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Cancellation Form-Multiple Sip

This document is a request to cancel existing systematic investment plans (SIPs). It allows the investor to cancel all SIPs under their folio, or specify certain SIPs to cancel. The form includes fields to provide the investor name and folio number, as well as details of the schemes, plans, options, SIP dates and amounts for plans to be cancelled. Signatures of the investor and bank account holders are required to authorize the cancellations. An acknowledgment slip is attached to confirm receipt of the cancellation request.

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Prashant A U
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0% found this document useful (0 votes)
52 views

Cancellation Form-Multiple Sip

This document is a request to cancel existing systematic investment plans (SIPs). It allows the investor to cancel all SIPs under their folio, or specify certain SIPs to cancel. The form includes fields to provide the investor name and folio number, as well as details of the schemes, plans, options, SIP dates and amounts for plans to be cancelled. Signatures of the investor and bank account holders are required to authorize the cancellations. An acknowledgment slip is attached to confirm receipt of the cancellation request.

Uploaded by

Prashant A U
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CANCELLATION OF SIP

(Notice of discontinuance should be received 30 days prior to the subsequent SIP date)

I/We wish to discontinue my/our systematic investment plan in below mentioned scheme/s.

CANCEL ALL SIPs UNDER THE FOLIO CANCEL SPECIFIED SIPs BELOW

Sole/First Applicant’s Name Existing Folio No.


Mr. Ms. M/s FIRST NAME MIDDLE NAME LAST NAME

ICICI Prudential
Scheme Name: _________________________________________________________________ Plans & Option/Sub-Option: ________________________________

SIP Start Date: M M Y Y Y Y SIP End Date: M M Y Y Y Y SIP Date: D D

Amount : __________________________________ Bank Name: _________________________________________________________________________

Account No :

ICICI Prudential
Scheme Name: _________________________________________________________________ Plans & Option/Sub-Option: ________________________________

SIP Start Date: M M Y Y Y Y SIP End Date: M M Y Y Y Y SIP Date: D D

Amount (Rs.): _______________________________________ Bank Name: _____________________________________________________________________

Account No :

ICICI Prudential
Scheme Name: _________________________________________________________________ Plans & Option/Sub-Option: ________________________________

SIP Start Date: M M Y Y Y Y SIP End Date: M M Y Y Y Y SIP Date: D D

Amount (Rs.): _______________________________________ Bank Name: _____________________________________________________________________

Account No :

ICICI Prudential
Scheme Name: _________________________________________________________________ Plans & Option/Sub-Option: ________________________________

SIP Start Date: M M Y Y Y Y SIP End Date: M M Y Y Y Y SIP Date: D D

Amount (Rs.): _______________________________________ Bank Name: _____________________________________________________________________

Account No :

SIGNATURE(S) AS PER ICICI PRUDENTIAL MUTUAL FUND RECORDS (MANDATORY)


2nd Holder

3rd Holder
Sole/First
Holder

SIGNATURE(S) OF BANK ACCOUNT HOLDER(S) AS IN BANK RECORDS (MANDATORY)


2nd Holder

3rd Holder
Sole/First
Holder

ACKNOWLEDGEMENT SLIP (To be filled by the investor)

Name of the Investor: ________________________________________________________________________ Folio No.: ___________________________________

Scheme 1: ICICI Prudential


______________________________________________________Plans/Options____________________________ Amount: ___________________________

Scheme 2: ICICI Prudential


______________________________________________________Plans/Options____________________________ Amount: ___________________________

Scheme 3: ICICI Prudential


______________________________________________________Plans/Options____________________________ Amount: ___________________________

Scheme 4: ICICI Prudential


______________________________________________________Plans/Options____________________________ Amount: ___________________________

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