rcs maligne nvrtrar We horeby declare WW amar uence to rahe tenes a hes a a ‘Se tour mad nthe Schr) s throug peas sauen and doar nt nee a nat Sang or he purpose i any contravention ar asa Act usagi [Nestenson or Directors teed by any renntory nanan mina Ue hereby nuhorze Snel Maal Fane Shas es Managemen (in) Prat Lines (estat mana 1 Sh Pata Fan) anagem ty bank) StrosMual Fund bk) aor Diao Broker mae Aas Iie hoy, ‘Sea tar the dete prod by mae above tre tue an correct the utacton te daujed or not etd a ar reszone farmer cect fran We ou {rl Sm Pal Fae renee rg te epotnd grproner or rprnniesporate, The Ale fn dear a hsm he “amelor fom hes my/our NRE / FEN sexo Sol Fist Appear Gunn / POA Second Appeare “Thea Appeare

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