NMF II Platform IIN No.

:5013992542
Investor Form
Advisor/Distributor : Code/Name
ARN-173086 / SHAH FINANCIAL SERVICES
UnitHolder Information
Name of the First Applicant : Mrs.KRUPA ALPESH RAO
PAN/Exempt No.: AIOPR9664F Date of Birth : 18-AUG-1979 Tax Status* : Individual cKYC Ref No. :
Father Name : Mother Name :
Name of Guardian : Date of Birth : PAN/Exempt No. : cKYC Ref No. :
Contact Address : 93 SHIVRANJANI SOCIETY SHIVRANJANI ROAD,AMBAWADI VISTAR AHMADABAD,AHMEDABAD
City : AHMEDABAD Pincode : 380015 State : Gujarat Country : India
Tel.(Off) : Tel.(Res) : Email : kruparao2014@gmail.com
Fax.(Off) : Fax.(Res) : Mobile: 9825304552
Email Relation : Self Mobile Relation : Self
Mode of Holding : SINGLE DP ID : Occupation : Business
Name of Second Applicant : PAN/Exempt No. :
Second Applicant Email: Second Applicant Mobile :
Second Applicant Email Relation : Second Applicant Mobile Relation :
Second Applicant Date of Birth : Second Applicant cKYC Ref No. :
Name of Third Applicant : PAN/Exempt No.:
Third Applicant Email : Third Applicant Mobile :
Third Applicant Email Relation : Third Applicant Mobile Relation :
Third Applicant Date of Birth : Third Applicant cKYC Ref No. :

Other Details
Overseas Address
(If investor is NRI) :
City : Pincode : Country :
Bank Mandate Details
Name of Bank : State Bank of India Branch : SOMESHWAR COMPLEX
A/c No. : 40199759347 A/c Type : SB IFSC Code : SBIN0001948 MICR No : 380002066
Bank Address : AHMEDABAD
City : Pincode : Country :
Nomination Details
Nominee Opted : Yes
Nominee Name 1 : DHRUMIL RAO Nominee PAN 1 :
Date of Birth: 29-JAN-2003 Relationship : Son Percentage : 100
Guardian Name(If nominee 1 is minor) : Guardian PAN :
Nominee1 Guardian Relation :
Nominee Address :
City : Pincode : State :
Nominee Name 2 : Nominee PAN 2 :
Date of Birth: Relationship : Percentage : 0
Guardian Name(If nominee 2 is minor) : Guardian PAN :
Nominee2 Guardian Relation :
Nominee Name 3 : Nominee PAN 3 :
Date of Birth: Relationship : Percentage : 0
Guardian Name(If nominee 3 is minor) : Guardian PAN :
Nominee3 Guardian Relation :
*Note:"The nominee details, if opted for, including PAN, Date of Birth, Relationship, and other details will be considered from the details provided
in the IIN registration records for all transactions."

Declaration and Signature

I/We confirm that the information provided by me/us is true and correct. I/We acknowledge that the responsibility of the information provided in the registration form
solely rests with me/us and that NSE / NSCCL will not be responsible or liable for any loss, claim, liability that may arise on account of any incorrect and/or erroneous
data/information provided by me/us. I/We hereby confirm that I/we will comply with the terms and conditions for Know Your Customer (KYC).
I am aware that system generated User ID and password will be sent on the registered mail id. All correspondence/communication in respect of the transactions including
the payment link for online fund transfer will be sent to the registered email address and SMS alerts will be sent to the registered mobile number provided at the time of
registration on NMF II. I/we also hereby confirm that the email id and the mobile no. provided at the time of registration by the distributor in the NMF II is pertaining to
me/us and all communication/correspondence/transactions related alerts shall be sent to same email id/mobile no.

I/We confirm that for existing investments, I/we had gone through, understood the contents of the Scheme Information Document and Key Information Memorandum,
addenda issued from time to time regarding each Mutual Fund Scheme, in which I/We had choosen to subscribe / redeem. I/We will also ensure that I/we shall go
through, understand the contents of the Scheme Information Document and Key Information Memorandum, issued from time to time regarding each Mutual Fund
Scheme, in which I/We will choose to subscribe to / redeem.

I/We hereby authorize NSE to collect the following data/ information pertaining to my / our mutual fund investments from all Asset Management Companies (AMCs) and
their respective Registrar and Transfer Agents with whom I/We transact: -
1. Distributor wise transaction data for historical, present and future transactions carried out through various transaction platforms including transaction request submitted
at any point of acceptance of the AMCs subject to the condition that the Distributor is registered with NSE NMF II platform.
2. Scheme wise consolidated unit balance available in my account(s) as and when required.

I/We hereby authorize the Distributor, NSE & AMC (including its Registrars) to utilize my/our KYC information, such as identity, address and signature for the purpose of
validation and to comply with the legal and regulatory requirements. I/We accept that for any transaction submitted offline i.e. with wet signatures, the signature available
in my KYC records would be used for signature verification and in the event of such signature not being available or legible, the AMC would be within its rights to carry out
further checks to validate the authenticity of the request or reject any such offline request.

Date : Place :
Signature 1st Applicant : Signature 2nd Applicant : Signature 3rd Applicant :

*Documents Required:
Trust : Trust Deed and Authorised Signatory List
Partnership Firm : Partnership Deed and Authorised Signatory List.
Societies : Bye-Laws and Authorised Signatory List
FII & LLP : Overseas Auditors Certificate,Authorised Signatory List ,Board Resolution/Authorisation to Invest
Corporate : Board Resolution and Authorised signatory List
Minor : Proof of Date of Birth
For all investors, a Cancelled cheque should also be mandatorily submitted as proof of bank account.
Individual Investor – Additional KYC and FATCA compliance mandatory for IIN activation.
Corporate / HUF Investor – Additional KYC, FATCA and UBO compliance mandatory for IIN activation.
Note: For Corporate and HUF investors all forms have to be submitted in physical post making necessary submissions on NMF II platform. Once the submissions are made
on the platform printed version of forms will be generated from NMF platform.
This Investor Form was generated through NMF II platform.