Additional Purchase

Withdrawal

Switch

Change of Bank Details or Address

Broker

: Ventura Securities Ltd

ARN - 20936

Sub Broker Code:

AMC Name : Investor Name : Folio No. : 1st Joint Holder : 2nd Joint Holder : Scheme Name : Additional Purchase Amount Rs.: Bank Name & Branch: Switch Request Switch Amount (in Rs.): From Scheme: To Scheme: Change in Correspondence Address/ Contact Details Correspondence Address:

PAN No.

Plan:

Option :

Ch. /DD No.:

Date:

Or Units Option: Option: Change in Bank Mandate Bank Mandate Details Bank Name : Branch: Account No.: MICR Code: IFSC Code: Account Type: SAVINGS NRE

Plan: Plan:

Mob: E- Mail Id: Redemption Request Amount Rs. OR Units Declaration:-

Res. No:

CURRENT NRO

1. Upfront commission shall be paid directly by the investor to the AMFI registered distributors based on the investor's assessment of various factors including the service rendered by the distributor. 2. The ARN holder has disclosed to me / us all the commission (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. 3. I/We have read and understood the terms and contents of the Offer Documents including addenda of the respective Scheme(s) of the Mutual Fund. I/ We hereby apply to the Trustee of the Mutual Fund for allotment of Units of the Scheme(s) of the Mutual Fund, as indicated and agree to abide by the terms, conditions, rules and regulations of the relevant Scheme(s). I/We have understood the details of the Scheme(s) and I/We have not been induced by any rebate or gifts, directly or indirectly, in making this investment. 4. I /We declare that the information given in this application form is correct, complete and truly stated.

Sign. First Applicant

Sign. Second Applicant

Sign. Third Applicant

All applicants must sign in case of Joint Holding

Acknowledgement Slip Name: Scheme: Folio No.: Broker: Ventura Securities Ltd
Additional Purchase Redemption

Date :ARN: 20936

Switch

Sub-Broker:
Change Of Bank / Address

Cheque No:

Cheque Date:

Amount:

Units:

Received (Stamp & Signature)