KEY INFORMATION MEMORANDUM

Name of Asset Management Company: Axis Asset Management Company Limited

Name of Mutual Fund: Axis Mutual Fund

(An open-ended hybrid fund)

Offer for units of Rs. 10 per unit for cash during the New fund Offer Period and at NAV based prices upon re-opening
New Fund Offer Opens on: 30th June, 2010
New Fund Offer Closes on: 29th July, 2010
Scheme Re-opens for continuous sale and repurchase on or before: 28th August, 2010
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.

This document is dated: 15th June, 2010

Name of scheme Axis Triple Advantage Fund
(An open-ended hybrid fund)
Investment Objective To generate long term capital appreciation by investing in a diversified portfolio of equity and equity related instruments, fixed income instruments &
gold Exchange Traded Funds.
Asset Allocation Under normal circumstances, the asset allocation pattern will be:
Pattern of the scheme Type of Instrument Normal Allocation (% of Net Assets)
Equity and Equity Related Instruments# 30% - 40%
Debt and Money Market Instruments*# 30% - 40%
Gold Exchange Traded Funds 20% - 30%
*Investment in Securitized debt (excluding foreign securitized debt) - Up to 40% of the net assets of the Scheme.
#
Including derivatives instruments to the extent of 80% of the net assets of the Scheme.
Investment in foreign securities - Up to 50% of the net assets of the Scheme.
Axis Triple Advantage Fund, an open ended hybrid fund is a new scheme offered by Axis Mutual Fund and is not a minor modification of any other
existing scheme/product of Axis Mutual Fund. Further, the existing products of Axis Mutual Fund are either debt, liquid or equity funds and hence the
'hybrid fund' under consideration cannot be compared with any other existing schemes.
Investment Strategies The scheme seeks to provide superior risk adjusted returns through diversification across various asset classes such as equity, fixed income & gold that
have historically shown low correlation with each other.
Risk Profile of the Mutual Fund Units involve investment risks including the possible loss of principal. Please read the SID carefully for details on risk factors before
Scheme investment. Scheme specific Risk Factors are summarized below:
The scheme carries risks associated with investing in equities, fixed income instruments, derivatives, foreign securities, securitized debt, gold exchange
traded funds, short selling and securities lending.
Investment in mutual fund units involves investment risks such as trading volumes, settlement risk, liquidity risk and default risk. 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 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. Equity and equity related instruments are volatile by nature. Investments in gold exchange traded funds are subject to market risk, risks associated
with investment in physical gold, liquidity risk, counterparty risk, etc. Please refer to the SID for further details.
Risk Management The investment team of the AMC will carry out rigorous in depth credit evaluation of the money market and debt instruments (other than GSecs)
proposed to be invested in. The credit evaluation will essentially be a bottom up approach and include a study of the operating environment, past track
record, future prospects and the financial health of the issuer.
With respect to the equity component, the Scheme would invest in a diversified portfolio of equity and equity related securities which would help
alleviate the sector/market capitalization related concentration risk.
The AMC has experienced investment professionals to help limit investment universe to carefully selected high quality businesses.
The AMC would incorporate adequate safeguards for controlling risks in the portfolio construction process. These would be periodically evaluated. The
scheme will also use derivatives and other hedging instruments, as may be permitted by SEBI and RBI, from time to time, to protect the value of the
portfolio. The risk control process involves identifying & measuring risks through various risk measurement tools.
For portfolio diversification, the scheme will also invest in gold ETFs as gold, historically, has shown a low correlation to other asset classes like equity &
debt.
Plans and Options (1) Growth and (2) Dividend (Payout & Reinvestment)
Applicable NAV (after Subscriptions/Purchases including Switch - ins:
the scheme opens for The following cut-off timings and NAVs are applicable:
repurchase and sale)
1. Where the application is received upto 3.00 pm with a local cheque or demand draft payable at par at the place where it is received - closing NAV of
the day of receipt of application;
2. Where the application is received after 3.00 pm with a local cheque or demand draft payable at par at the place where it is received - closing NAV of
the next Business Day ; and
3. Where the application is received with an outstation cheque or demand draft 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.

1
Applicable NAV (after Redemptions including Switch - outs:
the scheme opens for
The following cut-off timings and NAVs are applicable:
repurchase and sale)
(contd...) 1. Where the application received upto 3.00 pm - closing NAV of the day of receipt of application; and
2. An application received after 3.00 pm - closing NAV of the next Business Day.
Minimum Application Fresh Purchase Additional Purchase Redemption
and Redemption
Rs 5,000 and in multiples of Re 1 thereafter Rs 100 and in multiples of Re 1 thereafter Rs. 1,000 or 100 Units or account balance whichever is lower.
Amount/ Number of
Units For details on investments through Systematic Investment Plan (SIP) and Systematic Transfer Plan (STP) facilities, please refer to the SID.
Despatch of Within 10 working days from the receipt of the redemption request at the Authorized Centre of Axis Mutual Fund.
Redemption Request
Benchmark Index The Scheme performance would be benchmarked against a customized composite benchmark consisting of S & P CNX Nifty (35%), CRISIL Composite
Bond Fund Index (35%) and INR Price of Gold (30%).
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 is there assurance that dividend will be paid regularly.
Name of Fund Manager Chandresh Nigam and Ninad Deshpande
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 For the New Fund Offer Period and Continuous Offer
Scheme
Entry load : Nil Exit load : 1% if redeemed/switched out within 1 year from date of allotment.
(i) Load Structure
For switches between the Growth and Dividend Option, no load will be charged by the scheme.
(also applicable to SIP,
STP & Switchs) 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 reserves the right to change / modify the Load structure from a prospective date.
(ii) Recurring expenses The recurring expenses as a % of average weekly net assets 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:
On the first Rs. 100 crores - 2.50%; On the next Rs. 300 crores - 2.25%; On the next Rs. 300 crores - 2.00%; On the balance of assets - 1.75%.
Waiver of Load for Not applicable
Direct Applications
Tax treatment for Investors are advised to refer to the paragraph on Taxation in the “Statement of Additional Information” and to consult their own tax advisors with
Investors (Unitholders) respect to the 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
(NAV) Publication www.amfiindia.com.
For Investor Grievances Registrar Mutual Fund
please contact Karvy Computershare Private Limited Mr Milind Vengurlekar
Unit - Axis Mutual Fund Axis Mutual Fund
Karvy Plaza, H No 8-2-596, Street 1, Banjara Hills 11th Floor, Nariman Bhavan, Vinay K Shah Marg,
Hyderabad 34. Nariman Point, Mumbai 400 021
Tel 040 23312454 Tel 022 39403300 Toll Free 1800 3000 3300 Fax No 022 22040130
Fax 040 23311968 E-mail customerservice@axismf.com Web www.axismf.com
Unitholders’ Account Statements
Information
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/STP- within 10 working days from the end of quarter (March, June, September and December). However, the first account statement
under SIP/STP shall be issued within 10 working days of the initial investment and in case of specific requests, the account statement shall be
despatched 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 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 i.e. 31st March each year.
Half Yearly Disclosures
The Mutual Fund shall publish a complete statement of Scheme portfolio and the unaudited financial results, within one month from the close of each
half year (i.e. 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 un audited 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).

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INSTRUCTIONS FOR COMPLETING THE APPLICATION FORM
Please read the SID carefully before signing the application form and tendering payment.
GENERAL INSTRUCTIONS
1. The Application Form should be completed in ENGLISH and in BLOCK LETTERS only.
2. All Cheques / DDs must be drawn in favour of “Axis Triple Advantage Fund” and crossed “Account Payee
only”.
3. The default option shall be as specified in SID/KIM.
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
applicants.
5. Application forms along with Cheques/ DDs/ Debit Mandates can be submitted to specified centers of Axis
Bank (487 locations), HDFC Bank (206 locations), Kotak Mahindra Bank (89 locations) as given on
www.axismf.com and offices of Axis AMC as listed in form.
#
6. At present direct debit facility through debit mandate is available with Axis Bank.
7. Investors must write the Application Form number / Folio number on the reverse of the cheques/ draft
accompanying the Application Form, if applicable.
8. Investors are requested to check the contents of the account statement and any discrepancy has to be
reported to the AMC / Registrar within 7 calendar days on the receipt of the statement, else the particulars
would be presumed to be correct.
9. Any application may be accepted or rejected at the sole and absolute discretion of the AMC / Trustee,
without assigning any reason whatsoever.
10. Incomplete forms are liable to be rejected.
11. Please note that a non-transferable account statement will be issued for each investment.
12. Units allotted are subject to realisation of cheques.
13. All Unitholders who have invested/ may invest through channel distributors and intend to make their future
investments through the Direct route, are advised to complete the procedural formalities prescribed by AMC
from time to time.
#
Lumpsum Application accompanied with Axis Bank debit mandate to be submitted at Axis Bank specified
centres available at www.axismf.com.
DECLARATION AND SIGNATURES
1. The signature can be in English or in any Indian language.
2. Thumb impressions must be attested by a Magistrate / Notary Public under his / her official seal.
3. In case of HUF, the Karta wiII sign on behalf of the HUF.
4. Applications by minors should be signed by their guardian.
5. For Corporates, Signature of Authorised Signatory from Authorised Signatory List (ASL) is required.
PAYMENTS
1. The AMC intends using electronic payment services (like NEFT, RTGS, ECS (Credits) and such like) to the
extent possible for dividend / redemption proceeds towards ensuring faster realization of proceeds for the
investor. To facilitate verification of your bank account details for the purpose, please furnish the following
details in the form:
(a) Clearing Circle (City Name) in which your Bank branch participates.
(b) MICR Code of your bank / branch (9 digit number appearing next to the cheque number on the cheque
leaf)
(c) IFSC Code of your bank / branch (11 character alphanumeric code, imprinted on your cheque leaf). If
your cheque leaf does not carry this, please check for the same with your local Bank branch.
In case the Unit holders require these to be sent by cheque/ draft using postal/ courier service, the unit
holders shall provide appropriate instructions for the same t o the AMC/ Registrar.
2. You are also requested to enclose a cancelled cheque leaf (or copy thereof) in case your investment instrument
is not from the same bank account as mentioned in the bank mandate details in the application form.
3. The AMC has put in place sufficient checks and balances but will not be liable for any wrong credits on
account of wrong information presented by the investor himself.
4. The Fund may from time to time commence / discontinue Direct Credit arrangements with various banks for
direct credit of redemptions / dividends. Investors would not have to submit a separate consent letter to
avail of this service. The AMC would commence this operation based on the bank mandate details
forwarded by the Investor.
5. Any communication / despatch of redemption / dividend proceeds, account statements etc. to the unit
holders would be made by the Registrar / AMC in such a manner as they may consider appropriate in line
with reasonable standards of servicing.
BANK DETAILS
Investors are requested to mention the bank account details, since the same is mandatory as per the directives
issued by SEBI. Applications without this information will be deemed to be incomplete and are liable for
rejection. The Mutual Fund reserves the right to hold redemption proceeds in case the requisite details are not
submitted.
PAN AND KYC DETAILS
Please furnish PAN & KYC details for each applicant/unit holder, including for Guardian and / or Power Of
Attorney (POA) holders as explained in the paragraphs below.
PAN
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
transacting in the securities market, irrespective of the amount of transaction. Please note that furnishing of PAN
with an attested copy of your PAN Card for each applicant / unit holder is mandatory for all investments. In the
absence of this, your application will be rejected. The attestation of the PAN card may be done by a Notary Public
or a Gazetted Officer or a Manager of a Bank or a financial advisor under it's / his seal and should carry the name
and designation of the person attesting it.
PAN will not be required incase of SIP where aggregate of installments in a financial year i e April to March does
not exceed Rs 50,000. This exemption will be applicable only to investments by individuals,
Non Resident Indian (NRI), minors, joint holders and sole proprietary firms (but not including Persons of Indian
Origin (PIO), Hindu Undivided Family (HUF) and other categories). PAN requirement is also exempt for investors
residing in the state of Sikkim, Central Government, State Government, and the officials appointed by the courts
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-
Individuals including Society, Trust, Body Corporate, Partnership Firm, Karta of Hindu Undivided Family,
holder of Power of Attorney cannot nominate. If the units are held jointly, all joint holders will sign the
nomination form.
2. A minor can be nominated and in that event, the name and address of the guardian of the minor nominee
shall be provided by the Unitholder. If no guardian is provided, nomination of minor will be invalid. The
guardian should be a person other than the Unitholder. Nomination can also be in favour of the Central Govt,
State Govt, local authority, any person designated by virtue of his office or a religious charitable trust.
3. The Nominee shall not be a trust other than a religious or charitable trust, society, body corporate, partnership
firm, Karta of Hindu Undivided Family or a Power of Attorney holder. A non-resident Indian can be a Nominee
subject to the exchange controls in force, from time to time.
4. Nomination in respect of the units stands rescinded upon the transfer of units.
5. The nomination facility extended under the Scheme is subject to existing laws. The AMC shall, subject to
production of such evidence which in their opinion is sufficient, proceed to effect the payment / transfer to
the Nominee(s). Transfer of Units / payment to the nominee(s) of the sums shall discharge the Mutual Fund /
AMC of all liability towards the estate of the deceased Unit holder and his / her / their successors / legal
heirs.
e.g. Official liquidator, Court receiver etc. (under the category of Government) subject to AMC confirming the
above mentioned status. However, this would be subject to submission of necessary documents required by the
AMC from time to time.
Any one of the following PHOTO IDENTIFICATION documents can be submitted along with Micro SIP applications
as proof of identification in lieu of PAN.
• Voter Identity Card • Driving License • Government/ Defense identification card • Passport • Photo Ration Card
• 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
Managers of Scheduled Commercial Banks / Gazetted Officer / Elected Representatives to the Legislative
Assembly / Parliament • ID card issued to employees of Scheduled Commercial / State / District Co-operative
Banks • Senior Citizen / Freedom Fighter ID card issued by Government • Cards issued by Universities/ deemed
Universities or institutes under statutes like ICAI, ICWA, ICSI • Permanent Retirement Account No (PRAN) card
isssued to New Pension System (NPS) subscribers by CRA (NSDL) • Any other photo ID card issued by Central
Government/ State Governments/ Municipal authorities/ Government organizations like ESIC/ EPFO
KYC COMPLIANCE WITH ANTI MONEY LAUNDERING (AML) REGULATIONS
Please note that for investments of Rs 50,000 or more, it is mandatory for each applicant / unit holder to be KYC-
compliant. Please enclose a copy of the KYC Acknowledgement Letter issued by CDSL Ventures Ltd with your
application for investment. PLEASE ALSO NOTE THE FOLLOWING:
• POA Holders need to be KYC-compliant.
• Guardians to minor applicants need to be KYC compliant.
In case you are not yet KYC-compliant, please approach a Point of Service (POS) of CDSL Ventures Limited to
obtain KYC compliance and submit a copy of your KYC acknowledgement letter to us.
APPLICATIONS UNDER POWER OF ATTORNEY
An applicant wanting to transact through a power of attorney must lodge the photocopy of the Power of Attorney
(PoA) attested by a Notary Public or the original PoA (which will be returned after verification) within 30 days of
submitting the Application Form / Transaction Slip at a Designated ISC’s / Official Point of acceptance or along with
the application in case of application submitted duly signed by POA holder. Applications are liable to be rejected if
the power of attorney is not submitted within the aforesaid period.
ELECTRONIC SERVICES FACILITY
The AMC intends to provide Electronic Transaction Facility including through its website and over phone.
For more details, Terms & Conditions and for availability of Online Transaction refer AMC website
www.axismf.com and for EasyCall facility please contact the nearest AMC or Registrar.
SIP
1. Unit Holder can enroll for the SIP by submitting duly completed SIP Application Form and SIP Electronic
debit mandate form for electronic debits. Alternatively unit holder can enroll for the SIP using EasyCall
facility subject to services offered by AMC from time to time. The first investment shall be through
cheque only during NFO.
2. SIP during NFO shall be available only through electronic debit facility.
3. An Investor shall have the option of choosing any date of the month as his SIP date. The minimum
amount per SIP installment shall be as specified in SID / KIM. The minimum number of installments
under the SIP is 36. If the SIP period is not specified by the unit holder then the SIP enrolment will be
deemed to be for perpetuity and processed accordingly.
4. All SIP cheques / payment instructions will be of the same amount and same date (excluding first
cheque).
5. There will be a gap of 30 days between first SIP Installment and the second installment in case SIP
started during ongoing offer. The second installment for SIP application received during NFO shall start
from November, 2010.
6. If the Fund fails to get the proceeds from three Installments out of a continuous series of Installments
submitted at the time of initiating a SIP (Subject to a minimum under SIP i.e. 36 months), the SIP is deemed
as discontinued.
7. Investors can discontinue the SIP facility at any time by sending a written request to any of the Official
Point(s) of Acceptance. Notice of such discontinuance should be received at least 30 days prior to the due
date of the next debit.
8. In case of “At Par” cheques, investors need to mentioned the MICR number of his actual bank branch.
9. Axis Mutual Fund reserves the right to reject any application without assigning any reason thereof.
10.Investor will not hold Axis Mutual Fund, its registrars and other service providers responsible if the transaction is
delayed or not effected or the investor bank account is debited in advance or after the specific SIP date due to
various clearing cycles for ECS.
11.Axis Mutual Fund, its registrars and other service providers shall not be responsible and liable for any damages/
compensation for any loss, damage etc. incurred by the investor. The investor assumes the entire risk of using this
facility and takes full responsibility.
NRIs, FIIs
Repatriation Basis
• NRIs : Payment may be made either by inward remittance through normal banking channels or out of funds
held in a Non-Resident (External) Rupee Account (NRE) / Foreign Currency (Non-Resident) Account (FCNR). In
case Indian rupee drafts are purchased abroad or from Foreign Currency Accounts or Non-resident Rupee
Accounts an account debit certificate from the Bank issuing the draft confirming the debit will need to be
enclosed.
• FIIs shall pay their subscription either by inward remittance through normal banking channels or out of funds
held in Foreign Currency Account or Non-Resident Rupee Account maintained by the FII with a designated
branch of an authorised dealer.
Non-repatriation Basis
In the case of NRIs, payment may be made either by inward remittance through normal banking channels or out of
funds held in a NRE / FCNR / Non-Resident Ordinary Rupee Account (NRO). In case Indian rupee drafts are
purchased abroad or from Foreign Currency Accounts or Non-resident Rupee Accounts an account debit certificate
from the Bank issuing the draft confirming the debit will need to be enclosed.
6. The cancellation of nomination can be made only by those individuals who hold units on their own behalf
singly or jointly and who made the original nomination. (Please note that if one of the joint holder dies
other surviving holder cannot cancel.)
7. On cancellation of the nomination, the nomination shall stand rescinded and the Asset Management
Company shall not be under any obligation to transfer the units in favour of the Nominee.
8. Nomination shall be registered only if the form is filled in completely.
9. Nomination can be made for maximum of 3 nominees. In case of multiple nominees, the percentage of
allocation / share in favour of each of the nominees should be indicated against their name and such
allocation / share should be in whole numbers without any decimals making a total of 100 percent. In the
event of Unit holders not indicating the percentage of allocation / share for each of the nominees, the
Mutual Fund / the AMC, by invoking default option shall settle the claim equally amongst all the nominees.
10. The investor(s) by signing this nomination form is / are deemed to have read and understood the provisions
of Regulation 29 A of SEBI (Mutual Funds) Regulations, 1996, read with SEBI circular dated Feb. 16, 2004
and / or any amendments thereto or any rules / regulations framed in pursuance thereof governing the
nomination facility and agree/s to be bound by the same.
For multiple nomination form please contact the nearest AMC office or Registrar. The form can be obtained
from the website www.axismf.com
 LUMPSUM
APPLICATION FORM
Form 1

Date D D M M Y Y
Application No.

Distributor Code/ ARN No Sub-distributor Code/ Date of Receipt

Sol ID MO Code Bank Branch Code Bank Sr No
ARN No
ARN - 25682
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 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
PAN (mandatory) Enclosed - PAN Proof KYC Letter Refer instruction related to PAN & KYC
NFO opens : 30 June, 2010 NFO closes : 29 July, 2010

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 Minor Society FII
Partnership Firm NRI PIO Trust Company Other (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 must provide their 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

10A DEBIT MANDATE FOR AXIS TRIPLE ADVANTAGE FUND (For Axis Bank account holders only)

TO BE DETACHED BY AUTHORISED PERSONNEL OF AXIS BANK CMS DEPT.

Application No.
Date D D M M Y Y
To CMS DEPARTMENT OF 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 Triple Advantage Fund. Please debit an amount of 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 Triple Advantage Fund Growth Dividend Payout Dividend Re-investment
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
Form 1

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 code also found on your cheque leaf)

10 PAYMENT OPTIONS (Please ü

either Debit Mandate or Cheque/ DD)

10 A Debit Mandate 10 B Cheque/ DD

(Debit mandate also to be filled separately. Facility
available for Axis Bank a/c Holders only.) Cheque/ DD No. Cheque/ DD Date D D M M Y Y

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 (Please tick ü
the appropriate option in which you wish to invest.)
Axis Triple Advantage Fund Growth Dividend Payout Dividend Re-investment
12 NOMINATION DETAILS In case Nominee is a Minor
I / We do hereby Name of Guardian
nominate the under mentioned person to receive the units to my / our credit in this folio Address of Guardian
no. in the event of my / our death. I / We also understand that all payments and
settlements made to such Nominee, and signature of the Nominee acknowledgment Date of Birth D D M M Y Y Y Y Signature of Guardian
receipt thereof shall be a valid discharge by the AMC / Mutual Fund / Trustee.
Nominee's Name In case of more than one nominee, kindly submit multiple nomination (maximum 3 nominees)
Relationship forms. Extra nomination forms can be obtained from the nearest ISC or Registrar or from the
Address AMC website.

13 DECLARATION AND SIGNATURES

Having read and understood the content of the SID / SAI of the scheme, I / we hereby apply for units of the scheme. I have read and
understood the terms, conditions, rules and regulations governing the scheme. I / We hereby declare that the amount invested in the
scheme is 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 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 gifts, directly or indirectly in making this investment. I / First / Sole Applicant / Guardian Second Applicant
We confirm that the funds invested in the Scheme, legally belongs to me / us. In event “Know Your Customer” process is not
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 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 Residents of Indian
nationality / origin and that I / We have remitted funds from abroad through approved banking channels or from funds in my/ our Third Applicant Power of Attorney Holder
Non Resident External / Non Resident Ordinary / FCNR account. I / We confirm that details provided by me / us are true and correct.
CHECKLIST Documents as listed below are to be submitted along with the Application Form (as applicable to your specific case)

This application form can be submitted to any of our offices (see list below) or to a select list of branches of Axis Bank (487 locations), HDFC Bank
(206 locations) or Kotak Mahindra Bank (89 locations). Visit www.axismf.com to get the location list or call us on 1800 3000 3300 to find a
Collection Centre near you.
AXIS AMC OFFICE ADDRESSES (COLLECTION CENTRES FOR NFO)
Ahmedabad Ground Floor, Shop No 4, Megha House, Opposite Kotak Bank, Mithakali Law Garden Road, Ellisbridge, Ahmedabad 380006 • Bangalore Embassy Square, Building No 148, Unit No 306, 3rd Floor,
Infantry Road, Bangalore 560001 • Bhopal C/o Axis Sales, Akansha Building, 1st Floor, Opposite Navbharat Press Complex, Zone 1, M P Nagar, Bhopal 462011 • Bhubaneshwar C/o Axis Sales, Agrani Press, 1st
Floor, Block B P N A/69, Kharver Nagar, Bhubaneswar 751001 • Chandigarh 1st Floor, SCO No 147-48,Sec 9-C, Chandigarh 160017 • Chennai 5th Floor, Maalavika Center, 144-145, New No. 60, Kodambakkam
High Road, Nungambakkam, Chennai 600034 • Coimbatore C/o Axis Sales, Door No 1437, Red Rose Chambers, 2nd Floor, Trichy Road, Coimbatore 641018 • Guwahati C/o Axis Sales, 3rd Floor, Sarojini
Commercial Complex, Opposite Ayakar Bhavan, Christian Basti, G S Road, Guwahati 781005 • Hyderabad 2nd Floor, Nerella House, Panjagutta, Hyderabad 500082 • Indore C/o Axis Sales, 2nd Floor, Office Block
No 201, 8/2, Silver Sanchora Castle, R N T Marg, Indore 452003 • Jaipur 305, 3rd Floor, Ganpati Plaza, M. I. Road, Jaipur-30200. Rajasthan • Jamshedpur C/o Axis Sales Limited, Shatabdi Tower, 1 SNP Area,
Sakchi, Jamshedpur 831001 • Kanpur 210, 2nd Floor, KAN Chambers, Civil Lines, Kanpur 208001 • Kochi C/o Axis Sales, Door No 1053 B1, Rani Tower, 1st Floor, Chitoor Road, Emakulam, Kochi 682018 •
Kolkata 3-F, 3rd Floor, Shristi, 12, Ho Chi Minh Sarani, Kolkata 700071 • Lucknow Unit No 5, 6 & 7, Halwasiya’s Commerce House, 2nd Floor, Habibullah Estate, 11, M G Marg, Hazratganj, Lucknow 226001 •
Ludhiana C/o Axis Sales, 7th Floor, 108, The Mall, Surya Tower, Ludhiana 141002 • Mangalore C/o Axis Sales Limited, Somayaji House, Door No 15-7-330/ 56, 5th Floor, Bunts Hostel Road, Mangalore 575003 •
Mumbai 11th Floor, Nariman Bhavan, Vinay K Shah Marg, Nariman Point, Mumbai 400021 • Nagpur C/o Axis Sales, Sitaram Smruti, 2nd Floor, West High Court Road, Dharampeth, Nagpur 440010 • Nasik C/o
Axis Sales, Office No 19/22, Gr Floor, Suyojit Modern Point, Opposite Police Parade Ground, Sharanpur Road, Nasik 422002 • New Delhi 702-702A, 703-703A, 704-704-A, 705-705-A, Narain Manzil, 23, B K
Road, New Delhi 110001 • Panaji C/o Axis Sales, 103, 1st Floor, Unitech City Centre, M G Road, Panaji 403001 • Pune 927, No 204-205, 2nd Floor, Sanas Memories Apartment, Fergusson College Road, Shivaji
Nagar, Pune 411004 • Rajkot C/o Axis Sales, 2nd Floor, Solitaire Building, 150 Feet Ring Road, Opp Amin Marg Junction, Rajkot 360001 • Surat C/o Axis Sales, Centre Point, 106/A, First Floor, Ring Road, Surat
395002 • Trivandrum C/o Axis Sales, Haji M Bava Sahib Commercial Complex, TC25/2890 (12), Ambujavilasam Road, Trivandrum 695001 • Vadodara C/o Axis Sales, Chitarakash Complex, 1st Floor, 19, Punit
Nagar, Old Padra Road, Vadodara 390007.

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
 SYSTEMATIC INVESTMENT PLAN (SIP)
APPLICATION FORM

Date D D M M Y Y Application No.

Sub-distributor Code/
Form 2

Distributor Code/ ARN No Sol ID MO Code Bank Branch Code Date of Receipt Bank Sr No
ARN No
ARN - 25682
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.
SIP Registration by New Investor SIP Registration by Existing Investor Micro SIP Registration by New Investor Micro SIP Registration by Existing Investor
1 EXISTING FOLIO NUMBER Existing Investors - Please fill in 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 : 30 June, 2010 NFO closes : 29 July, 2010

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
**Applicants (including POA holders) investing Rs 50,000 and above are required to comply with the KYC norms. (Please refer to the Terms and Conditions overleaf)

*Micro SIP - PAN is not mandatory in case of Micro SIP. Please refer to the Terms and Conditions overleaf.
Date of Birth D D M M Y Y Type of supporting document Identification number details
3 STATUS OF FIRST APPLICANT
Resident Individual Bank HUF Proprietor Guardian Society FII Partnership Firm
NRI PIO Trust Company Minor Other (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 Other (specify)

6A CONTACT DETAILS - FIRST APPLICANT/ GUARDIAN/ CORPORATE (PO Box address is not sufficient. Mobile number and email id is mandatory to avail of 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 must provide their 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 MUTUAL FUND - ACKNOWLEDGMENT SLIP (To be filled in by the investor) Application No.

Received from Mr/ Ms/ M/s/ Dr

an application for purchase of units in Axis Triple Advantage Fund Growth Dividend Payout Dividend Re-investment

for Rs (in figures) on date D D M M Y Y vide instrument no. Stamp & Signature
Form 2
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
.) Email communication will help save paper & the planet. 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 code also found on your cheque leaf.)

Axis Triple Advantage Fund Growth Dividend Payout Dividend Re-investment

12 NOMINATION DETAILS In case Nominee is a Minor
I / We do hereby Name of Guardian
nominate the under mentioned person to receive the units to my / our credit in this folio Address of Guardian
no. in the event of my / our death. I / We also understand that all payments and
settlements made to such Nominee, and signature of the Nominee acknowledgment Date of Birth D D M M Y Y Y Y Signature of Guardian
receipt thereof shall be a valid discharge by the AMC / Mutual Fund / Trustee.
Nominee's Name In case of more than one nominee, kindly submit multiple nomination (maximum 3 nominees)
Relationship forms. Extra nomination forms can be obtained from the nearest ISC or Registrar or from the
Address AMC website.

13 DECLARATION AND SIGNATURES

Having read and understood the content of the SID / SAI of the scheme, I / we hereby apply for units of the scheme. I have read and
understood the terms, conditions, rules and regulations governing the scheme. I / We hereby declare that the amount invested in the
scheme is 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 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 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 completed by me / First / Sole Applicant / Guardian Second Applicant
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 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. I/We confirm the I/We do not have any existing Micro SIP investments which together with the
current application will result in aggregate investments exceeding Rs. 50,000 in a year (Applicable for Micro SIP investment only.)
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 approved banking channels or from funds in my/ our Non Resident External / Non Resident Ordinary / FCNR Third Applicant Power of Attorney Holder
account. I / We confirm that details provided by me / us are true and correct.

Terms & Conditions for Micro SIP - Micro SIPs where aggregate of installments in a rolling 12 month period or in a financial year i.e. April to March do not exceed Rs 50,000 (hereinafter referred as “Micro SIP”)
shall be exempt from the requirement of PAN, subject to submission of any one of the necessary photo identification documents as detailed below. This exemption will be applicable only to investments by individuals
(including NRIs, but not PIOs), minors, sole proprietary firms and joint holders. HUFs and other categories will not be eligible for the exemption.
Investors (including joint holders) should submit a photocopy of any one of the following photo identification documents (current and valid and either self-attested by the investor or attested by an AMFI registered
Distributor mentioning the AMFI Registration number) along with the application form as a proof of identification in lieu of PAN: • Voter Identify Card •Driving License • Government/Defence identification card
• Passport • Photo Ration Card • Photo Debit Card (Credit card not included) • Employee ID cards issued by companies registered with Registrar of Companies • Photo Identification issued by Bank Managers of
Scheduled Commercial Banks / Gazetted Officer / Elected Representatives to the Legislative Assembly / Parliament • ID card issued to employees of Scheduled Commercial / State / District Co-operative Banks
• Senior Citizen / Freedom Fighter ID card issued by Government • Cards issued by Universities / deemed Universities or institutes under statues like ICAA, ICWA, ICSI • Permanent Retirement Account No (PRAN)
card issued to New Pension System (NPS) subscribers by CRA (NSDL) • Any other photo ID card issued by Central Government / Municipal authorities / Government organization like ESIC/EPFO.

This application form (along with SIP Electronic Debit Mandate) can be submitted to any of our offices (see list below) or to a select list of
branches of Axis Bank (487 locations), HDFC Bank (206 locations) or Kotak Mahindra Bank (89 locations). Visit www.axismf.com to get the
location list or call us on 1800 3000 3300 to find a Collection Centre near you.
AXIS AMC OFFICE ADDRESSES (COLLECTION CENTRES FOR NFO)
Ahmedabad Ground Floor, Shop No 4, Megha House, Opposite Kotak Bank, Mithakali Law Garden Road, Ellisbridge, Ahmedabad 380006 • Bangalore Embassy Square, Building No 148, Unit No 306, 3rd Floor,
Infantry Road, Bangalore 560001 • Bhopal C/o Axis Sales, Akansha Building, 1st Floor, Opposite Navbharat Press Complex, Zone 1, M P Nagar, Bhopal 462011 • Bhubaneshwar C/o Axis Sales, Agrani Press, 1st
Floor, Block B P N A/69, Kharver Nagar, Bhubaneswar 751001 • Chandigarh 1st Floor, SCO No 147-48,Sec 9-C, Chandigarh 160017 • Chennai 5th Floor, Maalavika Center, 144-145, New No. 60, Kodambakkam
High Road, Nungambakkam, Chennai 600034 • Coimbatore C/o Axis Sales, Door No 1437, Red Rose Chambers, 2nd Floor, Trichy Road, Coimbatore 641018 • Guwahati C/o Axis Sales, 3rd Floor, Sarojini
Commercial Complex, Opposite Ayakar Bhavan, Christian Basti, G S Road, Guwahati 781005 • Hyderabad 2nd Floor, Nerella House, Panjagutta, Hyderabad 500082 • Indore C/o Axis Sales, 2nd Floor, Office Block
No 201, 8/2, Silver Sanchora Castle, R N T Marg, Indore 452003 • Jaipur 305, 3rd Floor, Ganpati Plaza, M. I. Road, Jaipur-30200. Rajasthan • Jamshedpur C/o Axis Sales Limited, Shatabdi Tower, 1 SNP Area,
Sakchi, Jamshedpur 831001 • Kanpur 210, 2nd Floor, KAN Chambers, Civil Lines, Kanpur 208001 • Kochi C/o Axis Sales, Door No 1053 B1, Rani Tower, 1st Floor, Chitoor Road, Emakulam, Kochi 682018 •
Kolkata 3-F, 3rd Floor, Shristi, 12, Ho Chi Minh Sarani, Kolkata 700071 • Lucknow Unit No 5, 6 & 7, Halwasiya’s Commerce House, 2nd Floor, Habibullah Estate, 11, M G Marg, Hazratganj, Lucknow 226001 •
Ludhiana C/o Axis Sales, 7th Floor, 108, The Mall, Surya Tower, Ludhiana 141002 • Mangalore C/o Axis Sales Limited, Somayaji House, Door No 15-7-330/ 56, 5th Floor, Bunts Hostel Road, Mangalore 575003 •
Mumbai 11th Floor, Nariman Bhavan, Vinay K Shah Marg, Nariman Point, Mumbai 400021 • Nagpur C/o Axis Sales, Sitaram Smruti, 2nd Floor, West High Court Road, Dharampeth, Nagpur 440010 • Nasik C/o
Axis Sales, Office No 19/22, Gr Floor, Suyojit Modern Point, Opposite Police Parade Ground, Sharanpur Road, Nasik 422002 • New Delhi 702-702A, 703-703A, 704-704-A, 705-705-A, Narain Manzil, 23, B K
Road, New Delhi 110001 • Panaji C/o Axis Sales, 103, 1st Floor, Unitech City Centre, M G Road, Panaji 403001 • Pune 927, No 204-205, 2nd Floor, Sanas Memories Apartment, Fergusson College Road, Shivaji
Nagar, Pune 411004 • Rajkot C/o Axis Sales, 2nd Floor, Solitaire Building, 150 Feet Ring Road, Opp Amin Marg Junction, Rajkot 360001 • Surat C/o Axis Sales, Centre Point, 106/A, First Floor, Ring Road, Surat
395002 • Trivandrum C/o Axis Sales, Haji M Bava Sahib Commercial Complex, TC25/2890 (12), Ambujavilasam Road, Trivandrum 695001 • Vadodara C/o Axis Sales, Chitarakash Complex, 1st Floor, 19, Punit
Nagar, Old Padra Road, Vadodara 390007.

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
 SYSTEMATIC INVESTMENT PLAN
ELECTRONIC DEBIT MANDATE

Application No.
Form 3

Please submit this form along with the SIP application form (Form 2)
Electronic Debit facility for SIP is currently available for
Account holders of all banks participating in local clearing at Anand, Agra, Ahmedabad, Allahabad, Amritsar, Asansol, Aurangabad, Bangalore, Bardwan, Baroda, Belgaum, Bhavnagar,
Bhilwara, Bhopal, Bhubaneshwar, Bijapur, Bikaner, Calicut, Chandigarh, Chennai, Cochin, Coimbatore, Cuttack, Darjeeling, Davangere, Dehradun, Delhi, Dhanbad, Durgapur, Erode,
Gadak, Gangtok, Gorakhpur, Guwahati, Gwalior, Gulbarga, Haldia, Hubli, Hyderabad, Indore, Jabalpur, Jaipur, Jalandhar, Jammu, Jamnagar, Jamshedpur, Jodhpur, Kakinada, Kanpur, Kota,
Kolhapur, Kolkata, Lucknow, Ludhiana, Madurai, Mandya, Mangalore, Mumbai, Mysore, Nagpur, Nasik, Nellore, Panjim, Patna, Pondicherry, Pune, Raipur, Raichur, Rajkot, Ranchi, Salem,
Shimla, Shimoga, Sholapur, Siliguri, Surat, Thirupur, Tirupati, Trichur, Trichy, Trivandrum, Tumkur, Udaipur, Udipi, Varanasi, Vijaywada (also covers Guntur, Tenali & Mangalgiri), Vizag.

Account holders of the following banks

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

Authorization to pay SIP instalments through Electronic Debit Arrangement

I/We hereby, authorise Axis Mutual Fund and its authorised service provider to debit my/our bank account by Electronic Debit for the collection of SIP instalments.

UNIT HOLDER INFORMATION

Folio No.
Name of first applicant
PAN Mobile
E-mail
Preferred messaging medium SMS - Yes No E-mail - Yes No

SIP DETAILS
Scheme name - Axis Triple Advantage Fund
SIP Start Date D D M M Y Y End Date (should be a minimum of 3 years from the start date) D D M M Y Y No. of Installments
Monthly SIP amount Rs. (in figures) Rs. (in words)

BANK DETAILS (Please attach a copy of a cancelled 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 Electronic Debit arrangement.
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 you that I/ we have registered for the Electronic Debit facility 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 Electronic debit mandate form to get it verified and executed. I/ We hereby authorised the bank to debit verification charges if any
from my / our account as mention above.

Account Holder's signature Joint Account Holder's signature

(As in bank records)
Account number
(As in bank records)