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Form for Change in Address Contact Details UTI Mutual Fund

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Form for Change in Address Contact Details UTI Mutual Fund Powered By Docstoc
					Form for Change in Address/ Contact Details
(Applicable to Non-KYC complied Individual Investors only)

Please fill in the information below legibly in English and in CAPITAL LETTERS

 To:
                                                                                                                    Date:
 UTI Mutual Fund                                                                                                               D     D     M     M      Y     Y     Y     Y
  A     Unitholder’s information:
       1.    Folio Number :
       2.    Name of the sole / first holder
       3.    Scheme / Plan / Option
       I/ We have changed the address from _______________________ (month and year) and wish to change the address/ contact details
       in my / our folio as mentioned below :
       Old Address recorded with UTI Mutual Fund in the above Folio




        City :                                                                                                                           Pin
       State:                                                                                                  Country:

       New Address




        City :                                                                                                                           Pin
       State:                                                                                                  Country:
 I enclose herewith self attested copies of the following documents as listed at ‘B’, ‘C’ and ‘D’ below, the original documents for the same
 are produced for verification at the time of submission.
  B. PROOF OF NEW ADDRESS (any one) : (Please tick against the said box)
  	  Landline Telephone bill (MTNL/BSNL)  Electricity Bill  Aadhar Card  Ration Card  Voter Identification Card  Passport Bank Passbook or Statement
     Property Tax Receipt  Demat Account Statement  Quarter Allotment letter issued by Public Undertaking or Schedule Commercial Bank.

  C. PROOF OF OLD ADDRESS (any one) : (Please tick against the said box)
  	  Landline Telephone bill (MTNL/BSNL)  Electricity Bill  Aadhar Card  Ration Card  Voter Identification Card  Passport Bank Passbook or Statement
     Property Tax Receipt  Demat Account Statement  Quarter Allotment letter issued by Public Undertaking or Schedule Commercial Bank. Passport.

  D. PROOF OF IDENTITY : (any one) : (Please tick against the said box)
  	  PAN Card  Passport  Aadhar Card  Photo Ration Card  Voter Identity card  Driving License  Photo Debit Card
     Govt. or Defence identification card.

  E. Please update my following details also:-
 Mobile No                                                                 PAN                                                           Please attach PAN Card Copy
 Email ID

  DECLARATION AND SIGNATURE OF UNITHOLDER/S (To be signed as per the mode of holding)
 I/we have read and understood the guidelines printed on the reverse of this Form and agree to abide by the same.




                 Sole/First Unit holder                                      Second Unit holder                                          Third Unit holder



                                                                                                                                                 

 UTI Mutual Fund - Acknowledgement for Form for Change in Address – (to be filled in by the investor)

 Received, subject to verification, Form for Change in Address
 from Mr/ Mrs/ Ms : _______________________________________________________________

 Folio No : _______________________________________________________________________                                            Receiving UFC/ Registrar’s official stamp
                                                                                                                                       with date and signature


   Registrar: Karvy Computershare Pvt. Ltd., Unit: UTI Mutual Fund, Narayani Mansion, H.No.1-90-2/10/E, Vittalrao Nagar, Madhapur, Hyderabad - 500 081 • E-mail: uti@karvy.com
                                                               Guidelines
1. This form is applicable for NON KYC complied Individual Investors.

2. However, all investors are encouraged to get KYC process completed in order to get them ready for invest in future.

3. Investors who are KYC complied and wish to change their address, are requested to fill up the “KYC Details Change
   Form” and submit to any of our UTI Financial Centre. Post updation of address by the KYC Registration Agency (KRA),
   the same will be reflected in our records.

4. In order to protect the interest of the investors, following documents are requested for Changing the Address:
    A] Proof of New address (Please refer to Para B of the Form on the reverse)
    B] Proof of Old/currently registered address (Please refer to Para C of the Form on the reverse)
    C] Proof of identity (Please refer to Para D of the Form on the reverse)
5. Please carry the original documents of the copies you wish to submit towards the proof. The original will be returned to
   you after verification, across the counter.

6. Please fill in the Form in CAPITAL LETTERS.
7. Please inform us the change of address within 30 days from the date of change and in any case atleast 10 working days
   prior to contemplated redemption request, if any.
8. If you are KYC complied, in order to change your address, please contact the Point of Service of SEBI registered KYC
   Registration Agency.
9. The change of address will be processed subject to verification of signature and subject to receipt of all the required
   documents.
10. In case of any assistance, please contact nearest UTI Financial centre.


     Check list

           The Form is complete in all respects               *********
           The form is signed by the holders as per the holding basis
           Copy of proof of new address is attached.
           Copy of proof of old address is attached.
           Copy of proof of identity is attached.

				
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posted:3/31/2013
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