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INVESCO Common Application With SIP

This document is an application form for lumpsum, SIP, or folio creation for a mutual fund. It requests basic applicant details like name, address, PAN, income, occupation, etc. It mentions that the EUIN box should be left blank if no advice was provided by the distributor. It provides spaces to select transaction charges and sign. Required documents like KYC and FATCA/CRS declarations must be enclosed based on applicant type.

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Rakesh Lahori
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© © All Rights Reserved
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0% found this document useful (0 votes)
291 views

INVESCO Common Application With SIP

This document is an application form for lumpsum, SIP, or folio creation for a mutual fund. It requests basic applicant details like name, address, PAN, income, occupation, etc. It mentions that the EUIN box should be left blank if no advice was provided by the distributor. It provides spaces to select transaction charges and sign. Required documents like KYC and FATCA/CRS declarations must be enclosed based on applicant type.

Uploaded by

Rakesh Lahori
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
You are on page 1/ 6

Application Form for Lumpsum/SIP/Folio Creation

Please refer instructions before filling the form


Application No :

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

City of Birth Country of Birth

Date of
PAN/PEKRN D D M M Y Y Y Y
Sign Here - Second Applicant Birth

KIN Enclosed KYC Proof

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)

Second* Mr. / Ms. / M/s. Name as per PAN records

 Country of Birth/Citizenship/Nationality or Tax City of Birth Country of Birth


Residency, other than India, for any applicant:
Yes No (Mandatory to ✓) Date of
If Yes, please fill FATCA/CRS declaration PAN/PEKRN D D M M Y Y Y Y
Birth
 NRI investors should mandatorily fill separate
FATCA/CRS declarations KIN Enclosed KYC Proof
 Non-Individual investors should mandatorily fill
separate FATCA/ CRS & UBO declarations
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)
Details Retired Student Agriculturist Forex Dealer (For Related to PEP
Housewife Others (Please specify) individuals) Not Applicable (Default)

Third* Mr. / Ms. / M/s. Name as per PAN records

City of Birth Country of Birth

Date of
PAN/PEKRN D D M M Y Y Y Y
Birth

KIN Enclosed KYC Proof

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

KIN Enclosed KYC Proof

POA Holder# Mr. / Ms. / M/s. Name as per PAN records

Date of
PAN D D M M Y Y Y Y
Birth

KIN Enclosed KYC Proof

Mailing Address

(Address should be as per KYC records,


refer Instruction no. 14ii)
City PIN State

Status (✓) Tel. No. (R) Tel. No. (O) Mobile

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.

Applicable in case of Third Party Payment:


$ Name of the person
On behalf of Client Employee making payment$
Distributor (Refer instruction no. 6).
PAN/PEKRN Enclosed KYC Proof

KIN
3. For SIP/Micro SIP1 SIP Micro SIP

Amount Cheque Date D D M M Y Y Y Y

Drawn on Bank Branch

Period From D D M M Y Y Y Y To D D M M Y Y Y Y Or Till further notice

Cheque Nos. From To

Applicable in case of Third Party Payment: Name of the


On behalf of Client Employee person
Distributor (Refer instruction no. 6). making payment

PAN/PEKRN Enclosed KYC Proof

KIN

Frequency Monthly (Default) or Quarterly (Jan,Apr,Jul,Oct)

SIP Date Date of your choice (except 29,30,31) (15th Default)

4. Demat Account Details2 Optional, Refer instruction no. 12

NSDL CDSL DP ID3 I N

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

Beneficiary Name Invesco Mutual Fund


Instructions Beneficiary LEI 549300ON71F6PVXRBF54 Validity Date: D D M M Y Y Y Y
IDCW - Income Distribution cum capital withdrawal No.:
Option
LEI declaration is mandatory for all payment transactions Branch Address
undertaken by entities for value >= INR 50 crore
1
For SIP through Auto-Debit (Direct Debit/NACH) MICR Code4
please fill respective SIP registration cum mandate
NEFT/RTGS/
form.
IFSC Code5
2
The details of the Bank Account linked with the
Demat A/c as mentioned below should be provided
under section 5.
3
Not applicable in case of CDSL. 6. Option to receive Physical Copy of Annual Report Refer Instruction no. 11
4
9 digit No. next to your Cheque No.
I/We would like to receive physical copy of Annual Report of the Scheme or abridged summary thereof (Please ✓)
5
11 digit character code appearing on cheque leaf.

Acknowledgement Slip (To be filled by the Applicant) Application No :

Received from Mr. / Ms. / M/s.

Towards
Subscription of
(Scheme Name) Signature, Stamp & Date

Amount (r) Cheque/DD No. Date D D M M Y Y Y Y


Instructions 7. Nomination Details1 Refer Instruction no. 10
1
Mandatory for investors who opt to hold units in
non-demat form. Nominee 1 Nominee 2 Nominee 3
Nomination facility is not available in a folio held on
behalf of a minor. Name

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)

Signature(s) for Declaration 8. Declaration


Sign Here - Sole/First Applicant/Guardian/POA
The Trustees, Invesco Mutual Fund
Having read and understood the contents of the Statement of Additional Information/Scheme Information Document(s) of the
(X) respective schemes, I/We hereby apply to the Trustees of Invesco Mutual Fund for units of the Scheme/Option as indicated
above and agree to abide by the terms, conditions, rules and regulations of the Scheme. I/We have understood the details
of the Scheme and I/We have not received nor have been induced by any rebate or gifts, directly or indirectly, in making this
investment. I/We do not have any existing Micro Investments which together with the current Micro Investment application
Sign Here - Second Applicant
will result in aggregate investments exceeding Rs. 50,000/- in a year (applicable to Micro Investment investors only). The
Distributor 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.
(X) I/We hereby authorise Invesco Mutual Fund, its Investment Manager and its Agents to disclose details of my/our investment to
my/our bank(s)/ Invesco Mutual Fund’s Bank(s) and/or Distributor/Broker/Investment Advisor and to verify my/ our bank details
provided by me/us. I/We give my consent to AMC and its agents / Registrar to contact me over phone, SMS, email or any other
Sign Here - Third Applicant mode to address my investment related queries and/or receive communication pertaining to transactions/ non-commercial
transactions/ promotions/ potential investments and other communication/ material irrespective of my blocking preferences
with the Customer Preference Registration Facility. I / We declare that the email address and mobile number provided is of the
primary / joint unitholder(s) / Family member (spouse, dependent children or dependent parents) and not of any third party.
I/We hereby declare that the particulars given above are correct. If the transaction is delayed or not effected at all for reasons
of incomplete or incorrect information, I/We would not hold Invesco Asset Management (India) Pvt. Ltd. (Investment Manager
to Invesco Mutual Fund), their appointed service providers or representatives responsible. I/We will also inform Invesco Asset
Management (India) Pvt. Ltd., about any changes in my/our bank account. I/We hereby declare that the amount invested by
Date D D M M Y Y Y Y me/us in the Scheme of Invesco Mutual Fund is derived through legitimate sources and is not held or designed for the purpose
of contravention of any Act, Rules, Regulations or any statute or legislation or any other applicable laws or any Notifications,
Place Directions issued by any governmental or statutory authority from time to time. I/We confirm that I/We are not United States
person(s) under the laws of United States or residents(s) of Canada as defined under the applicable laws of Canada.
Applicable to PEKRN holders: I, the first/sole holder hereby declare that I do not hold a Permanent Account Number and
hold only a single ‘PAN exempt PEKRN’ issued by KRA and that my existing investment in schemes of Invesco Mutual Fund
together with current application will not result in aggregate investments exceeding Rs. 50,000/- in a rolling 12 months period
or in a financial year i.e. April to March.
Applicable to NRIs only: I/We confirm that I am/we are Non-Residents of Indian Nationality /Origin and that the funds are
remitted from abroad through approved banking channels or from my/our NRE/NRO/FCNR/SNRR Account. I/We confirm that
the details provided by me/us are true and correct.
Yes No
If NRI Repatriation basis Non-Repatriation basis

To invest: Call 1800 209 0007 SMS ‘invest’ to 56677 invescomutualfund.com


Systematic Investment Plan (SIP) Registration cum
mandate form for NACH/Direct Debit
New Investors are requested to fill-in the scheme application form also. Application No :
For details on transaction charges payable to Key Partner/Agent Information
distributors, please refer to KIM.
Mutual Fund Sub-Broker Internal Sub-Broker/
I/We hereby confirm that the EUIN box has been Distributor ARN
ARN - ARN-53115 ARN Code
ARN -
Employee Code
intentionally left blank by me/us as this transaction
is executed without any interaction or advice by the Employee Unique Registered Investment Advisor (RIA) Code/
employee/relationship manager/sales person of the Identification No. (EUIN) E-054671 Portfolio Manager's Registration Number (PMRN)
above distributor/sub broker or notwithstanding the
advice of in-appropriateness, if any, provided by the 1. Applicant Details
employee/relationship manager/sales person of the
First/ Sole (Mr./ Ms./ M/s.)
distributor/sub broker.
Upfront commission, if any, shall be paid directly Application No. Folio No.
by the investor to the AMFI registered distributors (New Investor) (Existing Unitholder)
based on the investors’ assessment of various factors, PAN/PEKRN Enclosed KYC Proof
including the service rendered by the distributor.
KIN
New SIP Micro SIP
UMRN No.
Sign Here - Sole/First Applicant/Guardian/POA
2. Investment and SIP Details1
Scheme 1 Scheme 2 Scheme 3
Invesco India Invesco India Invesco India
Scheme
Sign Here - Second Applicant

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

Frequency Monthly (Default) or Monthly (Default) or Monthly (Default) or


Quarterly (Jan, Apr, July, Oct) Quarterly (Jan, Apr, July, Oct) Quarterly (Jan, Apr, July, Oct)
From M M Y Y Y Y From M M Y Y Y Y From M M Y Y Y Y
 Country of Birth/Citizenship/Nationality or Tax SIP Period To M M Y Y Y Y To M M Y Y Y Y To M M Y Y Y Y
Residency, other than India, for any applicant:
Yes No (Mandatory to ✓) (or) Till further notice (or) Till further notice (or) Till further notice
If Yes, please fill FATCA/CRS declaration Each SIP Amount
 NRI investors should mandatorily fill separate (Rs.)
FATCA/CRS declarations Total SIP amount
 Non-Individual investors should mandatorily fill Cheque No.
(Rs.)
separate FATCA/ CRS & UBO declarations
Bank A/c. No. Bank Name
Instructions
SIP Top-Up (Optional)
IDCW - Income Distribution cum capital withdrawal
Option Top-up Amount Rs.
New Investors are requested to fill-in the scheme
application form also. Top-up Start Month M M Y Y Y Y M M Y Y Y Y M M Y Y Y Y
1
Investors applying under the direct plan must mention
“Direct” against Scheme name. Frequency Half Yearly Yearly (Default) Half Yearly Yearly (Default) Half Yearly Yearly (Default)
2
The SIP Form should be submitted at least 30 Calendar
days before the first SIP debit date. Top-up End Month M M Y Y Y Y M M Y Y Y Y M M Y Y Y Y

NACH/Auto Debit Mandate (Applicable for SIP Registration)

UMRN For Office Use only Date D D M M Y Y Y Y

Sponsor Bank Code Create Modify Cancel

Utility Code For Office Use only I/We hereby authorize Invesco Mutual Fund

To debit (√) SB CA CC NRE NRO Others ______________________ Bank Account No.

with Bank Name of customers bank IFSC / MICR

An amount of Rupees In Words In Figures


Debit Type : Fixed Amount Maximum Amount Frequency: Monthly Quarterly Half Yearly Yearly As & when presented

Folio No. PAN


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. I have understood that I am authorised to cancel / amend this mandate
by appropriately communicating the cancellation/amendment request to the user entity/Corporate or the bank where I have authorised debit.
PERIOD
From D D M M Y Y Y Y (X) (X)
To D D M M Y Y Y Y Signature of Primary Bank Account Holder Signature of Bank Account Holder Signature of Bank Account Holder
Or Until Cancelled

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

To invest: Call 1800 209 0007 SMS ‘invest’ to 56677 invescomutualfund.com

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