INVESCO Common Application With SIP
INVESCO Common Application With SIP
I/We hereby confirm that the EUIN box has been Key Partner/Agent Information
intentionally left blank by me/us as this transaction
is executed without any interaction or advice by the Mutual Fund Distributor ARN Sub-Broker ARN Code Internal Sub-Broker/Employee Code
employee/relationship manager/sales person of the ARN - ARN -
above distributor/sub broker or notwithstanding the
R.R.LAHORI ARN-53115
advice of in-appropriateness, if any, provided by the
employee/relationship manager/sales person of the Employee Unique Identification No. (EUIN) Registered Investment Advisor (RIA) Code /
distributor/sub broker. (Refer Instruction no. 1vii). (Of Individual ARN holder or of employee/ Portfolio Manager's Registration Number (PMRN)
EUIN - E054671
Relationship Manager/Sales Person of the Distributor)
Transaction Charges (Please tick any one of the
below. For details refer KIM) Existing Unitholder: Please fill in Folio Number below and then proceed to section 2
I am a first time investor in Mutual Funds
Folio Number
I am an existing investor in Mutual Funds (Default)
Name of Sole /
Upfront commission, if any, shall be paid directly First Unitholder
by the investor to the AMFI registered distributors
based on the investors’ assessment of various factors, New Unitholder
including the service rendered by the distributor.
1. Applicant Details
Mode of Holding (Only for non-demat mode) Single Joint Anyone or Survivor (Default)
Sign Here - Sole/First Applicanl/Guardian/POA
First/Sole Mr. / Ms. / M/s. Name as per PAN records
Date of
PAN/PEKRN D D M M Y Y Y Y
Sign Here - Second Applicant Birth
Gross Annual Below 1 Lac 1-5 Lacs (Default) 5-10 Lacs 10-25 Lacs 25 Lacs - 1 Crore > 1 Crore
Income
As on (date within last 1 year)
Net-worth in Rs. D D M M Y Y Y Y
(Mandatory for Non-Individuals)
Sign Here - Third Applicant
Private Service Pub. Sector / Govt. Serv. Professional Business Others Politically Exposed Person (PEP)
Occupation
Retired Student Agriculturist Forex Dealer (For Related to PEP
Details
Housewife Others (Please specify) individuals) Not Applicable (Default)
Date of
PAN/PEKRN D D M M Y Y Y Y
Birth
Gross Annual Below 1 Lac 1-5 Lacs (Default) 5-10 Lacs 10-25 Lacs 25 Lacs - 1 Crore > 1 Crore
Income
As on (date within last 1 year)
Net-worth in Rs. D D M M Y Y Y Y
(Mandatory for Non-Individuals)
Occupation Private Service Pub. Sector / Govt. Serv. Professional Business Others Politically Exposed Person (PEP)
Instructions
Details Retired Student Agriculturist Forex Dealer (For Related to PEP
*No joint holder where minor is first holder PAN/ Housewife Others (Please specify) individuals) Not Applicable (Default)
PEKRN (Refer Instruction no. 3), Date of birth is
mandatory in case of Minor, additionally refer Others (For Is the entity involved in any of the following services (i) Foreign Exchange/Money Changer Services Yes No
Instruction no. 2, KYC & Networth (Refer Instruction Non-individuals) (Default) (ii) Gaming/Gambling/Lottery/Casino Services/Betting Syndicates Yes No (Default) (iii) Money Lending/
Pawning Yes No (Default)
no. 14).
Guardian/ Mr. / Ms. / M/s. Name as per PAN records
Contact Person*
Relation Father Mother Court Appointed Guardian
Date of
PAN/PEKRN D D M M Y Y Y Y
Birth
Date of
PAN D D M M Y Y Y Y
Birth
Mailing Address
Individual Minor
E-mail
HUF NRI Repatriable
LLP Listed Co. This email ID belongs to (Please refer instruction 9): Self* Family Member *Default
Society/Club Trust
Overseas Address (Mandatory in case of NRI / FPI applicant)
AOP Co. U/S 25/8 of
Minor-NRI Repatriable Companies Act
Minor-NRI Non-Repatriable Partnership
NRI Non-Repatriable Body Corporate City State/Province
Unlisted Co. FPI
Others ______________ Country PIN
In case of Non-Profit Entity
2. Investment and Payment Details1
Scheme 1 Scheme 2 Scheme 3
Invesco India Invesco India Invesco India
Scheme
Plan
Option
Instructions
IDCW - Income Distribution cum capital withdrawal IDCW Frequency
Option
Plan, Option, Facility of the scheme should be clearly
Investment Amt. (Rs.)
stated. In case applications are received where Plans/
Options for investment is not selected, the default Plan/
Option as prescribed in the SID of the Scheme will be DD Charges (Rs.)
applicable.
*In case of Guardian, Investor needs to update their Net Amt. (Rs.)
gross annual income, Occupation and other details as
provided in first/sole holder. Contact Person-In case of Total Amount (Rs.)
non-individual investors only. #If the investment is being
made by a Constituted Attorney, please furnish the
details of POA holder. Mode of Payment Cheque DD NACH Funds Transfer RTGS/NEFT
1
Cheque/DD should be drawn in favor of the Scheme.
Account Type Current Savings SNRR NRE NRO FCNR Others
Investment in single scheme - Invesco India Contra
Fund (IICF). Cheque/DD No./
Investment in multiple schemes - "Invesco MF Multiple UTR
Schemes".
Investors applying under direct plan must mention Bank Name
“Direct” in the box provided in Point no. 2.
Bank A/c. No.
KIN
3. For SIP/Micro SIP1 SIP Micro SIP
KIN
Beneficiary
Account No.
DP Name
Please provide a cancelled cheque leaf of the same 5. Bank Account Details (Mandatory As Per SEBI Guidelines) Refer instruction no. 4
bank account as mentioned above. We will credit the
redemption/IDCW proceeds directly into investors’
account through electronic means if the details Bank A/c. No.
provided by the investors are sufficient for the same.
Mentioning your IFSC will help us transfer the amount Bank Name
to your bank account faster. Unitholders who have
opted to hold Units in dematerialized form must provide City PIN
Bank Account details linked with the Demat account,
as mentioned under section 4. In case of discrepancy,
bank details as per depository records will be final. Account Type Current Savings SNRR NRE NRO FCNR Others
I would like to receive cheque payout
I have provided multiple bank registration form Remitter LEI No.: Validity Date: D D M M Y Y Y Y
Towards
Subscription of
(Scheme Name) Signature, Stamp & Date
Relationship
PAN
% Share
If nominee is a minor
Date of Birth
Guardian’s Name
Guardian’s Relation
Address
I do not intend to nominate ( √ the box in case you do not wish to nominate)
Plan
Option
IDCW Frequency
Sign Here - Third Applicant
Any Date: 1-28; Any Date: 1-28; Any Date: 1-28;
SIP Date2
Default -15th Default -15th Default -15th
Utility Code For Office Use only I/We hereby authorize Invesco Mutual Fund
Mobile Name as in bank records Name as in bank records Name as in bank records
Instructions
3
Not applicable in case of CDSL. Applicable only to 3. Demat Account Details (Optional) NSDL CDSL
existing investors for fresh SIP enrolment.
Beneficiary
DP ID3 I N
Account No.
DP Name
Declaration :
I/We have read and understood the contents of the Scheme Information Document(s) and Statement of Additional Information
and the terms & conditions of SIP enrolment through Direct Debit/NACH and agree to abide by the same. I/We hereby apply
to the Trustee of Invesco Mutual Fund for enrolment under the SIP of the following Scheme(s)/ Plan(s) / Option(s) and agree
to abide by the terms and conditions of the same. I/We hereby declare that the particulars given above are correct and
express my willingness to make payments referred above through participation in NACH/Direct Debit. I/We authorise the
bank to honour the instructions as mentioned in the application form. I/We also hereby authorise bank to debit charges
towards verification of this mandate, if any. I/We agree that Invesco Asset Management (lndia)/Mutual Fund (including its
affiliates), and any of its officers directors, personnel and employees, shall not be held responsible for any delay/wrong debits
on the part of the bank for executing the direct debit instructions of additional sum on a specified date from my account.
If the transaction is delayed or not effected at all for reasons of incomplete or incorrect information, I/We would not hold
the user institution responsible. I/We undertake to keep sufficient funds in the funding account on the date of execution of
standing instruction. I/We have not received nor been induced by any rebate or gifts, directly or indirectly, in making this
investment. The ARN holder has disclosed to me/us all the commissions (in the form of trail commission or any other mode),
payable to him/them for the different competing Schemes of various Mutual Funds from amongst which the Scheme is being
recommended to me/us.
(X) (X)
Sign Here -Sole/First Applicant/
Guardian Sign Here - Second Applicant Sign Here - Third Applicant