SlideShare une entreprise Scribd logo
1  sur  4
Télécharger pour lire hors ligne
COMMON APPLICATION FORM
                                                                                                                                                Please read the Instructions before completing this Application Form

                                                                                                                                                               App. No.
     DISTRIBUTOR / BROKER / SCSB INFORMATION To ensure to treate the application as “DIRECT” please do not leave the boxes below blank and read the instructions mentioned in 1(b)]
                     Name and AMFI Reg. No.                                        Sub Agent’s Name and AMFI Reg. No.                               Bank Serial No.                            CAMS Serial No.
      ARN-
    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 UNITHOLDER INFORMATION (Please ll in your Folio No., Name, PAN & Bank Account details in Section 2 & 3, and then proceed to Section 5)
      Folio No.                                                            Unitholder’s Name
      The details in our records under the Folio No. mentioned above will only be considered for this application.
     2. PAN & KYC DETAILS (Mandatory, as per SEBI Regulations)                                                                                         (See Instruction 2bi) on page 25 & bii) on page 26)
                                                                              PAN                                                                         Enclosed (9)
      First / Sole Applicant                                                                                                           PAN   card    proof           KYC   Con   rmation          proof




                                                                                                                                                                                                                             M A N D A T O R Y
      Second Applicant                                                                                                                 PAN   card    proof           KYC   Con   rmation          proof
      Third Applicant                                                                                                                  PAN   card    proof           KYC   Con   rmation          proof
      Guardian**                                                                                                                       PAN   card    proof           KYC   Con   rmation          proof
      PoA Holder                                                                                                                       PAN   card    proof           KYC   Con   rmation          proof
      ** If the Sole / First Applicant is a Minor then state Guardian’s PAN Number
     3. BANK ACCOUNT DETAILS (Mandatory, as per SEBI Regulations)
      A/c. No.                                                                                                                    A/c. Type (please 9)           Savings      Current         NRE       NRO       FCNR
      Bank Name
      Address
                                                                                             City                                                                    Pin Code
       Branch                                                                    MICR Code                                                    eThis is a 9 Digit No. next to your Cheque No.
       RTGS / IFSC Code                                                      NEFT / IFSC Code                                                 e IFSC code will be mentioned on your cheque
      All Redemptions / Dividend Payouts will be payable to the First Applicant at the City and Bank Account details mentioned above.           leaf, else please contact your bank branch.
      DIRECT CREDIT FACILITY              RTGS / NEFT         Cheque Payouts : I / We want to receive redemption / dividend proceed by cheque / demand draft.
      (See instruction 3d on page 26. Please 9 and indicate your preference)                                      Default mode of payout will be RTGS / NEFT if IFSC code is provided
     4. APPLICANT’S INFORMATION
      Name of Sole / First Applicant (First / Middle / Last Name)                               Title        Mr.       Ms.       M/s       Minor        Others

      Date of Birth*                                        D       D         /     M       M       /    Y      Y      Y     Y     * Required for First holder / Mandatory for Minor
      Name of Guardian (in case of Minor) OR Contact Person (in case of Non-individual Investors)                                         Title       Mr.      Ms.      M/s          Others

      Relationship                                           Father               Mother        Legal Guardian                                          Date of Birth      D     D      /     M     M     /   Y    Y     Y   Y

      Name of Second Applicant                           Title          Mr.         Ms.         M/s       Others                                        Date of Birth      D     D      /     M     M     /   Y    Y     Y   Y


      Name of Third Applicant                            Title          Mr.         Ms.         M/s       Others                                        Date of Birth      D     D      /     M     M     /   Y    Y     Y   Y


      Mode of Holding (please 9)              Single         Joint#                             Anyone or Survivor                                  (# Default, in case of more than one applicant and not ticked)
      Address for Correspondence (P.O. Box Address is not suf cient)


       City                                                                        Pin Code (Mandatory)                                                State
       STD Code                                       Tel. Off.                                                                                                                       Extn.
       Mobile                                                                              Tel. Resi.                                                          Fax
       E–Mail
°      If you wish to receive all communication from us via e-mail, please 9 here
      Kindly ensure that the e-mail address and telephone numbers mentioned above are those of the First Unitholder. These details shall be used for all communications.
      Occupation (please 9)           Service    Professional   Business    Housewife     Retired     Student     Agriculture     Others_________________________
      Status of Sole/First Applicant (please 9) Individual (IND) HUF (HUF) Company (CO) FIIs (FII) NRI-Repatriation (NRI) NRI-Non Repatriation (NRI) Bank (BANK) Proprietorship
      Firm (OTH)       Trust (TRUST) Society/Club (SOCTY) Partnership (OTH) Body Corporate (CO) On behalf of Minor (MINOR) Others (OTH) __________ (please specify)
      Status of Second Applicant (please 9) Individual (IND) NRI-Repatriation (NRI) NRI-Non Repatriation (NRI) On behalf of Minor (MINOR) Others (OTH) __________ (please specify)
      Status of Third Applicant (please 9) Individual (IND) NRI-Repatriation (NRI) NRI-Non Repatriation (NRI) On behalf of Minor (MINOR) Others (OTH) __________ (please specify)
      Overseas Address (Required for NRIs/FIIs applicants in addition to mailing address) (P.O. Box Address is not suf cient)




     DEBIT MANDATE                 (Royal Bank of Scotland N.V. Account Holders Only) - All applications with Debit Mandate to be submitted to (Royal Bank of Scotland N.V. Collection Centres Only
      I/We                                                                                                                                                     Debit
                                                                  (Name of the account holder)
                                                                                                                                                               Mandate No.
      authorise Royal Bank of Scotland N. V. to debit my/our A/c. No.
      A/c. Type (please 9)     Savings     Current     NRE      NRO                        FCNR         with Rs.
      Rs. (words)                                                                                                       and pay (name of Scheme)
                                                                              for purchase of Units.                Date :                                                       Authorised Signature


     ACKNOWLEDGEMENT SLIP (To be lled in by the Applicant)                                                                                                     App. No.
    Received from
    Mr./Ms/M/s.
    an application for purchase of Units of                     Scheme                                       Plan                      Option                              ISC Stamp, Date & Signature

    along with Cheque / DD No.                                                                   dated
    drawn on (Bank)                                                                             A/c. No.
    for Rs.                                                                        All purchases are subject to realisation of Cheques / DD.
5. INVESTMENT & PAYMENT DETAILS – Separate Cheque / DD / Fund Transfer instruction required for investment in each Scheme / Plan / Option                                                                                                                   (MANDATORY)
Scheme Name BNP Paribas                                                                                Plan        Regular*        Institutional                                                                                                        Institutional Plus
                                                                                                     Daily**** Dividend                       Weekly*** Dividend                               Monthly Dividend**                               Quarterly Dividend
  Option (please 9)                        Growth*                  Dividend                         Half Yearly Dividend                     Fortnightly Dividend                             Annual Dividend
 Dividend Mode (please 9)                                       Reinvest                         Payout ~
  Investment Amount                  Rs.                                                                    Cheque /                                                                                                                /                   /
                                                                                                                                                                                                   Dated
                                                                                                            DD No.                                                                                                      D       D          M      M            Y      Y     Y      Y
 Mode of Payment                     Cheque / Demand Draft / Fund Transfer                                  DD charges, if any                 Rs.
  Drawn on            Bank
                      Branch                                                                                                         A/c. No.
  * Default Plan / Option if not ticked, except in BNP Paribas Flexi Debt Fund. For BNP Paribas Flexi Debt Fund, unless speci ed otherwise, the default Plan & Option shall be BNP Paribas Flexi
  Debt Fund - Regular Plan - Growth Option. ** Default Dividend Option if not ticked, except in BNP Paribas Flexi Debt Fund and BNP Paribas Bond Fund where the default Dividend Option is Quarterly
  Dividend Option & Annual Dividend Option respectively. *** With compulsory Dividend Re-investment except in case of BNP Paribas Money Plus Fund.**** With compulsory Dividend Re-investment
  ~  Default Dividend Mode except in case of BNP Paribas Money Plus Fund - Weekly Dividend Option. Cheques / DD to be drawn in favour of the Scheme / Plan applied for.

6. FOR THIRD PARTY PAYMENT (As speci ed on page 26)
 Third Party Name

 PAN                                                                                                                                      Relationship with applicant
 KYC Acknowledgement attached (Please Tick)
7. NOMINATION - MANDATORY, even if no intention to nominate                                                                                                                                                                         (See instruction 5 on page 27)
 Having read and understood the instruction for Nomination, I / We hereby nominate the person(s) more particularly described hereunder in respect of the Units under the Folio held by me/us in the event of my death
   Particulars                                   Nominee 1                                                    Nominee 2                                                       Nominee 3
 Name
 Address
                                                                                                                                                                                                           T                E
                                                                                                                                           O                                                         NOMINA
                                                                                                                                    NTION T
                                                                                                                            NO INTE
                                                                                                                    ION” IF
                                                                                                             OMINAT
                                                                                                      N “NO N
 Relationship
 with Applicant
                                                      MENTIO
 Date of Birth in case
 Nominee is minor
 # Percentage of
 Allocation/Share
 # Please indicate the percentage of allocation / share for each of the nominees in whole numbers only without any decimals making a total of 100 per cent. If the percentage allocation
 is not mentioned or is left blank then the AMC shall apply the default option of equal distribution among the multiple designated Nominees.
 Signature of Nominee                                        Not Mandatory                                                                    Not Mandatory                                                                     Not Mandatory
  PoA holder cannot nominate and should not ll this section.
  If Nominee is a Minor, details of the Guardian required : Name and Address of the Guardian



  City                                                                                                                                        Pin Code                                                                                   Not Mandatory
  State
                                                                                                                                                                                                                                        Signature of Guardian
  Guardian’s relationship with the Minor Nominee
8. POWER OF ATTORNEY (PoA) HOLDER DETAILS (If the investment is being made by a Constituted Attorney please furnish the details of PoA Holder)
  Name of PoA Holder                                                                         Title    Mr.     Ms.          M/s           Others


 PAN                                                                                                   Enclosed* ( 9)               PAN card proof                  KYC Con rmation proof                                           Signature of (PoA) Holder

9. DECLARATION & SIGNATURES
Having read and understood the contents of the Statement of Additional Information / Scheme Information Document of the Scheme of BNP Paribas Mutual Fund, I / We hereby apply to the Trustee of BNP Paribas Mutual Fund for units of the Scheme and agree to abide by terms and
conditions, rules and regulation of the Scheme. I / We have neither received nor been induced by any rebate or gifts, directly or indirectly in making this investment. I / We hereby declare that I am / we are not a US person, within the meaning of the United States Securities Act,
1933, as amended from time to time; and that I am / we are not applying on behalf of or as proxyholders of a person who is a US person. I/We hereby declare that I am/ We are competent under the applicable laws and duly authorised where required, to make this investment in the
above mentioned scheme. I/We hereby con rm that the proposed investment is being made from known, identi able and legitimate sources of funds /income of mine/the HUF/ the Company/Trust/ Partnership only and I am / we are the rightful bene cial owner(s) of the funds and the
resulting investments therefrom. The abovementioned investment does not involve and is not designed for the purpose of any contravention or evasion of any Act, Rules, Regulations, Noti cations or Directions or of the provisions of any law in India including but not limited to The
Income Tax Act, the Prevention of Money Laundering Act, 2002, The Prevention of Corruption, 1988 Act and/or any other relevant rules/ guidelines noti ed in this regard or applicable laws enacted by the Government of India / any other regulatory body from time to time. I / we hereby
understand and agree that if any of the aforesaid disclosures made/ information provided by me/us is found to be contradictory or non-reliable to the above statements or if I / we fail to provide adequate and complete information, the AMC / Mutual Fund / Trustees reserve the right
to reject the application / withhold the investments made by me / us and/or make disclosures and report the relevant details to the competent authority and take such other actions as may be required to comply with the applicable law as the AMC/ Mutual Fund/ Trustees may deem
proper at their sole option. 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.
Applicable to NRIs only : I / We con rm that I am / We are Non-Resident of Indian Nationality / Origin and I / We hereby con rm that the funds for subscription have been remitted from abroad through normal banking channels or from funds in my / our Non-Resident External /
Ordinary Account / FCNR Account.
                                                                              SIGNATURE(S)




If NRI, (please 9)       Repatriation basis        Non-Repatriation basis

 Dated                      /                 /
                D     D          M M               Y     Y     Y     Y                          First / Sole Applicant / Guardian                            Second Applicant / Guardian                                        Third Applicant / Guardian




                                                                                                                                                                    For any further queries / correspondence, please contact :
                                                                                                                                                                    Computer Age Management Services Pvt. Ltd.
                                                                                                                                                                    UNIT : BNP Paribas Mutual Fund
        BNP Paribas Asset Management India Private Limited
                                                                                                                                                                    148 Old Mahabalipuram Road (OMR), Next to Hotel Fortune,
        BNP Paribas House, 1 North Avenue, Maker Maxity, Bandra Kurla Complex,                                                                                      Okkiyam, Thuraipakkam, Chennai - 600 097
        Bandra (East), Mumbai - 400 051. Tel.: 91-22 3370 4242                                                                                                      Tel : 044 - 3040 7065 z email : enq_m@camsonline.com
        Web : www.bnpparibasmf.in
COMMON APPLICATION FORM
                                                                                                                                                                                                         FOR SYSTEMATIC INVESTMENT PLAN
                                                                                             Please read SIP Instructions before completing this Application Form                                                                      App. No.
     DISTRIBUTOR / BROKER INFORMATION [To ensure to treate the application as "DIRECT" please do not leave the boxes below blank and kindly read the instructions mentioned in 1(b)]
                   Name and AMFI Reg. No.                                         Sub Agent’s Name and AMFI Reg. No.                                           Bank Serial No.                                                    CAMS Serial No.
      ARN-
    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 UNITHOLDER INFORMATION (Please ll in your Folio No., Name, PAN & Bank Account details in Section 2 & 3, and then proceed to Section 5)
      Folio No.                                                            Unitholder’s Name
      The details in our records under the Folio No. mentioned above will only be considered for this application.
     2. PAN & KYC DETAILS (Mandatory, as per SEBI Regulations)                                                                                                                             (See Instruction 2bi) on page 25 & bii) on page 26)
                                                                  PAN                                                Enclosed ( 9)                                                                For Micro SIP Applications
                                                                                                       PAN card proof        KYC Con rmation proof Supporting Document Type                         Reference Number                               Date of Birth




                                                                                                                                                                                                                                                                                M A N D A T O R Y
      First / Sole Applicant
      Second Applicant
      Third Applicant
      Guardian**
      PoA Holder
      ** If the Sole / First Applicant is a Minor then state Guardian's PAN Number
     3. BANK ACCOUNT DETAILS (Mandatory, as per SEBI Regulations)
       A/c. No.                                                                                                                                                   A/c. Type (please 9)                 Savings          Current          NRE           NRO       FCNR
       Bank Name
       Address
                                                                             City                                                   Pin Code
       Branch                                                                  MICR Code                                                  eThis is a 9 Digit No. next to your Cheque No.




                                                                                                                                                                                                                                                                                                    With Systematic Investment Plan (SIP) facility
       RTGS / IFSC Code                                                   NEFT / IFSC Code                                                e IFSC code will be mentioned on your cheque
      All Redemptions / Dividend Payouts will be payable to the First Applicant at the City and Bank Account details mentioned above.       leaf, else please contact your bank branch.
      DIRECT CREDIT FACILITY (See instruction 3d on page 26. Please 9 and indicate your preference)          Cheque Payouts : I / We want to receive redemption / dividend
      proceed by cheque / demand draft.       RTGS / NEFT. Default mode of payout will be RTGS / NEFT if IFSC code is provided
     4. APPLICANT'S INFORMATION
      Name of Sole / First Applicant (First / Middle / Last Name)                                                       Title         Mr.         Ms.          M/s          Minor            Others

      Date of Birth*                                                             D       D         /      M      M       /        Y       Y      Y       Y          * Required for First holder / Mandatory for Minor
      Name of Guardian (in case of Minor) OR Contact Person (in case of Non-individual Investors)                                                                          Title         Mr.          Ms.          M/s            Others

      Relationship                                                                Father               Mother          Legal Guardian                                                       Date of Birth               D     D      /      M      M    /    Y     Y    Y   Y
      Name of Second Applicant                                               Title           Mr.         Ms.         M/s           Others                                                   Date of Birth               D     D      /      M      M    /    Y     Y    Y   Y


      Name of Third Applicant                                                Title           Mr.         Ms.         M/s          Others                                                    Date of Birth               D     D      /      M      M    /    Y     Y    Y   Y


      Mode of Holding (please 9)              Single         Joint#                                                  Anyone or Survivor                                               (# Default, in case of more than one applicant and not ticked)
      Address for Correspondence (P.O. Box Address is not suf cient)


       City                                                                                              Pin Code (Mandatory)                                                              State
       STD Code                                                           Tel. Off.                                                                                                                                                Extn.
       Mobile                                                                                                   Tel. Resi.                                                                          Fax
       E–Mail
°      If you wish to receive all communication from us via e-mail, please 9 here
      Kindly ensure that the e-mail address and telephone numbers mentioned above are those of the First Unitholder. These details shall be used for all communications.
      Occupation (please 9)               Service    Professional   Business     Housewife       Retired    Student      Agriculture  Others_________________________
      Status of Sole/First Applicant (please 9) Individual (IND) HUF (HUF) Company (CO) FIIs (FII) NRI-Repatriation (NRI) NRI-Non Repatriation (NRI) Bank (BANK) Proprietorship
      Firm (OTH)       Trust (TRUST) Society/Club (SOCTY) Partnership (OTH) Body Corporate (CO) On behalf of Minor (MINOR) Others (OTH) __________ (please specify)
      Status of Second Applicant (please 9) Individual (IND) NRI-Repatriation (NRI) NRI-Non Repatriation (NRI) On behalf of Minor (MINOR) Others (OTH) __________ (please specify)
      Status of Third Applicant (please 9) Individual (IND) NRI-Repatriation (NRI) NRI-Non Repatriation (NRI) On behalf of Minor (MINOR) Others (OTH) __________ (please specify)
      Overseas Address (Required for NRIs/FIIs applicants in addition to mailing address) (P.O. Box Address is not suf cient)


    SIP AUTO DEBIT (ECS) FACILITY FORM [Registration cum Mandate Form for ECS (Debit Clearing)] (Please read Terms & Conditions)
     ECS DEBIT BANK ACCOUNT DETAILS (MANDATORY)
     I / We hereby authorise the authorised service provider of BNP Paribas Asset Management India Private Ltd. (Investment Manager to BNP Paribas Mutual Fund), to debit my / our following bank account by ECS
     (Debit Clearing) for collection of SIP payments (From the second SIP instalment).
     Name of the Account Holder
     (as in Bank Records)
     Name of the Bank                                                                                             Branch                                                 City
     Account No.                                                                          Account Type       Savings      Current      Cash Credit    NRE      NRO
     9 Digit MICR Code                                                                e (Please enter the 9 digit number that appears after your cheque number)                                           Mandatory Enclosure                   Copy of cancelled Cheque leaf
     SIP Auto Debit Date DD                         MM               YY                SIP Enrolment Period From DD                              MM               YY                 To DD                MM         YY                         Frequency
     SIP Installment Amount                                                                                                                                                                                              SIGNATURE(S) (As in Bank Records)
     AUTHORISATION OF BANK ACCOUNT HOLDER [To be signed by Account Holder(s)]
     This is to inform you that I/We have registered with an authorised service provider of BNP Paribas Asset Management India Private Ltd. (Investment Manager to BNP Paribas Mutual Fund), for collection of SIP First Account Holder
     payments. Such payments will be made from the above mentioned account and be routed to you directly or through the ECS mechanism. The authority shall continue to be in force with immediate effect till the
     period indicated above or until I/We revoke it by instructions delivered to the Bank in writing. I/We authorise the bank to honour all such instructions. I/We further authorise the representative of TechProcess Second Account Holder
     Solutions Ltd. to get this mandate veri ed and registered with you. I hereby authorise the bank to debit veri cation charges (if any) to my account for veri cation of this mandate.
                                                                                                                                                                                                                        Third Account Holder
     Account Number
     Banker’s Attestation (For Bank use only) : Certi ed that the signature of account holder and the details of Bank Signature of Authorised Of cial
     account and its MICR code are correct as per our records.                                                                                                      from Bank (Bank Stamp and Date)

     ACKNOWLEDGEMENT SLIP (To be lled in by the Applicant)                                                                                                                                        App. No.
    Received from Mr./Ms/M/s.
    an application for purchase of Units of                                          Scheme                                           Plan                           Option                                             ISC Stamp, Date & Signature

       SIP Auto Debit (ECS) Facility                   Cheques Nos. From                                                      To
    drawn on (Bank)                                                                                                    A/c. No.
    Total Amount (Rs.)                                              on        Weekly           Monthly            Quarterly basis. All purchases are subject to realisation of Cheques.
5. SIP INVESTMENT DETAILS – Separate Cheque required for investment in each Scheme / Plan / Option                                                                                                                                                           (MANDATORY)
Scheme Name                          BNP Paribas                                                                                                                                         Plan            Regular*      Institutional     Institutional Plus
                                                                                             Daily**** Dividend            Weekly*** Dividend                      Monthly Dividend**                  Quarterly Dividend        Dividend Mode (please 9)
Option (please 9)                         Growth*                 Dividend                   Half Yearly Dividend          Fortnightly Dividend                    Annual Dividend                                                   Reinvest      Payout                         ~
Frequency (Please 9 any one only)           Weekly SIP      Monthly# SIP          Quarterly# SIP (Calendar Quarter i.e., January, April, July and October)        # ECS facility available
SIP Date Weekly SIP : 1st, 7th, 15th and 25th Monthly and Quarterly SIP (Please 9 any one only) : 1st of the month       7th of the month       15th of the month      25th of the month
Enrolment Period From DD                     MM           YY             To DD            MM             YY             No. of Weeks / Months / Quarters             OR        Till instruction to discontinue the SIP is submitted
* Default Plan / Option if not ticked, except in BNP Paribas Flexi Debt Fund. For BNP Paribas Flexi Debt Fund, unless speci ed otherwise, the default Plan & Option shall be BNP Paribas Flexi Debt Fund - Regular Plan - Growth
Option. ** Default Dividend Option if not ticked, except in BNP Paribas Flexi Debt Fund and BNP Paribas Bond Fund where the default Dividend Option is Quarterly Dividend Option & Annual Dividend Option respectively. *** With
                                                                                                                                                                ~
compulsory Dividend Re-investment except in case of BNP Paribas Money Plus Fund.**** With compulsory Dividend Re-investment Default Dividend Mode except in case of BNP Paribas Money Plus Fund - Weekly Dividend Option.
6. FOR THIRD PARTY PAYMENT (As speci ed on page 26)
Third Party Name                                                                                                                                                                               PAN
Relationship with applicant                                                                                                                                                                                 KYC Acknowledgement attached (Please )
7. PAYMENT DETAILS (First Payment by Cheque Only)                                                          – Cheques to be drawn in favour of the Scheme / Plan applied for
Each SIP Amount Rs.                            No. of Instalments   Total Amount Rs.                                                                                     First SIP instalment via : Cheque No.
Drawn
on Bank                                             Branch                        City                                                                                            A/c. No.
   SIP THROUGH AUTO-DEBIT (ECS) - Please ll up SIP Auto Debit (ECS) Facility Form                                                                           SIP THROUGH POST-DATED CHEQUES
Second and Subsequent instalment Cheque Details :     Total Cheques
Cheque No. From                                          To                                                                                             Dated From DD                    MM             YYYY                   To DD                MM             YYYY
Drawn                                               Branch                        City                                                                                               A/c. No.
on Bank
8. NOMINATION - MANDATORY, even if no intention to nominate                                                                                                                                                                         (See instruction 5 on page 27)
Having read and understood the instruction for Nomination, I / We hereby nominate the person(s) more particularly described hereunder in respect of the Units under the Folio held by me/us in the event of my death
  Particulars                                   Nominee 1                                                    Nominee 2                                                       Nominee 3
Name
Address

                                                                                                                                                                                                     INATE
                                                                                                                                      ION                                                     TO NOM
                                                                                                                               INTENT
                                                                                                                      N” IF NO
Relationship
                                                                                                                   IO
                                                                                                            OMINAT
with Applicant
Date of Birth in case                                                                                N “NO N
Nominee is minor
# Percentage of                                                                  MENTIO
Allocation/Share
# Please indicate the percentage of allocation / share for each of the nominees in whole numbers only without any decimals making a total of 100 per cent. If the percentage allocation
is not mentioned or is left blank then the AMC shall apply the default option of equal distribution among the multiple designated Nominees.
Signature of Nominee                    Not Mandatory                                          Not Mandatory                                      Not Mandatory
   PoA holder cannot nominate and should not ll this section.
 If Nominee is a Minor, details of the Guardian required : Name and Address of the Guardian

                                                                                                                                                                                                                                          Not Mandatory
  City                                                                                         Pin Code                                                         State
                                                                                                                                                                                                                                        Signature of Guardian
 Guardian’s relationship with the Minor Nominee
9. POWER OF ATTORNEY (PoA) HOLDER DETAILS (If the investment is being made by a Constituted Attorney please furnish the details of PoA Holder)
 Name of PoA                                                                                       Title       Mr.           Ms.           M/s            Others

PAN                                                                                                  Enclosed* (9)                   PAN card proof                  KYC Con rmation proof                                            Signature of PoA Holder
10. DECLARATION  SIGNATURES
Having read and understood the contents of the Statement of Additional Information / Scheme Information Document of the Scheme of BNP Paribas Mutual Fund, I / We hereby apply to the Trustee of BNP Paribas Mutual Fund for units of the Scheme and agree to abide by terms
and conditions, rules and regulation of the Scheme. I / We have neither received nor been induced by any rebate or gifts, directly or indirectly in making this investment. I / We hereby declare that I am / we are not a US person, within the meaning of the United States Securities
Act, 1933, as amended from time to time; and that I am / we are not applying on behalf of or as proxyholders of a person who is a US person. I/We hereby declare that I am/ We are competent under the applicable laws and duly authorised where required, to make this investment
in the above mentioned scheme. I/We hereby con rm that the proposed investment is being made from known, identi able and legitimate sources of funds /income of mine/the HUF/ the Company/Trust/ Partnership only and I am / we are the rightful bene cial owner(s) of the funds
and the resulting investments therefrom. The abovementioned investment does not involve and is not designed for the purpose of any contravention or evasion of any Act, Rules, Regulations, Noti cations or Directions or of the provisions of any law in India including but not limited
to The Income Tax Act, the Prevention of Money Laundering Act, 2002, The Prevention of Corruption, 1988 Act and/or any other relevant rules/ guidelines noti ed in this regard or applicable laws enacted by the Government of India / any other regulatory body from time to time.
I / we hereby understand and agree that if any of the aforesaid disclosures made/ information provided by me/us is found to be contradictory or non-reliable to the above statements or if I / we fail to provide adequate and complete information, the AMC / Mutual
Fund / Trustees reserve the right to reject the application / withhold the investments made by me / us and/or make disclosures and report the relevant details to the competent authority and take such other actions as may be required to comply with the applicable
law as the AMC/ Mutual Fund/ Trustees may deem proper at their sole option. 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 hereby also declare that I/we do not have any existing Micro SIPs which together with the current application will result in aggregate investments exceeding Rs 50,000 in a nancial year.
Applicable to NRIs only : I / We con rm that I am / We are Non-Resident of Indian Nationality / Origin and I / We hereby con rm that the funds for subscription have been remitted from abroad through normal banking channels or from funds in my / our Non-
Resident External / Ordinary Account / FCNR Account.
                                                                              SIGNATURE(S)




If NRI, (please 9)      Repatriation basis      Non-Repatriation basis
Dated                       /                /
               D      D         M     M           Y     Y     Y     Y                            First / Sole Applicant / Guardian                               Second Applicant / Guardian                                          Third Applicant / Guardian




                                                                                                             SIP AUTO DEBIT - CHECKLIST
          Please ensure that if you are an existing investor, you have quoted your Folio No. in the SIP Application Form.
          Investment Scheme / Plan / Option in which you wish to do systematic investments is clearly indicated in the SIP Application Form.
          The SIP Amount, the SIP Frequency, your preferred SIP Date and Period are clearly indicated in the SIP Application Form.
          Your First SIP Cheque from the same bank from which you wish your Auto-Debits to happen is enclosed and the cheque details are clearly indicated in the SIP Auto Debit Facility Form.
          Your Bank Account Details are correctly and completely furnished including the 9 Digit MICR Code.
          Cancelled Cheque leaf of the Bank Account mentioned in the SIP Auto Debit (ECS) Account to be attached.
          In case of current account, please af x company's seal at columns ECS DEBIT BANK ACCOUNT DETAILS (MANDATORY) and AUTHORISATION OF BANK ACCOUNT HOLDER section.
          Authorisation of Bank Account is signed in the same manner as your signatures in Bank Records.




                                                                                                                                                            For any further queries / correspondence, please contact :
                                                                                                                                                            Computer Age Management Services Pvt. Ltd.
                                                                                                                                                            UNIT : BNP Paribas Mutual Fund
       BNP Paribas Asset Management India Private Limited                                                                                                   148 Old Mahabalipuram Road (OMR), Next to Hotel Fortune,
       BNP Paribas House, 1 North Avenue, Maker Maxity, Bandra Kurla Complex,
       Bandra (East), Mumbai - 400 051. Tel.: 91-22 3370 4242                                                                                               Okkiyam, Thuraipakkam, Chennai - 600 097
       Web : www.bnpparibasmf.in                                                                                                                            Tel : 044 - 3040 7065 z email : enq_m@camsonline.com

Contenu connexe

Similaire à Bnp paribas tax advantage plan application form

Bharti axa tax advantage fund application form
Bharti axa tax advantage fund application formBharti axa tax advantage fund application form
Bharti axa tax advantage fund application formPrajna Capital
 
Dws tax saving fund application form
Dws tax saving fund application formDws tax saving fund application form
Dws tax saving fund application formPrajna Capital
 
Principal mutual fund common application form elss funds with kim
Principal mutual fund common application form elss funds with kimPrincipal mutual fund common application form elss funds with kim
Principal mutual fund common application form elss funds with kimPrajna Capital
 
Birla sun life tax relief 96 application form
Birla sun life tax relief 96 application formBirla sun life tax relief 96 application form
Birla sun life tax relief 96 application formPrajna Capital
 
Franklin india tax shield application form
Franklin india tax shield application formFranklin india tax shield application form
Franklin india tax shield application formPrajna Capital
 
Franklin templeton mutual fund common application form with kim
Franklin templeton mutual fund common application form with kimFranklin templeton mutual fund common application form with kim
Franklin templeton mutual fund common application form with kimPrajna Capital
 
Opening of Demat and Remat accounts 2019
Opening  of  Demat and Remat accounts 2019Opening  of  Demat and Remat accounts 2019
Opening of Demat and Remat accounts 2019Nicholas Sebowa Ntwatwa
 
Principal personal tax saver fund application form
Principal personal tax saver fund application formPrincipal personal tax saver fund application form
Principal personal tax saver fund application formPrajna Capital
 
Principal tax savings fund application form
Principal tax savings fund application formPrincipal tax savings fund application form
Principal tax savings fund application formPrajna Capital
 
Pran
PranPran
Pranrkdeo
 

Similaire à Bnp paribas tax advantage plan application form (20)

Bharti axa tax advantage fund application form
Bharti axa tax advantage fund application formBharti axa tax advantage fund application form
Bharti axa tax advantage fund application form
 
Dws tax saving fund application form
Dws tax saving fund application formDws tax saving fund application form
Dws tax saving fund application form
 
KYC
KYCKYC
KYC
 
Principal mutual fund common application form elss funds with kim
Principal mutual fund common application form elss funds with kimPrincipal mutual fund common application form elss funds with kim
Principal mutual fund common application form elss funds with kim
 
Uti mf sip form arn
Uti mf sip form arnUti mf sip form arn
Uti mf sip form arn
 
Birla sun life tax relief 96 application form
Birla sun life tax relief 96 application formBirla sun life tax relief 96 application form
Birla sun life tax relief 96 application form
 
Franklin india tax shield application form
Franklin india tax shield application formFranklin india tax shield application form
Franklin india tax shield application form
 
Franklin templeton mutual fund common application form with kim
Franklin templeton mutual fund common application form with kimFranklin templeton mutual fund common application form with kim
Franklin templeton mutual fund common application form with kim
 
DSC Class ii & iii
DSC Class ii & iiiDSC Class ii & iii
DSC Class ii & iii
 
Opening of Demat and Remat accounts 2019
Opening  of  Demat and Remat accounts 2019Opening  of  Demat and Remat accounts 2019
Opening of Demat and Remat accounts 2019
 
Principal personal tax saver fund application form
Principal personal tax saver fund application formPrincipal personal tax saver fund application form
Principal personal tax saver fund application form
 
Principal tax savings fund application form
Principal tax savings fund application formPrincipal tax savings fund application form
Principal tax savings fund application form
 
Mona Vie India Corporate Enrollment Form
Mona Vie India Corporate Enrollment FormMona Vie India Corporate Enrollment Form
Mona Vie India Corporate Enrollment Form
 
49a
49a49a
49a
 
UTI - Equity Savings Fund Editable New Application Form Form
UTI - Equity Savings Fund Editable New Application Form Form UTI - Equity Savings Fund Editable New Application Form Form
UTI - Equity Savings Fund Editable New Application Form Form
 
PAN card
PAN cardPAN card
PAN card
 
nri-ac-op-form.pdf
nri-ac-op-form.pdfnri-ac-op-form.pdf
nri-ac-op-form.pdf
 
S1
S1S1
S1
 
Pran
PranPran
Pran
 
Pran
PranPran
Pran
 

Plus de Prajna Capital

Dsp black rock rgess fund – series 1 applciation form and kim
Dsp black rock rgess fund – series 1 applciation form and kimDsp black rock rgess fund – series 1 applciation form and kim
Dsp black rock rgess fund – series 1 applciation form and kimPrajna Capital
 
Dsp black rock us flexible equity fund nfo presentation
Dsp black rock us flexible equity fund   nfo presentationDsp black rock us flexible equity fund   nfo presentation
Dsp black rock us flexible equity fund nfo presentationPrajna Capital
 
Idfc infrastructure bond tranche 3 application form 2012
Idfc infrastructure bond tranche 3 application form 2012Idfc infrastructure bond tranche 3 application form 2012
Idfc infrastructure bond tranche 3 application form 2012Prajna Capital
 
Muthoot finance ncd application form mar 2012
Muthoot finance ncd application form mar 2012Muthoot finance ncd application form mar 2012
Muthoot finance ncd application form mar 2012Prajna Capital
 
Rec t ax free bond application form
Rec t ax free bond application formRec t ax free bond application form
Rec t ax free bond application formPrajna Capital
 
Irfc tax free bond application form
Irfc tax free bond application formIrfc tax free bond application form
Irfc tax free bond application formPrajna Capital
 
Hudco tax free bond application form
Hudco tax free bond application formHudco tax free bond application form
Hudco tax free bond application formPrajna Capital
 
Srei infrastructure bond application form
Srei infrastructure bond application formSrei infrastructure bond application form
Srei infrastructure bond application formPrajna Capital
 
L&t long term infrastructure bond tranche 2 application form 2012
L&t long term infrastructure bond tranche 2 application form 2012L&t long term infrastructure bond tranche 2 application form 2012
L&t long term infrastructure bond tranche 2 application form 2012Prajna Capital
 
Idfc long term infrastructure bond tranche 2 application form 2012
Idfc long term infrastructure bond tranche 2 application form 2012Idfc long term infrastructure bond tranche 2 application form 2012
Idfc long term infrastructure bond tranche 2 application form 2012Prajna Capital
 
Pfc tax free bonds application form
Pfc tax free bonds application formPfc tax free bonds application form
Pfc tax free bonds application formPrajna Capital
 
Muthoot finance limited ncd application form dec 2011 jan 2012
Muthoot finance limited ncd application form dec 2011   jan 2012Muthoot finance limited ncd application form dec 2011   jan 2012
Muthoot finance limited ncd application form dec 2011 jan 2012Prajna Capital
 
Muthoot finance limited ncd application form dec 2011 jan 2012
Muthoot finance limited ncd application form dec 2011   jan 2012Muthoot finance limited ncd application form dec 2011   jan 2012
Muthoot finance limited ncd application form dec 2011 jan 2012Prajna Capital
 
Nhai tax free bond application form
Nhai tax free bond application formNhai tax free bond application form
Nhai tax free bond application formPrajna Capital
 
Uti equity tax savings plan application form
Uti equity tax savings plan application formUti equity tax savings plan application form
Uti equity tax savings plan application formPrajna Capital
 
Tax saver mutual funds
Tax saver mutual fundsTax saver mutual funds
Tax saver mutual fundsPrajna Capital
 
Taurus tax shield application form
Taurus tax shield application formTaurus tax shield application form
Taurus tax shield application formPrajna Capital
 
Tata tax saving fund application form
Tata tax saving fund application formTata tax saving fund application form
Tata tax saving fund application formPrajna Capital
 
Sundaram tax saver application form
Sundaram tax saver application formSundaram tax saver application form
Sundaram tax saver application formPrajna Capital
 
Sahara tax gain fund application form
Sahara tax gain fund application formSahara tax gain fund application form
Sahara tax gain fund application formPrajna Capital
 

Plus de Prajna Capital (20)

Dsp black rock rgess fund – series 1 applciation form and kim
Dsp black rock rgess fund – series 1 applciation form and kimDsp black rock rgess fund – series 1 applciation form and kim
Dsp black rock rgess fund – series 1 applciation form and kim
 
Dsp black rock us flexible equity fund nfo presentation
Dsp black rock us flexible equity fund   nfo presentationDsp black rock us flexible equity fund   nfo presentation
Dsp black rock us flexible equity fund nfo presentation
 
Idfc infrastructure bond tranche 3 application form 2012
Idfc infrastructure bond tranche 3 application form 2012Idfc infrastructure bond tranche 3 application form 2012
Idfc infrastructure bond tranche 3 application form 2012
 
Muthoot finance ncd application form mar 2012
Muthoot finance ncd application form mar 2012Muthoot finance ncd application form mar 2012
Muthoot finance ncd application form mar 2012
 
Rec t ax free bond application form
Rec t ax free bond application formRec t ax free bond application form
Rec t ax free bond application form
 
Irfc tax free bond application form
Irfc tax free bond application formIrfc tax free bond application form
Irfc tax free bond application form
 
Hudco tax free bond application form
Hudco tax free bond application formHudco tax free bond application form
Hudco tax free bond application form
 
Srei infrastructure bond application form
Srei infrastructure bond application formSrei infrastructure bond application form
Srei infrastructure bond application form
 
L&t long term infrastructure bond tranche 2 application form 2012
L&t long term infrastructure bond tranche 2 application form 2012L&t long term infrastructure bond tranche 2 application form 2012
L&t long term infrastructure bond tranche 2 application form 2012
 
Idfc long term infrastructure bond tranche 2 application form 2012
Idfc long term infrastructure bond tranche 2 application form 2012Idfc long term infrastructure bond tranche 2 application form 2012
Idfc long term infrastructure bond tranche 2 application form 2012
 
Pfc tax free bonds application form
Pfc tax free bonds application formPfc tax free bonds application form
Pfc tax free bonds application form
 
Muthoot finance limited ncd application form dec 2011 jan 2012
Muthoot finance limited ncd application form dec 2011   jan 2012Muthoot finance limited ncd application form dec 2011   jan 2012
Muthoot finance limited ncd application form dec 2011 jan 2012
 
Muthoot finance limited ncd application form dec 2011 jan 2012
Muthoot finance limited ncd application form dec 2011   jan 2012Muthoot finance limited ncd application form dec 2011   jan 2012
Muthoot finance limited ncd application form dec 2011 jan 2012
 
Nhai tax free bond application form
Nhai tax free bond application formNhai tax free bond application form
Nhai tax free bond application form
 
Uti equity tax savings plan application form
Uti equity tax savings plan application formUti equity tax savings plan application form
Uti equity tax savings plan application form
 
Tax saver mutual funds
Tax saver mutual fundsTax saver mutual funds
Tax saver mutual funds
 
Taurus tax shield application form
Taurus tax shield application formTaurus tax shield application form
Taurus tax shield application form
 
Tata tax saving fund application form
Tata tax saving fund application formTata tax saving fund application form
Tata tax saving fund application form
 
Sundaram tax saver application form
Sundaram tax saver application formSundaram tax saver application form
Sundaram tax saver application form
 
Sahara tax gain fund application form
Sahara tax gain fund application formSahara tax gain fund application form
Sahara tax gain fund application form
 

Dernier

Stock Market Brief Deck for 4/24/24 .pdf
Stock Market Brief Deck for 4/24/24 .pdfStock Market Brief Deck for 4/24/24 .pdf
Stock Market Brief Deck for 4/24/24 .pdfMichael Silva
 
AfRESFullPaper22018EmpiricalPerformanceofRealEstateInvestmentTrustsandShareho...
AfRESFullPaper22018EmpiricalPerformanceofRealEstateInvestmentTrustsandShareho...AfRESFullPaper22018EmpiricalPerformanceofRealEstateInvestmentTrustsandShareho...
AfRESFullPaper22018EmpiricalPerformanceofRealEstateInvestmentTrustsandShareho...yordanosyohannes2
 
magnetic-pensions-a-new-blueprint-for-the-dc-landscape.pdf
magnetic-pensions-a-new-blueprint-for-the-dc-landscape.pdfmagnetic-pensions-a-new-blueprint-for-the-dc-landscape.pdf
magnetic-pensions-a-new-blueprint-for-the-dc-landscape.pdfHenry Tapper
 
letter-from-the-chair-to-the-fca-relating-to-british-steel-pensions-scheme-15...
letter-from-the-chair-to-the-fca-relating-to-british-steel-pensions-scheme-15...letter-from-the-chair-to-the-fca-relating-to-british-steel-pensions-scheme-15...
letter-from-the-chair-to-the-fca-relating-to-british-steel-pensions-scheme-15...Henry Tapper
 
Financial Leverage Definition, Advantages, and Disadvantages
Financial Leverage Definition, Advantages, and DisadvantagesFinancial Leverage Definition, Advantages, and Disadvantages
Financial Leverage Definition, Advantages, and Disadvantagesjayjaymabutot13
 
NO1 WorldWide online istikhara for love marriage vashikaran specialist love p...
NO1 WorldWide online istikhara for love marriage vashikaran specialist love p...NO1 WorldWide online istikhara for love marriage vashikaran specialist love p...
NO1 WorldWide online istikhara for love marriage vashikaran specialist love p...Amil Baba Dawood bangali
 
Authentic No 1 Amil Baba In Pakistan Authentic No 1 Amil Baba In Karachi No 1...
Authentic No 1 Amil Baba In Pakistan Authentic No 1 Amil Baba In Karachi No 1...Authentic No 1 Amil Baba In Pakistan Authentic No 1 Amil Baba In Karachi No 1...
Authentic No 1 Amil Baba In Pakistan Authentic No 1 Amil Baba In Karachi No 1...First NO1 World Amil baba in Faisalabad
 
fca-bsps-decision-letter-redacted (1).pdf
fca-bsps-decision-letter-redacted (1).pdffca-bsps-decision-letter-redacted (1).pdf
fca-bsps-decision-letter-redacted (1).pdfHenry Tapper
 
Economics, Commerce and Trade Management: An International Journal (ECTIJ)
Economics, Commerce and Trade Management: An International Journal (ECTIJ)Economics, Commerce and Trade Management: An International Journal (ECTIJ)
Economics, Commerce and Trade Management: An International Journal (ECTIJ)ECTIJ
 
The Triple Threat | Article on Global Resession | Harsh Kumar
The Triple Threat | Article on Global Resession | Harsh KumarThe Triple Threat | Article on Global Resession | Harsh Kumar
The Triple Threat | Article on Global Resession | Harsh KumarHarsh Kumar
 
(中央兰开夏大学毕业证学位证成绩单-案例)
(中央兰开夏大学毕业证学位证成绩单-案例)(中央兰开夏大学毕业证学位证成绩单-案例)
(中央兰开夏大学毕业证学位证成绩单-案例)twfkn8xj
 
Call Girls Near Delhi Pride Hotel, New Delhi|9873777170
Call Girls Near Delhi Pride Hotel, New Delhi|9873777170Call Girls Near Delhi Pride Hotel, New Delhi|9873777170
Call Girls Near Delhi Pride Hotel, New Delhi|9873777170Sonam Pathan
 
call girls in Nand Nagri (DELHI) 🔝 >༒9953330565🔝 genuine Escort Service 🔝✔️✔️
call girls in  Nand Nagri (DELHI) 🔝 >༒9953330565🔝 genuine Escort Service 🔝✔️✔️call girls in  Nand Nagri (DELHI) 🔝 >༒9953330565🔝 genuine Escort Service 🔝✔️✔️
call girls in Nand Nagri (DELHI) 🔝 >༒9953330565🔝 genuine Escort Service 🔝✔️✔️9953056974 Low Rate Call Girls In Saket, Delhi NCR
 
NO1 WorldWide Genuine vashikaran specialist Vashikaran baba near Lahore Vashi...
NO1 WorldWide Genuine vashikaran specialist Vashikaran baba near Lahore Vashi...NO1 WorldWide Genuine vashikaran specialist Vashikaran baba near Lahore Vashi...
NO1 WorldWide Genuine vashikaran specialist Vashikaran baba near Lahore Vashi...Amil baba
 
(办理原版一样)QUT毕业证昆士兰科技大学毕业证学位证留信学历认证成绩单补办
(办理原版一样)QUT毕业证昆士兰科技大学毕业证学位证留信学历认证成绩单补办(办理原版一样)QUT毕业证昆士兰科技大学毕业证学位证留信学历认证成绩单补办
(办理原版一样)QUT毕业证昆士兰科技大学毕业证学位证留信学历认证成绩单补办fqiuho152
 
《加拿大本地办假证-寻找办理Dalhousie毕业证和达尔豪斯大学毕业证书的中介代理》
《加拿大本地办假证-寻找办理Dalhousie毕业证和达尔豪斯大学毕业证书的中介代理》《加拿大本地办假证-寻找办理Dalhousie毕业证和达尔豪斯大学毕业证书的中介代理》
《加拿大本地办假证-寻找办理Dalhousie毕业证和达尔豪斯大学毕业证书的中介代理》rnrncn29
 
Governor Olli Rehn: Dialling back monetary restraint
Governor Olli Rehn: Dialling back monetary restraintGovernor Olli Rehn: Dialling back monetary restraint
Governor Olli Rehn: Dialling back monetary restraintSuomen Pankki
 
Quantitative Analysis of Retail Sector Companies
Quantitative Analysis of Retail Sector CompaniesQuantitative Analysis of Retail Sector Companies
Quantitative Analysis of Retail Sector Companiesprashantbhati354
 
Vp Girls near me Delhi Call Now or WhatsApp
Vp Girls near me Delhi Call Now or WhatsAppVp Girls near me Delhi Call Now or WhatsApp
Vp Girls near me Delhi Call Now or WhatsAppmiss dipika
 
Stock Market Brief Deck FOR 4/17 video.pdf
Stock Market Brief Deck FOR 4/17 video.pdfStock Market Brief Deck FOR 4/17 video.pdf
Stock Market Brief Deck FOR 4/17 video.pdfMichael Silva
 

Dernier (20)

Stock Market Brief Deck for 4/24/24 .pdf
Stock Market Brief Deck for 4/24/24 .pdfStock Market Brief Deck for 4/24/24 .pdf
Stock Market Brief Deck for 4/24/24 .pdf
 
AfRESFullPaper22018EmpiricalPerformanceofRealEstateInvestmentTrustsandShareho...
AfRESFullPaper22018EmpiricalPerformanceofRealEstateInvestmentTrustsandShareho...AfRESFullPaper22018EmpiricalPerformanceofRealEstateInvestmentTrustsandShareho...
AfRESFullPaper22018EmpiricalPerformanceofRealEstateInvestmentTrustsandShareho...
 
magnetic-pensions-a-new-blueprint-for-the-dc-landscape.pdf
magnetic-pensions-a-new-blueprint-for-the-dc-landscape.pdfmagnetic-pensions-a-new-blueprint-for-the-dc-landscape.pdf
magnetic-pensions-a-new-blueprint-for-the-dc-landscape.pdf
 
letter-from-the-chair-to-the-fca-relating-to-british-steel-pensions-scheme-15...
letter-from-the-chair-to-the-fca-relating-to-british-steel-pensions-scheme-15...letter-from-the-chair-to-the-fca-relating-to-british-steel-pensions-scheme-15...
letter-from-the-chair-to-the-fca-relating-to-british-steel-pensions-scheme-15...
 
Financial Leverage Definition, Advantages, and Disadvantages
Financial Leverage Definition, Advantages, and DisadvantagesFinancial Leverage Definition, Advantages, and Disadvantages
Financial Leverage Definition, Advantages, and Disadvantages
 
NO1 WorldWide online istikhara for love marriage vashikaran specialist love p...
NO1 WorldWide online istikhara for love marriage vashikaran specialist love p...NO1 WorldWide online istikhara for love marriage vashikaran specialist love p...
NO1 WorldWide online istikhara for love marriage vashikaran specialist love p...
 
Authentic No 1 Amil Baba In Pakistan Authentic No 1 Amil Baba In Karachi No 1...
Authentic No 1 Amil Baba In Pakistan Authentic No 1 Amil Baba In Karachi No 1...Authentic No 1 Amil Baba In Pakistan Authentic No 1 Amil Baba In Karachi No 1...
Authentic No 1 Amil Baba In Pakistan Authentic No 1 Amil Baba In Karachi No 1...
 
fca-bsps-decision-letter-redacted (1).pdf
fca-bsps-decision-letter-redacted (1).pdffca-bsps-decision-letter-redacted (1).pdf
fca-bsps-decision-letter-redacted (1).pdf
 
Economics, Commerce and Trade Management: An International Journal (ECTIJ)
Economics, Commerce and Trade Management: An International Journal (ECTIJ)Economics, Commerce and Trade Management: An International Journal (ECTIJ)
Economics, Commerce and Trade Management: An International Journal (ECTIJ)
 
The Triple Threat | Article on Global Resession | Harsh Kumar
The Triple Threat | Article on Global Resession | Harsh KumarThe Triple Threat | Article on Global Resession | Harsh Kumar
The Triple Threat | Article on Global Resession | Harsh Kumar
 
(中央兰开夏大学毕业证学位证成绩单-案例)
(中央兰开夏大学毕业证学位证成绩单-案例)(中央兰开夏大学毕业证学位证成绩单-案例)
(中央兰开夏大学毕业证学位证成绩单-案例)
 
Call Girls Near Delhi Pride Hotel, New Delhi|9873777170
Call Girls Near Delhi Pride Hotel, New Delhi|9873777170Call Girls Near Delhi Pride Hotel, New Delhi|9873777170
Call Girls Near Delhi Pride Hotel, New Delhi|9873777170
 
call girls in Nand Nagri (DELHI) 🔝 >༒9953330565🔝 genuine Escort Service 🔝✔️✔️
call girls in  Nand Nagri (DELHI) 🔝 >༒9953330565🔝 genuine Escort Service 🔝✔️✔️call girls in  Nand Nagri (DELHI) 🔝 >༒9953330565🔝 genuine Escort Service 🔝✔️✔️
call girls in Nand Nagri (DELHI) 🔝 >༒9953330565🔝 genuine Escort Service 🔝✔️✔️
 
NO1 WorldWide Genuine vashikaran specialist Vashikaran baba near Lahore Vashi...
NO1 WorldWide Genuine vashikaran specialist Vashikaran baba near Lahore Vashi...NO1 WorldWide Genuine vashikaran specialist Vashikaran baba near Lahore Vashi...
NO1 WorldWide Genuine vashikaran specialist Vashikaran baba near Lahore Vashi...
 
(办理原版一样)QUT毕业证昆士兰科技大学毕业证学位证留信学历认证成绩单补办
(办理原版一样)QUT毕业证昆士兰科技大学毕业证学位证留信学历认证成绩单补办(办理原版一样)QUT毕业证昆士兰科技大学毕业证学位证留信学历认证成绩单补办
(办理原版一样)QUT毕业证昆士兰科技大学毕业证学位证留信学历认证成绩单补办
 
《加拿大本地办假证-寻找办理Dalhousie毕业证和达尔豪斯大学毕业证书的中介代理》
《加拿大本地办假证-寻找办理Dalhousie毕业证和达尔豪斯大学毕业证书的中介代理》《加拿大本地办假证-寻找办理Dalhousie毕业证和达尔豪斯大学毕业证书的中介代理》
《加拿大本地办假证-寻找办理Dalhousie毕业证和达尔豪斯大学毕业证书的中介代理》
 
Governor Olli Rehn: Dialling back monetary restraint
Governor Olli Rehn: Dialling back monetary restraintGovernor Olli Rehn: Dialling back monetary restraint
Governor Olli Rehn: Dialling back monetary restraint
 
Quantitative Analysis of Retail Sector Companies
Quantitative Analysis of Retail Sector CompaniesQuantitative Analysis of Retail Sector Companies
Quantitative Analysis of Retail Sector Companies
 
Vp Girls near me Delhi Call Now or WhatsApp
Vp Girls near me Delhi Call Now or WhatsAppVp Girls near me Delhi Call Now or WhatsApp
Vp Girls near me Delhi Call Now or WhatsApp
 
Stock Market Brief Deck FOR 4/17 video.pdf
Stock Market Brief Deck FOR 4/17 video.pdfStock Market Brief Deck FOR 4/17 video.pdf
Stock Market Brief Deck FOR 4/17 video.pdf
 

Bnp paribas tax advantage plan application form

  • 1. COMMON APPLICATION FORM Please read the Instructions before completing this Application Form App. No. DISTRIBUTOR / BROKER / SCSB INFORMATION To ensure to treate the application as “DIRECT” please do not leave the boxes below blank and read the instructions mentioned in 1(b)] Name and AMFI Reg. No. Sub Agent’s Name and AMFI Reg. No. Bank Serial No. CAMS Serial No. ARN- 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 UNITHOLDER INFORMATION (Please ll in your Folio No., Name, PAN & Bank Account details in Section 2 & 3, and then proceed to Section 5) Folio No. Unitholder’s Name The details in our records under the Folio No. mentioned above will only be considered for this application. 2. PAN & KYC DETAILS (Mandatory, as per SEBI Regulations) (See Instruction 2bi) on page 25 & bii) on page 26) PAN Enclosed (9) First / Sole Applicant PAN card proof KYC Con rmation proof M A N D A T O R Y Second Applicant PAN card proof KYC Con rmation proof Third Applicant PAN card proof KYC Con rmation proof Guardian** PAN card proof KYC Con rmation proof PoA Holder PAN card proof KYC Con rmation proof ** If the Sole / First Applicant is a Minor then state Guardian’s PAN Number 3. BANK ACCOUNT DETAILS (Mandatory, as per SEBI Regulations) A/c. No. A/c. Type (please 9) Savings Current NRE NRO FCNR Bank Name Address City Pin Code Branch MICR Code eThis is a 9 Digit No. next to your Cheque No. RTGS / IFSC Code NEFT / IFSC Code e IFSC code will be mentioned on your cheque All Redemptions / Dividend Payouts will be payable to the First Applicant at the City and Bank Account details mentioned above. leaf, else please contact your bank branch. DIRECT CREDIT FACILITY RTGS / NEFT Cheque Payouts : I / We want to receive redemption / dividend proceed by cheque / demand draft. (See instruction 3d on page 26. Please 9 and indicate your preference) Default mode of payout will be RTGS / NEFT if IFSC code is provided 4. APPLICANT’S INFORMATION Name of Sole / First Applicant (First / Middle / Last Name) Title Mr. Ms. M/s Minor Others Date of Birth* D D / M M / Y Y Y Y * Required for First holder / Mandatory for Minor Name of Guardian (in case of Minor) OR Contact Person (in case of Non-individual Investors) Title Mr. Ms. M/s Others Relationship Father Mother Legal Guardian Date of Birth D D / M M / Y Y Y Y Name of Second Applicant Title Mr. Ms. M/s Others Date of Birth D D / M M / Y Y Y Y Name of Third Applicant Title Mr. Ms. M/s Others Date of Birth D D / M M / Y Y Y Y Mode of Holding (please 9) Single Joint# Anyone or Survivor (# Default, in case of more than one applicant and not ticked) Address for Correspondence (P.O. Box Address is not suf cient) City Pin Code (Mandatory) State STD Code Tel. Off. Extn. Mobile Tel. Resi. Fax E–Mail ° If you wish to receive all communication from us via e-mail, please 9 here Kindly ensure that the e-mail address and telephone numbers mentioned above are those of the First Unitholder. These details shall be used for all communications. Occupation (please 9) Service Professional Business Housewife Retired Student Agriculture Others_________________________ Status of Sole/First Applicant (please 9) Individual (IND) HUF (HUF) Company (CO) FIIs (FII) NRI-Repatriation (NRI) NRI-Non Repatriation (NRI) Bank (BANK) Proprietorship Firm (OTH) Trust (TRUST) Society/Club (SOCTY) Partnership (OTH) Body Corporate (CO) On behalf of Minor (MINOR) Others (OTH) __________ (please specify) Status of Second Applicant (please 9) Individual (IND) NRI-Repatriation (NRI) NRI-Non Repatriation (NRI) On behalf of Minor (MINOR) Others (OTH) __________ (please specify) Status of Third Applicant (please 9) Individual (IND) NRI-Repatriation (NRI) NRI-Non Repatriation (NRI) On behalf of Minor (MINOR) Others (OTH) __________ (please specify) Overseas Address (Required for NRIs/FIIs applicants in addition to mailing address) (P.O. Box Address is not suf cient) DEBIT MANDATE (Royal Bank of Scotland N.V. Account Holders Only) - All applications with Debit Mandate to be submitted to (Royal Bank of Scotland N.V. Collection Centres Only I/We Debit (Name of the account holder) Mandate No. authorise Royal Bank of Scotland N. V. to debit my/our A/c. No. A/c. Type (please 9) Savings Current NRE NRO FCNR with Rs. Rs. (words) and pay (name of Scheme) for purchase of Units. Date : Authorised Signature ACKNOWLEDGEMENT SLIP (To be lled in by the Applicant) App. No. Received from Mr./Ms/M/s. an application for purchase of Units of Scheme Plan Option ISC Stamp, Date & Signature along with Cheque / DD No. dated drawn on (Bank) A/c. No. for Rs. All purchases are subject to realisation of Cheques / DD.
  • 2. 5. INVESTMENT & PAYMENT DETAILS – Separate Cheque / DD / Fund Transfer instruction required for investment in each Scheme / Plan / Option (MANDATORY) Scheme Name BNP Paribas Plan Regular* Institutional Institutional Plus Daily**** Dividend Weekly*** Dividend Monthly Dividend** Quarterly Dividend Option (please 9) Growth* Dividend Half Yearly Dividend Fortnightly Dividend Annual Dividend Dividend Mode (please 9) Reinvest Payout ~ Investment Amount Rs. Cheque / / / Dated DD No. D D M M Y Y Y Y Mode of Payment Cheque / Demand Draft / Fund Transfer DD charges, if any Rs. Drawn on Bank Branch A/c. No. * Default Plan / Option if not ticked, except in BNP Paribas Flexi Debt Fund. For BNP Paribas Flexi Debt Fund, unless speci ed otherwise, the default Plan & Option shall be BNP Paribas Flexi Debt Fund - Regular Plan - Growth Option. ** Default Dividend Option if not ticked, except in BNP Paribas Flexi Debt Fund and BNP Paribas Bond Fund where the default Dividend Option is Quarterly Dividend Option & Annual Dividend Option respectively. *** With compulsory Dividend Re-investment except in case of BNP Paribas Money Plus Fund.**** With compulsory Dividend Re-investment ~ Default Dividend Mode except in case of BNP Paribas Money Plus Fund - Weekly Dividend Option. Cheques / DD to be drawn in favour of the Scheme / Plan applied for. 6. FOR THIRD PARTY PAYMENT (As speci ed on page 26) Third Party Name PAN Relationship with applicant KYC Acknowledgement attached (Please Tick) 7. NOMINATION - MANDATORY, even if no intention to nominate (See instruction 5 on page 27) Having read and understood the instruction for Nomination, I / We hereby nominate the person(s) more particularly described hereunder in respect of the Units under the Folio held by me/us in the event of my death Particulars Nominee 1 Nominee 2 Nominee 3 Name Address T E O NOMINA NTION T NO INTE ION” IF OMINAT N “NO N Relationship with Applicant MENTIO Date of Birth in case Nominee is minor # Percentage of Allocation/Share # Please indicate the percentage of allocation / share for each of the nominees in whole numbers only without any decimals making a total of 100 per cent. If the percentage allocation is not mentioned or is left blank then the AMC shall apply the default option of equal distribution among the multiple designated Nominees. Signature of Nominee Not Mandatory Not Mandatory Not Mandatory PoA holder cannot nominate and should not ll this section. If Nominee is a Minor, details of the Guardian required : Name and Address of the Guardian City Pin Code Not Mandatory State Signature of Guardian Guardian’s relationship with the Minor Nominee 8. POWER OF ATTORNEY (PoA) HOLDER DETAILS (If the investment is being made by a Constituted Attorney please furnish the details of PoA Holder) Name of PoA Holder Title Mr. Ms. M/s Others PAN Enclosed* ( 9) PAN card proof KYC Con rmation proof Signature of (PoA) Holder 9. DECLARATION & SIGNATURES Having read and understood the contents of the Statement of Additional Information / Scheme Information Document of the Scheme of BNP Paribas Mutual Fund, I / We hereby apply to the Trustee of BNP Paribas Mutual Fund for units of the Scheme and agree to abide by terms and conditions, rules and regulation of the Scheme. I / We have neither received nor been induced by any rebate or gifts, directly or indirectly in making this investment. I / We hereby declare that I am / we are not a US person, within the meaning of the United States Securities Act, 1933, as amended from time to time; and that I am / we are not applying on behalf of or as proxyholders of a person who is a US person. I/We hereby declare that I am/ We are competent under the applicable laws and duly authorised where required, to make this investment in the above mentioned scheme. I/We hereby con rm that the proposed investment is being made from known, identi able and legitimate sources of funds /income of mine/the HUF/ the Company/Trust/ Partnership only and I am / we are the rightful bene cial owner(s) of the funds and the resulting investments therefrom. The abovementioned investment does not involve and is not designed for the purpose of any contravention or evasion of any Act, Rules, Regulations, Noti cations or Directions or of the provisions of any law in India including but not limited to The Income Tax Act, the Prevention of Money Laundering Act, 2002, The Prevention of Corruption, 1988 Act and/or any other relevant rules/ guidelines noti ed in this regard or applicable laws enacted by the Government of India / any other regulatory body from time to time. I / we hereby understand and agree that if any of the aforesaid disclosures made/ information provided by me/us is found to be contradictory or non-reliable to the above statements or if I / we fail to provide adequate and complete information, the AMC / Mutual Fund / Trustees reserve the right to reject the application / withhold the investments made by me / us and/or make disclosures and report the relevant details to the competent authority and take such other actions as may be required to comply with the applicable law as the AMC/ Mutual Fund/ Trustees may deem proper at their sole option. 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. Applicable to NRIs only : I / We con rm that I am / We are Non-Resident of Indian Nationality / Origin and I / We hereby con rm that the funds for subscription have been remitted from abroad through normal banking channels or from funds in my / our Non-Resident External / Ordinary Account / FCNR Account. SIGNATURE(S) If NRI, (please 9) Repatriation basis Non-Repatriation basis Dated / / D D M M Y Y Y Y First / Sole Applicant / Guardian Second Applicant / Guardian Third Applicant / Guardian For any further queries / correspondence, please contact : Computer Age Management Services Pvt. Ltd. UNIT : BNP Paribas Mutual Fund BNP Paribas Asset Management India Private Limited 148 Old Mahabalipuram Road (OMR), Next to Hotel Fortune, BNP Paribas House, 1 North Avenue, Maker Maxity, Bandra Kurla Complex, Okkiyam, Thuraipakkam, Chennai - 600 097 Bandra (East), Mumbai - 400 051. Tel.: 91-22 3370 4242 Tel : 044 - 3040 7065 z email : enq_m@camsonline.com Web : www.bnpparibasmf.in
  • 3. COMMON APPLICATION FORM FOR SYSTEMATIC INVESTMENT PLAN Please read SIP Instructions before completing this Application Form App. No. DISTRIBUTOR / BROKER INFORMATION [To ensure to treate the application as "DIRECT" please do not leave the boxes below blank and kindly read the instructions mentioned in 1(b)] Name and AMFI Reg. No. Sub Agent’s Name and AMFI Reg. No. Bank Serial No. CAMS Serial No. ARN- 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 UNITHOLDER INFORMATION (Please ll in your Folio No., Name, PAN & Bank Account details in Section 2 & 3, and then proceed to Section 5) Folio No. Unitholder’s Name The details in our records under the Folio No. mentioned above will only be considered for this application. 2. PAN & KYC DETAILS (Mandatory, as per SEBI Regulations) (See Instruction 2bi) on page 25 & bii) on page 26) PAN Enclosed ( 9) For Micro SIP Applications PAN card proof KYC Con rmation proof Supporting Document Type Reference Number Date of Birth M A N D A T O R Y First / Sole Applicant Second Applicant Third Applicant Guardian** PoA Holder ** If the Sole / First Applicant is a Minor then state Guardian's PAN Number 3. BANK ACCOUNT DETAILS (Mandatory, as per SEBI Regulations) A/c. No. A/c. Type (please 9) Savings Current NRE NRO FCNR Bank Name Address City Pin Code Branch MICR Code eThis is a 9 Digit No. next to your Cheque No. With Systematic Investment Plan (SIP) facility RTGS / IFSC Code NEFT / IFSC Code e IFSC code will be mentioned on your cheque All Redemptions / Dividend Payouts will be payable to the First Applicant at the City and Bank Account details mentioned above. leaf, else please contact your bank branch. DIRECT CREDIT FACILITY (See instruction 3d on page 26. Please 9 and indicate your preference) Cheque Payouts : I / We want to receive redemption / dividend proceed by cheque / demand draft. RTGS / NEFT. Default mode of payout will be RTGS / NEFT if IFSC code is provided 4. APPLICANT'S INFORMATION Name of Sole / First Applicant (First / Middle / Last Name) Title Mr. Ms. M/s Minor Others Date of Birth* D D / M M / Y Y Y Y * Required for First holder / Mandatory for Minor Name of Guardian (in case of Minor) OR Contact Person (in case of Non-individual Investors) Title Mr. Ms. M/s Others Relationship Father Mother Legal Guardian Date of Birth D D / M M / Y Y Y Y Name of Second Applicant Title Mr. Ms. M/s Others Date of Birth D D / M M / Y Y Y Y Name of Third Applicant Title Mr. Ms. M/s Others Date of Birth D D / M M / Y Y Y Y Mode of Holding (please 9) Single Joint# Anyone or Survivor (# Default, in case of more than one applicant and not ticked) Address for Correspondence (P.O. Box Address is not suf cient) City Pin Code (Mandatory) State STD Code Tel. Off. Extn. Mobile Tel. Resi. Fax E–Mail ° If you wish to receive all communication from us via e-mail, please 9 here Kindly ensure that the e-mail address and telephone numbers mentioned above are those of the First Unitholder. These details shall be used for all communications. Occupation (please 9) Service Professional Business Housewife Retired Student Agriculture Others_________________________ Status of Sole/First Applicant (please 9) Individual (IND) HUF (HUF) Company (CO) FIIs (FII) NRI-Repatriation (NRI) NRI-Non Repatriation (NRI) Bank (BANK) Proprietorship Firm (OTH) Trust (TRUST) Society/Club (SOCTY) Partnership (OTH) Body Corporate (CO) On behalf of Minor (MINOR) Others (OTH) __________ (please specify) Status of Second Applicant (please 9) Individual (IND) NRI-Repatriation (NRI) NRI-Non Repatriation (NRI) On behalf of Minor (MINOR) Others (OTH) __________ (please specify) Status of Third Applicant (please 9) Individual (IND) NRI-Repatriation (NRI) NRI-Non Repatriation (NRI) On behalf of Minor (MINOR) Others (OTH) __________ (please specify) Overseas Address (Required for NRIs/FIIs applicants in addition to mailing address) (P.O. Box Address is not suf cient) SIP AUTO DEBIT (ECS) FACILITY FORM [Registration cum Mandate Form for ECS (Debit Clearing)] (Please read Terms & Conditions) ECS DEBIT BANK ACCOUNT DETAILS (MANDATORY) I / We hereby authorise the authorised service provider of BNP Paribas Asset Management India Private Ltd. (Investment Manager to BNP Paribas Mutual Fund), to debit my / our following bank account by ECS (Debit Clearing) for collection of SIP payments (From the second SIP instalment). Name of the Account Holder (as in Bank Records) Name of the Bank Branch City Account No. Account Type Savings Current Cash Credit NRE NRO 9 Digit MICR Code e (Please enter the 9 digit number that appears after your cheque number) Mandatory Enclosure Copy of cancelled Cheque leaf SIP Auto Debit Date DD MM YY SIP Enrolment Period From DD MM YY To DD MM YY Frequency SIP Installment Amount SIGNATURE(S) (As in Bank Records) AUTHORISATION OF BANK ACCOUNT HOLDER [To be signed by Account Holder(s)] This is to inform you that I/We have registered with an authorised service provider of BNP Paribas Asset Management India Private Ltd. (Investment Manager to BNP Paribas Mutual Fund), for collection of SIP First Account Holder payments. Such payments will be made from the above mentioned account and be routed to you directly or through the ECS mechanism. The authority shall continue to be in force with immediate effect till the period indicated above or until I/We revoke it by instructions delivered to the Bank in writing. I/We authorise the bank to honour all such instructions. I/We further authorise the representative of TechProcess Second Account Holder Solutions Ltd. to get this mandate veri ed and registered with you. I hereby authorise the bank to debit veri cation charges (if any) to my account for veri cation of this mandate. Third Account Holder Account Number Banker’s Attestation (For Bank use only) : Certi ed that the signature of account holder and the details of Bank Signature of Authorised Of cial account and its MICR code are correct as per our records. from Bank (Bank Stamp and Date) ACKNOWLEDGEMENT SLIP (To be lled in by the Applicant) App. No. Received from Mr./Ms/M/s. an application for purchase of Units of Scheme Plan Option ISC Stamp, Date & Signature SIP Auto Debit (ECS) Facility Cheques Nos. From To drawn on (Bank) A/c. No. Total Amount (Rs.) on Weekly Monthly Quarterly basis. All purchases are subject to realisation of Cheques.
  • 4. 5. SIP INVESTMENT DETAILS – Separate Cheque required for investment in each Scheme / Plan / Option (MANDATORY) Scheme Name BNP Paribas Plan Regular* Institutional Institutional Plus Daily**** Dividend Weekly*** Dividend Monthly Dividend** Quarterly Dividend Dividend Mode (please 9) Option (please 9) Growth* Dividend Half Yearly Dividend Fortnightly Dividend Annual Dividend Reinvest Payout ~ Frequency (Please 9 any one only) Weekly SIP Monthly# SIP Quarterly# SIP (Calendar Quarter i.e., January, April, July and October) # ECS facility available SIP Date Weekly SIP : 1st, 7th, 15th and 25th Monthly and Quarterly SIP (Please 9 any one only) : 1st of the month 7th of the month 15th of the month 25th of the month Enrolment Period From DD MM YY To DD MM YY No. of Weeks / Months / Quarters OR Till instruction to discontinue the SIP is submitted * Default Plan / Option if not ticked, except in BNP Paribas Flexi Debt Fund. For BNP Paribas Flexi Debt Fund, unless speci ed otherwise, the default Plan & Option shall be BNP Paribas Flexi Debt Fund - Regular Plan - Growth Option. ** Default Dividend Option if not ticked, except in BNP Paribas Flexi Debt Fund and BNP Paribas Bond Fund where the default Dividend Option is Quarterly Dividend Option & Annual Dividend Option respectively. *** With ~ compulsory Dividend Re-investment except in case of BNP Paribas Money Plus Fund.**** With compulsory Dividend Re-investment Default Dividend Mode except in case of BNP Paribas Money Plus Fund - Weekly Dividend Option. 6. FOR THIRD PARTY PAYMENT (As speci ed on page 26) Third Party Name PAN Relationship with applicant KYC Acknowledgement attached (Please ) 7. PAYMENT DETAILS (First Payment by Cheque Only) – Cheques to be drawn in favour of the Scheme / Plan applied for Each SIP Amount Rs. No. of Instalments Total Amount Rs. First SIP instalment via : Cheque No. Drawn on Bank Branch City A/c. No. SIP THROUGH AUTO-DEBIT (ECS) - Please ll up SIP Auto Debit (ECS) Facility Form SIP THROUGH POST-DATED CHEQUES Second and Subsequent instalment Cheque Details : Total Cheques Cheque No. From To Dated From DD MM YYYY To DD MM YYYY Drawn Branch City A/c. No. on Bank 8. NOMINATION - MANDATORY, even if no intention to nominate (See instruction 5 on page 27) Having read and understood the instruction for Nomination, I / We hereby nominate the person(s) more particularly described hereunder in respect of the Units under the Folio held by me/us in the event of my death Particulars Nominee 1 Nominee 2 Nominee 3 Name Address INATE ION TO NOM INTENT N” IF NO Relationship IO OMINAT with Applicant Date of Birth in case N “NO N Nominee is minor # Percentage of MENTIO Allocation/Share # Please indicate the percentage of allocation / share for each of the nominees in whole numbers only without any decimals making a total of 100 per cent. If the percentage allocation is not mentioned or is left blank then the AMC shall apply the default option of equal distribution among the multiple designated Nominees. Signature of Nominee Not Mandatory Not Mandatory Not Mandatory PoA holder cannot nominate and should not ll this section. If Nominee is a Minor, details of the Guardian required : Name and Address of the Guardian Not Mandatory City Pin Code State Signature of Guardian Guardian’s relationship with the Minor Nominee 9. POWER OF ATTORNEY (PoA) HOLDER DETAILS (If the investment is being made by a Constituted Attorney please furnish the details of PoA Holder) Name of PoA Title Mr. Ms. M/s Others PAN Enclosed* (9) PAN card proof KYC Con rmation proof Signature of PoA Holder 10. DECLARATION SIGNATURES Having read and understood the contents of the Statement of Additional Information / Scheme Information Document of the Scheme of BNP Paribas Mutual Fund, I / We hereby apply to the Trustee of BNP Paribas Mutual Fund for units of the Scheme and agree to abide by terms and conditions, rules and regulation of the Scheme. I / We have neither received nor been induced by any rebate or gifts, directly or indirectly in making this investment. I / We hereby declare that I am / we are not a US person, within the meaning of the United States Securities Act, 1933, as amended from time to time; and that I am / we are not applying on behalf of or as proxyholders of a person who is a US person. I/We hereby declare that I am/ We are competent under the applicable laws and duly authorised where required, to make this investment in the above mentioned scheme. I/We hereby con rm that the proposed investment is being made from known, identi able and legitimate sources of funds /income of mine/the HUF/ the Company/Trust/ Partnership only and I am / we are the rightful bene cial owner(s) of the funds and the resulting investments therefrom. The abovementioned investment does not involve and is not designed for the purpose of any contravention or evasion of any Act, Rules, Regulations, Noti cations or Directions or of the provisions of any law in India including but not limited to The Income Tax Act, the Prevention of Money Laundering Act, 2002, The Prevention of Corruption, 1988 Act and/or any other relevant rules/ guidelines noti ed in this regard or applicable laws enacted by the Government of India / any other regulatory body from time to time. I / we hereby understand and agree that if any of the aforesaid disclosures made/ information provided by me/us is found to be contradictory or non-reliable to the above statements or if I / we fail to provide adequate and complete information, the AMC / Mutual Fund / Trustees reserve the right to reject the application / withhold the investments made by me / us and/or make disclosures and report the relevant details to the competent authority and take such other actions as may be required to comply with the applicable law as the AMC/ Mutual Fund/ Trustees may deem proper at their sole option. 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 hereby also declare that I/we do not have any existing Micro SIPs which together with the current application will result in aggregate investments exceeding Rs 50,000 in a nancial year. Applicable to NRIs only : I / We con rm that I am / We are Non-Resident of Indian Nationality / Origin and I / We hereby con rm that the funds for subscription have been remitted from abroad through normal banking channels or from funds in my / our Non- Resident External / Ordinary Account / FCNR Account. SIGNATURE(S) If NRI, (please 9) Repatriation basis Non-Repatriation basis Dated / / D D M M Y Y Y Y First / Sole Applicant / Guardian Second Applicant / Guardian Third Applicant / Guardian SIP AUTO DEBIT - CHECKLIST Please ensure that if you are an existing investor, you have quoted your Folio No. in the SIP Application Form. Investment Scheme / Plan / Option in which you wish to do systematic investments is clearly indicated in the SIP Application Form. The SIP Amount, the SIP Frequency, your preferred SIP Date and Period are clearly indicated in the SIP Application Form. Your First SIP Cheque from the same bank from which you wish your Auto-Debits to happen is enclosed and the cheque details are clearly indicated in the SIP Auto Debit Facility Form. Your Bank Account Details are correctly and completely furnished including the 9 Digit MICR Code. Cancelled Cheque leaf of the Bank Account mentioned in the SIP Auto Debit (ECS) Account to be attached. In case of current account, please af x company's seal at columns ECS DEBIT BANK ACCOUNT DETAILS (MANDATORY) and AUTHORISATION OF BANK ACCOUNT HOLDER section. Authorisation of Bank Account is signed in the same manner as your signatures in Bank Records. For any further queries / correspondence, please contact : Computer Age Management Services Pvt. Ltd. UNIT : BNP Paribas Mutual Fund BNP Paribas Asset Management India Private Limited 148 Old Mahabalipuram Road (OMR), Next to Hotel Fortune, BNP Paribas House, 1 North Avenue, Maker Maxity, Bandra Kurla Complex, Bandra (East), Mumbai - 400 051. Tel.: 91-22 3370 4242 Okkiyam, Thuraipakkam, Chennai - 600 097 Web : www.bnpparibasmf.in Tel : 044 - 3040 7065 z email : enq_m@camsonline.com