Date ARN 104669
TRANSACTION DETAILS
Scheme Name Amount (Rs.) Appln. / Folio No. Transaction Type
Fresh / Add. / Switch / SIP / STP
INVESTOR CONFIRMATION / DECLARATION
I/We, the undersigned, hereby acknowledge and confirm the following:
▪ I/We am/are aware that mutual fund investments are subject to market risks as outlined in the Key Information
Memorandum/Scheme Information Document.
▪ I/We am/are aware that the returns from mutual fund investments are not assured and that the AMFI/NISM registered
distributor has not indicated to me/us any amount of assured return.
▪ The AMFI/NISM registered distributor has disclosed all relevant information (including commissions) as required under
SEBI Circular No. SEBI/IMD/CIR No.4/168230/09 dated 30 June 2009.
▪ I/We am/are aware that with effect from 1 October 2012, under all schemes (other than liquid schemes), in respect of
purchase / switch-in applications received before the cut-off timing for units of an amount equal to or more than Rs. 2 lakhs,
the closing Net Asset Value (‘NAV’) of the business day on which the funds are available for utilization, i.e. up to 3.00 p.m.,
shall be applicable, irrespective of the time of receipt of such application.
▪ I/We am/are aware that in case of an investment in an Equity Linked Savings Scheme (‘ELSS’) of a particular mutual fund,
the income tax benefit under Section 80C of the Income Tax Act, 1961, is limited to the extent of Rs. 1.50 lakh per annum.
▪ This transaction(s) is “Execution Only” as per SEBI Circular No. CIR/IMD/DF/13/2011 dated 22 August 2011.
▪ On such “Execution Only” transaction(s), I am not being levied any kind of Transaction Charge(s), as explained vide SEBI
Circular No. CIR/IMD/DF/13/2011 dated 22 August 2011, by the AMFI/NISM registered distributor.
▪ On such “Execution Only” transaction(s), I am not being charged any kind of Advisory Fee(s), as explained vide SEBI
Circular No. SEBI/IMD/CIR No.4/168230/09 dated 30 June 2009, by the AMFI/NISM registered distributor.
▪ I/We am/are aware that, on such “Execution Only” transaction(s), the AMFI/NISM registered distributor would be
compensated by the concerned Asset Management Company in line with the disclosed commission rate(s).
▪ As I/we have not disclosed my/our complete portfolio asset allocation, financial and/or taxation details, the AMFI/NISM
registered distributor (including his/her sales personnel) has not acted in the capacity of an “Advisor” as explained vide SEBI
Circular No. CIR/IMD/DF/13/2011 dated 22 August 2011; and on this “Execution Only” transaction, it is my/our
responsibility to determine the appropriateness / inappropriateness of the same in light of the provisions of SEBI Circular No.
CIR/IMD/DF/13/2011 dated 22 August 2011.
▪ I/We hereby agree and understand that the decision to invest in a particular mutual fund scheme is purely based on my/our
own assessment and analysis of the said scheme and that the AMFI/NISM registered distributor has not offered any
investment advice nor influenced the investment decision in any manner.
▪ This investor confirmation/declaration tantamounts to a written communication made by the distributor to me/us as required
under provisions of SEBI Circular No. CIR/IMD/DF/13/2011 dated 22 August 2011.
▪ I/We understand that this investor confirmation/declaration is a mandatory requirement under the provisions of SEBI Circular
No. CIR/IMD/DF/13/2011 dated 22 August 2011 and AMFI Circular No. 135/ BP/ 37/2012-13 dated 28 March 2013.
Name (1st Applicant)
Signature
PAN
