Bharti AXA Equity Fund

B AF h Eu a qn r t i Ai d Xy u t New Fund Offer Opens: September 4, 2008 New Fund Offer Closes: October 1, 2008** Scheme re-opens for continuous sale and re-purchase on: October 29, 2008. P FL SBA TL E A P ARK E L IA D L L , B T N L N (R I S EL F W BI I OT D E D MF A L S E LI EI A L N L S OE A A ) L LT C P H KO N CR M K E CT MY E D T O D * Please read the instructions carefully, before filling up the application form. Use this form If you are making the first time investment. AiN po pn lt o i c : a Registrar Serial No. Date/Time of Receipt 1 IT FT e tiN .S OR (eu o D R A fn o ) I B O NIr n T RI M r c 1 U N IR O s t Name & Agent Code NJ India Invest / ARN-0155 FF E O EN R UY OS F I C L O Sub-Agent Name & Code Bank/Branch Name & Serial No. 54934 ( e I sp meN& t S 7 el F t nssn F md t c ( e t . o i v , a tt o bo l e S D r n t l ei h u g y t x i go s e ee r o l n i oe i r r ooc e e c i n m h a i s ) 2 ME GO ot lni nelgers om rtiN .FTFI U D e pt a M dl a x F b fn o ) I R O NH N A D d oiw p t l u (eu o N I O NS N E t p e A X I L tai OI T T Rh c t ado i s i gN R r n a l s o f nbe i i H l e n oe I c 2 r ) e s t F. o lo i o N 3I TR (eu o . P I M fniN A N A et o ) P NT L F IRr n C O NI c 3 A Or s t NS rpt a o sln m/ p ee A o F i f l i t c a Mr. Ms. M/s. Date of Birth D D M M Y Y N A M E F I R S T N A M E L A S T M I D D L E N A M E PAN N SA t a ep mni e op o da f c ln c Mr. Attested PAN Proof enclosed KYC Compliant Status (Mandatory for Rs. 50,000 & above) (If yes, attach proof) : Date of Birth YES NO Ms. M/s. D D M M Y Y N A M E F I R S T N A M E L A S T M I D D L E N A M E PAN NT pt a hp mA er ln o fda i i c Mr. Attested PAN Proof enclosed KYC Compliant Status (Mandatory for Rs. 50,000 & above) (If yes, attach proof) : Date of Birth YES NO Ms. M/s. D D M M Y Y N A M E F I R S T N A M E L A S T M I D D L E N A M E PAN Attested PAN Proof enclosed KYC Compliant Status (Mandatory for Rs. 50,000 & above) (If yes, attach proof) : YES NO NG /co a u CP Relationship with MINOR mdo e ea n r# o i fr at s na n t Minors Date of Birth D D M M Y Y M I D D L E L A S T N A M E YES NO F I R S T N A M E N A M E PAN # Attested PAN Proof enclosed KYC Compliant Status (Mandatory for Rs. 50,000 & above) (If yes, attach proof) : Please mention the contact person in case of Non-indiviual Joint 1 Ml g oH do e d Single oi f n S t a t u s Anyone or Survivor NRI/PIO Minor ( Default) Company / Body Corporate NGO Trust Listed Company Government Body Partnership HUF Others Agriculturist Retired FIIs Bank / FI 1 Resident individual AOP / BOI Club / Society Defence Establishment Oi co cn u p a t Private Sector Service Housewife Student Public Sector / Government Service Forex Dealer Others Business Professional 4 A N T FT e tiN .RL 'CTR (eu o F P TN O NIro ) I S I S C M fn n T C OI P A A N IR c 4 A Or s t C n A o/ pt Box alone may not be sufficient) o d d f e A (P.O. r oe s osln r ed S t i e nr s ce li p p s F c r a City State O A # (mandatory for NRI/FII applicant). (P.O. Box alone may not be sufficient) v se e d r s d er a s s Pin code City Country Pin code # Document proof for foreign address to be provided (self certified copy of bank account statement/Passbook will serve as proof of address. Incase the documents are in foreign language, the same to be translated to English and certified by Govt. authorities in the country of residence or the Indian Embassy. CD Tel No. STD Code o e n t t a a i cl t s s t 1 a Mobile No. At p p ln i c n d 2c Mobile No. At p p ln i a r d 3 a Mobile No. At p p ln i c Res. Email ID* Email ID* Email ID* Off. Fax *Email ID compulsory for ECO Plan 5LMN A e tiN . A U I R (eu o E OI I NT fn o ) M N F I R r n (Investors in ECO Plan will be compulsorily communicated via Email only) I MO M r c 5 C C O NI t A T O s I/We wish to receive the following document via e-mail in lieu of physical document(s) [Please (? )] Account Statement News Letter Annual Report Other Statutory Information AiN po pn lt o i c : a A LM(To be filled in by the investor) C EEP K DT NG S OE L WN I Received from: Mr. / Ms. / M/s_______________________________________________ an application for allotment of units under Bharti AXA Equity Fund, Plan_________________________, Option _________________________ Cheque/DD No ________________________________________________________ Dated ____/____/________ Amount (Rs.) __________________ Drawn on Bank and Branch ______________________________________. Checklist Investments Details Bank Mandate Attested PAN Card Copy KYC Details Please note: All purchases are subject to realization of cheques/Demand Drafts. Collection Centre’s Stamp & Receipt Date and Time 6 A T I (eu oM-l b p ob t . N U L fniN ar e kcwe B C E Rt o ) n Ifa p ne e A O T e r n ( d f l , lt i r d K N Sr c 6 a CD A I t s *t o tn i i l e ) y A a l j c A/c Type [please ? ] Bank Name Account No Branch IFSC Code* MICR Code* City (mandatory for credit via NEFT/RTGS) (11 Character code appearing on your cheque leaf.) (9 Digit No. next to your Cheque Number) Saving Current NRO NRE FCNR Pin (aan e e o h P t bad e o u l eh clc / f q et l s c k l hC e a a c qp n e uy c) e Direct credit facility is available for redemption/dividend proceeds for investors having HDFC Bank Account. 7M (eu o . H T RtiN S D e ro ) C E fn n E A r c 7 EL I t I S s SN c a h m AXA Equity Fund e e m Bharti e: I st ne v n e I t n m Lumpsum SIP (please fill the Auto Debit Form) P l a n Regular Eco Institutional O p t i o n Growth Growth Growth Dividend Dividend Dividend Bonus Bonus Bonus DO iet v p i dn d i no Regular Regular Regular Quarterly Quarterly Quarterly D Si ie O v uo i dp d bn n t Reinvest Reinvest Reinvest Payout Payout Payout 8 M S A) fniN . S IR PT eu o S A NL Prt o ) Y TA T C F NR r n ET E ( ( I c 8 RS e s t From Bharti AXA Liquid Fund (only for existing investors in Liquid Fund) Plan Each Instalment Amount (In figures) Frequency (please ? ) Enrolment Period From Monthly STP Date : 1st 7th 10th 15th 20th 25th To Bharti AXA Equity Fund Plan Option Option Daily (On all Business Days only) STP shall not be executed if amount is less than Rs. 1000 and Rs. 300 for monthly and daily options respectively. D D M M Y Y Y Y To D D M M Y Y Y Y 9EA FY ? .V T FC D R A (Please to select this facility) (eu o I NS I I D EL D N R I T RtiN e ro ) fn n r c 9 I t s This facility is applicable only for Dividend Payout option and the unit holder chooses to transfer amount of the dividend receivable by them into the Bharti AXA Liquid Fund only. 1 S & T I(eu o 0 T P D RtiN .V N M L r ro 0 I M E A fn n ) NE A E e c 1 E TY T N SI t s Investment Amount Cheque/DD No Branch Name • DD Charges Cheque/DD Date Drawn on Bank Net Amount A/c Type [please ? Saving ] Current NRO NRE FCNR • Cs bvf s e. T a / u n cd ao be e h heoh m• hr O e o c ann lo e e o i ue n q unr ul edf o c a iP S s ta a t h m e er t d & qi b p das t r t y c w h l e t ns iab d e l e t c l e e. er t i i j c Se e nte f ve an s e e c / di q o t t c o c) p hd d ri r s i h f h a e e r s r i m pt e r aqm t u af u n n a e e n l hm d ea e 1 ITE(as t e f d it me tiN 1N T P ro sn o s oeeu o . M A s sh ii uth i ) fn o 1 N ID l e u c y n o a r r n ) OOI eo i t oo ntR c 1 A NS c t L so w n ( I t s I/We do hereby nominate the undermentioned Nominee to receive the Units alloted to my/our credit in my Folio in the event of my/our death. I/We also understand that all payments and settlements made to such Nominee and Signature of the Nominee acknowledging receipt thereof, shall be a valid discharge by the AMC/Mutual Fund/Trustees. Nominee's Name Mr. Ms. Relationship F U L L (Mandatory In case of Minor) Date of Birth D D M M Y Y N A M E Name of Guardian (In case Nominee is a Minor (Other than the Applicant)) Mailing Address City Pin 1L OS Re tiN*a f b p ob t 2A ANS r ro 2ar l l , p ne e . C N G ((eu o M- e kcwe D TNA ) fn n ) n Ifa lt i r d E I D UR c 1 R A IT E I t s ( d t o tn i i l e ) y A a l j c I/We have read and understood the contents of the Offer Document of the above Scheme of Bharti AXA Mutual Fund including the section on “Who cannot invest” and “Prevention of Money Laundering”. I/We hereby apply for Allotment/Purchase of Units in the Scheme and agree to abide by the terms and conditions applicable thereto. I/We hereby declare that I/We am /are authorised to make this investment and that the amount invested in the Scheme is through legitimate sources only and does not involve and is not designed for the purpose of any contravention or evasion of any Act, Rules, Regulations, Notifications or Directions issued by any regulatory authority in India. I/We hereby authorise Bharti AXA Mutual Fund, its Investment Manager and its agents to disclose details of my investment to my bank(s)/Bharti AXA Mutual Fund’s bank(s) and /or Distributor /Broker / Investment Advisor. I/We have neither received nor been induced by any rebate or gifts, directly or indirectly, in making this investment. I/We declare that the information given in this application form is correct, complete and truly stated. A lo n confirm that I am/we are Non-Resident of Indian Nationality/Origin and that I/We have remitted funds from abroad through p e Il /We p t o lb R i c NI a y : approved banking channels or from funds in my/our NRE/FCNR Account. I/We undertake that all additional purchases made under this Folio will also be from D D M M Y Y D A T E funds received from abroad through approved banking channels or from funds in my/our NRE/FCNR Account. SR IA ) G( NS T U E Sole/1st applicant/Guardian/Authorised Signatory/POA 2nd applicant/Guardian/Authorised Signatory/POA 3rd applicant/Guardian/Authorised Signatory/POA CI(Please submit the following documents with your application (where applicable). All documents should be HT E C K L S original/true copies Certified by a Director/Trustee /Company Secretary /Authorised signatory / Notary Public.) Dt o s c u m e n Resolution/ Authorisation to invest List of authorised signatories with specimen signatures Memorandum & Articles of Association Trust Deed Bye-laws Partnership Deed Notorised POA Bank confirmation of Non Resident Account Type / FIRC/ Approval from FIPB KYC Acknowledgement (If application for Rs. 50,000 or above) PAN Card I n oS P hI st T d. C o a i ne r c rs . t pv n u N F n e r e t m s RI t s I I s F is t g r m rh hP oO uA F e as t o i rivs rrf t iu m o mt n o a on i ? ? ? ? ? ? ? ? ? ? ? ? ? w t -. wac w am .a i o bx h m r i Es m at i a l u ? ? ?? ? ?? ? ? ? ? ? ? ? ? ? ? ? ? s @ -. e bx o r ham v ai i cr m et i ac Ctle Ae e a (F l a r l uo ) s l e ln m T tt b eN r u a r 10 0 1 -02 02 82 2 3 0 -3 0 0 -3 1 6 -1 40 SOFY IUIA: PD C AB I T TL E I T RAUD M ET M F GI C NO I SNA R T R OM A T E (Application should be submitted atleast 30 days before the 1st Debit Clearing date) For terms & conditions refer overleaf 1 IT FT .S OR D R A I B ON T RI M U N I O Name & Agent Code Sub-Agent Name & Code Bank/Branch Name & Serial No. I S U I T S T GUIAT PH C SA ICN A R N SC O H R I T TL C TS OO O O A TO V S I G C H SOFY MIOM Y G ML N E T BN EM H D C OE RPI L T MC OS R R T E OP E I O E F B H EUA B I T L T M RN U L L W OI I F H PO P M Application No: FF E O EN R UY OS F I C L O Registrar Serial No. Date/Time of Receipt NJ India Invest / ARN-0155 54934 Please ?one only any 2T T .V D IS A N E E OI RS L Folio No. / Application No. Name of 1st Applicant / Name of 2nd Applicant / Name of 3rd Applicant / Minor Name of Father/ Guardian in case of Minor SIP Registration - by Existing Investor (Please do not fill the Application Form) SIP Registration - by New Investor (Complete the Application Form compulsorily alongwith this form.) (For Existing Investor please mention Folio Number / For New Applicants please mention the Common Application Form Number) 3E (First SIP cheque and subsequent via Auto Debit Facility in select cities only) .P S SA I T D I L Scheme Name Plan Regular Option Growth Growth Growth Dividend Dividend Dividend Bonus Bonus Bonus Dividend Option Frequency Regular Regular Regular Quarterly Quarterly Quarterly Dividend Sub Option Reinvest Reinvest Reinvest Payout Payout Payout Bharti AXA Equity Fund Eco Institutional Scheme Name Frequency (please ? Monthly SIP Date : ) Instalment Amount (In figures) Drawn on Bank /Branch Name 1st 7th 10th Plan 15th 20th 25th Option Daily* Enrolment Period From** D D M M Y Y Y Y To D D M M Y Y Y Y *Daily SIP is offered only for Account holders in any of the following Banks: HDFC Bank, AXIS Bank, Bank of Baroda (core banking branches only) and in any other bank as notified by AMC from time to time. **Minimum SIP term should be for 6 months for monthly and daily SIP 4IL F A T . RR N U P AB C A S KN T CO C U AO Name of 1st Account Holder Name of 1st Joint Holder Name of 2nd Joint Holder Name of Bank & Branch City Account No. 9 digit MICR Code (Mandatory) IFSC Code (This is 9 digit number next to the cheque number) Pin Account Type Savings Current Please provide a copy of cancelled cheque leaf from an Auto Debit eligible bank (Mandatory) (Please ? ) NRO NRE I/We hereby declare that the particulars given above are correct and express my willingness to make payments referred above to debit my/our account DECLARATION & SIGNATURE directly or through participation in Auto Debit. If the transaction is delayed or not effected at all for reasons of incomplete or incorrect information, I / We would not hold the user institution responsible. I / We will also inform AMC, about any changes in my/our bank account. I/We have read and agreed to the terms and conditions mentioned overleaf. SIGNATURE (S) (as in Bank records) Sole/1st applicant/Guardian/Authorised Signatory/POA 2nd applicant/Guardian/Authorised Signatory/POA 3rd applicant/Guardian/Authorised Signatory/POA 5 ET I .N TT B’ S T A A O K EN RS A Certified that the signature of account holder and the Details of Bank account are correct as per our records Signature of authorised Official from Bank (Bank stamp and date) Signature verification request (To be retained by the Customers Bank) The Branch Manager Bank Branch Date D D M M Y Y Sub : Mandate verification for A/c. No. This is to inform you that I/We have registered for making payment towards my investments in Bharti AXA Equity Fund by debit to my /our above account directly or through ECS (Debit Clearing). I/We hereby authorize to honour such payments and have signed and endorsed the Mandate Form. Further, I authorize my representative (the bearer of this request) to get the above Mandate verified. Mandate verification charges, if any, may be charged to my/our account. Thanking you, Yours sincerely SIGNATURE (S) (as in Bank records) Sole/1st applicant/Guardian/Authorised Signatory/POA 2nd applicant/Guardian/Authorised Signatory/POA 3rd applicant/Guardian/Authorised Signatory/POA ACKNOWLEDGEMENT SLIP To be filled in by the Investor Folio No. / Application No. (To be filled in by the First applicant/Authorized Signatory) : Received from Name & address : _______________________________________________________________________________ an application for Purchase of Units alongwith Cheque SIP Auto Debit Facility For Rs. All purchases are subject to realisation of cheques. Cheque Number Acknowledgement Stamp