Reliance Nippon Life Asset Management Limited

(formerly Reliance Capital Asset Management Limited)

A Reliance Capital Company
COMMON APPLICATION FORM
APP No.:
(To be filled in CAPITAL letters)

1. DISTRIBUTOR / BROKER INFORMATION (Refer Instruction No. I.9)

Name & Broker Code / ARN Sub Agent ARN Code Sub Agent Code *Employee Unique Identification Number First / Sole Applicant /
SIGN HERE

Guardian
ARN-125499 ARN- E202180
SIGN HERE Second Applicant
*Please sign alongside in case the EUIN is left blank/not provided.
I/We hereby confirm that the EUIN box has been intentionally left blank by me/us as this transaction is executed without any interaction or advice by the employee/relationship manager/sales person of the
SIGN HERE Third Applicant
above distributor/sub broker or notwithstanding the advice of in-appropriateness, if any, provided by the employee/relationship manager/sales person of the distributor/sub broker.

(Please tick ( )any one) I am a First time investor across Mutual Funds OR I am an existing investor in Mutual Funds

2. UNITHOLDING OPTION - DEMAT MODE PHYSICAL MODE

DEMAT ACCOUNT DETAILS - These details are compulsory if the investor wishes to hold the units in DEMAT mode. Ref. Instruction No. XI.
Please ensure that the sequence of names as mentioned in the application form matches with that of the account held with any one of the Depository Participant.
National Depository Central Depository
Securities participant Name ________________________________________ Depository participant Name _________________________________________
Securities
Depository DP ID No. I N Limited
Limited
BeneficiaryAccountNo. Target ID No.

Enclosures (Please tick any one box): Client Master List (CML) Transaction cum Holding Statement Cancelled Delivery Instruction Slip (DIS)

(If you have an existing folio number with KYC validated, please mention the number
3. EXISTING INVESTOR'S FOLIO NUMBER here and proceed to section 11. Mode of holding will be as per existing folio number.)

4. GENERAL INFORMATION APPLICATION FOR Zero Balance Folio Invest Now ^MODE OF HOLDING : (Default)

5. FIRST APPLICANT DETAILS

NAME

PAN / PEKRN^ (First Applicant) PAN / PEKRN^ (Guardian)

Name of Guardian if first applicant is minor /

Contact Person for non individuals

Guardian’s Relationship With Minor Proof of Date of Birth and Guardian’s Relationship with Minor
Date of Birth
Father Mother Court Appointed Guardian of 1st Applicant D D M M Y Y Y Y Birth Certificate Passport Others (please specify)

OCCUPATION**^ : Agriculturist Retired Government Service/Public Sector

Forex Dealer Private Sector Service

STATUS^ : Resident Individual Trust / Charities / NGOs

FI / FII Defence Establishment

FPI^^^
(^^^as and when applicable)

GROSS ANNUAL INCOME DETAILS**^ Please tick ( )

Below 1 Lac 1-5 Lacs 5-10 Lacs 10-25 Lacs 25 Lacs-1 Crore >1 Crore

(Net worth should not be older than 1 year)

NET-WORTH**^ in `__________________________________________________________________________ as on (Date) D D M M Y Y Y Y (Mandatory for Non Individuals)
Are you a Politically Exposed Person (PEP)**^ Yes No Are you related to a Politically Exposed Person (PEP)**^ Yes No
Are you involved / providing any of the mentioned services : Foreign Exchange / Money Changer Services Gaming / Gambling / Lottery / Casino Services
(Applicable only for Non Individuals) Money Lending / Pawning None of the above

Equity&SectorSpecificCAF/16thMarch2016/Ver1.13
Note: In case First Applicant is Non Individual please attach FATCA, CRS & Ultimate Beneficial Ownership (UBO) Self Certification Form (Ref Ins No.
XIV) **In case First Applicant is Minor then details of Guardian will be required.

6. SECOND APPLICANT DETAILS

NAME PAN / PEKRN^

OCCUPATION^ : Agriculturist Retired Government Service/Public Sector STATUS^: NRI

Forex Dealer Private Sector Service Resident Individual

GROSS ANNUAL INCOME DETAILS**^ Please tick ( ) Below 1 Lac 1-5 Lacs 5-10 Lacs 10-25 Lacs 25 Lacs-1 Crore >1 Crore

(Net worth should not be older than 1 year)

NET-WORTH**^ in `__________________________________________________________________________ as on (Date) D D M M Y Y Y Y
Are you a Politically Exposed Person (PEP)**^ Yes No Are you related to a Politically Exposed Person (PEP) Yes No

ACKNOWLEDGMENT SLIP APP No.:

Received from Mr/Ms/M/s : _______________________________________________________________an application for allotment of

Units under Scheme Reliance ________________________________ Option _____________as per details below.

Instrument No/Cash Deposit Slip No.____________ Dated ___________ Rs. _______________ drawn on Bank ___________________ Time Stamp & Date
of receiving office

Corporate Office Address: Reliance Centre, 7th Floor, South Wing, Off Western Express Highway, Santacruz (East), Mumbai - 400 055.
7. THIRD APPLICANT DETAILS

NAME PAN / PEKRN^

OCCUPATION^ : Agriculturist Retired Government Service/Public Sector STATUS^: NRI

Forex Dealer Private Sector Service Resident Individual

GROSS ANNUAL INCOME DETAILS**^ Please tick ( ) Below 1 Lac 1-5 Lacs 5-10 Lacs 10-25 Lacs 25 Lacs-1 Crore >1 Crore

(Net worth should not be older than 1 year)

NET-WORTH**^ in `__________________________________________________________________________ as on (Date) D D M M Y Y Y Y
Are you a Politically Exposed Person (PEP)**^ Yes No Are you related to a Politically Exposed Person (PEP) Yes No
^Mandatory for all type of Investors. It is mandatory for investors to be KYC compliant through a Key Registered Agency (KRA) appointed by SEBI prior to investing in
Reliance Mutual Fund. Refer instruction no.II. 6, 7 & X

8. FATCA and CRS DETAILS For Individuals/HUF (Mandatory) Non Individual Investors should mandatory fill separate FATCA/CRS details form
# Please indicate all Countries, other than India, in which you are a resident for tax purpose, associated Taxpayer Identification Number and it's Identification type eg. TIN etc.
Sole/First Applicant/Guardian Second Applicant Third Applicant

Country # Tax Identification Identification Country # Tax Identification Identification Country # Tax Identification Identification
Number Type Number Type Number Type
1 1 1

2 2 2

3 3 3
%
In case Country of Tax Residence is only India then details of Country of Birth & Nationality need not be provided. In case Tax Identification Number is not available, kindly provide its functional equivalent $

Sole/First Applicant/Guardian Second Applicant Third Applicant

Country of Birth Country of Birth Country of Birth
Country of Nationality Country of Nationality Country of Nationality

9. CONTACT DETAILS OF SOLE / FIRST APPLICANT (Refer Instruction No. VII & IX)
##
## Correspondence Address (P.O. Box is not sufficient) Please note that your address details will be updated as per your KYC records with CVL / KRA

Landmark

City Pin Code State

Email ID

Mobile + (Country Code) Tel. No. STD Code Office Residence

Please register your Mobile No & Email Id with us to get instant transaction alerts via SMS & Email. Investors providing Email Id would mandatorily receive only E - Statement of Accounts in lieu of physical Statement of Accounts.

10. BANK ACCOUNT DETAILS MANDATORY for Redemption/Dividend/Refunds, if any (Refer Instruction No. III)

Bank Name M a n d a t o r y

r y A/c. Type ( )
Account No. M a n d a t o SB Current NRO NRE FCNR

BranchAddress Branch City

9 Digit MICR Code*
PIN IFSC Code F or C re d it vi a R TG S For Credit via NEFT

Equity&SectorSpecificCAF/16thMarch2016/Ver1.13
Please ensure the name in this application form and in your bank account are the same. Please update your IFSC and MICR Code in order to get payouts via electronic mode in to your bank account.

11. INVESTMENT & PAYMENT DETAILS (Separate Application Form is required for investment in each Plan/Option. Multiple cheques not permitted with single
application form (Refer instruction no. IV) OTM facility is available to investors who have Invest Easy facility registered with RMF.

Scheme (Refer Instruction No. I-10) (For Product Labeling please refer last page of application form)
(If you wish to invest in Direct Plan please mention Direct Plan against the scheme name)
Option (Please ) Growth^^ Dividend Payout Dividend Reinvestment Dividend Frequency
Payment Details (Please issue cheque favouring scheme name)
$
Mode of Payment OTM Facility (One Time Bank Mandate) Cheque DD Funds Transfer RTGS / NEFT Cash (Refer Instruction No. XV)
Investment Amount (Rs.) I DD Charges (if applicable) (Rs.) II Net Amount~ (Rs.) I minus II

Instrument No/Cash Deposit Slip No. Dated D D M M Y Y Y Y Drawn on Bank

Bank Branch City
(^^ Default option if not selected) ~Units will be allotted for the net amount minus the transaction charges if applicable. $Investors are requested to collect the cash deposit slip from the DISC

Add convenience to your life with our value added service

Simply send **SMS to 966 400 1111 to avail below facilities
SMS Types of Facilities Single Folio Multiple Folio Investor Desk. A RMF Virtual Branch Experience.
NAV SMS mynav SMS mynav <space> last 6 digits of folio
Balance SMS Balance SMS balance <space> last 6 digits of folio For more details : Visit : www.reliancemutual.com
Last 3 Transaction SMS Transaction SMS txn <space> last 6 digits of folio
Statement thru mail SMS ESOA SMS ESOA <space> last 6 digits of folio
You can also follow us on
**SMS charges apply
12. NOMINATION - I wish to Nominate Yes No (Mandatory if mode of holding is single) (Refer Instruction No. VI)
In case of existing investor, nomination details mentioned in the below table will replace the existing details registered in the folio
Guardian Name Date of Birth Allocation Sign of Sign of Signature of
Nominee Name
(in case Nominee is Minor) of Minor (%) Nominee Guardian Applicants
1st App.

2nd App.

3rd App.

13. POWER OF ATTORNEY (POA) HOLDER DETAILS (Refer Instruction No. II. 1)
First Applicant POA Name Mr./Ms./M/s PAN^

Second Applicant POA Name Mr./Ms./M/s PAN^

Third Applicant POA Name Mr./Ms./M/s PAN^

14. SIP ENROLLMENT DETAILS Opted for SIP: Yes No (Incase you have opted for SIP it is mandatory to submit OTM + SIP Enrolment Form)

15. STP ENROLLMENT DETAILS Opted for STP: Yes No (Incase you have opted for STP it is mandatory to submit STP Enrolment Form)

16. I WISH TO APPLY FOR INVEST EASY FOR INDIVIDUALS Yes No (Mandatory Enclosure : ONE TIME BANK MANDATE REGISTRATION FORM)

17. DECLARATION AND SIGNATURE

I/We would like to invest in Reliance_____________________________ subject to terms of the Statement of Additional Information (SAI), Scheme Information Document (SID), Key Information Memorandum (KIM) and
subsequent amendments thereto. I/We have read, understood (before filling application form) and is/are bound by the details of the SAI, SID & KIM including details relating to various services including but not limited to
Reliance Any Time Money Card. I/We have not received nor been induced by any rebate or gifts, directly or indirectly, in making this investment. I / We declare that the amount invested in the Scheme is through legitimate
sources only and is not designed for the purpose of contravention or evasion of any Act / Regulations / Rules / Notifications / Directions or any other Applicable Laws enacted by the Government of India or any Statutory
Authority. I accept and agree to be bound by the said Terms and Conditions including those excluding/ limiting the Reliance Nippon Life Asset Management Limited (fo rmerly Reliance Capital Asset Management Limited)
(RNLAM) liability. I understand that the RNLAM may, at its absolute discretion, discontinue any of the services completely or partially without any prior notice to me. I agree RNLAM can debit from my folio for the service
charges as applicable from time to time. The ARN holder has disclosed to me/us all the commissions (in the form of trail commission or any other mode), payable tohim for the different competing Schemes of various
Mutual Funds from amongst which the Scheme is being recommended to me/us. I hereby declare that the above information is give n by the undersigned and particulars given by me/us are correct and complete. Further, I
agree that the transaction charge (if applicable) shall be deducted from the subscription amount and the said charges shall be paid to the distributors.
I confirm that I am resident of India.
I/We confirm that I am/We are Non-Resident of Indian Nationality/Origin and I/We hereby confirm 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. I/We undertake that all additional purchases made under this folio will also be from funds received from abroad through

Equity&SectorSpecificCAF/16thMarch2016/Ver1.13
approved banking channels or from funds in my/ our NRE/FCNR Account.
I have read and understood Instruction no. XIII and hereby agree to abide by the same. I hereby declare that the information provided in the Form is in accordance with section 285BA of the Income Tax Act, 1961 read
with Rules 114F to 114H of the Income Tax Rules, 1962 and the information provided by me /us in the Form, its supporting Annexures as well as in the documentary evidence provided by me/us are, to
the best of our knowledge and belief, true, correct and complete.

x First / Sole Applicant / x Second Applicant

x Third Applicant
Guardian
 Reliance Nippon Life Asset Management Limited
(formerly Reliance Capital Asset Management Limited)
SIP ENROLLMENT DETAILS A Reliance Capital Company
(Use this form if One Time Bank Mandate Form is registered in the folio) APP No.
DISTRIBUTOR / BROKER INFORMATION
Name & Broker Code / ARN Sub Broker / Sub Agent ARN Code *Employee Unique Identification Number Sub Broker / Sub Agent Code RIA Code++

ARN- 125499 E202180

*Please sign below in case the EUIN is left blank/not provided. I/We hereby confirm that the EUIN box has been intentionally left blank by me/us as this transaction is executed without any interaction or advice
by the employee/relationship manager/sales person of the above distributor/sub broker or notwithstanding the advice of in-appropriateness, if any, provided by the employee/relationship manager/sales person of
the distributor/sub broker.
++ I/We, have invested in the Scheme(s) of your Mutual Fund under Direct Plan. I/We hereby give you my/our consent to share/provide the transactions data feed/ portfolio holdings/ NAV etc. in respect of
my/our investments under Direct Plan of all Schemes Managed by you, to the above mentioned Mutual Fund Distributor / SEBI-Registered Investment Adviser:

SIGN First / Sole Applicant / Guardian / Second Applicant / Third Applicant /

HERE Authorised Signatory Authorised Signatory Authorised Signatory
Upfront commission shall be paid directly by the investor to the AMFI registered distributor based on the investor's assessment of various factors including the service rendered by the distributor.
APPLICANT DETAILS FOLIO NO.
Name of Sole/1st holder Mr./Ms./M/s PAN No / PEKRN. M A N D A T O R Y KYC
Name of 2nd holder Mr./Ms. PAN No / PEKRN. M A N D A T O R Y KYC

Name of 3rd holder Mr./Ms. PAN No / PEKRN. M A N D A T O R Y KYC

INITIAL INVESTMENT DETAILS

Cheque/ DD No./Cash Deposit Slip No. Cheque / DD / Cash Deposition Date DD Charge `
Net Amount ` Bank Name: Branch: City:

UNITHOLDING OPTION - Demat Mode Physical Mode (Ref. Instruction No. 24) Demat Account details are compulsory if demat mode is opted.)
National Depository Central Depository

Securities Participant Name _______________________________________ Depository Participant Name _______________________________________

Depository DP ID No. I N Securities
Limited Beneficiary Account No. Limited Target ID No.

Enclosures (Please tick any one box) : Client Master List (CML) Transaction cum Holding Statement Cancelled Delivery Instruction Slip (DIS)
Invest Easy Registration for Transaction over SMS, Call, Mobile, Internet etc (Applicable for individual investor only)

Email ID Mobile no. + (Country Code) (For Receiving Transaction Alerts via SMS)
Email id & Mobile no. provided in this form will supercede the existing details in our records. Please register your Mobile No & Email Id to get instant alerts via SMS & Email.
By providing Email-id, I understand that IPIN will be issued to me by default through Online Mode, unless I have already opted for IPIN in the past and have created a username.

SIP DETAILS (Refer Instruction No. 14. If the investor wishes to invest in Direct Plan please mention Direct Plan against the scheme name. Please refer respective SID/KIM for product labeling)
Frequency Enrollment Period SIP Date Reliance STEP-UP Facility
Scheme / Plan / Option SIP Amount
(Please any one) (Please any one) (Please any one) (Optional) (Refer Instruction No. 26)
Monthly REGULAR 2 7 Amount Frequency Count
(Default) From : M M / Y Y To : M M / Y Y 10 18 Half-yearly Increase
(Default) ` SIP amount
Quarterly PERPETUAL(Default)
23 28
`
(Refer Instruction No. 5) (Multiples of Yearly
______ (Any other (in figures) ** time(s)
Yearly From : MM/YY To : 12/99 date from 1 st to 28th ` 100 only ) (Default) (Default 1 time)
of a given month)
** In case of Reliance Tax Saver Fund, Reliance Retirement fund - Income Generation Plan & Reliance Retirement fund- Wealth Creation Plan, the Step up minimum Amount should be ` 500 and in multiples of ` 500/- .

DECLARATION : I/We would like to invest in Reliance ___________________________________________ subject to terms of the Statement of Additional Information (SAI), Scheme Information Document (SID), Key Information

OTBM + SIP Form / 26th June 2017 / Ver 1.7

Memorandum (KIM) and subsequent amendments thereto. I/We have read, understood (before filling application form) and is/are bound by the details of the SAI, SID & KIM including details relating to various services. By filling up this form I understand
that the amount towards my lumpsum / systematic investment plan (SIP) transaction will be debited from bank account details provided in my One Time Bank Mandate Form. I/We have not received nor been induced by any rebate or gifts, directly or indirectly, in
making this investment. I /We declare that the amount invested in the Scheme is through legitimate sources only and is not designed for the purpose of contravention or evasion of any Act / Regulations / Rules / Notifications /Directions or any other Applicable Laws
enacted by the Government of India or any Statutory Authority. I accept and agree to be bound by the said Terms and Conditions including those excluding/ limiting the Reliance Nippon Life Asset Management Limited (RNAM) liability. I understand that the RNAM
may, at its absolute discretion, discontinue any of the services completely or partially without any prior notice to me. I agree RNAM can debit from my folio for the service charges as applicable from time to time. 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 hereby declare that the above information is given by
the undersigned and particulars given by me/us are correct and complete. Further, I agree that the transaction charge (if applicable) shall be deducted from the subscription amount and the said charges shall be paid to the distributors.
I confirm that I am resident of India. I/We confirm that I am/We are Non-Resident of Indian Nationality/Origin and I/We hereby confirm 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. I/We undertake that all additional purchases made under this folio will also be from funds received from abroad through approved banking channels or from funds in my/ our NRE/FCNR Account.
SIGNATURE
By signing this SIP enrolment form I/We understand that the amount will be debited from the Bank account mentioned in One Time Bank Mandate / Invest Easy - Individuals Mandate Form.

SIGN First / Sole Applicant / Guardian / Second Applicant / Third Applicant /

HERE Authorised Signatory Authorised Signatory Authorised Signatory
Investors are requested to note that the amount mentioned in One Time Bank Mandate should be the maximum amount that you would like to invest in schemes of RMF on any transaction day.

ONE TIME BANK MANDATE Reliance Nippon Life Asset Management Limited
(formerly Reliance Capital Asset Management Limited)
(NACH / Direct Debit Mandate Form) A Reliance Capital Company
(Applicable for Lumpsum Additional Purchases as well as SIP Registration)
APP No.
UMRN (For Office Use Only) Date: D D M M Y Y Y Y
(For Office Use Only) (For Office Use Only)
Create Sponsor Bank Code ___________________________________ Utility Code ________________________________________
Reliance Mutual Fund
Modify x I/We hereby authorize to debit (tick ) SB CA CC SB-NRE SB-NRO Other
Cancel x Bank A/c no: (Destination Bank Account Number)

(Name of Destination Bank)

With Bank ___________________________________________ IFSC MICR

an amount of Rupees _________________________________________________________________________________ `

FREQUENCY: x Monthly x Quarterly x Half Yearly x Yearly as & when presented DEBIT TYPE x Fixed Amount Maximum Amount

Reference 1 Folio No. Email ID: _____________________________________________________________________

Reference 2 Appln No.
Mobile / Phone No: _____________________________________________________________
I agree for the debit of mandate processing charges by the bank whom I am authorizing to debit my account as per latest schedule of charges of the bank.

PERIOD
From : D D M M Y Y Y Y 1 ___________________________ 2 ___________________________ 3 ___________________________
To: D D M M Y Y Y Y Signature of Account Holder Signature of Account Holder Signature of Account Holder
3 1 1 2 2 0 9 9
Or Until Cancelled Name as in Bank Record Name as in Bank Record Name as in Bank Record
1 ___________________________ 2 ___________________________ 3 ___________________________
This is to confirm that the declaration (as mentioned overleaf) has been carefully read, understood & made by me / us. I am authorizing the User Entity / Corporate to debit my account, based on the instructions as agreed and signed by me.