Systematic Investment Plan Form (Debit Mandate Form NACH/ ECS/ Direct Debit) # Distributors ARN/ RIA Code Sub-Brokers ARN Sub-Brokers Code EUIN #By mentioning RIA code, I/We authorize you to share with the Distributor, the details of my/our transactions in the scheme(s) of Kotak Mahindra Mutual Fund. Declaration for"Execution-only" transactions (only where EUIN box is left blank) I/We hereby confirm that the EUIN box has been intentionally left blank by me/us as this transaction is executed without any interaction or advice by the employee/relationship manager/sales person of the above distributor/sub broker or notwithstanding the advice of in-appropriateness, if any, provided by the employee/relationship manager/sales person of the distributor/sub broker. ) y ) s S t ( n d b E e a R c n i U l g i T p A p e s N l A G o b l I Sole / First Applicant T Second Applicant Third Applicant S ( A TRANSACTION CHARGES for Applications routed through distributor/agents only (Kindly refer Transaction Charges under the heading Checklist for details) REQUEST FOR: Registration of SIP + OTM Registration Registration of SIP (for existing OTM) Registration of MICRO SIP Renewal of SIP Change in Bank details One Time Mandate Registration Form/ Debit Mandate Form NACH/ ECS/ Direct Debit UMRN F o r o f f i c e u s e Date Sponsor Bank Code For Office Use Utility Code For Office Use TICK ( P ) CREATE P I/We hereby authorize Kotak Mahindra Mutual Fund to debit (tick P) SB CA CC SB-NRE SB-NRO Other MODIFY CANCEL Bank a/c number with Bank IFSC or MICR an amount of Rupees ` Mthly Qylt H-Yrly Yrly As & when presented FREQUENCY P DEBIT TYPE Fixed Amount PMaximum Amount Reference 1 Folio Number Phone No. Reference 2 Application Number Email ID I Agree for the debit of mandate processing charges by the bank whom I am authorizing to debit my accounts as per latest schedule of charges of the bank. PERIOD From To 3 1 1 2 2 0 9 9 Signature Primary Account holder Signature of Account holder Signature of Account holder Until Cancelled Or 1. Name as in Bank records 2. Name as in Bank records 3. Name as in Bank records This is to confirm that the declaration has been carefully read, understood& made by me/us. I am authorizing the user entity/corporate to debit my account, based on the instructions as agreed and signed by me. I have understood that I am authorized to cancel/amend this mandate by appropriately communicating the cancellation/amendment request to the user entity/corporate or the bank where I have authorized the debit. INVESTORS INFORMATION Application No. FOLIO NO. (For New Investors, pls. attach the application form) Sole/ First Applicant Second Applicant Third Applicant Name of Applicant Name of Applicant Name of Applicant PAN PAN PAN Date of Birth Date of Birth Date of Birth E-mail E-mail E-mail I would like to opt for Systematic Investment Plan Scheme Option Growth IDCW: Payout Re-investment Plan IDCW Frequency Investment Frequency (Please ) Monthly Quarterly SIP Amount ( ) Rs. 20000 10000 5000 1000 Any other amount Rs. First SIP vide Cheque No. Dated D D / M M / Y Y Y Y M M / Y Y Y Y M M / Y Y Y Y Default Date SIP Date: (Please mention any date of the month between 1st to 31st) SIP Period: From To OR (December 2099) SIP TOP UP (Optional) (Please refer instructions overleaf) Fixed TOP UP Amount (Rs.) 3000 1000 500 (Minimum Rs. 500 and in multiples of Rs. 500 thereof) Frequency (Please ) Any other amount Rs. Half Yearly Yearly Variable TOP UP Amount (%) 20% 15% 10% Any other percentage % (Minimum 10% and in multiples of 5% thereof) SIP TOP UP Cap Amount Rs. TOP UP CAP Amount: Investor has an option to freeze the SIP TOP UP amount once it reaches a fixed predefined amount. The fixed pre-defined amount should be same as the maximum amount mentioned by the investor in the NACH Debit Mandate Form. In case of difference between the CAP Amount & the maximum amount mentioned in NACH Debit Mandate Form, then amount which is lower of the two shall be considered as the default amount of SIP CAP Amount. DEMAT ACCOUNT DETAILS Please ensure you submit supporting documents evidencing the accuracy of the demat account details mentioned below. Bank details of DP will overwrite the existing details. In case you wish to hold units in demat, please fill this section. Please note that you can hold units in demat for all open ended schemes (except ETFs and IDCW options having IDCW frequency of less than a month). NSDL CDSL DP Name DP ID Beneficiary Account No. Declaration and Signature I/We have read and understood the contents of the SAI/ SID of the above referred Scheme(s) of Kotak Mahindra Mutual Fund. I/We hereby apply for allotment / purchase of Units in the Scheme(s) indicated as above and agree to abide by the terms and conditions applicable there to. I/ We hereby declare that I am/ We are authorized to make this investment in the above mentioned Scheme(s) and that the amount invested in the Scheme(s) is through legitimate sources only and is not designed for the purpose of any contravention or evasion of any Act, Rules, Regulations, Notifications or Directions of the provisions of Income Tax Act, Anti Money Laundering Act, Anti Corruption Act or any other applicable laws enacted by the Government of India from time to time. I/We hereby authorize Kotak Mahindra Mutual Fund, its investment Manager and its agents to disclose details of my investment to my / our Investment Advisor and / or banks. I/We have neither received nor been induced by any rebate or gifts, directly, in making this investment. I/We also declare that the ARN Holder has disclosed all 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. ) S ( E R Sole / First Account Holder Second Account Holder Third Account Holder U T A N G I To be signed by All Applicants if mode of operation is Joint. (As in Bank Records) S 6th Floor, Kotak Infinity, Building No. 21, Infinity Park, Off. Western Express Highway, KOTAK MAHINDRA MUTUAL FUND Gen.A.K. Vaidya Marg, Malad (E), Mumbai - 400 097. TERMS AND CONDITIONS Systematic Investments - Snapshot Schemes where SIPs are allowed All open-ended schemes except Kotak Liquid Fund, Kotak Overnight Fund and all Exchange Traded Funds (ETF) Frequency Monthly or Quarterly Choice of Date Any date from 1st to 31st of a given month/ quarter. In case the chosen date is not available /non-business day, the SIP transaction will be processed on the immediate next Business Day. Minimum Investment Rs. 1000/- (Rs. 500 incase of Kotak Flexicap Fund and Kotak Equity Arbitrage Fund; Rs. 500 & in multiples of Rs. 500 in case of Kotak Tax Saver; Rs.100 in case Kotak Bluechip Fund and Kotak Balanced Advantage Fund) Minimum Installments 6 (All SIP installments should be for the same amount); 10 (incase SIP amount is Rs. 500 or Rs. 100) First Auto Debit & Subsequent SIPs First Auto Debit shall be processed on the chosen date/ default date. However, there has to be a minimum gap of 28 days between the date of submission and First Auto Debit Date. General Instructions 1. Please refer the Key Information Memorandum and Offer Document/ SAI/ SID non-working day for the scheme, the SIP will be processed on the immediately 12. TRANSACTION CHARGES of the respective scheme(s) for Applicable NAV, Risk Factors, Load Structure and following working day. Pursuant to SEBI Circular No. Cir/ IMD/ DF/13/ 2011 dated August 22, 2011, other information before investing. 7. We would send you an Account Statement confirming your systematic transaction charge per subscription of Rs. 10,000/- and above be allowed to be 2. (i) Existing unitholders need not fill in the Investment Application Form. investment within 10 working days from the date of your first systematic paid to the distributors of the Kotak Mahindra Mutual Fund products. The However, they must compulsorily mention their Folio Number in the Systematic investment transaction. Confirmation for subsequent Systematic Investments transaction charge shall be subject to the following: Investment Form. would be sent to you as CAS (Consolidated Account Statement) on monthly basis. 1. For existing investors (across mutual funds), the distributor shall be paid Rs. (ii) New Applicants need to compulsorily fill in all sections in the Investment 8. Incorrect and ambiguous forms will not be accepted and rejection for the same 100/- as transaction charge per subscription of Rs.10,000/- & above. Application Form in addition to Systematic Investment Form. The Application shall be communicated to the investor. 2. For first time investors, (across Mutual Funds), the distributor shall be paid Rs. No. must be compulsorily mentioned in the Systematic Investment Form. 9. Kotak Mahindra Mutual Fund, its Investment Manager, Trusties, Registrar and 150/- as transaction charge for subscription of Rs.10,000/- & above. 3. Irrespective of the investment amount please furnish your PAN details and other service providers will not be liable for any transaction failures due to 3. The transaction charge shall be deducted by Kotak AMC from the subscription enclose a photocopy of PAN Card for all applications. In case of minor rejection of the transaction by your bank/ branch or its refusal to register the SIP amount & paid to the distributor (will be subject to statutory levies, as applicants, please furnish the PAN details and PAN proof of the Guardian.