Docstoc

Rtgs Money Transfer Form for Axis Bank

Document Sample
Rtgs Money Transfer Form for Axis Bank Powered By Docstoc
					                                                                                           KIM & APPLICATION FORM
                                                                                             OF AXIS EQUITY FUND




                                TOO MANY SMILES
                                DEPEND ON YOU?

      THERE'S ALWAYS                                                                    SOLUTION.



  Presenting Axis Equity Fund, a fund that aims to
  maximise growth over the long term. So that you can
  not only shoulder responsibilities better but also face
  every surprise life springs at you with a smile.
  Jiyo zindagi Axis Equity Fund ke saath.                                                        An open ended growth scheme




                                                                                             Toll Free 1800 3000 3300


Statutory Details: Axis Mutual Fund has been established as a Trust under the Indian Trusts Act, 1882, sponsored by Axis Bank Ltd.
(liability restricted to Rs. 1 Lakh). Axis Mutual Fund Trustee Limited, a company incorporated under the Companies Act, 1956, with a
limited liability is the Trustee to the Mutual Fund. Axis Asset Management Company Limited(the AMC), a company incorporated
under the Companies Act, 1956, with a limited liability is the Investment Manager to the Mutual Fund. Risk Factors: All Mutual funds
and securities investments are subject to market risks and there is no guarantee that the investment objective of the scheme will be
achieved. The NAV of the units issued by the Mutual Fund under the scheme can go up or down depending on various factors and
forces affecting securities markets. Past performance of the Sponsor or its affiliates/the AMC/the mutual fund or its schemes does
not indicate the future performance of the scheme. Axis Bank Limited is not liable or responsible for any loss or shortfall resulting from
the operation of any of the mutual fund scheme launched by the AMC. Mutual Fund Investments are subject to market risks.
Investments in the scheme are subject to various investment risks such as trading volumes, settlement risk, liquidity risk, default risk,
risk of possible loss of principal, etc. Trading volume may restrict liquidity. Equity and equity related instruments are volatile by
nature. Axis Equity Fund is only the name of the scheme and does not in any manner indicate either the quality of the scheme or its
future prospects or returns. Please read the Scheme Information Document and Statement of Additional Information carefully before
investing. The Scheme Information Document and Statement of Additional Information/ Key Information Memorandum cum
Application form are available at AMC and Registrar offices and Investor Service Centres/ AMC web-site-www.axismf.com /
Distributors.
INSTRUCTIONS FOR COMPLETING THE APPLICATION FORM
Please read the SID carefully before signing the application form and tendering payment.

GENERAL INSTRUCTIONS                                                                                                   (NRI), minors, joint holders and sole proprietary firms (but not including Persons of Indian Origin (PIO), Hindu
1. The Application Form should be completed in ENGLISH and in BLOCK LETTERS only.                                      Undivided Family (HUF) and other categories). PAN requirement is also exempt for investors residing in the
2. All Cheques /DDs must be drawn in favour of “ Axis Equity Fund” and crossed “Account Payee only”.                   state of Sikkim, Central Government, State Government, and the officials appointed by the courts e.g. Official
3. The default option between Growth and Dividend would be Growth. The default option within the Dividend              liquidator, Court receiver etc. (under the category of Government) subject to AMC confirming the above
     option- Reinvestment.                                                                                             mentioned status. However, this would be subject to submission of necessary documents required by the AMC
                                                                                                                       from time to time.
4. For any correction/ changes (if any) made on the application form, applicants are requested to authenticate
     the same by canceling, entering the correct details and counter-signing the corrections by sole/ all              Any one of the following PHOTO IDENTIFICATION documents can be submitted along with Micro SIP
     applicants.                                                                                                       applications as proof of identification in lieu of PAN.
5. Application forms along with Cheques/DDs can be submitted to specified centres of Axis Bank (listed in the          • Voter Identity Card • Driving License • Government/ Defense identification card • Passport • Photo Ration Card
     form) and offices of Axis AMC as listed in form.                                                                  • Photo Debit Card (Credit card not included because it may not be backed up by a bank account) • Employee
                                                                                                                       ID cards issued by companies registered with Registrar of Companies ( ) • Photo Identification issued by Bank
6. Investors must write the Application Form number/ Folio number on the reverse of the cheques/ draft
                                                                                                                       Managers of Scheduled Commercial Banks/ Gazetted Officer/ Elected Representatives to the Legislative
     accompanying the Application Form.
                                                                                                                       Assembly/ Parliament • ID card issued to employees of Scheduled Commercial/ State/ District Co-operative
7. Investors are requested to check the contents of the account statement and any discrepancy has to be                Banks • Senior Citizen/ Freedom Fighter ID card issued by Government • Cards issued by Universities/
     reported to the AMC/ Registrar within 7 calendar days on the receipt of the statement, else the particulars       deemed Universities or institutes under statutes like ICAI, ICWA, ICSI • Permanent Retirement Account No
     would be presumed to be correct.                                                                                  (PRAN) card isssued to New Pension System (NPS) subscribers by CRA (NSDL) • Any other photo ID card
8. Any application may be accepted or rejected at the sole and absolute discretion of the AMC/ Trustee, without        issued by Central Government/ State Governments/ Municipal authorities/ Government organizations like
     assigning any reason whatsoever.                                                                                  ESIC/ EPFO
9. Incomplete forms are liable to be rejected.                                                                         KYC COMPLIANCE WITH ANTI MONEY LAUNDERING (AML) REGULATIONS
10. Please note that a non-transferable account statement will be issued for each investment.                          Please note that for investments of Rs 50,000 or more, it is mandatory for each applicant/unit holder to be KYC-
11. Units allotted are subject to realisation of cheques.                                                              compliant. Please enclose a copy of the KYC Acknowledgement Letter issued by CDSL Ventures Ltd with your
12. All Unitholders who have invested/ may invest through channel distributors and intend to make their future         application for investment. PLEASE ALSO NOTE THE FOLLOWING:
     investments through the Direct route, are advised to complete the procedural formalities prescribed by AMC        • POA Holders need to be KYC-compliant.
     from time to time.                                                                                                • Guardians to minor applicants need to be KYC compliant.
DECLARATION AND SIGNATURES                                                                                             In case you are not yet KYC-compliant, please approach a Point of Service (POS) of CDSL Ventures Limited to
1. The signature can be in English or in any other Indian language.                                                    obtain KYC compliance and submit a copy of your KYC acknowledgement letter to us.
2. Thumb impressions must be attested by a Magistrate/ Notary Public under his/ her official seal.                     APPLICATIONS UNDER POWER OF ATTORNEY
3. In case of HUF, the Karta wiII sign on behalf of the HUF.                                                           An applicant wanting to transact through a power of attorney must lodge the photocopy of the Power of Attorney
4. Applications by minors should be signed by their guardian.                                                          (PoA) attested by a Notary Public or the original PoA (which will be returned after verification) within 30 days of
5. For Corporates, Signature of Authorised Signatory from Authorised Signatory List (ASL) is required.                 submitting the Application Form/ Transaction Slip at a Designated ISC’s/Official Point of acceptance or along
PAYMENTS                                                                                                               with the application in case of application submitted duly signed by POA holder. Applications are liable to be
1. At present debit facility through debit mandate is available with Axis Bank.                                        rejected if the power of attorney is not submitted within the aforesaid period.
2. The AMC intends using electronic payment services (like NEFT, RTGS, ECS (Credits) and such like) to the             ELECTRONIC SERVICES FACILITY
     extent possible for dividend/ redemption proceeds towards ensuring faster realization of proceeds for the         The AMC intends to provide Electronic Transaction Facility including through its website and over phone.
     investor. To facilitate verification of your bank account details for the purpose, please furnish the following   For more details, Terms & Conditions and for availability of Online Transaction refer AMC website
     details in the form:                                                                                              www.axismf.com and for Easy Call facility please contact the nearest AMC or Registrar.
     (a) Clearing Circle (City Name) in which your Bank branch participates.                                           SIP
     (b) MICR Code of your bank/ branch (9 digit number appearing next to the cheque number on the cheque              1. Investors can avail of the SIP facility during the NFO period as well. During the NFO, the SIP must be
           leaf)                                                                                                           through the ECS (Debit) facility. The first investment in SIP during the NFO shall be through a cheque only.
     (c) IFSC Code of your bank/ branch (11 character alphanumeric code, imprinted on your cheque leaf). If                Unit holder can enroll for the SIP by submitting the duly completed “SIP Application form” and the “SIP
           your cheque leaf does not carry this, please check for the same with your local Bank branch.                    Debit mandate form” during the NFO.
     In case the Unit holders require these to be sent by cheque/ draft using postal/ courier service, the             2. An Investor shall have the option of choosing any date of the month as his SIP date. The minimum amount
     unit holders shall provide appropriate instructions for the same to the AMC/ Registrar.                               per SIP installment is Rs 1,000 and in multiples of Re. 1 thereafter. The minimum number of installments
3. You are also requested to enclose a cancelled cheque leaf (or copy thereof) in case your investment instrument          under the SIP is 36. If the SIP period is not specified by the unit holder then the SIP enrolment will be deemed
     is not from the same bank account as mentioned in the bank mandate details in the application form.                   to be for perpetuity and processed accordingly.
4. The AMC has put in place sufficient checks and balances but will not be liable for any wrong credits on             3. All SIP cheques/payment instructions will be of the same amount and same date (excluding first cheque).
     account of wrong information presented by the investor himself.                                                   4. During the NFO the first SIP instalment will get debited on the first investor specified date post the opening of
5. The Fund may from time to time commence/ discontinue Direct Credit arrangements with various banks for                  the NFO. There will be a gap of 30 days between first SIP Installment and the second installment in case SIP
     direct credit of redemptions/ dividends. Investors would not have to submit a separate consent letter to avail        started during ongoing offer.
     of this service. The AMC would commence this operation based on the bank mandate details forwarded by             5. If the Fund fails to get the proceeds from three Installments out of a continuous series of Installments submitted
     the Investor.                                                                                                         at the time of initiating a SIP (Subject to a minimum under SIP i.e. 36 months), the SIP is deemed as
6. Any communication/ despatch of redemption/ dividend proceeds, account statements etc. to the unit                       discontinued.
     holders would be made by the Registrar/ AMC in such a manner as they may consider appropriate in line with        6. Investors can discontinue the SIP facility at any time by sending a written request to any of the Official Point(s) of
     reasonable standards of servicing.                                                                                    Acceptance. Notice of such discontinuance should be received at least 30 days prior to the due date of the next
BANK DETAILS                                                                                                               debit.
Investors are requested to mention the bank account details, since the same is mandatory as per the directives         7. You can download the SIP application form and the SIP debit mandate form from our website www.axismf.com
issued by SEBI. Applications without this information will be deemed to be incomplete and                                  or contact any of the AMC offices
are liable for rejection. The Mutual Fund reserves the right to hold redemption proceeds in case the requisite         NRIs, FIIs
details are not submitted.                                                                                             Repatriation Basis
PAN AND KYC DETAILS                                                                                                    • NRIs : Payment may be made either by inward remittance through normal banking channels or out of funds
Please furnish PAN & KYC details for each applicant/unit holder, including for Guardian and/ or Power Of                    held in a Non-Resident (External) Rupee Account (NRE)/ Foreign Currency (Non-Resident) Account
Attorney (POA) holders as explained in the paragraphs below.                                                                (FCNR). In case Indian rupee drafts are purchased abroad or from Foreign Currency Accounts or Non-
PAN                                                                                                                         resident Rupee Accounts an account debit certificate from the Bank issuing the draft confirming the debit
                                                                                                                            will need to be enclosed.
As per SEBI Circular No. MRD/DoP/Cir- 05/2007 dated April 27, 2007, it is now mandatory that Permanent
Account Number (PAN) issued by the IT Department would be the sole identification number for all participants          • FIIs shall pay their subscription either by inward remittance through normal banking channels or out of funds
transacting in the securities market, irrespective of the amount of transaction. Please note that furnishing of PAN         held in Foreign Currency Account or Non-Resident Rupee Account maintained by the FII with a designated
with an attested copy of your PAN Card for each applicant/unit holder is mandatory for all investments. In the              branch of an authorised dealer.
absence of this, your application will be rejected. The attestation of the PAN card may be done by a Notary Public     Non-repatriation Basis
or a Gazetted Officer or a Manager of a Bank or a financial advisor under it's/his seal and should carry the name      In the case of NRIs, payment may be made either by inward remittance through normal banking channels or out
and designation of the person attesting it.                                                                            of funds held in a NRE/ FCNR/ Non-Resident Ordinary Rupee Account (NRO). In case Indian rupee drafts are
PAN will not be required incase of SIP where aggregate of installments in a financial year i e April to March does     purchased abroad or from Foreign Currency Accounts or Non-resident Rupee Accounts an account debit
not exceed Rs 50,000. This exemption will be applicable only to investments by individuals, Non Resident Indian        certificate from the Bank issuing the draft confirming the debit will need to be enclosed.



INSTRUCTIONS FOR COMPLETING THE NOMINATION SECTION
1. The nomination can be made only by individuals holding units on their own behalf singly or jointly. Non-            6. The cancellation of nomination can be made only by those individuals who hold units on their own behalf
   Individuals including Society, Trust, Body Corporate, Partnership Firm, Karta of Hindu Undivided Family,                singly or jointly and who made the original nomination. (Please note that if one of the joint holder dies other
   holder of Power of Attorney cannot nominate. If the units are held jointly, all joint holders will sign the             surviving holder cannot cancel.)
   nomination form.                                                                                                    7. On cancellation of the nomination, the nomination shall stand rescinded and the Asset Management
2. A minor can be nominated and in that event, the name and address of the guardian of the minor nominee shall             Company shall not be under any obligation to transfer the units in favour of the Nominee.
   be provided by the Unitholder. If no guardian is provided, nomination of minor will be invalid. The guardian        8. Nomination shall be registered only if the form is filled in completely.
   should be a person other than the Unitholder. Nomination can also be in favour of the Central Govt, State           9. Nomination can be made for maximum of 3 nominees. In case of multiple nominees, the percentage of
   Govt, local authority, any person designated by virtue of his office or a religious charitable trust.                   allocation/ share in favour of each of the nominees should be indicated against their name and such
3. The Nominee shall not be a trust other than a religious or charitable trust, society, body corporate, partnership       allocation/ share should be in whole numbers without any decimals making a total of 100 percent. In the
   firm, Karta of Hindu Undivided Family or a Power of Attorney holder. A non-resident Indian can be a Nominee             event of Unit holders not indicating the percentage of allocation/ share for each of the nominees, the Mutual
   subject to the exchange controls in force, from time to time.                                                           Fund/ the AMC, by invoking default option shall settle the claim equally amongst all the nominees.
4. Nomination in respect of the units stands rescinded upon the transfer of units.                                     10. The investor(s) by signing this nomination form is/ are deemed to have read and understood the provisions
5. The nomination facility extended under the Scheme is subject to existing laws. The AMC shall, subject to                of Regulation 29 A of SEBI (Mutual Funds) Regulations, 1996, read with SEBI circular dated Feb. 16, 2004
   production of such evidence which in their opinion is sufficient, proceed to effect the payment/transfer to the         and/ or any amendments thereto or any rules/ regulations framed in pursuance thereof governing the
   Nominee(s). Transfer of Units/ payment to the nominee(s) of the sums shall discharge the Mutual Fund/ AMC               nomination facility and agree/s to be bound by the same.
   of all liability towards the estate of the deceased Unit holder and his/ her/ their successors/ legal                   For multiple nomination form please contact the nearest AMC office or Registrar. The form can be obtained
   heirs.                                                                                                                  from the website www.axismf.com
                                                                 KEY INFORMATION MEMORANDUM
                                                                              Axis Equity Fund
                                                                       (An Open Ended Growth Scheme)

                                                  New Fund Offer opens on : 11 November, 2009
                                                  New Fund Offer closes on : 8 December, 2009
                                      Scheme re-opens for continuous sale and repurchase on: 7 January, 2010

                         Offer for Units of Rs 10 per unit for cash during the New Fund Offer period and at NAV based prices upon re-opening
This Key Information Memorandum (KIM) sets forth the information, which a prospective investor ought to know before investing. For further details of the scheme/ Mutual Fund, due diligence
certificate by the AMC, Key Personnel, investors rights & services, risk factors, penalties & pending litigations etc investors should before investment refer to the Scheme Information Document
and Statement of Additional Information available free of cost at any of the Investor Service Centres or distributors or from the website www.axismf.com. The Scheme particulars have been
prepared in accordance with Securities and Exchange Board of India (Mutual Funds) Regulations 1996, as amended till date, and filed with Securities and Exchange Board of India (SEBI). The
units being offered for public subscription have not been approved or disapproved by SEBI, nor has SEBI certified the accuracy or adequacy of this KIM.

 Name of scheme         Axis Equity Fund
 Type of scheme         An Open Ended Growth Scheme
 Investment Objective   To achieve long term capital appreciation by investing in a diversified portfolio predominantly consisting of equity and equity related securities including derivatives.
                        However, there can be no assurance that the investment objective of the Scheme will be achieved.
 Asset Allocation       Types of Instruments                             Normal Allocation (% of Net Assets)
 Pattern of the scheme Equity and Equity Related Instruments#            Minimum 80, Maximum 100
                        Debt and Money Market Instruments*#              Minimum 0, Maximum 20
                        # Including derivatives instruments to the extent of 100% of the Net Assets
                        *Investment in Securitized debt (excluding foreign securitized debt), if undertaken, would not exceed 20% of the net assets of the Scheme.
                        Investment in foreign securities shall not exceed 40% of the net assets of the Scheme.
 Investment Strategy    The Fund will actively manage a diversified portfolio of strong growth companies with sustainable business models, whilst managing risk. The Fund will have the
 of the Scheme          flexibility to invest across the market capitalization (i.e. Large, mid and small cap companies) spectrum and industries/ sectors.
                        The companies would be individually researched and selected only when the fund management team has satisfied itself on robustness of the company’s business
                        model, sustainability of its competitive advantage and the credibility of its top management team.
 Risk Profile of the    Mutual Fund Units involve investment risks including the possible loss of principal. Please read the Scheme Information Document (SID) carefully for details on risk
 Scheme                 factors before investment.Scheme specific Risk Factors are summarized below: The scheme carries risks associated with investing in equity and equity related
                        securities, derivatives, foreign securities, debt securities, securitized debt, money market instruments, short selling and securities lending. Investment in mutual
                        fund units involves investment risks such as trading volumes, settlement risk, liquidity risk and default risk. Trading volume may restrict liquidity in equity and debt
                        investments. The AMC may choose to invest in unlisted securities which may increase the risk on the portfolio. Also, the value of the Scheme investments may be
                        affected by interest rates, currency exchange rates, changes in law/policies of the government, taxation laws and political, economic or other developments.
                        Investments in debt and money market instruments are subject to interest rate risk, re-investment risk, basis risk, credit risk, spread risk, prepayment risk, etc to the
                        extent of the scheme’s investments in such securities. Please refer to the SID for further details.
 Risk management        The Fund by utilizing a holistic risk management strategy will endeavor to manage risks associated with investing in equity markets. The risk control process
 strategies             involves identifying & measuring the risk through various risk measurement tools.
                        The Fund has identified following risks of investing in equities and designed risk management strategies, which are embedded in the investment process to manage
                        such risks.
                        Risk & description specific to Equities                                      Risk mitigant / management strategy
                        • Quality risk : Risk of investing in unsustainable/weak companies           Investment universe carefully selected to only include high quality businesses
                        • Price risk :Risk of overpaying for a company                               “Fair value” based investment approach supported by comprehensive research
                        • Concentration risk                                                         Invest across the market capitalization spectrum and industries / sectors
                        • Liquidity risk: High impact costs                                          Control portfolio liquidity at portfolio construction stage
                        • Volatility : Price volatility due to company or portfolio specific factors Control risk class/sector/stock exposures to control overall portfolio volatility
                        • Event risk: Price risk due to company or sector specific event             Understand businesses to respond effectively and speedily to events
                                                                                                     Usage of derivatives: Hedge portfolios, if required, in case of predictable events
                                                                                                     with uncertain outcomes
 Plans and Options      Plans: Nil; Options: Growth & Dividend Options. Dividend Payout & Dividend Reinvestment available under Dividend Option. Default Option: Growth Option. Default
                        Sub-Option: Reinvestment Option
 Applicable NAV         Subscriptions/ Purchases including Switch-ins: The following cut-off timings shall be observed by the Mutual Fund in respect of purchase of Units of the Scheme:
 (after the scheme       (1) where the application is received upto 3.00 pm with a local cheque or demand draft (DD) payable at par at the place where it is received - closing NAV of the day
 opens for repurchase of receipt of application. (2) where the application is received after 3.00 pm with a local cheque or DD payable at par at the place where it is received - closing NAV of
  and sale)             the next Business Day ; and (3) where the application is received with an outstation cheque or DD which is not payable on par at the place where it is received -
                        closing NAV of day on which the cheque or demand draft is credited. Redemptions including Switch-outs The following cut-off timings shall be observed by the
                        Mutual Fund in respect of Repurchase of Units (1) where the application received upto 3.00 pm - closing NAV of the day of receipt of application; and (2) where the
                        application received after 3.00 pm - closing NAV of the next Business Day.
 Minimum Application Purchase                                                         Additional Purchase                                        Repurchase/ Redemption
 Amount/ Number of      Rs 5,000 in multiples of Re 1 thereafter                      Rs 100 and in multiples of Re 1 thereafter                 Minimum - Rs 1,000 or 100 Units in each Option
 Units                  For details of investment through Systematic Investment Purchase (SIP) facility please refer the SIP Enrolment Form.
 Despatch of Repurchase Within 10 working days from the receipt of the redemption request at the Authorized Centre of Axis Mutual Fund.
 (Redemption) Request
 Benchmark Index        S&P CNX Nifty Index
 Dividend Policy        The Trustee will have the discretion to declare the dividend, subject to availability of distributable surplus calculated in accordance with the SEBI (Mutual Funds)
                        Regulations. The actual declaration of dividend and frequency will inter-alia, depend on availability of distributable surplus calculated in accordance with SEBI (MF)
                        Regulations and the decisions of the Trustee shall be final in this regard. There is no assurance or guarantee to the Unit holders as to the rate of dividend nor that will
                        the dividend be paid regularly.
 Name of the Fund       Mr Chandresh Nigam
 Manager
 Name of the Trustee    Axis Mutual Fund Trustee Limited
 Company
 Performance of the     This Scheme is a new scheme and does not have any performance track record.
 scheme
 Expenses of the Scheme For the New Fund Offer Period and Continuous Offer
 (i) Load Structure         Entry Load NA      Exit Load 1% if redeemed within 1 year from date of allotment.
                            No Load will be charged on the Units allotted on reinvestment of Dividends. The above mentioned load structure shall be equally applicable to the special products
                            such as SIP, switches, etc offered under the Scheme. However, for switches between equity schemes, no load will be charged by the AMC. Further, for switches
                            between the Growth and Dividend Option, no load will be charged by the scheme. SEBI vide its circular no. SEBI/ IMD/ CIR No. 4/ 168230/ 09 dated June 30, 2009
                            has decided that there shall be no entry Load for all Mutual Fund Schemes. The upfront commission on investment made by the investor, if any, shall be paid to the
                            ARN Holder (AMFI registered Distributor) directly by the investor, based on the investor's assessment of various factors including service rendered by the ARN
                            Holder. The Trustee/ AMC reserve the right to change/ modify the Load structure from a prospective date.
  (ii) Recurring expenses The recurring expenses of the Scheme (including the Investment Management and Advisory Fees) shall be as per the limits prescribed under the SEBI (MF)
                          Regulations. These are as follows
                              (1) On the first Rs 100 crores of the average weekly net assets - 2.50% ; (2) On the next Rs 300 crores of the average weekly net assets - 2.25% (3) On the next
                              Rs 300 crores of the average weekly net assets - 2.00%; (4) On the balance of the assets -1.75%.
  Waiver of Load for          Not applicable
  Direct Applications
  Tax treatment for the  Investors are advised to refer to the paragraph on Taxation in the “Statement of Additional Information” and to consult their own tax advisors with respect to the
  Investors (Unitholders)specific amount of tax and other implications arising out of their participation in the scheme.
  Daily Net Asset Value  The NAV will be declared on all business days and will be published in 2 newspapers. NAV can also be viewed on www.axismf.com and www.amfiindia.com
  (NAV) Publication      [You can also telephone us at 1800 3000 3300].
  For Investor GrievancesRegistrar : Karvy Computershare Private Limited                                     Axis Mutual Fund
  please contact         Unit - Axis Mutual Fund, Karvy Plaza, H. No. 8-2-596, Street 1, Banjara Hills, Mr. Milind Vengurlekar
                         Hyderabad -34 Tel 040 2331 2454 Fax 040 23311968                                    11th floor, Nariman Bhavan, Vinay K Shah Marg, Nariman Point, Mumbai 400 0 21
                                                                                                             Tel 3940 3300 Toll Free 1800 3000 3300 Fax No 022 3093 3859
                                                                                                             e-mail customerservice@axismf.com
  Unitholder Information Account Statements An account statement reflecting the number of Units allotted shall be dispatched to the Unit Holder by ordinary post/ courier/ electronic mail
                         within the following periods (I) Within 30 days from the date of closure of NFO/ acceptance of valid application. (ii) In case of SIP - within 10 working days from the end
                         of quarter (March, June, September and December). However, the first account statement under SIP shall be issued within 10 working days of the initial investment
                         and in case of specific request, the account statement shall be dispatched within 5 working days from the receipt of such request without any charges. Annual
                         Account Statement The Mutual Fund shall provide the Account Statement to the Unit holders who have not transacted during the last six months prior to the date of
                         generation of account statements. The account statements in such cases may be generated and issued along with the Portfolio Statement or Annual Report of the
                         Scheme. Annual Report Scheme wise Annual Report or an abridged summary thereof shall be mailed to all Unit Holders within four months from the date of closure
                         of the relevant accounting year ie 31st March each year. Half yearly disclosures The Mutual Fund shall publish a complete statement of the Scheme portfolio and
                         the unaudited financial results, within one month from the close of each half year (ie 31st March and 30th September), by way of an advertisement at least, in one
                         National English daily and one regional newspaper in the language of the region where the head office of the Mutual Fund is located. The Mutual Fund may opt to
                         send the portfolio to all Unit holders in lieu of the advertisement. The Annual Report portfolio statement and the unaudited financial results will also be displayed on
                         the website of the Mutual Fund (www.axismf.com) and Association of Mutual Funds in India (www.amfiindia.com).
Date October 12, 2009         For Investments post the New Fund Offer period, Investors may approach the distributor or the AMC or the Registrar for the application form.
AXIS BANK MAIN COLLECTION CENTRES (ONLY DURING NFO)
Agartala Banik Tower, Hg Basak Road, Agartala 799001, Tripura • Agra Ground Floor, Block No.41/4A, Friends Tower, Sanjay Place, Agra 282002 (U.P.) • Ahmedabad ‘Trishul’, Opposite Samartheshwar
Temple, Law Garden, Ellis Bridge, Ahmedabad 380006 Gujarat • Ahmednagar Hotel Sanket Complex, 189/6, Tilak Road, Ahmednagar 414001, Ahmednagar, District, Maharashtra • Aizawl House No.
A/69/A, Chanmari, Aizawl 796007, Mizoram • Ajmer AMC No. 481-485/10, Kutchery Road, India Motor Circle, Ajmer 305001 • Rajasthan Aligarh Omji Complex, Ramghat Road, Niranjan Puri, Aligarh 202001
• Uttar Pradesh Allahabad 28B, Civil Station, M.G. Marg, Civil Line, Allahabad 211001, Uttar Pradesh • Ambala LIC Office, Ambala Cantonment, Jeevan Jyoti Building, LIC Office Jln Marg, Jagadri Road,
Ambala Cantt.133001, Haryana • Amravati Ground Floor, Gulshan Tower, Mofussil Plots, Near Panchsheel Talkies, NH No. 6, Near Jaistambh Chowk, Amravati 444601, Maharashtra • Amreli Om Nagnath
Complex, Near Nagnath Temple, Amreli 365601, Gujarat • Amritsar 29, Kennedy Avenue, Court Road, Amristar 143001 District, Punjab • Anantapur No.1946, Nithin Complex, Saptagiri Circle, Subhash
Road, Anantapur 515001, Andhra Pradesh • Asansol Purbasha Banquet Hall, Apurba Complex, Apcar Garden, Sen Raleigh Road, Asansol 713304 • Atul Quarter No. Ao/5 Atul Complex, Opp. State Bank of
India, Atul 396020, Dist. Valsad • Aurangabad ‘Sakar Building’ Adalat Road, Near Kranti Chowk, Aurangabad 433001, Maharashtra • Ballabgarh Plot No.40,Sco, Sector 7, Ballabhgarh, Faridabad 121006
Haryana • Bangalore No. 9, M. G. Road, Block A, Bangalore 560001 • Baramati Plot No. 485, Guddi Building, Bhigwan Road, Baramati 413102, Maharashtra • Bareilly 148, Civil Lines, Bareilly 243001 Uttar
Pradesh • Belgaum CTSNo. 5854, Congress Road, Tilakwadi, Belgaum 590006 Karnataka • Berhampur (Ganjam) Time World, Plot No. 1195, Ward No. 20, Tata Benz Square, Berhampur 760005 Ganjam
District, Orissa • Bhagalpur 34, Patal Babu Road, Bhagalpur 812001 • Bharuch Shri S'Ad Vidya Mandal Institute of Technology, Old National Highway No. 8, Bharuch 392001 Gujarat • Bhavnagar Plot No. 6
B, Opposite Dakshinamurthy School Waghawadi Road, Bhavnagar 364002, District, Gujarat • Bhilai Block A, Plot No. 5, Utttar Gangotri, Off. G E Road, Supela Chowk, Bhilai 490020, Durg District,
Chhatisgarh • Bhilwara Ganpati Enclave, Heera Panna Campus, Opp. Nahar Brothers Petrol Pump, Pur Road, Bhilwara 311001 Rajasthan • Bhopal Star Arcade, Plot No.165 A & 166, Zone-I, M.P.Nagar,
Bhopal 462011 • Bhubaneshwar C/o. Archbishop'S House, Satyanagar, Bhubaneshwar 751007 • Bikaner Shree Gaurav Complex, Daga Maidan, Near Dak Bunglow and Railway Station Rani Bazar Road,
Bikaner 334001, Rajasthan • Bilaspur Rama Trade Centre, Opposite Rajiv Plaza, Near New Bus Stand, Bilaspur, Chhatisgarh 495001 • Bokaro Hotel Blue Diamond, Ground Floor, 15 D/1, Western Avenue,
Bokaro Steel City, Bokaro 827001, Jharkhand • Calicut (Kozhikode) "Karupalli Arcade",YMCA Cross Road, Calicut 673001, Kerala • Chandigarh SCO 343-344, Sector 35-B, Chandigarh 160022 • Chennai
82, Dr. Radhakrishnan, Salai Mylapore, Chennai 600004 • Cochin (Kochi) 41/419, Ground Floor, Chicago Plaza, Rajaji Road, Ernakulum, Kochi 682035 • Coimbatore Vigneswar Cresta, No.1095, Avinashi
Road, Pappanaickenpalayyam, Coimbatore 641037 • Cuttack Jayashree Plaza, 34, Dolamondai, Badambadi, Cuttack 753009 • Darjeeling Maryland Resorts Ltd., Rink Mall 16-22, Laden la Road, Opposite
General Post Office, Darjeeling 734101West Bengal • Davanagere No. 821, Renuka Extension, Onkarappa Lane, P.B. Road, Davangere 577002, Karnataka • Dehradun 56, Raipur Road, Dehradun 248001
• Dewas LIC of India, Dewas Branch Office No. 1, Moti Bungalow A. B. Road, Dewas 455001, Madhya Pradesh • Dhanbad Shri Ram Plaza, 1st Floor, Bank More Dhanbad 826001, Jharkhand • Dimapur
Circular Road, Near City Tower, Dimapur 797112, Nagaland • Durgapur No. 101/N, Sahid Khudiram Sarani City Center, Durgapur 713216 District Barddhaman, West Bengal • Erode R.S. No. 418/2,
Adjoining Sudha Nursing Home, Perundurai Rd., Veerappan Chathiram Panchayat, Erode 638011, Tamil Nadu • Faizabad Plot No. 2/1/6, Opposite Circuit House, Civil Lines, Faizabad 224001, Uttar Pradesh
• Faridkot B-VI/65, Circular Road, Faridkot 151203, Punjab • Ferozepur ES-30/3, Harji Niwas, 1-The Mall Ferozepur, City 152002, Punjab • Gandhidha Plot No.349, Sector 12/B, Gandhidham 370201
Kachchh District, Gujarat • Gangtok New Market, M.G. Road, Opp. Hotel Tashe Delek, Gangtok 737101, Sikkim • Ghaziabad Plot No. III, N/30 Ambedkar Road, Nehru Nagar, Ghaziabad 201001, Uttar
Pradesh • Gorakhpur Plot No. 560, Mohalla Purdilpur AD Chowk, Bank Road, Gorakhpur 273001, Uttar Pradesh • Guntur 1st Floor, P. R. Raju Plaza, 11-1-1 Naaz Centre, Guntur 522001 • Gurgaon SCO-29,
Sector-14,Near HUDA Office, Old Delhi-Gurgaon Road, Gurgaon 122001 Haryana • Guwahati Ground Floor, Chibber House, G.S. Road, Dispur, Guwahati 781005, Assam • Gwalior Ground Floor, Kanwal
Complex, Shrimant Madhavrao Scindia Marg, Gwalior 474002 Madhya Prades • Haridwar 6, Hari Nagar, Opposite Hotel Classic Residency, Main Haridwar-Delhi Road, Haridwar 249407 • Uttaranchal
Hissar Sco No. 177 Commercial Urban Estate No.1, Hissar 125001, Haryana • Hubli Kalburgi Plaza, 163/20A, Main Road, Deshpandenagar, Hubli 580029, Karnataka • Hyderabad 6-3-879/B, G. Pulla
Reddy Bldg. First Floor, Begumpet Road, Hyderabad 500016 • Indore Kamal Palace 1, Yeshwant Colony, Y N Road, Indore 452003 • Itanagar Teli Plaza, Near MLA Cottage, E Sector, National Highway, 52A
Itanagar 791111, Arunachal Pradesh • Jabalpur 124, Napier Town, Commercial Automobiles Building, Shastri Bridge Chowk, Jabalpur 482001, Madhya Pradesh • Jaipur O-15, Green House, Ashok Marg, C-
Scheme, Jaipur 302001 • Jalgaon Patel Plaza, C S No. 2683, A1/17 M G Road, Jalgaon 425001, Maharashtra • Jallandar (Jalandhar) 50, Badri Dass Colony, Mahavir Marg, Near BMC Chowk, Jalandhar
144001, Punjab • Jalna Head Post Office Road, Jalna 431203, Maharashtra • Jalpaiguri A C College of Commerce, Jalpaiguri BDC Road, Jalpaiguri 735101 West Bengal • Jammu Ground Floor, Highland
Tower, Rail Head Complex, Jammu 180004, J & K State • Jamnagar Matru Ashish, Opposite St. Anne’s School, Pandit Nehru Marg, Jamnagar 361008, Gujarat • Jamshedpur Voltas House Near Ram Mandir,
Bistupur, Jamshedpur 831001 • Jhansi City Plaza Building, Natraj Cinema Complex, Civil Lines, Jhansi 284001, Uttar Pradesh • Jodhpur Showroom No. 4, Panchratan Apartments 818, Chopasni Road,
Jodhpur 342001 • Kannur (Cannanore) Peekay Commercial Complex, Nr. Pothery Nursing Home, Muneeswarankoil Road, Kannur 670001, Kerala • Kanpur 18/179, The Mall, Opp Phool Bagh Kanpur
208001, Dist-Kanpur Uttar Pradesh • Kapurthala 1st Floor, Nanha Complex, Mall Road Kapurthala, Punjab 144601 • Karimnagar Business Towers, Mukarrumpura, Karimnagar 505002, Andhra Pradesh •
Kolhapur Ground Floor, Hotel 'Panchshil' Building, 517, Shivaji Park, Station Road, Kolhapur 416001, Maharashtra • Kolkata Ground & First Floors 7, Shakespeare Sarani, Kolkata 700071 • Kollam (Quilon)
Vaidya Commercial Arcade, Asramam Road, Chinnakada, Kollam 691008, Kerala • Kota 414, Shopping Centre, Kota 324007, Rajasthan • Kottayam No.IX - 311, A/2 Century Towers, Near YWCA M.C.Road,
Kottayam 686001 • Krishnanagar (WB) 12, M.M. Ghosh Street, Opposite Town Hall, Near Main Post Office, P.O. Krishnanagar, District Nadia, Pin 741101, West Bengal • Kurnool 40/581, S.V. Complex,
R.S. Road, Kurnool 518004 Andhra Pradesh • Lucknow Halwasiya House, 11, M. G. Road Hazratganj, Lucknow 226001 • Ludhiana Shop No.3, LGF Surya Towers, 108, The Mall, Ludhiana (Punjab) 141001
• Madurai Door No. 4, Goods Shed Street, Madurai 625001, Tamil Nadu • Malda Malda Muslim Institute, 1 K J Sanyal Road, P.O. and Dist. Malda, PIN 732101, West Bengal • Malout Khasra No.1792,
Khatouni No. 960, Khewat No. 689, G T Road, Malout 152107 Muktasar District, Punjab • Mangalore Essel Towers, Bunts Hostel Circle, Mangalore 575003 • Mapusa Edean Center, Near Aldona Bus Stand,
Angod Mapusa 403507 • Margao Shop No. 1, 2,3 Garden View, Padre Miranda Road, Margao, Salcete, Goa 403601 • Meerut Hotel Crystal Plaza G-2/47, Civil Lines Boundary Road Meerut 250001, Meerut
District Uttra Pradesh • Mehsana Shop No. 1 To 5 (Ground Floor), Sakar Centre Point, Near Nagalpur College, Highway Road, Mehsana, Gujarat 384002 • Mohali SCF 113 & SCF 114 Phase-VII, Sector 61 S
A S Nagar, Mohali 160062, Punjab • Moradabad No. 8/10/6, Sarai Khalsa, Civil Lines, Near Head Post Office, Moradabad 244001, Uttar Pradesh • Mumbai Universal Insurance Bldg., Ground Floor, Sir. P. M.
Road, Fort, Mumbai 400001 • Mussoorie Garhwal Mandal Vihas Nigam Ltd (Gmvn), Hotel Garhwal Terrace, The Mall Road, Mussoorie 248179, Uttaranchal • Muzaffarpur RD Complex, Club Road, Kalyani,
Muzaffarpur 842001 Biha • Mysore Haripriya Complex, Temple Road, V V Mohalla, Mysore 570002 • Nadiad Sheth Mahagujarat Hospital, College Road, Nadiad 387001 • Nagercoil Thayammal Harris
Towers No. 42, Court Road, Nagercoil 629001, Kanyakumari District • Nagpur 1st Floor, Sanskrutik Sankul, Jhansi Rani Square, Sitabuldi, Nagpur 440012 • Nanded “Nikhil Heights” Vazirabad-Bus Stand
Road Nanded 431601, Maharashtra • Nasik Malpani Pride, Behind Raymond Retail Shop, New Pandit Colony, Sharanpur Road, Nasik 422005, Maharashtra • Navsari Building ‘A’, Prem Anand Co-op
Housing Society Ltd, Near Lunsikui Ground, Navsari Gandevi Road, Navsari, Gujarat 396 445 • Nellore Door No. 22/1223/A-1, G T Road, Near RTC Depot, Nellore 524003, Andhra Pradesh • New Delhi
"Statesman House" 148, Barakhamba Road, New Delhi 110001 • Noida B2-B3, Sector 16 Noida, U.P. 201301 • Panipat 515-515 B, Ward No. 8 Gaylord Hotel Building G.T. Road, Panipat 132103, Haryana •
Panjim Atmaram Commercial Complex, Dr. Atmaram Borkar Road, Opp. Hotel Nova, Goa Panjim 403 001 • Panvel Rajje Complex, Plot No 198 A, Shiivaji Chowk, Panvel 410206 • Patan Shridev Complex,
Opposite GPO, Station Road, Patan 384 265, Gujarat • Pathanamthitta Kunnithottathil Plaza, General Hospital Road, Pathanamthitta 689645, Kerala • Patiala 4464/5, Rajwara Road, Opposite Head Post
Office, The Mall Road, Patiala 147001, District, Punjab • Patna Saket Towers, S.P. Verma Road, Patna 800001, Bihar • Pondicherry No.164 Bussy Street, Pondicherry 605001 • Porbandar Building of P H
Wadia & Sons, Ground Floor, M.G. Road, Opposite State Bank of India, Porbandar 360575, Gujarat • Pune Sterling Plaza, Plot No.1262/B, Jangli Maharaj Road, Near Deccan Gymkhana, Pune 411004 •
Raipur Opp. New Bus Stand, Jeevan Bima Marg, Pandri, Raipur (C.G.) 492004, Chattisgarh • Rajahmundry D. No. 7-27-8 Vygram Road, T. Nagar, Rajahmundry 533101, Andhra Pradesh • Rajkot
Aradhana, Nr. Bank of Baroda, Kalawad Road, Rajkot 360001 • Ranchi No. 4, 5A, 5B, Ward No. 15, Ground Floor, Below Bata Showroom, Main Road, Albert Ekka Chowk, Ranchi 834001, Jharkhand •
Ratnagiri Ground Floor, Hotel Vihar Deluxe Mal-Naka, M.D. Naik Road, Ratnagiri 415612, Maharashtra • Rishikesh Bharat Bazaar, 16, Adarsh Gram Dehradun Road, Rishikesh 249201 • Rohtak Shop No.
1, Munjal Complex, Delhi Road, Rohtak 124001, Haryana • Roorkee 343/29, Civil Lines, Roorkee 247667 Uttaranchal • Rourkela Ground Floor, Mangal Kunj, Kachery Road, Rourkela 769012 Orissa • Salem
Door No. 115-1A, Sharptronics Shopping Complex, Opposite TVS, Omalur Main Road, Salem 636009 Tamil Nadu • Sangli City Survey No. 32/A, Ambrai Road, Azad Chowk, Sangli 416416, Maharashtra •
Satara Abanjani, S No. 257, Plot No.2, Bhosale Mala, G D Tapase Marg, Satara 415009, Maharashtra • Satna Upper Ground Floor, Tiwari Towers, Rewa Road, Satna 485001, District, Madhya Pradesh •
Shillong O.B. Shopping Mallm, Police Bazar Junction, Jail Road, Shillong 793001 Meghalaya • Shimla GF/FF, Durga Cottage, Commercial Complex, Kasumpti, Shimla 171 009 • Shimoga G.R. Prabhu
Arcade, JPN Road, 1st Cross, Shimoga 577201 Karnataka • Silchar “Chowchakra Complex”, Shyama Prasad Road, Shillong Patty, Silchar 788001, Assam • Siliguri Spectrum House, Sevoke Road, Siliguri
734401, West Bengal • Sivakasi # 64, N R K R, Rajarathnam Street, Sivakasi 626123,Tamil Nadu • Solapur Ground Floor, Kanale Kalyan Mandap, Dufferin Chowk, Railway Lines, Solapur 413001
Maharashtra • Surat Digvijay Towers, Opp. St. Xavier's School, Ghod Dod Road, Surat 395001 • Surendranagar Ajmera Chambers, S. T. Road, Surendranagar 363002 Gujarat • Thiruvananthapuram
(Trivandrum) 2/2421, Condor Plaza, M.G. Road, Pattom, Thiruvananthapuram 695004, Kerala • Thrissur (Trichur) City Centre, XXV/1130, Round West, Thrissur 680001 • Tirunelveli 12, East Car Street,
Tirunelveli 627006 Tamil Nadu • Tirupur 3, Court Street, Tirupur 641601 Coimbatore District, Tamil Nadu • Tiruvalla 1st Floor, Mar Thoma Building, M.C. Road, Tiruvalla 689101, Kerala • Trichy
(Tiruchirapalli) No.75 E/1, Salai Road, Near Thillai Nagar, Arch Thillai Nagar, Tiruchirapalli 620018, Tamil Nadu • Tuticorin "V.V.D. Mahaal", 181 Palayamkottai Road, Tuticorin 628003, Tamil Nadu • Udaipur
151-152, Ground Floor, Parihar Bhawan, Chetak Marg, Udaipur, Rajasthan 313001 • Ujjain Ground Floor, Hotel Ashray 77, Dewas Road, Ujjain 456010, Madhya Pradesh • Vadodara Vardhaman Complex,
Opp GB Circle, Near Pizza Hut, Race Course Circle (South), Vadodara 390 015 • Vallabh Vidyanagar (Anand) Shiv Shalin Complex, Opp. Chemistry Department, Near H. M. Patel House, Dsit Anand,
Gujarat, Vallabh Vidyanagar - 388 120 • Valsad Shop Nos. 1, 2 & 4, Halar Road, Valsad 396001 Gujarat • Vapi Hotel Fortune Galaxy Complex, Commercial Plot No. C7/67, P.N.H. No. 8, Near Koparli Road,
G.I.D.C., Vapi 396195, District Valsad, Gujarat • Varanasi C-19/134, M-B, Ground & First Floor, Shastri Nagar, Sigra, Varanasi 221002, Uttar Pradesh • Vasco Heritage, Ground Floor, Swatantra Path,
Opposite Sapna Terraces, Vasco-Da-Gama 403802, Marmagoa, Goa • Vijaywada Ground Floor, D No. 59A 1-7, Matha Towers, Ring Road, Near Benz Circle, Vijayawada 520008 • Vishakhapatnam
(Gajuwaka) Arjun Arcade, NH-5, Old Gajuwaka, Vishakhapatnam 530 026 • Yavatmal Ground Floor, Nagar Parishad Commercial Complex, Azad Maidan Road, Yavatmal 445 001, Maharashtra.
 Form 1
                                                                                                                                              LUMPSUM
                                                                                                                                          APPLICATION FORM                                                                                   An open ended growth scheme


                                                              Date D        D    M    M     Y     Y                                                                                                                  Application No

                                                                    Distributor Code/ ARN No                    Sub-distributor Code/ ARN No                       MO Code Bank Branch Code                           Date of Receipt                 Bank Sr No

                                                                     ARN - 11770                                       PDF - 10000
                                                              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 FOLIO NUMBER                                                                           Existing Investors - Please fill in the Sections 1, 9, 10,11 and 13 only
                                                               2      UNIT HOLDER INFORMATION
                                                               Name of the First Applicant/ Corporate Investor                                                                                                          Date of Birth          D    D     M    M       Y   Y
                                                               Mr/ Ms/ M/s/ Dr/ Minor
                                                               PAN (mandatory)                                                                                     Enclosed -     PAN Proof          KYC Letter Refer instruction related to PAN & KYC
                                                               Name of the Second Applicant
                                                               Mr/ Ms/ M/s/ Dr
NFO opens : 11 November, 2009 NFO closes : 8 December, 2009




                                                               PAN (mandatory)                                                                                     Enclosed -     PAN Proof          KYC Letter Refer instruction related to PAN & KYC
                                                               Name of the Third Applicant
                                                               Mr/ Ms/ M/s/ Dr
                                                               PAN (mandatory)                                                                                     Enclosed -     PAN Proof          KYC Letter Refer instruction related to PAN & KYC
                                                               Name of the Guardian (in case of a minor)
                                                               Mr/ Ms/ M/s/ Dr
                                                               PAN (mandatory)                                                                                     Enclosed -     PAN Proof          KYC Letter Refer instruction related to PAN & KYC
                                                               Name of the Power of Attorney Holder
                                                               Mr/ Ms/ M/s
                                                               PAN (mandatory)                                                                                  Enclosed -        PAN Proof          KYC Letter Refer instruction related to PAN & KYC
                                                               3      STATUS OF FIRST APPLICANT          Resident Individual                                   Bank                   HUF            Proprietor         Guardian                   SocietyFII
                                                                      Partnership Firm  NRI              PIO             Trust                                 Company                Others                                (specify)
                                                                4      MODE OF OPERATION                                                        Single                               Joint                       Anyone or Survivor (Default option is Joint)
                                                                5      OCCUPATION (of First/ Sole Applicant)               Service     Housewife Defence             Professional     Retired      Business        Agriculture Others           (specify)

                                                               6A      CONTACT DETAILS - FIRST APPLICANT/ GUARDIAN/ CORPORATE PO Box address is not sufficient. Mobile number and email is mandatory to avail online facility
                                                               Contact Person (In case of Non Individual Investor)
                                                               Address
                                                                                                                                                                                                          City
                                                               State                                                                     Pincode                                          Landline No
                                                               Mobile (Holder 1)                                                                Email (Holder 1)
                                                               Mobile (Holder 2)                                                                Email (Holder 2)
                                                               Mobile (Holder 3)                                                                Email (Holder 3)

                                                               6B      OVERSEAS ADDRESS (Mandatory in case of NRIs/ FIIs) (PO Box address is not sufficient. Investors residing overseas & with PO Box address please provide your Indian address)
                                                               Address
                                                               City                                                                   State                                                                                        Pincode
                                                               Mobile                                                                 Landline No
                                                               Email
                                                               7       CONTACT & ADDRESS OF POWER OF ATTORNEY HOLDER (PO Box address is not sufficient)
                                                               Address
                                                               City                                                                   State                                                                                       Pincode
                                                               Mobile                                                                 Landline No
                                                               Email


                                                                                                                                          AXIS EQUITY FUND NFO
                                                               10A DEBIT MANDATE (For Axis Bank account holders only)                                                                                                Application No
                                                                                                            TO BE DETACHED BY AUTHORISED PERSONNEL OF AXIS BANK CMS DEPT.
                                                                                                                                                                                                                                        Date D      D     M    M       Y   Y
                                                               To CMS DEPT. - Axis Bank*
                                                               I/ We                                                                                    Name of the account holder(s)
                                                               authorise you to debit my/ our account no                                                                                             to pay for the
                                                               purchase of Axis Equity Fund Please debit an amount in Rs (in figures)
                                                               Rs (in words)
                                                                                                                                                                                                                            Signature of Account Holder(s) as per Bank records
                                                                *To be processed in NFO software                                                                                                                                         Authorised Signatory(ies)

                                                              AXIS MUTUAL FUND - ACKNOWLEDGMENT SLIP (To be filled in by the investor)                                                                               Application No
                                                              Received from Mr/ Ms/ M/s
                                                              an application for purchase of units in Axis Equity Fund - Option -
                                                              for Rs (in figures)                                      on Date D         D    M     M    Y     Y     vide Instrument no                                                  Stamp & Signature
8       MODE OF CORRESPONDENCE (Where the investor has provided his e-mail id, the AMC shall send all communication to the investor via e-mail. Investors who wish to receive
        correspondence through physical mode instead of e-mail are requested to ü
                                                                                ) I/ We wish to receive all communication through physical mode in lieu of email.
9     BANK ACCOUNT DETAILS OF FIRST/ SOLE APPLICANT Refer “Bank Details” under Instructions. Please enclose a copy of a cancelled cheque)
Name of Bank                                                                           Branch
City                             State                       Account No
Account Type - Current Savings NRO NRE FCNR Others              (specify)
MICR code*                                      IFSC code**
*Mandatory for dividend payout via ECS (The 9 digit code appears on your cheque next to the cheque number) **Mandatory for credit via RTGS/ NEFT (11 digit)
10      PAYMENT OPTIONS (Please ü Mandate or Cheque/ DD)
                                either Debit
     10 A Debit Mandate                                           10 B Cheque/ DD
(Debit mandate also to be filled separately)
                                                              Cheque/ DD No                                          Cheque/ DD Date D             D     M     M     Y     Y
Facility available for Axis Bank A/c Holders only.
A/c No                                                        Drawn on (Bank/ Branch Name)
Branch                                                        Cheque Issuer Name                                           In case cheque is issued by person other than the investor

Total amount Rs (In figures) inclusive of DD charges
             Rs (In words) inclusive of DD charges
DD Charges   Rs (In figures) if paid
11      INVESTMENT DETAILS Axis Equity Fund                                              Growth                 Dividend Re-invest                      Dividend Payout
12      NOMINATION DETAILS                                                                                      13      DECLARATION AND SIGNATURES
I/We                                                                          do hereby nominate              Having read and understood the content of the SID/ SAI of the scheme, I/ we hereby apply for
                                                                                                              units of the scheme. I/ We hereby declare that the terms, conditions, rules and regulations
the under mentioned person to receive the units to my/ our credit in this account no. in event of my/         governing the scheme. I/ We hereby declare that the amount invested in the scheme is
our death. I/ We also understand that all payments and settlements made to such Nominee and                   through legitimate source only and does not involve designed for the purpose of the
                                                                                                              contravention of any Act, Rules, Regulations, Notifications or Directives of the provisions of
signature of the Nominee acknowledgement receipt thereof, shall be a valid discharge by the AMC/              the Income Tax Act, Anti Money Laundering Laws, Anti Corruption Laws or any other
Mutual Fund/ Trustee.                                                                                         applicable laws enacted by the Government of India from time to time. I/ We have understood
                                                                                                              the details of the Scheme & I/ we have not received nor have been induced by any rebate or
Nominee's Name                                                                                                gifts, directly or indirectly in making this investment. I/ We confirm that the funds invested in
                                                                                                              the Scheme, legally belongs to me/ us. In event “Know Your Customer” process is not
Relationship                                                                                                  completed by me/ us to the satisfaction of the Mutual Fund, (I/ we hereby authorize the
                                                                                                              Mutual Fund, to redeem the funds invested in the Scheme, in favour of the applicant, at the
Address                                                                                                       applicable NAV prevailing on the date of such redemption and undertake such other action
                                                                                                              with such funds that may be required by the law.) 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
In case Nominee is a Minor                                                                                    being recommended to me/ us. For NRIs only - I/ We confirm that I am/ we are Non
                                                                                                              Residents of Indian nationality/ origin and that I/ We have remitted funds from abroad through
Name of Guardian                                                                                              approved banking channels or from funds in my/ our Non Resident External/ Non Resident
                                                                                                              Ordinary/ FCNR account. I/ We confirm that details provided by me/ us are true and correct.
Address of Guardian

                                                                                                                      First/ Sole Applicant/ Guardian                          Second Applicant
Date of Birth D D M M Y Y Y Y                   Signature of Guardian
In case of more than one nominee, kindly submit multiple nomination (maximum 3 nominees) form.
Multiple nomination form can be obtained from nearest AMC ISC or Registrar or from AMC website.                                Third Applicant                           Power of Attorney Holder
                   Documents as listed below are to be submitted along with the Application Form (as applicable to your specific case)
Document         Sr Documents                                                             Individuals Companies Trusts Societies Partnership FIIs NRIs Investments
submitted. No                                                                                                                             Firms                     through POA
Kindly (ü  )
                  1    Resolution/ Authorisation to invest                                                 ü          ü          üü                    ü
                  2    List of Authorised Signatories with Specimen Signature(s)                           ü          ü          üü                    ü                   ü
                  3    Memorandum & Articles of Association                                                ü
                  4    Trust Deed                                                                                     ü
                  5    Bye-Laws                                                                                                  ü
                  6    Partnership Deed                                                                                                      ü
                  7    Notarised Power of Attorney                                                                                                                         ü
                  8    Account Debit Certificate in case payment is made by DD from
                       NRE/ FCNR A/c where applicable                                                                                                  ü      ü
                  9    PAN Proof                                                               üü                     ü          üü                    ü      ü            ü
                 10 KYC Letter                                                                 üü                     ü          üü                    ü      ü            ü
                 11 Copy of cancelled Cheque                                                   üü                     ü          üü                    ü      ü            ü
All documents in 1 to 6 above should be originals or true copies certified by the Director/ Trustee/ Company Secretary/ Authorised Signatory/ Notary Public/ Partner, as applicable.
Originals will be handed over after verification.




The debit mandate feature is available only to account holders of Axis
Bank. Only authorised personnel from the CMS department of Axis
Bank can detach the Debit Mandate from the application form.
Call 1800 3000 3300 for any clarifications.


Axis Asset Management Company Limited
Investment Manager to Axis Mutual Fund
11th Floor, Nariman Bhavan, Vinay K Shah Marg, Nariman Point, Mumbai 400 021, India.
Tel 91 22 3940 3300 Fax 91 22 2204 0130 Toll Free 1800 3000 3300 Email customerservice@axismf.com www.axismf.com
                                                                                                       ONE TIME MANDATE FOR
                                                                                        REGISTERING TO THE EASY CALL FACILITY

                                                                                                                                   Application No
Please submit this form along with either Form 1 or Form 2/3

The Easy Call facility allows investors with bank accounts in select banks ( mentioned below) to invest in select schemes of Axis Mutual Fund
by calling up on the Axis Mutual Fund toll free number 1800 3000 3300 post this registration. This form needs to be accompanied with the
Lumpsum Application form.
The first time purchase has to be through the physical mode i.e. submit this mandate with a purchase application (of any amount). Post registration Investors can invest a
maximum of Rs 500,000 through this facility at a time. The mandate is for the specific use of this facility. Registration will take 30 days from the date of submission. Investor can
avail phone investment facility only after registration. PLEASE SUBMIT A COPY OF A CANCELLED CHEQUE. This facility is currently available only for individual investors
with “Single” & “Anyone or Survivor” as the selection for mode of holding in case of Joint applicants. Facility currently available for investors with accounts in following banks.
Refer SID/ SAI for terms and conditions.

Date    D    D     M    M    Y    Y   Y      Y          Existing Folio No                                               Application

To, Please tick (ü
                 )

     Axis Bank         Bank of Baroda            Bank of India    HDFC Bank         IDBI Bank      IndusInd Bank         Kotak Mahindra Bank             Punjab National Bank
     Union Bank of India          State Bank of India

                                                 SUB: REQUEST FOR DEBIT MANDATE BY                       (Name of Individual

BANK PARTICULARS (as per bank records)
Name of 1st Holder
Name of 2nd Holder
Name of 3rd Holder
Name of Bank
Branch Name
and Address
City
Account No                                                                            9 Digit MICR Code
IFS Code
                     )
Account Type (Please ü Savings                            Current           NRO       NRE          FCNR               OTHERS
I/ We have read the Account Terms and Conditions’at the time of the Account Opening. I/ We are aware that Axis AMC/ Axis MF and its Electronic Debit
Service Provider(s) are authorised to process transactions through Electronic Debit Arrangement to enable us to issue such mandate for making
specified payments to specified beneficiaries. For this purpose, I/ We authorize the following beneficiaries to issue a request for debit instruction to its
Service Provider(s) to raise a debit on our account number with your branch. The payments should be effected to Axis Mutual Fund and/or its service
providers.

             Nature of Payment                              Maximum Amount*                              Start Date                                      End Date

                                                                                                       DD / MM / YYYY                                DD / MM / YYYY
* Individual Investment installment or Maximum amount should be less then or equal to Rs 500,000 (Five Lakhs).
I/ We hereby authorize you to honor all such requests received through Axis AMC/ Axis MF and its Service Provider(s) and debit my/ our Account with the
amount requested, and pay the proceeds to Axis AMC/ Axis MF and its Service Provider(s).
Thanking you,
Yours sincerely,


                                            Account Holders Signature(s)                                                                Account Number

                                                                                                                                  Investor’s Bank Branch Name
                                                                                                                                  Investor’s Bank Branch Address
                                                                                                                                  Investor’s Bank Branch Address



The Branch Manager
Bank                                                                                  Branch
Sub : Mandate verification for A/c. No.
This is to inform you that I/ We have registered for making payment towards my investments in Axis MF by debit to my/ our above account directly or
through ECS. I/ We hereby authorize you to honour such payments for which. I/ We 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.




                       1st Account Holder                                         2nd Account Holder                                         3rd Account Holder
 Form 2                                                                                                                          SYSTEMATIC INVESTMENT PLAN (SIP)
                                                                                                                                       APPLICATION FORM                                                                                          An open ended growth scheme
                                                                Date D          D    M     M    Y     Y
                                                                                                                                                                                                                      Application No :           S
                                                              Please submit this form along with the SIP Mandate Form for ECS (i.e. Form 3)
                                                                     Distributor Code/ ARN No                    Sub-distributor Code/ ARN No                        MO Code Bank Branch Code                          Date of Receipt                       Bank Sr No
                                                                       ARN - 11770                                      PDF - 10000
                                                              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 FOLIO NUMBER                                                                          Existing Investors - Please fill in the Sections 1, 9, 10,11 and 13 only

                                                                2   UNIT HOLDER INFORMATION
                                                                Name of the First Applicant/ Corporate Investor                                                                                                          Date of Birth               D   D     M   M   Y   Y

                                                                Mr/ Ms/ M/s/ Dr/ Minor
                                                                PAN (mandatory)                                                                                   Enclosed -       PAN Proof           KYC Letter Refer instruction related to PAN & KYC
NFO opens : 11 November, 2009 NFO closes : 8 December, 2009




                                                                Name of the Second Applicant
                                                                Mr/ Ms/ M/s/ Dr
                                                                PAN (mandatory)                                                                                   Enclosed -       PAN Proof           KYC Letter Refer instruction related to PAN & KYC
                                                                Name of the Third Applicant
                                                                Mr/ Ms/ M/s/ Dr
                                                                PAN (mandatory)                                                                                   Enclosed -       PAN Proof           KYC Letter Refer instruction related to PAN & KYC
                                                                Name of the Guardian (in case of a minor)
                                                                Mr/ Ms/ M/s/ Dr
                                                                PAN (mandatory)                                                                                   Enclosed -       PAN Proof           KYC Letter Refer instruction related to PAN & KYC
                                                                Name of the Power of Attorney Holder
                                                                Mr/ Ms/ M/s
                                                                PAN (mandatory)                                                                                   Enclosed -       PAN Proof           KYC Letter Refer instruction related to PAN & KYC

                                                                 3       STATUS OF FIRST APPLICANT
                                                                     Resident Individual              Bank                     HUF               Proprietor                 Guardian                                Society                FII
                                                                     Partnership Firm                 NRI                      PIO               Trust                      Company                                 Others                  (specify)

                                                                 4       MODE OF OPERATION                                                           Single                            Joint                       Anyone or Survivor      (Default option is Joint)

                                                                 5       OCCUPATION (of First/ Sole Applicant)
                                                                     Service         Housewife            Defence           Professional               Retired              Business               Agriculture                Others             (specify)


                                                                6A       CONTACT DETAILS - FIRST APPLICANT/ GUARDIAN/ CORPORATE PO Box address is not sufficient. Mobile number and email is mandatory to avail online facility
                                                                Contact Person (In case of Non Individual Investor)
                                                                Address
                                                                                                                                                                                                            City
                                                                State                                                                      Pincode                                         Landline No
                                                                Mobile (Holder 1)                                                                    Email (Holder 1)
                                                                Mobile (Holder 2)                                                                    Email (Holder 2)
                                                                Mobile (Holder 3)                                                                    Email (Holder 3)

                                                                6B       OVERSEAS ADDRESS (Mandatory in case of NRIs/ FIIs) (PO Box address is not sufficient. Investors residing overseas & with PO Box address please provide your Indian address)
                                                                Address
                                                                City                                                                     State                                                                                         Pincode
                                                                Mobile                                                                   Landline No
                                                                Email


                                                                7        CONTACT & ADDRESS OF POWER OF ATTORNEY HOLDER (PO Box address is not sufficient)
                                                                Address
                                                                City                                                                   State                                                                                           Pincode
                                                                Mobile                                                                 Landline No
                                                                Email


                                                                                                                                                                                                                      Application No S
                                                               AXIS MUTUAL FUND - ACKNOWLEDGMENT SLIP (To be filled in by the investor)
                                                               Received from Mr/ Ms/ M/s
                                                               an application for purchase of units in Axis Equity Fund - Option -
                                                               for Rs (in figures)                                       on Date     D      D    M     M   Y     Y    vide Instrument no                                                   Stamp & Signature
8       MODE OF CORRESPONDENCE (Where the investor has provided his e-mail id, the AMC shall send all communication to the investor via e-mail. Investors who wish to receive
        correspondence through physical mode instead of e-mail are requested to ü
                                                                                ) I/ We wish to receive all communication through physical mode in lieu of email.

9       BANK ACCOUNT DETAILS OF FIRST/ SOLE APPLICANT Refer “Bank Details” under Instructions. Please enclose a copy of a cancelled cheque)
Name of Bank                                                                                                                      Branch
City                                            State                                               Account No
Account Type -     Current      Savings     NRO         NRE    FCNR        Others                      (specify)

MICR code*                                                                     IFSC code**
*Mandatory for dividend payout via ECS (The 9 digit code appears on your cheque next to the cheque number) **Mandatory for credit via RTGS/ NEFT (11 digit)

10 PAYMENT OPTIONS SIP is available only with the ECS Debit option and only with a Monthly frequency. The first SIP transaction has to be through a cheque. The first cheque
amount can be different from the subsequent SIP instalment amount. Please fill the ECS mandate attached. Please attach a copy of cancelled cheque.
First SIP Transaction via Cheque No.                                        First Cheque date D        D     M M        Y     Y

Drawn on (Bank / Branch name)
Total amount       Rs. (In words)                                                                                                              inclusive of DD charges
Rs. (In figures)                                    inclusive of DD charges                                 DD Charges Rs. (In figures)                                    if paid
SIP Start date     D   D                   End date       (Minimum 3 years)         M M     Y   Y    (please refer instruction for details)
Monthly SIP amount Rs.                     (in figures)                  Rs. (in words)

11      INVESTMENT DETAILS Axis Equity Fund                                               Growth                   Dividend Re-invest                         Dividend Payout

12      NOMINATION DETAILS                                                                                         13         DECLARATION AND SIGNATURES
I/We                                                                          do hereby nominate               Having read and understood the content of the SID/ SAI of the scheme, I/ we hereby apply for
the under mentioned person to receive the units to my/ our credit in this account no. in event of my/          units of the scheme. I/ We hereby declare that the terms, conditions, rules and regulations
                                                                                                               governing the scheme. I/ We hereby declare that the amount invested in the scheme is
our death. I/ We also understand that all payments and settlements made to such Nominee and                    through legitimate source only and does not involve designed for the purpose of the
signature of the Nominee acknowledgement receipt thereof, shall be a valid discharge by the AMC/               contravention of any Act, Rules, Regulations, Notifications or Directives of the provisions of
Mutual Fund/ Trustee.                                                                                          the Income Tax Act, Anti Money Laundering Laws, Anti Corruption Laws or any other
                                                                                                               applicable laws enacted by the Government of India from time to time. I/ We have understood
                                                                                                               the details of the Scheme & I/ we have not received nor have been induced by any rebate or
Nominee's Name                                                                                                 gifts, directly or indirectly in making this investment. I/ We confirm that the funds invested in
                                                                                                               the Scheme, legally belongs to me/ us. In event “Know Your Customer” process is not
Relationship                                                                                                   completed by me/ us to the satisfaction of the Mutual Fund, (I/ we hereby authorize the
                                                                                                               Mutual Fund, to redeem the funds invested in the Scheme, in favour of the applicant, at the
Address                                                                                                        applicable NAV prevailing on the date of such redemption and undertake such other action
                                                                                                               with such funds that may be required by the law.) 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. For NRIs only - I/ We confirm that I am/ we are Non
In case Nominee is a Minor                                                                                     Residents of Indian nationality/ origin and that I/ We have remitted funds from abroad through
                                                                                                               approved banking channels or from funds in my/ our Non Resident External/ Non Resident
Name of Guardian                                                                                               Ordinary/ FCNR account. I/ We confirm that details provided by me/ us are true and correct.

Address of Guardian

                                                                                                                            First/ Sole Applicant/ Guardian                     Second Applicant
Date of Birth D D M M Y Y Y Y                   Signature of Guardian
In case of more than one nominee, kindly submit multiple nomination (maximum 3 nominees) form.
Multiple nomination form can be obtained from nearest AMC ISC or Registrar or from AMC website.                                    Third Applicant                        Power of Attorney Holder


                   Documents as listed below are to be submitted along with the Application Form (as applicable to your specific case)
Document         Sr Documents                                                             Individuals Companies Trusts Societies Partnership FIIs NRIs Investments
submitted. No                                                                                                                             Firms                     through POA
Kindly (ü  )
                  1    Resolution/ Authorisation to invest                                                 ü         ü          üü                     ü
                  2    List of Authorised Signatories with Specimen Signature(s)                           ü         ü          üü                     ü                   ü
                  3    Memorandum & Articles of Association                                                ü
                  4    Trust Deed                                                                                    ü
                  5    Bye-Laws                                                                                                 ü
                  6    Partnership Deed                                                                                                      ü
                  7    Notarised Power of Attorney                                                                                                                         ü
                  8    Account Debit Certificate in case payment is made by DD from
                       NRE/ FCNR A/c where applicable                                                                                                  ü      ü
                  9    PAN Proof                                                               üü                    ü          üü                     ü      ü            ü
                 10 KYC Letter                                                                 üü                    ü          üü                     ü      ü            ü
                 11 Copy of cancelled Cheque                                                   üü                    ü          üü                     ü      ü            ü
All documents in 1 to 6 above should be originals or true copies certified by the Director/ Trustee/ Company Secretary/ Authorised Signatory/ Notary Public/ Partner, as applicable.
Originals will be handed over after verification.




Axis Asset Management Company Limited
Investment Manager to Axis Mutual Fund
11th Floor, Nariman Bhavan, Vinay K Shah Marg, Nariman Point, Mumbai 400 021, India.
Tel 91 22 3940 3300 Fax 91 22 2204 0130 Toll Free 1800 3000 3300 Email customerservice@axismf.com www.axismf.com
 Form 3                                                                                                                      MANDATE FORM FOR ECS (DEBIT)
                                                                                                                            SYSTEMATIC INVESTMENT PLAN (SIP)
                                                                                                                                                                                                                                An open ended growth scheme



                                                              Please submit this form along with the SIP application form (i.e. Form 2)                                                                  Application No :       S
                                                              ECS Debit facility for SIP is currently available for account holders of all banks participating in local clearing at Agra, Ahmedabad, Allahabad, Amritsar, Asansol, Aurangabad, Bangalore,
                                                              Bardwan, Baroda, Belgaum, Bhilwara, Bhopal, Bhubaneshwar, Bijapur, Bikaner, Calicut, Chandigarh, Chennai, Cochin, Coimbatore, Cuttack, Darjeeling, Davangere, Dehradun, Delhi,
                                                              Dhanbad, Durgapur, Erode, Gadak, Gangtok, Gorakhpur, Guwahati, Gwalior, Gulbarga, Hubli, Hyderabad, Indore, Jabalpur, Jaipur, Jalandhar, Jammu, Jamshedpur, Jodhpur, Kakinada,
                                                              Kanpur, Kolhapur, Kolkata, Lucknow, Ludhiana, Madurai, Mangalore, Mumbai, Mysore, Nagpur, Nasik, Nellore, Panjim, Patna, Pondicherry, Pune, Raipur, Rajkot, Ranchi, Salem, Shimla,
                                                              Sholapur, Siliguri, Surat, Thirupur, Tirupati, Trichur, Trichy, Trivandrum, Tumkur, Udaipur, Varanasi, Vijaywada (also covers Guntur, Tenali & Mangalgiri), Vizag.

                                                              Authorization to pay SIP instalments through Electronic Clearing Service (ECS)
                                                              I/We hereby, authorise Indiaideas.com, the authorised service provider for Axis Mutual Fund to debit my/our bank account by ECS (Debit Clearing) for the collection of SIP instalments.
NFO opens : 11 November, 2009 NFO closes : 8 December, 2009




                                                              UNIT HOLDER INFORMATION
                                                              Name of first applicant
                                                              PAN                                                                                                       Mobile
                                                              E-mail
                                                              Preferred messaging medium SMS -               Yes       No      E-mail -    Yes        No


                                                              SIP DETAILS
                                                              Scheme name Axis Equity Fund
                                                              SIP Start date D      D         End date         (Minimum 3 years)       M M       Y    Y

                                                              Monthly SIP amount Rs.                         (in figures)                 Rs. (in words)


                                                              BANK DETAILS (Please attach a copy of the cheque of below mentioned bank account with this application form.)
                                                              Account holder's name
                                                              Name of bank
                                                              Branch                                                                                                    Account No.
                                                              Account type                   Current            Savings         NRO            NRE                      Others                                    (specify)
                                                              9 digit MICR code (Please enter the 9 digit number that appears after your cheque number)
                                                              Please specifically mention the MICR code of your bank branch in case you have a payable at par cheque book.
                                                              I/ We hereby declare that the particulars given above are correct and express my willingness to pay the instalments referred above through participation in ECS. 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 Axis Mutual Fund about any changes in my
                                                              bank account.




                                                                                 Bank Account Holder (1)                                             Bank Account Holder (2)                                     Bank Account Holder (3)



                                                              Place                                                                                                                                                      Date       D   D   M    M    Y    Y


                                                              FOR BANK USE ONLY
                                                              We, hereby, certify that the particulars furnished above are correct as per our records, and we, hereby, declare that a copy of this form, duly completed, has been submitted to us.

                                                              Branch                                                                                                                                                     Date       D   D   M    M    Y    Y




                                                                    Signature of the authorised official from the bank                                                                                                 Bank stamp




                                                              AUTHORISATION OF THE BANK ACCOUNT HOLDER
                                                              This is to inform that I/ we have registered for the RBI's ECS (Debit Clearing) and that my payment towards SIP installments shall be made from my/ our below mentioned bank account with
                                                              your bank. I/ We authorise the representative carrying this ECS mandate form to get it verified and executed.




                                                                               Account Holder's signature                                     Joint Account Holder's signature
                                                                                     (As in bank records.)                                                (As in bank records.)
                                                                                                                                                                                                                     Account number
 AXIS BANK REMOTE COLLECTION CENTRES (ONLY DURING NFO)
Abohar Khasra No 1275, Circular Road, Abohar 152116, Dist Ferozepur Punjab • Adda Dhaka Khata No 601, 671 Khasra No 72/14/2, Village Dakha Ii Ferozpur Road, Adda Dakha 141102
Tehsil And District Ludhiana Punjab • Adilabad H No 4360/10/11, Opp Bus Stand, N H No 7, Adilabad 50400, Andhra Pradesh • Akola ‘Khatri House’, Amankha Plot Road, Akola 444001,
Maharashtra • Alappuzha S No 820 30/A1/1, Danis Arcade, Cullen Road, Mullackal Junction, Alappuzha 688011, Kerala • Alwar 1, Jai Complex, Road No 2, Alwar 301001 Rajasthan •
Ambikapur Benaras Chowk, Opp PG College, NH 78 Ambikapur, Dist Surguja 497001 Chattisgarh • Angul Shreeram Market Complex, Main Road, Angul 759122 Orissa • Ankleshwar Ground
& First Floors, Plot No C 3/9, Opp Asopalav Guest House, Near Railway Station, Old N H No 8, GIDC Ankleshwar 393002, Dist Bharuch, Gujarat • Arambagh Link Road, Arambagh, Dist
Hooghly 712601 West Bengal • Arni No 42/1 Thatchur Road, Arni 632301 Dist Thiruvannamalai, Tamil Nadu • Athni “Sidheshwara Complex”, No 1196 Inamdarpet, Athni 591304 District
Belgaum, Karnataka • Attur 910, Niresh Complex Cuddalore Main Road Attur 636102, Dist Salem, Tamil Nadu • Azamgarh No 296, Ward No 19, Civil Lines, Near LIC Branch II, Raidopur,
Azamgarh 276001, Uttar Pradesh • Baddi Show Room No 45,46,47 Fauji Complex, Sai Road, Baddi 173205, Himachal Pradesh • Bagalkot Nagappana Katte, Opp Kerudi Hospital, Extension
Area Road, Bagalkot 587101, Karnataka • Bagha Purana Khasra No 1487/2 13 Mudki Road, Bagha Purana 142038 District Moga, Punjab • Bahraich Ground Floor & Basement 120/3, R K
Tower, Digiha Tiraha Bahraich 271801, Uttar Pradesh • Balasore (Baleshwar) Subhra Plaza, O T Road, Padhuan Pada (Near Police Lines Square), Balasore 756001, Orissa • Balurghat
Chakbhabani (Rathtala) PO + PS Balurghat, Dist Dakshin Dinajpur 733101, West Bengal • Banga Khasra No 70/18 Phagwara Banga, Main Road, Banga 144505 Dist Nawanshahr Punjab •
Bankura 240/A, Nutan Chati PO and District Bankura 722101, West Bengal • Banswara Ground Floor, Shop No 1 13, Plot No 4,5,6 Paras Enclave, Mohan Colony Circle, Udaipur Road,
Banswara 327001, Rajasthan • Bapatla D No 501/3, Radam Bazar, Car Street, Bapatla 522101, District Guntur Andhra Pradesh • Barabanki Lower Ground Floor, 507 & 508 Gram Obri,
Lucknow Faizabad Road, Barabanki 225001, Uttar Pradesh • Barbil Hotel Prachi, Opposite Barbil Bus Stand, PO Barbil, District Keonjhar 758035, Orissa • Bardoli Manchhaba Sankskruti
Bhavan, Sardar Baug, Bardoli 394601 District Surat, Gujarat • Bargarh Chanda Market Complex, NH 6, Bargarh 768028 Orissa • Baripada K C Circle, Baripada Dist Mayurbhanj 757001 Orissa
• Barnala No B/12/443 “Meghraj & Son’s Building” College Road, Barnala 148101, Punjab • Basti Plot No 3107, Mohalla Murli Jot In front of Kotwali, Basti Uttar Pradesh 272001 • Bathinda
(Bhatinda) Pocket No 6, Mc Building No 2089, TP Scheme, The Mall, Bathinda 151005, Punjab • Bazpur Khasra No 200 MI, Khatoni No 92, Main Doraha Road (Rampur Road), Bazpur 262401
Dist Udham Singh Nagar, Uttarakhand • Begusarai Radhakrishna Market, Patel Chowk Main Road, Begusarai 851101 Bihar • Beharampur 3/20, K K Banerjee Road, Lal Dighi, Beharampur
742101,West Bengal • Bellary Doors No 8, Main Road, Siddartha Complex, Parvathi Nagar, Bellary 583103, Karnataka • Bettiah Supriya Road, Opp Kishan Hotel, Bettiah 845438, Bihar •
Bhadrak R C Behera Market Complex, Salandi By Pass, Bhadrak 756100, Orissa • Bharatpur Khasra No 1067, Near Nasyaji Temple, Circular Road, (Khumber Circular Station Road)
Bharatpur 321001, Rajasthan • Bhatapara Sai Sadan, Main Road, Bhatapara, Dist Raipur, Chhatisgarh 493118 • Bhawanipatna Statue Square, Near Palace, Bhawanipatna, Dist Kalahandi
Orissa 66001 • Biharsharif Kashi Takiya, PS: Laheri Thana, Ranchi Road, Biharsharif Dist Nalanda, Bihar 803101 • Bhiwadi B 294 295 (A), Aggarwal Enterprises, Building RIICO Chowk,
Bhiwadi 301019 Dist Alwar, Rajasthan • Bhiwani Khasra No 723/2, Circular Road, Baba Nagar, Bhiwani 127021 Haryana • Bidar No 9 9 3 (Old No 9 9 2), Seenu Complex, B V B College Road,
Gandhi Gunj, Bidar 585401, Karnataka • Bijapur 1st Floor, V K G Complex, M G Road, Bijapur 586101 Karnataka • Bolangir Tara Complex, Bhagarthi Chowk, Bolangir 767001, Orissa • Bolpur
(Bolpar) Municipal Super Market Shantiniketan Road, Bolpur 731204, District Birbhum, West Bengal • Bongaigaon Corporate Tower, Chapaguri Road, Bongaigaon 783380, Assam •
Bulandshahr 356, Ward No 18, Opp Hotel Raj Darbar, D M Colony Road, Civil Lines, Bulandshahr 203001, Uttar Pradesh • Burhanpur Upper Ground Floor, Navagrahe Parisar Plot No 654/7,
Amravati Road, Burhanpur Dist Burhanpur, Madhya Pradesh, 450331 • Bundi Plot No 1, New Dhan Mandi Road, Lanka Gate Commercial Scheme, Bundi 323 001, Rajasthan • Burdwan 37, G
T Road, Burdwan 713101 • Chalisgaon Upper & Lower Ground Floor, Major Corner, CTS No 3558, Ghat Road, Chalisgaon 424101 Dist Jalgaon, Maharashtra • Chandrapur Plot No 22 B, Civil
Lines, Chandrapur Nagpur Highway, Next to DCC, Chandrapur 442402 Maharashtra • Chhatarpur Narain Plaza, Jawahar Road, Chhatarpur, Madhya Pradesh 471001
• Chickmagalur Basavanahalli Main Road, Opp Rangana Choultry, Next to Taluk Office, Chickmagalur 577101, Karnataka • Chillakallu Survey No RS 47, Main Bazaar, Jaggayyapeta Road,
Chillakallu 521178 Dist Krishna, Andhra Pradesh • Chindwara Nazul Block No 46, Plot No 7/2, Sharma Complex, Satkar Choraha, Chindwara 480001, Madhya Pradesh • Chinnamiram 7 132,
J P Road, Venkatrajunagar, Chinnamiram 534204 West Godavari District, Andhra Pradesh • Chiplun Ground Floor, Hotel Atithi Mumbai Goa Highway, Chiplun, Dist Ratnagiri 415605,
Maharashtra • Chittoor 18 1024, Sindhu Towers, Prakasam High Road, Chittoor 517001, Andhra Pradesh • Chikodi No 5253, Indiranagar, N M Road, Chikodi, Dist Belgaum Karnataka,
591201 • Contai Plot No 232, Ward No II, Serpur Etwaribar PO + PS Contai, District Purba Medinipur 721401, West Bengal • Cuddalore No 1, Nethaji Road, Manjakuppam, Cuddalore, Tamil
Nadu 607001 • Dahod Ground Floor, Vrundavan Hotel, Station Road, Dahod 389151, Gujarat • Daman Sagar, Teen Batti Daman 396210 • Damoh Ground Floor, Hotel Rambhog Station Road,
Dist Damoh Madhya Pradesh 470661 • Darbhanga Govindlal Jajodia Path, Mirzapur Road, Darbhanga 846004 Bihar • Dausa Khasra No 1570 & 1571, Ground Floor, Shop Nos 24 27 and 32
35, First Floor, Shop Nos 28 32 and 39 43, First Tower, Agra Road, Dausa 303303, Rajasthan • Deesa Ground Floor, Panchal Complex, Railway Station Road, Deesa 385535, Dist Banas
Kantha, Gujarat • Deoghar Plot No 80, Seth Surajmall Jalan Road, Caster Town, Dist Deoghar 814112, Jharkhand • Deoria Khasra No 1651/216, Mohalla Bhattwalia, Barhat Road, Deoria,
Uttar Pradesh 274001 • Dhamtari Jagdalpur Road, Near Kothari Park, Dhamtari 493773, Chattisgarh • Dharmanagar DNV Road, Dharmanagar, Dist North Tripura 799250 Tripura
• Dhenkanal Plot No 2868, Mahabirbazar, Dhenkanal 759001, Orissa • Dhule Ground Floor, Lane No 2, Main Market, Lalbaug, Dhule 424001, Maharashtra • Dibrugarh RKB Path Opp Head
Post Office Dibrugarh 786001, Assam • Dindigul Spencer’s Compound, Salai Road, Dindigul 624001 Tamil Nadu • Dumka Bhagalpur Road, At & PO: Dumka 814101, Jharkhand • Durg Jeevan
Plaza, Commercial Complex, G E Road, NH6, Ganjpara, Durg 491001, Chhatisgarh • Edarapalli S No 525/4, Near RTC Complex, Edarapalli 533201, East Godavari District Andhra Pradesh •
Etawah Ground & First Floor, 166, New Colony, Mohalla Chougurji, Kachehri Road, Etawah, Uttar Pradesh 206001 • Eluru D No 23B 5 94, Eadaravari Street, Ramachandra Rao Pet, Eluru Dist
West Godavari, Andhra Pradesh 534002 • Farrukhabad Khasra No 437, 438, 439, Municipal No 74 B ITI Chauraha, Shyam Nagar, Thandi Sarak, Farrukhabad 209625, Uttar Pradesh
• Fatehabad Khasra No 170/ 5/1, 5/2, 6/1 & 6/2 Mauz Basti Bhivan, Karan Plaza, Near Mini Secretariat, N H 10 Fatehabad 125050, Haryana • Firozabad Building No 68, Vimala Tower, Opp Bus
Stand Agra Road, Firozabad 283203 Uttar Pradesh • Gadag CEEKAY Towers, J T Mutt Road, Near General Hospital, Gadag 582101, Karnataka • Ganganagar (Sriganganagar) 4 B 22,
Jawahar Nagar, Adjacent To Gupta Nursing Home, Ganganagar 335001, Sriganganagar District, Rajasthan • Gangawati Ground Floor, Sri Rama Complex D No 2 4 43 & 2 3 188, LG Road,
Gangawati 583227, Dist Koppal, Karnataka • Garhshankar Ground Floor, Khasra No 368/3/1, 369/1 Garhshankar Chandigarh Road, Near LIC Office, Garhshankar 144527, Dist Hoshiarpur,
Punjab • Gawli Palasia Agra Bombay Road, Village Gawli Palasia, Tehsil Mhow, Dist Indore 453441, Madhya Pradesh • Gaya North Church Road, Near Gandhi Maidan, PS Civil Lines, Gaya
823001, Bihar • Giridih Raja Bangla, Main Road, Giridih 815301 Jharkhand • Gobindgarh Khewat No 143/206, 145/208, Khasra No 17/5 (7/4), 6/25 (6/14) Plot No 436 & 436A, Ward No 16,
Vikas Nagar, Sec No 1C, Near G P S College & School G T Road, Gobindgarh 147301, Dist Fatehgarh sahib, Punjab • Godhra 20, Bhagwat Nagar, Prabha Road, Godhra Dahod Highway,
Godhra 389001, Gujarat • Gokak CTS No 3200/A 1/A & B, Matru Chaya Building, Bus Stand Road, Gokak 591307 District Belgaum, Karnataka • Gonda Khasra No 3089/051, Chauhan
Complex, Opp Thompson College, Lucknow Road, Gonda 271001, Uttar Pradesh • Gondia Plot No 86, Lalani Mansion, Main Road, Gondia Maharashtra, 441601 • Gudivada D No 10/156,
Eluru Road, Gudivada 521301, District Krishna Andhra Pradesh • Gulbarga Jawali Complex, Super Market, Gulbarga 585101, Karnataka • Guna Shri Maheshwari Mills Compound, Guna
473001, Madhya Pradesh • Gurdaspur Khasra No 292 298 A P Palace, Tibri Road, Gurdaspur 143521, Punjab • Hajipur Marai Road, Hajipur Dist Vaishali, Bihar 844101 • Haldia Akash Ganga
Commercial Complex, Basudevpur, P O Haldia District Purba Medinipur 721602 • Halol Ground & First Floors, Opp Telephone Exchange, Halol Godhra Road, Halol, Dist Panch Mahals Gujarat
389350 • Hanumangarh Baba Shyam Singh Complex, Sriganganagar Road, Near Bus Stand, Hanumangarh Junction, Hanumangarh 335512, Rajasthan • Hardoi Building No 636 and 636/1,
Mohalla Behra Saudagar, Central Lucknow Road, Opp Naag Kothi, Hardoi 241001, Uttar Pradesh • Hassan Ground Floor, Lalitha Krupa, B M Road, Hassan 573201, Hassan District, Karnataka
• Hazaribagh Plot No 509, Opp Civil Court, NH 33, Hazaribag 825301 Jharkhand • Himatnagar Ashoka House, Ground Floor, Opp Civil Hospital, Himatnagar 383001, Gujarat • Hoshangabad
Meenakshi Chowk, Sadar Bazar, Hoshangabad 461001 Madhya Pradesh • Hoshiarpur B XX/214 Main Court Road, Hoshiarpur 146001, Punjab • Hospet D No 167 & 168, College Road, Opp
Jayaram Hospital, Hospet 583201 Dist Bellary, Karnataka • Hosur Palaniappa Building 10 77 28, Bye Pass Road, Opp Bus Stand, Hosur 635109, Tamil Nadu • Ichalkaranji Ward No 9, Building
No 120, Plot No 78, Ichalkaranji Co op Estate, Kolhapur Road, Ichalkaranji 416115 Maharashtra • Ilanji Plot No 20 & 21, Meenatchi Nagar, Kurtalam Madurai Road, Ilanji 627805, Dist,
Tirunelveli, Tamil Nadu • Imphal 47, Thangal BazarImphal 795001 Manipur • Islampur N D Patil Building, Near Asta Naka, District Sangli Islampur 415409, Maharashtra • Itarsi Meghdoot Hotel,
Opp Rest HouseItarsi 461111 Dist Hoshangabad Madhya Pradesh • Jagdalpur Akashwani Road, Nayapara P S Parpa, Jagdalpur 494001 Dist Bastar, Chattisgarh • Jagraon Khasra No 937,
Property No 364/7 Darshan Tractors Building, Tehsil Road, Jagraon 142026, District Ludhiana, Punjab • Jajpur Road Bank Street, Jajpur Road, District Jajpur 755019, Orissa • Jamkhandi No
101, Kudachi Road, Opposite Tennis Court, Jamkhandi 587301, District Bagalkote, Karnataka • Jangareddigudem Door No 9 36, Sathi Pandu Complex, Eluru Road, Jangareddigudem 534
447 West Godavari, District, Andhra Pradesh • Jatni Nangalia Complex, Jatni Dist Khurda, Orissa 752050 • Jaunpur Khasra No 87/1 and 87/2, Old Municipal No 339 Sarai Kaji Kadam Miyapur,
Kutchery Road, Civil Lines, Jaunpur 222002, Uttar Pradesh • Jeypore NH 43, Near Inspection Bungalow, Jeypore 764001 Dist Koraput, Orissa • Jhajjar Rajan Complex, Ward No 17, Main
Market Road, Arya Nagar, Near Bus Stand & Stadium, Jhajjar124102, Haryana • Jharsuguda Opp Hotel Aryan, By Pass Road, PO and Dist Jharsuguda 768201, Orissa • Jind S C O No 195 &
196 District Shop Ping Center, Urban Estate Jind 126102, Haryana • Jorhat A T Road, Chowkbazar Jorhat 785001 Assam • Junagadh Shop No 1,2,3 (Ground Floor And First Floor) Raiji Nagar
Shopping Centre, N K Mehta Road, Moti Baug, Junagadh 362001, Gujarat • Jhunjhunu “Kamal Heights”, Modi Road, Near District Library, Jhunjhunu Rajasthan 333000 • Kaithal Khasra No
500/1/1, Near Khurania Palace, Opp R K S D College, Ambala Road, Kaithal 136027, Haryana • Kakinada 1st Floor, G R R Buildings, 13 1 15, Subhash Road, Suryaraopeta, Kakinada 533001,
Andhra Pradesh • Kalol Kalol Taluka, Kelavani Mandal, Vakharia P J High School, Kalol, District Gandhinagar, Gujarat 382721 • Kalyani B 9/276 (CA), PO & PS Kalyani Dist Nadia 741235,
West Bengal • Kancheepuram S No 60A, Gandhi Road Kancheepuram 631501 Tamil Nadu • Karad Upper & Lower Ground Floors, Deepak Pride, Near Tathe Hospital, Super Market Road,
Shanivar Peth Karad, Dist Satara 410115, Maharashtra • Karaikudi 15/1 Shanmugaraja Road, Behind New Court, Karaikudi, Dist Sivaganga, Tamil Nadu 630001 • Karimganj Tarunima
Building, Opp Fire Service Station Main Road, Karimganj 788710, Assam • Karnal 3/250, 1 Shakti Colony Mall Road, Karnal 132001 Haryana • Karur VP Towers, No 126, Kovai Road North Opp
AKC Petrol Bunk Karur 639002, Tamil Nadu • Karwar Shaan Complex 453, Green Street Karwar 581301, Karnataka • Kasargod D No 442 AAramana Arcade, Bank Road, Kasargod 671121,
Kerala • Kashipur 407, City Centre, Station Road, Kashipur 244713 Uttaranchal • Katihar Basement & Ground Floor, Ganga Ventures Pvt Ltd, Shaheed Chowk, Katihar Bihar 854105 • Katni
Ground Floor, Nagpur Golden Building, Opposite Old Collectorate, Katni 483501, Madhya Pradesh • Kawardha Bahadurganj Ward, Kawardha Chhattisgarh 491995 • Keonjhar Pattnaik
Estate, College Square, Keonjhar 758001, Orissa • Khammam 11 4 16 & 17 Sri Harsha Complex, Vyra Road Khammam 507002, Andhra Pradesh • Khandwa 1, Shrinagar Main Road, Indore
Khandwa Road, Khandwa 450001 Dist East Nimar, Madhya Pradesh • Khanna Khasra No 3145 & 3146, H No 267,268,269/20 Near Kalgidhar Gurudwara G T Road, Khanna 141401 District
Ludhiana (Punjab) • Kharagpur 180/1, Malancha Road, Kharagpur 721304 Paschim Medinipur District, West Bengal • Khargone Ground Floor, 11/ 7, Sanawad Road, Khargone, Dist West
Nimar Madhya Pradesh 451001 • Koch Bihar Sunity Road, Opp UBI P O & Dist Koch Bihar 736101 West Bengal • Kohima UT Complex Opp UBC Church, Kohima 797001, Nagaland • Kolar No
326, Ar No 337, Ganesh Temple Street, Off M G Road, Cotton Pet Kolar, Karnataka 563101 • Korba Hindustan Hosiery, Power House Road, Korba 495677, Chattisgarh • Kotkapura B1/359,
Faridkot Road, Kotkapura 151204 District Faridkot, Punjab • Kumbakonam Raman & Raman Building No 87/48, Nageshwaran North Street, Kumbakonam 612001 Dist Thanjavur, Tamil Nadu
• Kurukshetra House No 577/8, Opp State Bank of Patiala, Railway Road, Kurukshetra 136118, Haryana • Lakhimpur Kheri Ground Floor & First Floor, Guru Kripa Building, Hospital Road,
Lakhimpur Kheri 262701, Uttar Pradesh • Lasalgaon Dayram Complex, Sr No 137, Plot No 2 House No 2581, Lasalgaon Vinchur Road Lasalgaon Tal Niphad, Dist Nashik 422306, Maharashtra
• Latur Sabde Towers, CTS No 9906 Ausa Road, Latur 413531 Maharashtra • Machilipatnam No 25/305, Kennady Road, Besides Durga Mahal Jagannadhapuram, Machilipatnam 521001
 AXIS BANK REMOTE COLLECTION CENTRES (ONLY DURING NFO) (Contd...)
District Krishna, Andhra Pradesh • Madhapar Navo Vas, Near Panchayat Office, Madhapar 370020 Kachchh District, Gujarat • Mahasamund Raipur Road Mahasamund 493445 Chattisgarh •
Malappuram Malappuram - Peekay’S Arcade Down Hill, Malappuram Kerala 676519 • Malerkotla Khasra No 1949, Opp Bus Stand, Satta Bazar Road, Malerkotla 148023 District Sangrur,
Punjab • Mandsaur Ground Floor, Greater Kailash Hospital Road, Mandsaur 458002, Madhya Pradesh • Mandya Chaitra Arcade, No 278, Sh 17 Bangalore Mysore Road, B G Layout, Mandya
571401, Karnataka • Mansa Quila No 1088, Kewat No 1507 Water Works Road, Mansa 151505 Punjab • Mathura OJAL MALL, Opposite Hotel Mukund Palace Junction Road, Mathura 281001
Uttar Pradesh• Mayiladuthurai New Door No 144 (Old No 75) T S No 300/Ward No 2 Mahadhana Street Mayiladuthurai 609001, Dist Nagapattinam, Tamil Nadu • Midnapur 37/3, Station Road
Midnapur 721101 District Paschim Midnapur, West Bengal • Miraj Ground Floor, Rupa Apartments, 3884, Malekar Wada, Near Laxmi Market, Miraj, Dist Sangli 416410, Maharashtra •
Miryalguda Opp APSRTC Bus Stand, Sagar Road, Miryalguda 508207 Nalgonda District, Andhra Pradesh • Mirzapur No 480, Ward No 8 Badali Katara (Beltar) Mirzapur 231001, Uttar Pradesh
• Moga S C F No 26 and 27 G T Road, Moga 142001, Punjab • Morbi Scientific Clock Mfg Co , Dr Takhatsinghji Main Road, Near Old Mahajan Chowk, Morbi 363641, Dist Rajkot, Gujarat •
Muktsar Ground Floor, Shop cum Flat No 2, 3 & 4, New Grain Market, Muktsar, Punjab 152026 • Mundra Building No 5 A1, Room No 4,5 & 6, Ground Floor, New Port Users Building, Mundra Port
& Sez Ltd, Navinal Island, Mundra, District Kachchh, Gujarat 370421 • Mavelikkara Finlord Complex, Park Junction, Mavelikkara Dist Alapuzha Kerala 690101 • Muzaffarnagar Dr S Prakash
Business Complex, 171 Civil Lines (South), Court Road, Muzaffarnagar 251001, Uttar Pradesh • Nabha Shop No 12, Ground Floor And First Floor, Dr Ambedkar Market, Near Nabha
Improvement Trust Nabha 147201, Dist Patiala, Punjab State • Nagaon A T Road, Haibargaon Nagaon 782002 • Nakodar Unit No 205D, Ladhar Complex, Noor Mahal Road, Nakodar 144040
District Jalandhar, Punjab • Nalgonda 5 4 134/A & C Blocks Ground & First Floor, JB Plaza, Prakasham Bazar, Nalgonda, Andhra Pradesh 508001 • Nandyal D No 25 417 C2 R S Road, Nandyal
518501 Dist Kurnool, Andhra Pradesh • Narasaraopet D No 9 9 9 & 9 9 10, Bank Street Arundelpet, Narasaraopet 522601 Andhra Pradesh • Narnaul Khasra No 1254, A/ 1, Shiv Colony, Opp
Panchayat Bhawan, Mahendergarh Road, Dist Mahendragarh, Narnaul 123001, Haryana • Nawanshahr Khasra No 3631/1998, 3631/1999 Mohalla Hira Jattan, Banga Road, Nawanshahr
144514 Punjab • Neemuch Vijay Talkies Compound, Neemuch 458 441 Madhya Pradesh • Nizamabad 5 6570/3C, C/o Sham Agencies Hyderabad Road, Nizamabad 503003 Andhra Pradesh •
North Lakhimpur 52 Khelmati, North Lakhimpur Dist Lakhimpur, Assam 787031 • Ongole Door No 37 1 406/10 Trunk Road, (Opp LIC of India) Bhagya Nagar, Ongole 523001, Andhra Pradesh •
Ooty Lingadevi Complex, 421, Ettines Road Ooty (Ootacamund) 643001, Tamil Nadu • P L Puram S No 95/7 & 95/3, Ground Floor, Main Road, Payakaraopet Mandal P L Puram 531126, Dist
Visakhapatnam, Andhra Pradesh • Paidiparru RS No 12/5, V Somasundararao Mansion, Opposite Hero Honda Showroom, Tadepalligudem Road, Paidiparru 534211 • Palai Puthumana
Arcade, Near Municipal Bus Stand, Palai 686575, Dist Kottayam, Kerala • Palakkad City Centre, English Church Road, Palakkad 678014, Kerala • Palanpur Movie World Building, College
Road, Palanpur 385002 Banas Kantha District, Gujarat • Pali Plot No 02, Near Mastan Baba Sumerpur Road, Pali 306401 Rajasthan • Palwal Municipal No 4043/1, Near Rasulpur Chowk, Delhi
Agra Bye Pass Road, Palwal 121102, Dist Faridabad, Haryana • Panchkula SCO 10, Sector 10, Panchkula 134109 Haryana • Paradip HIG 35, Housing Board Colony, At Madhuban, PO/PS
Paradip 754142, Dist Jagatsinghpur, Orissa • Patti Khasra No 116/26/2/50 Ward No 16, Patti 143 416 District Amritsar, Punjab • Pathankot Khata No 438/484, Patel Chowk, Siali Road,
Pathankot, Dist Gurdaspur Punjab 145001 • Pen Ground Floor, Centre Point, Chinchpada, Pen Dist Raigad 402107, Maharashtra • Perambalur S No 430/ 2, Trichy Perambalur Road,
Madanagopalapuram, Sangupet Next to PACB, Perambalur 621212, Tamil Nadu • Perumbavoor Chemmanam Square, Door No XVII/1437 P P Road, Perumbavoor, Dist Ernakulam Kerala
683542 • Phagwara Municipal No XXXI/73, G T Road, Phagwara, Punjab 144401 • Phullanwala Khasra No 8/26, Khata No 166/180, Village Phullanwala, Pakhowal Road, Phullanwala 141002,
Tehsil And District Ludhiana, Punjab • Pilibhit Plot No 904/1, 903/1, 903/2, 902/2, 901 (Part) Opposite Gupta Bhawan, Chhatari Chouraha Tanakpur Bye Pass Road, Pilibhit 262001, Uttar
Pradesh • Pollachi 39, Kovai Road, Pollachi 642001, Tamil Nadu • Poolapalle 1 103, Palakole Bhimavaram Road, Near Palakole, Poolapalle 534261 West Godavari District, Andhra Pradesh •
Port Blair 5, Middle Point Port Blair 744101 Andaman & Nicobar Islands • Proddatur D No 22/473, B S Complex, Sundaracharlu Street, Proddatur 516360, Andhra Pradesh • Pudukkottai Prema
Complex, 2737 East Main Street, Pudukkottai 622001 Tamil Nadu • Puri Trimurti Heights, Badasankha Grand Road, Puri 752002 Orissa • Purnia Kali Bari Chowk, Bhatta Bazar, Purnia 854301,
Bihar Bihar • Puruliya Ranchi Road, Near Puruliya Club, Puruliya 723101 West Bengal • Rai Bareli Kachwaha Complex, Plot No 29M, Opp Acharya Diwedi Inter College, Chak Ahmedpur
Nazool, Satya Nagar, Kutchery Road, Rai Bareli 229001, Uttar Pradesh • Raichur MPL No 1 10 151 & 152/1 Kubera Palace, Station Road Raichur 584101, Karnataka • Raiganj Mohanbati, N S
Road Raiganj, Uttar Dinajpur 733134, West Bengal • Raigarh Near Bajaj Showroom, Jagatpur, Raigarh 496001 Chattisgarh • Rajapalayam Door No 662, Ward No 33, TS No 74, Block 12, Ward
D, Tenkasi Road, Rajapalayam 626117, Dist Virudhunagar, Tamil Nadu • Rajnandgaon Kourin Bhata, Stadium Chowk, Sahdeo Nagar, G E Road, Rajnandgaon 491441, Chattisgarh • Rajpipla
Jeevan Sadhna, Station Road, Rajpipla 393145 Dist Narmada, Gujarat • Rajpura 1 2, Caliber Market Rajpura 140401 District Patiala, Punjab • Ramgarh Narayani Complex, Main Road,
Ramgarh Cantt Dist Hazaribagh, Jharkhand 829122 • Rampur Ground Floor, Shah Palace, Rahe Murtaza, Civil Lines, Rampur, Uttar Pradesh 244901 • Ramagundam 5 1 125, Rajiv Road,
Jyothi Nagar, NTPC, Ramagundam, Dist Karimnagar Andhra Pradesh 505215 • Ranibennur #88, R S No 821 P B Road, Ranibennur Dist Haveri, Karnataka 581115 • Rasipuram Door No 47, 48,
48A Aaringar Anna Salai, Attur Road, Rasipuram 637408, Dist Namakkal, Tamil Nadu • Ratlam Anklesaria Complex, Ground Floor, Opposite DRM Office, Do Batti, Ratlam 457001, Madhya
Pradesh • Rayagada Plot No 1568, New Colony, Rayagada Nagar, Mouza, Rayagada 765001, Orissa • Rayya Khasra No 203/1, Municipal No 474, G T Road, Rayya 143112, Dist Amritsar,
Punjab • Rewa Block B, Shilpi Plaza Pili Kothi Road, Rewa 486001 Madhya Pradesh • Rewari Plot No 6530/Y/1 & E Bawal Chowk, Circular Road Rewari 123401, Haryana • Rudrapur Plot No 20,
Awas Vikas Colony, Nainital Road, Uddam Singh Nagar, District Rudrapur 263153, Uttaranchal • Rupnagar Khasra No 49/1, Dashmesh Nagar, Near Bela Chowk, Rupnagar (Ropar) 140301,
Punjab • Sagar Ground Floor, 10, Civil Lines, Near V C Bungalow, Sagar 470001, Madhya Pradesh • Saharanpur A 5, Model Town, Mission Compound, Court Road, Saharanpur 247001, Uttar
Pradesh • Samana Khasra No 135/28/3/2 Main Road, Samana, District Patiala 147101, Punjab • Sambalpur RR Mall, Ashok Talkies Road, V S S Marg, Sambalpur 768001, Orissa • Sangrur
SCF No 17 & 18 (Ground Floor & Basement), SCF No 19 (Ground Floor), Kaula Park Market, Sangrur 148001, Punjab • Satyamangalam Old No 252, New No 66, Mysore Trunk Road (Adjacent
to Gobaldu Theatre) Sathyamangalam 638401, Tamil Nadu • Sehore Near New Bus Stand, Indore Bhopal Road, Arya Building Material, Sehore 466001, Madhya Pradesh • Sibsagar J P
Agarwalla Path Sibsagar, Assam 785640 • Sidhi Ground Floor, Jagsheel Complex, Opp Dist Hospital, Sidhi 486661 Madhya Pradesh • Sikar Ground & First Floors, S R V Mall, Ward No 16,
Devipura Road, Near City Dispensary No 2, Sikar 332001, Rajasthan • Silvassa Jigar Complex, Naroli Road, Survey No 352/3/4/2/1, Silvassa, Dist Dadra & Nagar Haveli 396230 (UT) •
Sindhnur Venkatesh Nagar, Gangavathi Road, Sindhnur 584128 Dist Raichur, Karnataka • Shahjahanpur Plot No 15 & 16, Opp PWD Guest House, Civil Lines, Kutchehry, Shahjahanpur Uttar
Pradesh 242001 • Sirsa Plot No 17/339 & Plot No 17/340 Sangwan Nursing Home Complex, Sangwan Chowk, Dabwali Road, Sirsa 125055, Haryana • Sirsi Ground Floor, Kamat Chambers,
Hubli Road, Sirsi 581401 Dist Uttar Kannad, Karnataka • Sitapur S No 147 (Futkarsthan 4 & 1) Raj Sudha, Eye Hospital Road, Civil Lines, Sitapur 261001, Uttar Pradesh • Solan Khasra No 76
85, Ward No 2, Mauza Kathar, Kapoor Complex, The Mall, Solan 173212 Himachal Pradesh • Srikakulam No 91/P, Palakonda Road, Near Krishna Park, Next to Kodandaramasamy Kalyana
Mandapam, Srikakulam 532001, Andhra Pradesh • Sultanpur Plot No 253, 254, 255, 256, 257, 258 Mohalla Civil Lines, Chawni Sadar, Sultanpur 228001, Uttar Pradesh • Sundargarh Hospital
Road 770001 District Sundargarh, Orissa • Suri Hero Honda Showroom, Post Office More PO Suri, Dist Birbhum 731101, West Bengal • Siwan Dwivedy Colony, Near Head Post Office, Siwan
841226 Bihar • Talcher Sharma Chhak, PO Hatatota Talcher 759100, Dist Angul Orissa • Talli Haldwani Khata No 3, Khasra No 258 Min Opp Commercial Motors Talli Haldwani, Bareilly Road,
Haldwani 263139, Uttarakhand • Tamluk Plot No 68, Bhimar Bazar, Main Road, Purba Midnapore, Tamluk 721636, West Bengal • Tanda Khasra No 100/8/3(04) 9/1/1(30) Sh R D Complex, Jaja
Chowk, Tanda Sri Hargobindpur Road, Tanda 144203, Dist Hoshiarpur, Punjab • Tarn Taran MC No 5/253 & 254 Near Partap Talkies, Amritsar Road Tarn Taran 143401, Punjab • Tasgaon Sonba
Complex, Near Ganpati Mandir, Opposite Ajantha Stores, Guruwar Peth, Tasgaon 416312 Dist Sangli, Maharashtra • Tenali Annabathuni Satyanarayana Degree College, Prakasam Road,
Tenali 522201 Guntur District, Andhra Pradesh • Tezpur Puja Plaza, SC Road Tezpur 784001 Dist Sonitpur, Assam • Thanjavur C/o Life Insurance Corporation of India Thanjavur Main Branch,
Jeevan Chola Building, Trichy Road, Thanjavur 613007, Tamil Nadu • Theni No 229/134 Madurai Road, Theni 625531 Tamil Nadu • Thodupuzha Survey No 195/5, Door No X/72, A & B Rubber
Marketing Society Building, Opposite Mini Civil Station, Thodupuzha 685 584, Idukki District, Kerala • Threeke Building Opposite Godawri Motors Near Indian Overseas Bank, Threeke Village
Ferozpur Road, Threeke 142021, District Ludhiana, Punjab • Tinsukia Shree Shyam Kunj, Chirwapatty Road, Tinsukia 786125, Assam • Tiruchengode 100/10, S S D Road, Near State Bank of
India, Tiruchengode 637211 Dist Namakkal, Tamil Nadu • Tiruvannamalai No 15, Polur Road Tiruvannamalai, Tamil Nadu 606601 • Tumkur Ground Floor, Siddhaganga Office Complex, B H
Road, Tumkur 572104 Karnataka • Tura Hawakhana Dist West Garo Hills, Tura 794001 Meghalaya • Udupi Simaz Commercil Complex, Near Diana Circle, Udupi 576101, Karnataka • Unjha
Ground Floor, Shilp Arcade Sardar Chowk, Unjha, Dist Mehsana Gujarat 384170 • Vellore No 15/2, New Door No 30 Officers Line, Vellore 632001 Tamil Nadu • Veraval Satguru Arcade, Plot No
54, Near Tower Chowk, Rajmahal Road, Veraval 362266, Gujarat • Vidisha 33, Subhash Road, Near Gaurav Traders, Vidisha 464001 Madhya Pradesh • Villupuram Ravindran Arcade, Trichy
Road, Opposite to New Bus Stand, Villupurum 605602, Tamil Nadu • Vishakhapatnam No 47 10 24/25, Dwaraka Nagar, Visakhapatnam 530 016 No 47 10 24/25, Dwaraka Nagar,
Visakhapatnam 530016 Andhra Pradesh • Visnagar Ground Floor, Shri Kadva Patidar Kelavani Uttejak Mandal, Nootan Sarva Vidyalaya Campus, Visnagar 384315, District Mehsana, Gujarat •
Vizianagaram Sitarama Complex D No 5 1 11A, M G Road Vizianagaram 535001, Andhra Pradesh • Vrindavan Chatikara Road, Near Nandan Van Colony, Opp Kripalu Hospital & Kripalu
Temple, Vrindavan, Uttar Pradesh 281121 • Warangal 8 9 33 33/1 & 8 9 32 32/1 Chowrastra, Station Road, Warangal 506002, Andhra Pradesh • Wardha Ground & First Floor, Plot No 2560 to
2562, Indira Market Road, Wardha, Maharashtra 442001 • Yamuna Nagar Municipal No B V/282, Model Town, Mela Singh Chowk, Sardar Mela Singh Ke Kothi, Yamuna Nagar 135001, Haryana
• Una Basement & Ground Floor, Khata No 182/561, 183/562, Hamirpur Road Una, Himachal Pradesh 174303.

 AXIS AMC OFFICES ADDRESS (Collection Centre for NFO)
Ahmedabad        Ground Floor, Shop No. 4, Megha House, Opp. Kotak Bank, Mithakali Law Garden Road, Ellisbridge, Ahmedabad 380006.
Bangalore        Embassy Square, Building No. 148, 3rd Floor, Unit No. 306, 3rd Floor, Infantry Road, Bangalore 560001.
Chandigarh       SCO No.147-48,Sec 9-C, Chandigarh 160017.
Chennai          5th Floor, Malvika Complex, 144-145, Kodambakkam High Road, Nungambakkam, Chennai 600034.
Delhi            702-702A, 703-703A, 704-704-A, 705-705-A, Narain Manzil, 23, B.K.Road, New Delhi 110001.
Hyderabad        2nd Floor, Nerella House, Panjagutta, Hyderabad 500082.
Kanpur           210, 2nd Floor, Kan Chambers, Civil Lines, Kanpur 208001.
Kolkata          3-F, 3rd Floor, Shristi, 12, Hochiminh Sarani, Kolkata 700071.
Lucknow          Unit No.5, 6 & 7, Halwasiya’s Commerce House, 2nd Floor, Habibullah Estate, 11, M.G. Marg, Hazratganj, Lucknow 226001.
Mumbai           11th Floor, Nariman Bhavan, Vinay K Shah Marg, Nariman Point, Mumbai 400002.
Pune             927, No. 204-205, 2nd Floor, Sanas Memories Apartment, Fergusson College Rd, Shivaji Nagar, Pune 411004.

For any assistance please call us on our Toll Free No 1800 3000 3300

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:1844
posted:7/22/2011
language:English
pages:12
Description: Rtgs Money Transfer Form for Axis Bank document sample