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TATA SIP FUND - SCHEME | "AS. Marthe oes ended hybns scams) ISSUE OF UNITS OF TATA SIP FUND OF FACE VALUE OF RS. 10 EACH DURING THE NFO PERIOD Sr. No. fer complote scheme detaisiinatctons uve fling i appicaion form in Enghsh BLOCK LETTERS ree atl (2 whichever is applicable. strike ext whats not required GROREHAGENT CODE | SUSEROKER COE TPANK/ERANCH BANK SERIAL NO REGISTRATION NO. IARN-17636 ‘CHOOSE THE OPTION FOR WAKING INVESTMENTS [Swilsh Option inte Tata Pure Equly Fund (TPEF) on maturity (Refer inotuction G) CD crown (1 Dividend Tek tee fr Lond Foee As Satch fo TREF on competion of 0 months =] Gro 1 Grouth C7 Dividend Reinvostment [] Dividond Payout Defe Option : Groth Dofault Option : Growth UNITHOLDER INFORMATION Existing Folio No. (i any) Name of Fist Apolicant vin vaur name as Popes ip vous Pook Amoi ime as TANT MIN” Wefan Dy PAN MIN Seu ORI NR Encl) Cay of PAN Gd To Copy of MIN Daw Name of Guardian trea Sit Appice ie Mine PAN / MIN * Refs lism Dy PAN seus O81 Nat Encl] Cay of aN On Ceey of MN Em Conta Peson seta) Mating Acarece Email 1D of Fist Applicant 1 We Wish to receive Account Statement / Annual Report Otier communication through Ema in hau ofthe physical copy of the same] Yes C] No Contact Parfouars Teens Om a = = Reson I Mobile Tare you apring a= IDF esuont inaiiacer CY nRUWRG C] WAUNRE CY Tost O) Parner D) bor) Propratastip E] Pubic 13. co [5 wt. ut. co. 2) 20 E) on pono of winor C) Sovites C1 FI HUF C] Body corporate D FOF cthate ‘Overseas Address pStamioa te mating seoes) (0 Fin Gode Eaneesgcaseoneusrtey "ROR Hea eosupstor [Co Acreutore Cioweness Cisence (Irroressiona! Ci nousowte CI newed Cswden Comer Toe or Tsing Tat TE Anyone or Sunivor Default Option: Joint, Name of Second Apalcant PANT MIN ak lasmcion Dy PAN sous Oe Nat Fact) gy of aN Ca Eh cg or ain Thema Name of Third Apelicant PANT MIN Refs lasscion=D) PAN Stats ow Copy of MIN, Fam 607 6 TATA SIP FUND - SCHEME 1 HBR ferrari ooo” St. Now essed Tom Wr? Ma Trapani tr [RACOMRATRT STEP fulenase of unis of Tata SIP Fund » Scheme 1 (arse investment aroun) Re (Gupees in ) Gnegue Demand Gra cod ia on an. ane tor (Gnequeotrate are eject a rateaton) “NeKNOWLEDGEMENT SLIP ARN-17636 [aan - e Sos Nila use rou Far. W. , Rost, TATA SIP FUND - SCHEME | Sr. No. t Fer Pa Poa i= ‘Acknowledgement Stamp Reosived fom Mr. Me an apaication for purchaco of unite cf Tate SIP Fund Schome I (Grote invactment amoun’) Re {Fupoce in words, } Chesue / Demand Dratt No. ‘ated drawn co Bank Branch for Rs cheques / Brats are subject le ealcain ay pines bearers Computer Age anagemont Servicos PILI, CANS Unf Tata Mutual und TAD KaaamaKiom [rignstoac,Nungambatam,channal-c00US% by uatngr ratappicar nae, Agoleston sfNo Hath ct [APPLICATION MONEY DETAILS (Chelle | DO fo be drawn in the nam of “Tata SIP Fund - Schema 7) DD charges fo be horve by AWC (Rete Vstieton- By Gross amount ns TT TTP PTT] 28 cigs rs ray women: [TT TTT? tt tt) Goss investment (Re Wy WTS) Drawn on Bark _ ramen Ac No. NOMINATION Cater Nomines Name, CGuersien details (F nominee # a minor) Name & Ackess a Saad cen YOUR BANK ACCOUNT DETALS Wandalony) (Refer Matuction =) Bank account datas of First Unialder is required without which the application would be oected Rane of Your Bank Branch Your Aeseunt Na {eoUNE NO. Un WAFER) Bank Address ay Sat] om Ee ‘Account Type savings [| O cure | nro | Oonaye | Ch onre | C] Fcnr Example for ning [BOT ee the account number. [hr words Tine even roar | Sie Lone [ive Lh DIRECT CREDIT FACILITY FOR REDEMPTION / DIVIDEND Tot Nua Fund cect cedts he D wien Raseaption the invest Ban Account in cas the ccocurt is th ICICI Sank Ltd/HDFC Bank Lté/UTI Bonk IDBI Bonk Stansaid Chartered BanbKotsh Sanh HSH€ Bonk Deutsche Bank. provced fe Ne mentee igus or warts I/We underatar thet tne nefucionto th rk or Dect Cros £CS nl bo gen bythe Mutua Fund ana such insu wtb dacuatodeckarg of Mutual Fund fowerde eempfarviierr rrocreds, Incowe of bank ol aeiing rfc bank accien| whedon aastoning any reat tered crf te baneerton m Seber rel ete a itor festane of np feito, Pave wo red Ta Mal Pond expense Wea doen edn case acne hana aichaby elm Fa cares rowel nethea tae hn mundfecponsbe for tnctedt gurgto re Wrong assum, Fura, ie muval Fundtesene be rigieto eae a dara eavecyabe [spare in casts not peace make ayant by DUIECS,Pleace attach copy of Cheaue Cancelled Checus Ihonevor you wisn to rocoto chaque payout, loess Wekhete La TBOGUMENTS TO BE SUBMITTED [Please Hck (2) wiichaver i= appAcaUie) 1) D1 Memorandum 8 files of Accecaion Corporate) 2 E} Board Aescton (Corporate) 9) DD Atharised saat st 4) inst dea casera is) 5) E] Pamersnip teed fer parresp cn) €) E)copy a” Pi PAN eas & copy oF MN Letra untclders for mesinert of Rs, 50,0006 and stove) DECLARATION AND SIGNATURES aa ‘SIgnature(s) | Thumb impression(s) Th Tastes Teta etal Fas [Refer Instruction nurnber (4) ‘tanger dutdesan te const othecter Dan sete heehee Verb ‘Myubtens goraa Fe eatomo.1 We hereby docu bet he ancureimecteg nee |] Zt ‘cheme i tcuah titrate saue=s afr ard doo nat nvgve ard enc desbred tte |] Sole Fanescoriccmrmverion any Rus Regions Roigeabre r brectermctne |] Undteer Ptisons of eivowe tacks A Alon Laue tans Ar Como Lave of biter sppeades lan onasiea by he Gavement ct Pala ar tra to tne. 7s hae Udersled be dal ofha sete endl Vis haven rose no-one) fy seats oe, a hafecty Feng fs toda | We cent tha re Aitsinveedin le Scheme lojalybeenatome/ts Dikeavert Meow eur Guskrae’ || 20 Presses nt compel nye uno be san cf te Ae Ue eety acer |] Untnelder Beaute’ Brace he tn ised in ie Schoen ver of he gear appear HAY proving nike cts au redzrpen ard undotcing oun oer stn ‘fh St und hl maybe rues by he La. Formal ony: we srt stam fs are hen Seeton fan Netra orig fad Pat Ve rave roca ands tom apo INeuahaperovoa turns ena cre |] 3rd {has ney cur Nap Reston stim en ester Geary | PONE aoe Untrotaer FP sn tts ond mea ore no ed Dae: INVESTOR SERVICE CENTRES -AMC OFFICES CALLFREE: (-800-22-0101 ‘Bhubaneshnor: 674) 2500816 Dhonbad: ch 8417486, Durmepur Not: 3692241995, Cuma: Hob S84 75296 Jamshedpur (657) 27E6021 22/28/20, Koka: (23) Poaayite an 12 Paina (6) easOte, 2224 Rar (OPED sean Dadsoed Ranch OEY) PaNTOS 20008 gea: Hub aaNeeTeT a Alshabad: (a7) wT Ehandgar: (0172/0705 228800 Darradu: Net OHIZT277 Dein: | SsaAtON-0s. Jur OTs) OSI) 7eS000 Jeanpur Web D8 Kenpur (872 oN Lon 20 20am AHO. ua (os Otay NxndbiHi £007E8T7 Uap My) Mce4SeN Vas E32 S546 lh A! i. Ryderased 104} oos047 #8 eSGHREIO Maur OGM SAGO, NED: GHSULENEangolor: {82 HGiSCR Mysore: eb: 98200. Vyoywods: 09] 721 Vaakapaany Nk 8 c8e200 Thur Wabi, Sees0%t0 Hab (Oe O40. Sates et Voc O. ty. 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