COMMON APPLICATION FORM

(To be filled in CAPITAL letters)

APP No.:

MFD /RIA INFORMATION (Refer Instruction No. I.9 & 10)

Name & ARN Code Sub Agent ARN Code Sub Agent Code /Bank Branch Code/ Internal Code *Employee Unique Identification Number RIA Code++

ARN-(ARN stamp here) ARN-

*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 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.

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

HERE Authorised Signatory Authorised Signatory Authorised Signatory

1. INVESTOR'S FOLIO NUMBER [Please tick (P) any one] I am a First time investor across Mutual Funds OR I am an existing investor in Mutual Funds
(If you have an existing folio number with KYC validated, please mention the number here, enter your name in section 4 & proceed to section 9 & 10 to provide
FATCA / Additional KYC details. If these details are already provided please proceed to Section 11. Mode of holding will be as per existing folio number.)

2. UNITHOLDING OPTION - Demat Mode Physical Mode 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 Securities Depository Limited (NSDL) Central Depository Securities Limited (CDSL)

I N
DP ID No. Beneficiary Account No. Target ID No.

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

3. GENERAL INFORMATION APPLICATION FOR Zero Balance Folio Investment ^MODE OF HOLDING : [Please tick(P)] Single Joint (Default) Any one or Survivor

4. FIRST APPLICANT DETAILS

NAME^
Mr. Ms. M/s.

PAN / PEKRN^** CKYC Id^**

Name of Guardian if first applicant is minor / Mr. Ms.

Contact Person for non individuals
Guardian’s Relationship With Minor Date of Birth
D D M M Y Y Y Y
(Mandatory in Proof of Date of Birth and Guardian’s Relationship with Minor

Father Mother Court Appointed Guardian of 1st Applicant case of Minor) Birth Certificate Passport Others (please specify)
STATUS^ : Resident Individual PSU AOP/BOI Minor through Guardian HUF Trust /Charities / NGOs
Society FI NRI Company/Body Corporate Sole Proprietor Defence Establishment
PIO Bank FPI^^^ Government Body Partnership Firm Others
(^^^as and when applicable)

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
Note: In case First Applicant is Non Individual please attach FATCA, CRS & UBO Self Certification Form (Ref Ins No. XIV) **In case First Applicant is Minor then details of Guardian will be required.
^Mandatory for all type of Investors. It is mandatory for investors to be KYC compliant prior to investing in Nippon India Mutual Fund. Refer instruction no.II. 5, 6 & X

5. SECOND APPLICANT DETAILS

NAME^
Mr. Ms. M/s.

Equity & Sector Specific CAF / 29th Sep 2022 / Ver 5.8
PAN / PEKRN^** CKYC Id^** STATUS^: Resident Individual NRI

6. THIRD APPLICANT DETAILS

NAME^
Mr. Ms. M/s.

PAN / PEKRN^** CKYC Id^** STATUS^: Resident Individual NRI

7. CONTACT DETAILS OF SOLE / FIRST APPLICANT (Refer Instruction No. VII & IX)
Correspondence Address ## (P.O. Box is not sufficient) Overseas Address (Mandatory for NRI / FPI Applicants)
##
Please note that your address details will be updated as per your KYC records with CKYC / KRA
House /Flat No. House /Flat No.
Street Address Street Address
City/ Town State City/ Town State
Country Pin Code Country Pin Code
Tel. (Res.) STD Code Tel. (Off.) Mobile No. (Country Code)
Mobile No. provided pertains to Self Spouse Dependent children Dependent Siblings Dependent Parents A Guardian in case of a minor
Email ID (CAPITAL letters only)
Email ID provided pertains to Self Spouse Dependent children Dependent Siblings Dependent Parents A Guardian in case of a minor
Investors providing Email Id would mandatorily receive E - Statement of Accounts in lieu of physical Statement of Accounts and the annual report or abridged summary on email. Please register your
Mobile No & Email Id with us to get instant transaction alerts via SMS & Email. I hereby authorize NAM India to send important information and regular updates to me on WhatsApp. (Refer instruction
no. XVI for Terms and Conditions.) I wish to receive scheme wise annual report or abridged summary through Physical mode (Applicable only for investors who have not specified the email id)

8. BANK ACCOUNT DETAILS MANDATORY for Redemption/IDCW/Refunds, if any (Refer Instruction No. III)
Account No. M a n d a t o r y A/c. Type ( ) SB Current NRO NRE FCNR

Name of Bank M a n d a t o r y Bank Branch

Branch City PIN IFSC Code F o r C r e d i t v i a R T G S MICR Code 9 Digit For Credit via NEFT
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.

ACKNOWLEDGMENT SLIP ( Please retain this slip)

To be filled in by the investor. Subject to realization of cheque and finishing of Mandatory Information.
Name of the Investor Mr/Ms/M/s : APP No.:
Scheme /Plan/ Option:
Time Stamp & Date
Payment Details: Amount ` Instrument No/Cash Deposit Slip No. Date : Drawn on Bank
of receiving office
Registered Office Address: 4th Floor, Tower A, Peninsula Business Park, Ganapatrao Kadam Marg, Lower Parel (W), Mumbai - 400 013.
9. FATCA and CRS DETAILS For Individuals (Mandatory) Non Individual Investors should mandatorily fill separate FATCA/CRS details form
# Please indicate all Countries 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 Payer Ref. ID No% Identification Type Country
# ^**
Tax Payer Ref. ID No% Identification Type Country
# ^**
Tax Payer Ref. ID No% Identification Type
1
2
3
^** ^** ^**
Country of Birth Country of Birth Country of Birth
^** ^** ^**
Country of Nationality Country of Nationality Country of Nationality
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
%

10. ADDITIONAL KYC DETAILS

OCCUPATION
^**
Professional Agriculturist Housewife Retired Government Service/PublicSector Business Forex Dealer Student Private Sector Service Others
1 Applicant
st

2 Applicant
nd

3 Applicant
rd

Guardian
GROSS ANNUAL INCOME DETAILS^** Below 1 Lac 1-5 Lacs 5-10 Lacs 10-25 Lacs 25 Lacs-1 Crore >1 Crore NET-WORTH^** in ` Date
1st Applicant (Net worth should D D M M Y Y Y Y

2nd Applicant not be older D D M M Y Y Y Y

3rd Applicant than 1 year) D D M M Y Y Y Y

Guardian D D M M Y Y Y Y

PEP DETAILS^** 1st Applicant 2nd Applicant 3rd Applicant Guardian

Are you a Politically Exposed Person (PEP)^** Yes No Yes No Yes No Yes No
Are you related to a Politically Exposed Person (PEP)^** Yes No Yes No Yes No Yes No

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) OTBM facility is available to investors who have Invest Easy facility registered with NIMF.
Scheme / Plan
(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)
[Please tick (P) the appropriate boxes only if applicable to the scheme in which you plan to invest]
Growth^^ Payout of Income Distribution cum capital withdrawal option
Option
Reinvestment of Income Distribution cum capital withdrawal option Frequency of Income Distribution cum capital withdrawal option
Mode of Payment : Cheque DD Funds Transfer OTBM Facility (One Time Bank Mandate) Cash (Refer Instruction No. XV) RTGS / NEFT
$

Note: LEI No. is Mandatory for transaction amount 50 Crs and above for Non
LEI No. Valid Upto: D D M M Y Y Y Y Individual. Nippon India Mutual Fund LEI number is 335800HSE81TAD65RF98.
Investment DD Charges Net Amount~ Instrument No/Cash Date Drawn on Bank Bank Branch City
Amount ( ` ) (if applicable) ( ` ) (`) Deposit Slip No/UTR No.
I II I minus II D D M M Y Y Y Y
( 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
^^ $

Reason for Investment: House Children’s education Children’s Marriage Car Retirement Others

12. NOMINATION -(Ref. Instruction No. VI) In case of existing investor, Nomination details shall be replicated from the folio mentioned above. If investor wishes to register / modify any of the nomination details, Registration
/Cancellation of Nominee form shall be provided separately.

Nominee Name & Address PAN of Nominee Date of Birth Nominee Relation Guardian Name Guardian Relation Allocation Sign of Nominee /Guardian
(Optional) of Nominee With Investor (in case Nominee is Minor) with Nominee (%) (in case Nominee is Minor)

Equity & Sector Specific CAF / 29th Sep 2022 / Ver 5.8
DD MM YYYY
DD MM YYYY
DD MM YYYY

FOR NOMINATION OPT-OUT: I/We DO NOT wish to make a nomination. (Please tick (ü) if the unit holder does not wish to nominate anyone)
I / We hereby confirm that I / We do not wish to appoint any nominee(s) for my mutual fund units held in my / our mutual fund folio and understand the issues involved in non appointment of
nominee(s) and further are aware that in case of death of all the account holder(s), my / our legal heirs would need to submit all the requisite documents issued by Court or other such
competent authority, based on the value of assets held in the mutual fund folio.
SIGNATURE OF UNIT HOLDER(S) FOR NOMINATION:
[To be signed by all unit holders including joint
First / Sole Applicant / Second Applicant / Third Applicant /
holders, irrespective of mode of holding]. Guardian /Authorised Signatory Authorised Signatory Authorised Signatory
13. POWER OF ATTORNEY (POA) HOLDER DETAILS (Refer Instruction No. II. 1) PAN^
First Applicant POA Name Mr./Ms./M/s
Second Applicant POA Name Mr./Ms./M/s
Third Applicant POA Name Mr./Ms./M/s

14. DECLARATION AND SIGNATURE

I/We would like to invest in above mentioned scheme 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. 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 Nippon Life India Asset Management Limited (NAM India) liability. I understand that the NAM India may, at its absolute discretion, discontinue any of
the services completely or partially without any prior notice to me. I agree NAM India 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. 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. ++ 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. I hereby authorize the representatives of Nippon Life India Asset Management Limited and its Associates to contact me through any mode of communication. This will
override registry on DND / DNDC , as the case may be.

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

HERE Authorised Signatory Authorised Signatory Authorised Signatory

Add convenience to your life with our value added service

Simply send **SMS to 966 400 1111 to avail below facilities
Investor Service. A NIMF Virtual Branch Experience.
Types of Facilities Single Folio Multiple Folio
SMS NAV SMS mynav SMS mynav <space> last 6 digits of folio For more details : Visit : https://mf.nipponindiaim.com
Balance SMS Balance SMS balance <space> last 6 digits of folio
You can also follow us on
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 **SMS charges apply
 SIP ENROLLMENT DETAILS
APP No.:

MFD /RIA INFORMATION

Name & ARN Code Sub Agent ARN Code Sub Agent Code /Bank Branch Code/ Internal Code *Employee Unique Identification Number RIA Code++

ARN-(ARN stamp here) ARN-

*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 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.

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 Securities Depository Limited (NSDL) Central Depository Securities Limited (CDSL)
I N
DP ID No. Beneficiary Account No. Target ID No.

Enclosures (Please tick any one box) : Client Master List (CML) Transaction cum Holding Statement Cancelled Delivery Instruction Slip (DIS)
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 SIP Step-Up Facility (Optional) (Refer Instruction No. 26)
Scheme / Plan / Option (Please any one) Enrollment Period SIP Date Amount Amount Frequency Count
Daily$$ Weekly$$ D D
From M M Y Y Y Y Half-yearly Increase SIP amount
Monthly (Default) ` `
(Any date from 1 to 28
st th
time(s)
To$
M M Y Y Y Y of a given month)
## (in figures) (Multiples of ` 100 only )
**
Yearly (Default)
Quarterly Yearly (Default 1 time)
** In case of Nippon India Tax Saver Fund, Nippon India Retirement fund - Income Generation Plan & Nippon India Retirement fund- Wealth Creation Plan, the Step up minimum Amount should be ` 500 and in multiples of ` 500/-.
$ Incase the SIP ‘End Date’ is incorrect/ not legible/ not mentioned by the investor, then default end date shall be considered as December 2099. $$ Daily & Weekly SIP Frequencies are applicable for normal SIP and not for Flex SIP & Pause Facility.
##For weekly frequency, only 1st, 8th, 15th & 22nd date are eligible of every month.

OTBM + SIP Form /26th July 2022 / Ver 3.7

DECLARATION: I/We Would like to invest in above mentioned scheme 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. 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 Nippon Life India Asset Management Limited (NAM India) liability. I understand that the NAM India may, at its absolute discretion, discontinue any of
the services completely or partially without any prior notice to me. I agree NAM India 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.
++ 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.
I hereby authorize the representatives of Nippon Life India Asset Management Limited and its Associates to contact me through any mode of communication. This will override registry on DND / DNDC , as the case
may be.

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 NIMF on any transaction day.

ONE TIME BANK MANDATE

(NACH / Direct Debit Mandate Form)
(Applicable for Lumpsum Additional Purchases as well as SIP Registration)
UMRN (For Office Use Only) Date: D D M M Y Y Y Y
Sponsor Bank Code (For Office Use Only) Create x Modify x Cancel

Utility Code (For Office Use Only) I/We hereby authorize Nippon India Mutual Fund
to debit (tick ) SB / CA / CC / SB-NRE / SB-NRO / Other Bank a/c number (Destination Bank Account Number)

With Bank (Name of Destination Bank) IFSC / MICR

an amount of Rupees (Amount in word) ` (Amount in figure)

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

Reference 1 (Folio No.) Reference 2

1. 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. 2. This is to
confirm that the declaration has been carefully read, understood & made by me/us. I am authorising the user entity/Corporate to debit my account, based on the
instructions as agreed and signed by me. 3. I have understood that I am authorized to cancel/amend this mandate by appropriately communicating the cancellation
/ amendment request to the user entity / corporate or the bank where I have authorized the debit.
From : D D M M Y Y Y Y

3
D D1 1
M 2
M 2
Y Y0 Y
9 Y9 Signature of Account Holder Signature of Account Holder Signature of Account Holder
To:
Or Until Cancelled
Phone No: 1 Name as in Bank Record 2 Name as in Bank Record 3 Name as in Bank Record
 INSTRUCTIONS cum TERMS AND CONDITIONS
(1) Auto Debit facility is offered only to the investors maintaining their bank accounts with Bank of Baroda / Bank of India / HDFC Bank / (18) No entry load will be charged with effect from August 1, 2009. Exit Load as applicable in the respective Scheme at the time of
ICICI Bank / AXIS Bank / State Bank of India / Union Bank Of India / Allahabad Bank / Punjab National Bank / Central Bank of India / enrolment of SIP will be applicable.
Bank of Maharashtra. The above list is subject to change from time to time. "National Automated Clearing House (NACH)" is Direct (19) In order to transact through Call Center, SMS, online mode whether through NIMF website or any other application using the
Electronic Debit mode implemented by National Payments Corporation of India (NPCI), list of banks is available on NPCI website internet and /or through Mobile or any other device, the investor needs to have the IPIN, issued by NAM India. By filling this form
www.npci.org.in. The said list is subject to modifications. The investor agrees to abide by the terms and conditions of NACH Debit / the investor will be issued IPIN by default in case he has not opted for the same earlier. This IPIN can also be used by the
Auto Debit facility of Reserve Bank of India / Banks. If any city / bank is removed from the above mentioned list NAM India at its sole investor to Transact Online. If only the email id of the investor is registered with NAM India / NIMF, investor can execute
discretion may accept Post Dated Cheques (PDC's) from the investors for the balance period.. Transaction through Call Center, Transaction through mobile WAP (Web Access Portal) Site, Transaction through NIMF website.
(2) Nippon India Mutual Fund (NIMF) / NAM India, its registrars and other service providers shall not be held responsible or will not be If only the mobile number of the investor is registered with NAM India/NIMF, investor can execute transaction only through SMS.
liable for any damages and will not compensate for any loss, damage etc. incurred to the investor. The investor assumes the For further details investors arerequested to refer SAI.
entire risk of using this facility and takes full responsibility. Investor will not hold NIMF / NAM India, its registrars and other service (20) Kindly note that in case of a folio with joint Unitholders, having mode of operations as "either or survivor" or "anyone or survivor any
providers responsible if the transaction is delayed or not effected or the investor bank account is debited in advance or after the one of the Investor(s) can transact through SMS, provided that such instruction is received vide an SMS from the mobile number
specific SIP date due to various clearing cycles of NACH Debit / Auto Debit / local holidays. registered with NAM India with respect to the concerned folio.
(3) Investors are required to submit One Time Bank Mandate Form and SIP Enrollment Form along with a photo copy/cancelled (21) Permanent Account Number (PAN): SEBI has made it mandatory for all applicants (in the case of application in joint names, each
cheque of Debit Bank Account (as mentioned on the One Time Bank Mandate Form) atleast 25th calendar days before the first SIP of the applicants) to mention his/her permanent account number (PAN) irrespective of the amount of purchase. Where the
Installment date for NACH Debit & Auto Debit Clearing. In case One time Bank Mandate form is already registered in the folio then applicant is a minor, and does not possess his / her own PAN, he / she shall quote the PAN of his/ her father or mother or the
the subsequent SIP registration request provided in the same folio will be processed with in 12 calendar days. guardian, signing on behalf of the minor, as the case may be. In order to verify that the PAN of the applicants (in case of application
in joint names, each of the applicants), the applicants shall attach along with the purchase application, a photocopy of the PAN
(4) An investor can opt for Daily, Weekly, Monthly, Quarterly and Yearly frequency for SIP. In case the investor has not specified the card duly self-certified along with the original PAN Card. The original PAN Card will be returned immediately across the counter
frequency then by default the frequency will be treated as Monthly. If an investor does not mention SIP start date appropriately, the after verification. Micro SIP & Investors residing in the state of Sikkim are exempted from the mandatory requirement of PAN proof
SIP will by default start from the next month after meeting the minimum registration requirement of 25th calendar days or 12 submission however they are required to mandatorily submit KYC Acknowledgement copy. Applications not complying with the
calendar days as applicable ( Refer point 3). above requirement may not be accepted/processed. Additionally, in the event of any Application Form being subsequently
SIP start date should be within 6 months from the date of submission of SIP application for Daily, Weekly, Monthly, Quarterly and rejected for mismatch / non-verification of applicant's PAN details with the details on the website of the Income Tax Department,
Yearly frequencies. In case the SIP start date is more than 6 months from the date of submission, such SIP application shall be the investment transaction will be cancelled and the amount may be redeemed at the applicable NAV, subject to payment of exit
liable for rejection. If an investor does not mention SIP end date appropriately the tenure of SIP will be treated as perpetual i.e. the load, if any. Please contact any of the Investor Service Centres/Distributors or visit our website https://mf.nipponindiaim.com for
end date shall be considered as December 2099. In case an investor, who has opted for Perpetual SIP, subsequently intends to further details.
discontinue the same, a written communication thereof will be required to be furnished. (22) Prevention of Money Laundering and Know Your Client (KYC): SEBI has prescribed uniform uniform KYC compliance procedure
(5) An investor shall have the option of choosing for 1 or more than 1 SIP in the same scheme same plan and in the same month. The for all the investors dealing with them. SEBI also issued KYC Registration Agency ( "KRA") Regulations 2011 and the guidelines in
investor can choose the SIP Dates from 1st to 28th of any given month for SIP registered through One Time Bank Mandate. Only for pursuance of the said Regulations and for In-Person Verification ("IPV"). All investors (individual and non- individual) are required
Daily SIP frequency in case of mandates received with dates between 29th to 31st of a month, the SIP would commence from 1st of to be KYC compliant. However, applicants should note that minors cannot apply for KYC and any investment in the name of
the subsequent month. For Daily SIP frequency option SIP will be executed on Daily basis and for Weekly SIP frequency Option SIP minors should be through a Guardian, who should be KYC compliant for the purpose of investing with a Mutual Fund. Should the
will be executed on 1st, 8th, 15th and 22nd of every month. More than one SIP for the same debit date shall be acceptable. If an applicant desire to change KYC related information, POS will extend the services of effecting such changes. In case of an existing
investor does not mention SIP Date in the application form or multiple SIP dates are mentioned in the SIP Mandate or the SIP Date is investor of NIMF who is already KYC Compliant under the erstwhile centralized KYC with CVL (CVLMF) then there will be no effect on
unclear in the application form / SIP Mandate, the default SIP date shall be treated as 10th as per the frequency defined by the subsequent Purchase/Additional Purchase (or ongoing SIPs/STPs, etc) in the existing folios/accounts which are KYC compliant.
investor. In case the criteria are not met the SIP would start on the same date from the next month. Investors should check the Existing Folio holder can also open a new folio with Nippon India Mutual Fund with the erstwhile centralized KYC.
same at the Designated Investor Service Centre of Nippon India Mutual Fund before investing. Units will not be created in cases of (i) In case of an existing investor of Nippon India Mutual Fund and who is not KYC Compliant as per our records, the investor will
Non Transaction Day / Holiday in case of Daily SIP. Daily SIP Frequency would not be available in case of Daily IDCW Plans of the have to submit the standard KYC Application forms available in the website www.cvlkra.com along with supporting
Schemes. documents at any of the SEBI registered intermediaries at the time of purchase / additional purchase / new registration of
SIP/STP etc. In Person Verification (IPV) will be mandatory at the time of KYC Submission.
(6) For details about the Scheme and its facility please refer the SID, SAI & KIM of the respective schemes / Addendum issued from
time to time carefully before investing. (ii) Investors who have complied with KYC process before December 31, 2011 (KYC status with CVL-KRA as "MF - VERIFIED BY
CVLMF") and not invested in the schemes of Nippon India Mutual Fund i.e not opened a folio earlier, and wishes to invest on
(7) In case of three consecutive failures due to insufficient balance in bank account while processing request for SIP, NAM India shall or after December 01, 2012, such investors will be required to submit| 'missing/not available' KYC information and complete
reserve the right to terminate the SIP without any written request from the investor. In the meantime, if any debits for subsequent
the IPV requirements.
installments is effected by banker, then Units would get created for the same.
Updation of 'missing / not available' KYC information along with IPV is currently a one-time requirement and needs to be
(8) SIP Amount: completed with any one of the mutual funds i.e. need not be done with all the mutual funds where investors have existing
SIP Frequency SIP Period Minimum Amount investments. The said form is available on NIMF's website i.e. https://mf.nipponindiaim.com or on the website of Association of
Minimum 3 months 100 per Instalment and in multiples of Rs.1 thereafter Mutual Funds in India i.e. www.amfiindia.com or on the website of any authorised KRA's. Once the same is done then the KYC status
Daily at CVL-KRA will change to 'Verified by CVL KRA' after due verification. In such a scenario, where the KYC status changes to 'Verified
Minimum 1 month 500 per Instalment and in multiples of Rs.1 thereafter
by CVL KRA', investors need not submit the 'missing/not available' KYC information to mutual funds again.
Minimum 1 year 100 per Instalment and in multiples of Rs.1 thereafter
Weekly (23) Communication for the investors: In accordance with SEBI Circular No. Cir/ IMD/ DF/16/ 2011 dated September 8, 2011 and SEBI
Minimum 3 months 500 per Instalment and in multiples of Rs.1 thereafter Circular no. CIR/MRD/DP/31/2014 dated November 12, 2014 the investor whose transaction has been accepted by the NAM
(9) In case an investor wishes to change the bank account details for the existing SIP registered through Auto debit / NACH Debit India/NIMF shall receive a confirmation by way of email and/or SMS within 5 Business Days from the date of receipt of transaction
mode, then he has to provide Change of bank details for One Time Bank Mandate. The existing SIP registration will not get request, same will be sent to the Unit holders registered e-mail address and/or mobile number.
cancelled. The investor has to submit the Change of bank details for One Time Bank Mandate atleast 21 business days prior to the Thereafter, a Consolidated Account Statement ("CAS") shall be issued in line with the following procedure:
next SIP Debit date.
1. Consolidation of account statement shall be done on the basis of PAN. In case of multiple holding, it shall be PAN of the first
(10) In case the Investor wishes to cancel the One Time Bank Mandate / SIP , Investor will have to submit an One Time Bank Mandate holder and pattern of holding.
Cancellation Form or SIP cancellation form , 21 business days prior to discontinuation.
2. The CAS shall be generated on a monthly basis and shall be issued on or before 10th of the immediately succeeding month
(11) Investors may note that all the transactions executed through Invest Easy such as "Online Transactions" (whether on our website or to the unit holder(s) in whose folio(s) transaction(s) has/have taken place during the month.
through any other application using the internet) "Transactions through call center", "Transactions through SMS", "Transactions 3. In case there is no transaction in any of the mutual fund folios then CAS detailing holding of investments across all schemes
through Mobile Phone" or any other facility as offered by NIMF from time to time using the IPIN / One Time Password (OTP) will be of all Mutual Funds will be issued on half yearly basis [at the end of every six months (i.e. September/ March)]
considered as transaction through the mentioned broker (ARN) mentioned on this "SIP Enrollment Details" Form.
4. Investors having MF investments and holding securities in Demat account shall receive a Consolidated Account Statement
(12) The Broker Code given in this mandate will be applicable for all the transactions done through Invest Easy mode. In case there is a containing details of transactions across all Mutual Fund schemes and securities from the Depository by email / physical
change of Broker Code then the investor are requested to cancel the existing mandate and register a fresh mandate with us. mode.
(13) For Direct Investment Please Mention "Direct in the Column "Name & Broker Code/ARN. 5. Investors having MF investments and not having Demat account shall receive a Consolidated Account Statement from the

OTBM + SIP Form /26th July 2022 / Ver 3.7

MF Industry containing details of transactions across all Mutual Fund schemes byemail /physical mode. The word
(14) Investors are required to clearly indicate the plans/options in the application form of the scheme. Investor may note that following
'transaction' shall include purchase, redemption, switch, Payout of Income Distribution cum capital withdrawal option,
shall be applicable for default plan
Reinvestment of Income Distribution cum capital withdrawal optio, systematic investment plan, systematic withdrawal
Broker Code mentioned Plan mentioned by Default Plan to plan and systematic transfer plan transactions. CAS shall not be received by the Unit holders for the folio(s) wherein the
Sr PAN details are not updated. The Unit holders are therefore requested to ensure that the folio(s) are updated with their PAN.
by the investor the investor be captured For Micro SIP and Sikkim based investors whose PAN details are not mandatorily required to be updated Account
1 Not mentioned Not mentioned Direct Plan Statement will be dispatched by NAM India/NIMF for each calendar month on or before 10th of the immediately succeeding
month.
2 Not mentioned Direct Plan Direct Plan
In case of a specific request received from the Unit holders, NAM India / NIMF will provide the account statement to the investors
3 Not mentioned Regular Plan/Other than Direct Plan Direct Plan within 5 Business Days from the receipt of such request.
4 Mentioned Direct Plan Direct Plan (24) Units held in the dematerialized form: Unitholders can have a option to hold the units in dematerialized form in terms of the
guidelines / procedural requirements as laid by the Depositories (NSDL/CDSL) / Stock Exchanges (NSE / BSE). Please ensure that
5 Direct Not mentioned Direct Plan the sequence of names as mentioned in the application form matches with that of the account held with any one of the
6 Direct Regular Plan/Other than Direct Plan Direct Plan Depository Participant.
7 (25) Employee Unique Identification Number (EUIN) would assist in tackling the problem of mis-selling even if the employee /
Mentioned Regular Plan/Other than Direct Plan Regular Plan/Other than Direct Plan
relationship manager/sales person leave the employment of the distributor.
8 Mentioned Not mentioned Regular Plan/Other than Direct Plan (26) Nippon India STEP-UP Facility: Under this facility the Investor can increase the SIP installment (excluding MICRO SIP) at
pre-defined intervals by a fixed amount. This facility is available for all categories of investors. For availing the said facilities,
In cases of wrong/ invalid/ incomplete ARN codes mentioned on the application form, the application shall be processed under
investors are required to note the following:
Regular Plan. The AMC shall contact and obtain the correct ARN code within 30 calendar days of the receipt of the application form
from the investor/distributor. In case, the correct code is not received within 30 calendar days, the AMC shall reprocess the 1. Investor willing to register STEP-UP should provide the STEP-UP details along with the SIP enrolment details and is also required to
transaction under Direct Plan from the date of application without any exit load. Similarly, in the absence of clear indication as to fill up " One Time Bank Mandate Form" from which the amount shall be debited. Investors who are currently registered under Invest
the choice of option (Growth or Payout of Income Distribution cum capital withdrawal option), by default, the units will be allotted Easy - Individuals facility may avail this facility without registering the One Time Bank Mandate. 2. The minimum amount for
under the Growth Option of the default /selected plan of the scheme. Nippon India STEP-UP facility is `100/- and in multiples of `100/- [except for Nippon India Tax Saver (ELSS) Fund, Nippon India
Retirement fund - Income Generation Plan & Nippon India Retirement fund- Wealth Creation Plan for which the minimum amount
(15) Applications should be submitted at any of the Designated Investor Service Centre (DISCs) of NAM India or KFin Technologies shall be `500/- and in multiple of `500/-. 3. Monthly SIP offers STEP-UP frequency at half yearly and yearly intervals. Quarterly and
Limited (Formerly KFin Technologies Private Limited). Yearly SIP offers STEP-UP frequency at yearly interval only. In case STEP-UP frequency is not indicated, it will be considered as Yearly
(16) Existing unit holders should note that unit holders' details and mode of holding (single, jointly, anyone or survivor) will be as per the by Default. 4. There should be clear indication about STEP-UP Count i.e. the number of times the SIP Installment amount should be
existing Account. increased. In case STEP-UP amount is mentioned and STEP-UP count is not indicated, it will be considered as 1 (One) by Default. 5.
The date for Nippon India STEP-UP Facility will correspond to the registered SIP. The enrolment period specified in the Nippon India
(17) NAM India reserves the right to reject any application without assigning any reason thereof. NAM India in consultation with Trustees
STEP-UP form should be less than or equal to the enrolment period mentioned in the SIP. 6. In case of any deviation in period, the
reserves the right to withdraw these offerings, modify the procedure, frequency, dates, load structure in accordance with the SEBI
tenure of the SIP shall be considered.
Regulations and any such change will be applicable only to units transacted pursuant to such change on a prospective basis.

*I/We hereby declare that the particulars given on this mandate are correct and complete. If the transaction is delayed or not effected at all for reasons of incomplete or
incorrect information, I/We would not hold Nippon India Mutual Fund, their representatives, service providers, participating banks & other user institutions responsible. I/We
have read the Terms & Conditions and agree to discharge the responsibility expected of me/us as a participant/s under the scheme. I/We authorize use of above mentioned
contact details for the purpose of this specific mandate instruction processing. I/We hereby confirm adherence to terms on this mandate. I hereby authorize the
representatives of Nippon Life India Asset Management Limited and its Associates to contact me through any mode of communication.This will override registry on DND /
DNDC , as the case may be.

Authorisation to Bank: I/We wish to inform you that I/we have registered with Nippon India Mutual Fund for NACH / Direct Debit through their authorised Service Provider(s)
and representative for my/our payment to the above mentioned beneficiary by debit to my/our above mentioned bank account. For this purpose I/We hereby approve to
raise a debit to my/our above mentioned account with your branch. I/We hereby authorize you to honor all such requests received through to debit my/our account with the
amount requested, for due remittance of the proceeds to the beneficiary.

FOR OFFICE USE ONLY (Not to be filled in by Investor)

Affix Barcode Date and Time Stamp No.