Service Request Form

Please refer to the General Instructions for assistance.

Personal Details

Name of Sole/First Unit Holder First Name Middle Name Last Name Folio No.

PAN First Unit Holder Second Unit Holder Third Unit Holder
KYC is mandatory. Please enclose a copy of KYC acknowledgement letter for all applicants. In case there is any change in KYC information, please update the same by
using the prescribed “KYC Change Request Form” and submit the same at the Point of Service of any KYC Registration Agency or at the nearest L&T Investor Service
Centre (ISC) or CAMS CSC.

CHANGE IN BANK ACCOUNT

Account Number Account Type Savings Current NRE NRO FCNR Others

Bank Name _______________________________________________________________________________________________________________________________

Branch _____________________________________________________________ City ________________________________________________________________

IFSC MICR
(11 digit number next to your cheque no.) (The 9 character code on a cheque. If you do not find it, please ask your bank branch for it)

Please enclose original cancelled cheques for your old and new bank accounts. In the absence of this, your request may not be processed.

If your Bank is a part of RBI’s NEFT clearance and settlement network, we can credit dividend/redemption payments into your account. However, if you wish to receive payments
by cheque, please state your preference below.

I/We DO NOT wish to receive direct credits, but wish to receive payments by cheque. (Please ü)

Change of Address (KYC Verified investors should fill the KYC change form and approach a KRA PoS for submission)

Correspondence Address Overseas Address (Mandatory for NRIs/PIOs)

City/Town Pin City/Town Pin

State Country State Country

Tel (R) (ISD) (STD) Tel (R) (ISD) (STD)

Tel (O) (ISD) (STD) Tel (O) (ISD) (STD)

Change in Contact Details

Tel. (O) (ISD/STD) Tel. (R) (ISD/STD) Mobile No. +91-

Email ID*

* Investors providing Email ID would mandatorily receive only E-statements of accounts, annual report and other communication in lieu of physical copy.
If you however wish to receive this communication in your registered postal address, please tick here

Your Signature/s (To be signed as per Mode of Holding)

 Sole/First Applicant/Guardian  Second Applicant  Third Applicant

 General Instructions
Please read the below instructions carefully before filling the form. Please fill up the form in English in BLOCK LETTERS with black ink. All information sought in the form is
mandatory except where it is specifically indicated as optional. All instructions & notes are subject to SEBI & AMFI guidelines as amended from time to time.

1.: Personal Details: Please furnish the Folio Number, Name and PAN of Sole / c. Electronic Payments: We offer electronic payment of redemptions and
First Applicant Section 1 of the Form. Your investment would be processed in the dividends. To avail this facility please furnish :
specified folio.
• IFSC - This is a 11 character code. If you don’t see this printed on
Your personal information and bank account details would apply to this investment your cheque leaf, please ask your Bank for the same ;
as well.
• MICR Code - This is a 9 digit number appearing next to your cheque
2. Change in Bank Account: number ;

a. Please fill in the details of the new bank account of the Sole/First Unit Holder • CBS Bank Account Number - Most banks have now implemented
core-banking solutions leading to a change in Account Number of
only. After this change is processed, dividend and redemption proceeds will customers. Please provide your latest core banking Account Number.
be paid to the Sole/First unit Holder favouring the new bank account.
d. We offer the facility to register multiple bank accounts against your
b. Please fill the new bank details in the space provided and enclose proofs of investments. If you wish to avail this facility, please ask for a Multiple Bank
the new and old bank account details. Details Registration Form.

The list of documents required if New and old Bank proofs are available are e. If your units are held in the Dematerialised Form, please note that your
as below: Bank Account Details appearing in the Depository’s records would be
considered for redemption / dividend payments.
(a) an original cancelled cheque leaf of the new f) For security reasons, if the verification of your bank details is pending or if it
account number (with the name of the account fails, your redemption proceeds/dividends will be paid only by cheque even
holder printed on it) ; OR if you have a bank account with a direct credit facility.
(b) A confirmation on bank’s letter head confirming g) If you wish to receive payments by cheque instead of direct credit, please
New Bank new bank account number (PAN/DOB/Address tick the check-box provided for this purpose.
Account Proof - should match with our records) attested by the
banker; OR 3. Change of Address

(c) copy of the Account Statement attested by the a) Please provide complete details of your address. Please do not fill in a P.O.
banker; OR Box address as the same will not be updated in our records. This form can
(d) Copy of Pass Book attested by the banker be used only by investors who are not KYC compliant.
(a) Self attested copy of the cheque; OR b) If your KYC status is reflecting as ‘KYC failed’ or ‘KYC unavailable’, the
Old Bank (b) Bank account closure letter ; OR change of address request should be accompanied by a proof* of the new
Account Proof address, an attested copy of your PAN card or an alternate ID proof if you
(c) Copy of the pass book of the old bank account
do not have a PAN.
number
The list of documents required if old Bank proofs are not available are as *Acceptable proof of address:
below: Passport, Ration Card, Registered Lease/Sale Agreement of Residence, Driving
License, Voter Identity Card, Latest Bank Bank Account Statement/Passbook,
(a) an original cancelled cheque leaf of the new Latest Telephone Bill (only Land Line), Latest Electricity Bill or Latest Gas Bill. The
account number (with the name of the account document should not be more than 3 months old.
holder printed on it) ; OR
4. Contact Details:
(b) A confirmation on bank’s letter head confirming
New Bank new bank account number (PAN/DOB/Address Please provide the Mobile Number and E-Mail Address of the Sole / First Applicant
in the form in case of Individuals and Key Contact in case of Non Individuals. This
Account Proof - should match with our records) attested by the would help us seamlessly communicate with you on your investments.
banker; OR
(c) copy of the Account Statement attested by the
banker; OR
(d) Copy of Pass Book attested by the banker
(a) Self attested KYC acknowledgement letter ;
In lieu of AND
Old Bank (b) Declaration of non availability of Old bank
Account Proof account proof ; AND
(c) Self attested copy of PAN

In case there is a minor mismatch in the new bank account number

submitted by you and the account number on the cheque, we will update
the bank account number as appearing on the cheque provided your
name appears on it. If your name does not appear on the new bank
account’s cheque leaf, please provide additional documentation like copy
of passbook, A/c statement etc. for verification. Please note all copies of
documents should be attested by the banker or originals should be shown
for verification at the counter.

call 1800 2000 400 or 1800 4190 200 email [email protected] www.lntmf.com

Please note our lines are open from 9 am to 6 pm, Monday to Friday and 9 am to 1 pm on Saturday.

Mutual Fund investments are subject to market risks, read all scheme related documents carefully. CL02184