Application Form (Except for ETFs, HDFC Retirement Savings Fund and HDFC Children’s Gift Fund)

Investors must read the Key Information Memorandum, the instructions and Product Labeling on page 83 & 84 before completing this Form.
The Application Form should be completed in English and in BLOCK LETTERS only.

KEY PARTNER / AGENT INFORMATION (Investors applying under Direct Plan must mention “Direct” in ARN column.) (Refer Instruction 1) FOR OFFICE USE ONLY CAMS bar code
ARN/RIA Code/Stock Broker/ ARN/RIA/Portfolio Internal Code Employee Unique (TIME STAMP)
Portfolio Manager Registration Manager's/ Stock Broker's Sub Agent’s ARN Bank Branch Code for Sub-Agent/ Identification Number
Number (PMRN) Name Employee (EUIN)

ARN-
EUIN Declaration (only where EUIN box is left blank) (Refer Instruction 1)
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/ PoA Holder Second Applicant Third Applicant

TRANSACTION CHARGES FOR APPLICATIONS THROUGH DISTRIBUTORS ONLY (Refer Instruction 2)

I confirm that I am a first time investor across Mutual Funds. OR I confirm that I am an existing investor across Mutual Funds.
In case the purchase/ subscription amount is Rs. 10,000 or more and your Distributor has opted in to receive Transaction Charges, the same are deductible as applicable from the purchase/
subscription amount and payable to the Distributor. Units will be issued against the balance amount invested.
1. EXISTING UNIT HOLDER INFORMATION (IF YOU HAVE EXISTING FOLIO, PLEASE FILL IN SECTIONS viz. 1, 5, 7, 10 AND 13 ONLY. Refer instruction 3).
Folio No. The details in our records under the folio number mentioned alongside will apply for this application.

2. MODE OF HOLDING [Please tick (P)] Single Joint Anyone or Survivor

3. UNIT HOLDER INFORMATION (Refer instruction 4) DATE OF BIRTH@ D D M M Y Y Y Y Proof of date of birth@ Please (P)

NAME OF FIRST / SOLE APPLICANT (In case of Minor, there shall be no joint holders) Attached
Mr. Ms. M/s.
Nationality PAN#/ PEKRN#
KYC Number KYC # [Please tick (P)] (Mandatory) Proof Attached

Status of First/ Sole Applicant [Please tick (P)] Individual Non - Individual [Please attach FATCA, CRS & Ultimate Beneficial Ownership (UBO) Self Certification Form (Mandatory)
(Refer Instruction 4 & 19)
Resident Individual Partnership Trust HUF AOP PIO Company Minor through guardian BOI OCI Body Corporate LLP Society / Club
NRI-Repatriation NRI-Non Repatriation Foreign National Resident in India FPI Sole Proprietorship Non Profit Organisation (please specify)
Others _________________________
LEI No. Expiry Date: D D M M Y Y Y Y
(Mandatory for Non - Individuals transacting / proposing to transact for an amount of Rs. 50 crores or more)
NAME OF GUARDIAN (in case of First / Sole Applicant is a Minor) / NAME OF CONTACT PERSON – DESIGNATION (in case of non-individual Investors)
Mr. Ms.
Nationality Designation Contact No.
PAN#/ PEKRN#
KYC Number KYC # [Please tick (P)] (Mandatory) Proof Attached

Relationship with Minor@ Please (P) Father Mother Court appointed Legal Guardian Proof of relationship with minor@ Please (P) Attached @ Mandatory

MAILING ADDRESS OF FIRST / SOLE APPLICANT (Mandatory) (Refer Instruction 4a)

CITY STATE PIN CODE

CONTACT DETAILS OF FIRST / SOLE APPLICANT

Country Code STD Code
Telephone : Off. Res. Fax
eAlerts Mobile eDocs Email of First / Sole holder^ IN CAPITALS
This email id belongs to (Mandatory Please P): Self Spouse Dependent Children Dependent Siblings Dependent Parents Guardian POA Custodian (for FPIs only) PMS
This mobile number belongs to (Mandatory Please P): Self Spouse Dependent Children Dependent Siblings Dependent Parents Guardian POA Custodian (for FPIs only) PMS
I hereby declare that I shall immediately notify any change to the mobile number/ email id. (Refer instruction 10)
I/ We would like to register for online access to transact on HDFCMFOnline Investors as per the terms & conditions displayed on website: www.hdfcfund.com (Email id mandatory)
(only for non individuals and individuals with mode of holding as 'Joint'). Refer Instruction 12.
^ On providing email-id investors shall receive the scheme wise annual report or an abridged summary thereof/ account statements/ statutory and other documents by email.
However, if the investors wish to receive physical copy of the scheme wise annual report or an abridged summary thereof [Please tick (P)] Opt-in (Refer Instruction 10 & 12)
4. JOINT APPLICANT DETAILS, If any (Refer instruction 4) (In case of Minor, there shall be no joint holders)
1. NAME OF SECOND APPLICANT
Mr. Ms. M/s.
Nationality PAN#/ PEKRN#
April 2022

KYC Number KYC # [Please tick (P)] (Mandatory) Proof Attached

2. NAME OF THIRD APPLICANT
Mr. Ms. M/s.
Nationality PAN#/ PEKRN#
KYC Number KYC # [Please tick (P)] (Mandatory) Proof Attached

ACKNOWLEDGEMENT SLIP (To be flled in by the Investor) [For any queries please contact our nearest Investor Service Centre or call us at our Customer Service Number 1800 3010 6767 / 1800 419 7676 (Toll Free)]
HDFC MUTUAL FUND Date :
Head Office : HDFC House, 2nd Floor, H.T. Parekh Marg,
165-166, Backbay Reclamation, Churchgate, Mumbai - 400 020. ISC Stamp & Signature

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

an application for Purchase of Units of the Scheme(s) alongwith Cheque / DD / Payment Instrument as detailed overleaf.
... continued overleaf
 5. ADDITIONAL KYC DETAILS (Refer instruction 4b)
Occupation details for 1st Applicant 2nd Applicant 3rd Applicant Guardian Politically Exposed Person (PEP) details: Is a PEP Related to PEP Not Applicable
Private Sector Service 1st Applicant
Public Sector Service 2nd Applicant
Government Service 3rd Applicant
Business
Guardian
Professional
Authorised Signatories
Agriculturist
Retired Promoters
Housewife Partners
Student Karta
Proprietorship Whole-time Directors
Others (Please specify) Trustee
Mandatory

Non-Individual Investors involved/ providing any of the mentioned services Foreign Exchange / Money Changer Services Gaming / Gambling / Lottery / Casino Services
Money Lending / Pawning None of the above
Gross Annual Income Range (in Rs.) 1st Applicant 2nd Applicant 3rd Applicant Guardian Gross Annual Income Range (in Rs.) 1st Applicant 2nd Applicant 3rd Applicant Guardian
Below 1 lac 10-25 lac
1-5 lac 25 lac- 1 cr
5-10 lac > 1 cr

OR Networth in Rs. (Mandatory as on

for Non Individual) (not older
than 1 year) DD MM YYYY

# Please attach Proof. Refer instruction No 16 for PAN/PEKRN and No 18a for KYC (KRA). Refer instruction No 18b for KYC Identification Number issued by CKYCR.
6. POWER OF ATTORNEY (PoA) HOLDER DETAILS
Name of PoA Mr. Ms. M/s.
PAN#/ PEKRN#
KYC Number KYC # [Please tick (P)] (Mandatory) Proof Attached
# Please attach Proof. Refer instruction No 16 for PAN/PEKRN and No 18a for KYC (KRA). Refer instruction No 18b for KYC Identification Number issued by CKYCR.
7. FATCA AND CRS INFORMATION (for Individual including Sole Proprietor) (Self Certification) (Refer instruction 4)
The below information is required for all applicant(s)/ guardian
Address Type: Residential or Business Residential Business Registered Office (for address mentioned in form/existing address appearing in Folio)
Category First Applicant/Guardian in case of Minor Second Applicant/ Guardian Third Applicant
Place/ City of Birth
Country of Birth
Country of Tax Residency#
Is the applicant(s)/guardian's Country of Birth/Citizenship/ First Applicant/Guardian in case of Minor Second Applicant/ Guardian Third Applicant
Nationality/Tax Residency other than India?
Please indicate all countries in which you are resident for tax Yes No Yes No Yes No
purposes and the associated Tax Reference Numbers below*.
Mandatory

If Yes, please provide the following information [mandatory]

Category First Applicant/Guardian in case of Minor Second Applicant/ Guardian Third Applicant
Tax Payer Ref. ID No^

Identification Type
[TIN or other, please specify]

Country of Tax Residency 2

Tax Payer Ref. ID No. 2

Identification Type
[TIN or other, please specify]

Country of Tax Residency 3

Tax Payer Ref. ID No. 3

Identification Type
[TIN or other, please specify]
#To also include USA, where the individual is a citizen/ green card holder of USA. ^In case Tax Identification Number is not available, kindly provide its functional equivalent.
8. MODE OF PAYMENT OF REDEMPTION / IDCW PROCEEDS (refer instruction 11)
I / We would like to receive redemption / IDCW proceeds :
directly into my / our bank account (as per Section 8) (Default mode) OR via cheque / demand draft
9. UNIT HOLDING OPTION DEMAT MODE* PHYSICAL MODE (Default) ( refer instruction 13)
*Demat Account details are mandatory for (i) FPIs and (ii) investors who wish to hold the units in Demat Mode (Account statement (CAS) for units held in demat mode will be issued only by NSDL/CDSL)
Beneficiary
NSDL DP Name DP ID I N Account No.
April 2022

Beneficiary
CDSL DP Name Account No.
*Investor opting to hold units in demat form, may provide a copy of the DP statement for us to match the demat details as stated in the application form.

Particulars
Scheme Name / Plan / Option / Sub-option / Cheque / DD / Payment Instrument /
Drawn on (Name of Bank and Branch) Amount in figures (Rs.)
Payout Option UTR No. / Date

Please Note: All Purchases are subject to realisation of cheques / demand drafts / Payment Instrument.
 10. INVESTMENTS & PAYMENT DETAILS [Please (P)] (refer instruction 6 & 7 for Scheme details and instruction 8 & 9 for Payment Details) The name of the first/ sole applicant must be pre-printed on the cheque.
Regular Plan (Purchase/ Subscription routed through Distributor) Direct Plan (Purchase/ Subscription made directly with the Fund)
Mention valid ARN in Key Par tner/ Agent Information Mention DIRECT in Key Par tner/ Agent Information
Scheme/Plan/Sub Option/ Frequency
Growth Option Income Distribution cum Capital Withdrawal (IDCW) Option Payout
(The amounts can be distributed out of investor’s capital (Equalization Reserve), which is part of sale price that represents realized gains.) Reinvestment
Mode of Payment Cheque Demand Draft NEFT/ RTGS/ Fund Transfer One Time Mandate (OTM)
Please note that OTM can be selected as mode of payment provided OTM is already registered. In case OTM is not registered please fill in the attached OTM Debit Mandate to make future
transactions via OTM
Payment Type [Please (P)] Non-Third Party Payment Third Party Payment (Please attach ‘Third Par ty Payment Declaration Form’)
Pay-In Bank Account No. Cheque/ DD/ Cheque/ DD/ Amount of Cheque / DD / DD Charges, Net Cheque/ DD
Drawn on Bank / Branch (For Cheque Only) Payment Instrument/ Payment Instrument/ Payment Instrument / if any
UTR No. UTR Date RTGS/ NEFT in figures (Rs.) Amount

Cheque/ DD Amount (in words):

11. BANK ACCOUNT DETAILS OF THE FIRST / SOLE APPLICANT (For redemption/ IDCW Payments if any) (refer instruction 5)
(Mandatory to attach proof, in case the pay-out bank account is different from the bank account mentioned under Section 10 below.)
For unit holders opting to hold units in demat form, please ensure that the bank account linked with the demat account is mentioned here.
Bank Name
Mandatory

Branch Name Bank City

Account Number
MICR Code (The 9 digit code appears on your cheque next to the cheque number)
Account Type (Please P) Savings Current NRO NRE FCNR Others (please specify) _______________________
*** Refer Instruction 5C (Mandatory for Credit via NEFT / RTGS) (11 Character code appearing on your
IFSC Code*** cheque leaf. If you do not find this on your cheque leaf, please check for the same with your bank)

12. NOMINATION FOR UNITS IN NON-DEMAT MODE (Mandatory for new folios. For existing folios, mandatory to follow instruction no. 15)
I/We wish to nominate as under: OR 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.
Name and Address of Nominee(s) PAN Relationship Signature of Nominee Proportion (%) in which the
of Guardian Date of Birth Name and Address of Guardian (Optional)/ Guardian of units will be shared by
(IN CAPITALS)
with Nominee Nominee (Mandatory) each Nominee (should
(Proof to be (to be furnished in case the Nominee is a minor) aggregate to 100%)
attached)
Nominee 1

Nominee 2

Nominee 3

Proof of Relationship of Guardian with Minor: Birth Certificate School Leaving Certificate Passport Others _________________________
I/We have read and understood the instructions on nomination and I/We hereby undertake to abide by the same. The instructions contained herein supercedes all previous nominations made by
me/us in respect of the folio(s) mentioned above.

POA holder cannot

nominate.
First / Sole Applicant Second Applicant Third Applicant
13. DECLARATION & SIGNATURE/S (refer instruction 14)
I / We have read, understood the terms and conditions of the scheme related documents of the respective scheme(s) SIGN HERE
and agree to comply with the same as an Unitholder. I /We hereby apply to the Trustees for allotment of Units of the
Scheme(s) of HDFC Mutual Fund (‘Fund’) and confirm and declare as under: (Please write Application Form No. / Folio No.
(a) I/We am/are eligible Investor(s) as per the scheme related documents and not prohibited by any order/ruling/ on the reverse of the Cheque / Demand Draft /
judgment passed by SEBI/ Statutory Authority or Courts in India and Foreign laws. I am/We are authorised to
make this investment as per the Constitutive documents/ authorization(s). The amount invested in the Payment Instrument.)
Scheme(s) is through legitimate sources only and is not for the purpose of contravention and/or evasion of any
act, rules, regulations, notifications or directions issued by any regulatory authority in India.
(b) I / We will be bound by the Fund's terms and conditions as amended from time to time.
(c) The information given by me /us in or along with this application form is true and correct and I/we shall furnish
such other further/additional information as may be required by the HDFC Asset Management Company Limited
(AMC)/ Fund .I/We undertake to promptly inform the AMC / Fund/Registrars and Transfer Agent (RTA) in writing First / Sole
about any change in the information furnished by me/us from time to time. Applicant /
(d) I/We hereby authorize you to disclose, share, remit in any form/manner/mode the above information and/or any
part of it including the changes/updates that may be provided by me/us to the Fund, its Sponsor/s, Trustees, Guardian
Asset Management Company, its employees, agents and third party service providers, SEBI registered
intermediaries for single updation/ submission, any Indian or foreign statutory, regulatory, judicial, quasi- judicial
authorities/agencies including but not limited to Financial Intelligence Unit-India (FIU-IND) etc without any SIGN
intimation/advice to me/us.
(e) I/We hereby consent for providing transactions data feed, portfolio holdings, NAV etc. in respect of my/our
transactions under Direct Plan to the RIA/Portfolio Managers/Stock Broker registered in the concerned folio, if
applicable.
(f) I/We shall be liable and responsible for any loss, claims suffered, directly or indirectly by AMC/ Fund/ RTA/ SEBI
Intermediaries, arising out of any false, misleading, inaccurate and incomplete information furnished by me/us at
the time or investing/redeeming the units. I/We hereby unconditionally and irrevocably indemnify and at all time
keep indemnified, save and harmless AMC/Fund/Trustee and their officers, directors and employees against all
actions, proceedings, claims, losses, damages, charges and expenses incurred or suffered /paid by AMC/Fund
SIGNATURE(S)

in this regard and in case of any dispute regarding the eligibility, validity and authorization of my/our transactions. Second
(g) The ARN holder (AMFI registered Distributor) has disclosed to me/us all the commissions (in the form of trail Applicant
commission or any other mode), payable to him/them for the different competing Schemes of various Mutual
April 2022

Funds from amongst which the Scheme is being recommended to me/us.

(h) I/WE HEREBY CONFIRM THAT I/WE HAVE NOT BEEN OFFERED/ COMMUNICATED ANY INDICATIVE SIGN
PORTFOLIO AND/ OR ANY INDICATIVE YIELD BY THE FUND/AMC/ITS DISTRIBUTOR FOR THIS
INVESTMENT.
Consent for Telemarketing (Refer Instruction 20):
I/We hereby accord my/our consent to HDFC AMC for receiving the promotional information/ material via email,
SMS, telemarketing calls etc. on the mobile number and email provided by me/us in this Application Form.
Consent for disclosure of Personal Information in terms of Privacy Policy
I/We hereby confirm to have read, understood and agree to the terms of Privacy Policy (available on
https://www.hdfcfund.com) (“Policy”) of HDFC AMC/ Fund.
I/We hereby accord my/our consent to HDFC AMC/Fund for collecting, receiving, possessing, storing, dealing,
handling or disclosure of my/ our Personal Data and hereby authorize to disclose it to the third party or another body Third
corporate or any person acting under a lawful contract with HDFC AMC, in accordance with the Privacy Policy. Applicant
For Foreign Nationals Resident in India only:
I/We will redeem my/our entire investment/s before I/We change my/our Indian residency status. I/We shall be
fully liable for all consequences (including taxation) arising out of the failure to redeem on account of change in SIGN
residential status.
For NRIs/ PIO/ OCIs/ FPIs only:
I/We confirm that my application is in compliance with applicable Indian and foreign laws.
For NRIs/ PIO/OCIs Please (P) Repatriation basis Non-repatriation basis
 CHECKLIST
+ Please ensure that your Application Form is complete in all respect and signed by all applicants:
• Name, Address and Contact Details are mentioned in full. • Status of First/Sole Applicant is correctly indicated. • Bank Account Details are entered completely and correctly.
• Permanent Account Number (PAN) of all Applicants is mentioned irrespective of the amount of purchase and proof attached (if not already validated) OR PAN Exempt KYC Reference Number
(PEKRN) in case of PAN exempt investment.
• Please attach proof of KYC Compliance status if not already validated. • Appropriate Plan / Option is selected.
• If units are applied by more than one applicant, Mode of Operation of account is indicated.
+ Your investment Cheque / DD is drawn in favour of 'the Specific Scheme A/c PAN' or 'the Specific Scheme A/c Investor Name' dated, signed and crossed ‘A/c Payee only’. Application Number / Folio No.
is mentioned on the reverse of the Cheque/DD.
+ Documents as listed below are submitted along with the Application Form (as applicable to your specific case).
Documents Individuals/ Companies/ Trusts/ FPI@@ NRI/ Minor Investments through
HUF/ Sole Societies/ Partnership OCI/ Constituted Attorney
Proprietary Firms Firms/ LLP PIO
1. Board/ Committee Resolution/ Authority Letter 3
2. List of Authorised Signatories with Specimen Signature(s) @ 3 3 3
3. Notarised Power of Attorney 3
4. Account Debit Certificate in case payment is made by DD from NRE / FCNR A/c. where applicable 3
5. PAN Proof 3 3 3 3 3# 3
6. KYC Acknowledgement Letter / Print out of KYC Compliance Status downloaded from
CDSL Ventures Ltd. website (www.cvlindia.com) 3 3 3 3 3# 3
7. Proof of Date of Birth 3
8. Proof of Relationship with Guardian (where Minor is Investor or Nominee) 3
9. PIO / OCI Card (as applicable) 3
10. Certificate of registration granted by Designated Depository Participant on behalf of SEBI 3
11. Ultimate Beneficial Owner 3 3 3
12. FATCA & CRS 3 3 3 3 3 3
@ Should be original or true copy certified by the Director / Trustee / Company Secretary / Authorised Signatory / Notary Public, as applicable.
@@
As per prevailing SEBI (FPI) Regulations, 2019, FPIs can invest in Indian Securities only through Stock Broker and in demat mode only. # If PAN/PEKRN/KYC proof of Minor is not available,
PAN/PEKRN/KYC proof of Guardian should be provided.
 APPLICATION FORM FOR SIP & FLEX SIP
[For Investments through NACH/ Direct Clearing/
Direct Debit Facility/ Standing Instruction]
Important: Please strike out the Section(s) that is/are not used by you to avoid any unauthorised use April 2022

Please (P) as applicable:

OTM Debit Mandate is already registered in the folio. [No need to submit again]. SIP Auto debit can start in 10 Days i.e. for debit date 15th, form can be submitted till 4th of the month.
OTM Debit Mandate is attached and to be registered in the folio. SIP Auto debit will start after mandate registration which takes 10 to 30 days depending on NACH modalities.

Enrolment Form no.

KEY PARTNER / AGENT INFORMATION (Investors applying under Direct Plan must mention “Direct” in ARN column.) FOR OFFICE USE ONLY (TIME STAMP)
ARN/RIA Code/Stock Broker/ ARN/RIA /Stock Broker/ Sub-Agent’s ARN Bank Branch Code Internal Code Employee Unique
Portfolio Manager Registration Portfolio Manager's Name for Sub-Agent/ Identification Number
Number (PMRN) Employee (EUIN)

ARN-

EUIN Declaration (only where EUIN box is left blank) (Refer Item No. 2(I)a)
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 Here Sign Here Sign Here

First/ Sole Applicant/ Guardian Second Applicant Third Applicant
Transaction Charges for Applications through Distributors only (Refer Item No. 13) Date: D D M M Y Y Y Y
If the total commitment of investment through SIP (i.e. amount per SIP installment X no. of installments) amounts to Rs.10,000 or more and your Distributor has opted to receive transaction
Charges, the same are deductible as applicable from the installment amount and payable to the Distributor. In such cases Transaction Charge will be recoverable in 3-4 installments. Units will be
issued against the balance of the installment amounts invested.

Please (P) any one. In the absence of indication of the option the form is liable to be rejected.

NEW REGISTRATION CANCELLATION (Refer Item No. 7)

1) INVESTOR DETAILS
Application No. (For new investor)/ Folio No. (For existing Unitholder)
First/ Sole Applicant Details
Mobile No. Email Id
NAME OF FIRST / SOLE APPLICANT Mr. Ms. M/s.

NAME OF THE SECOND APPLICANT Mr. Ms. M/s.

NAME OF THE THIRD APPLICANT Mr. Ms. M/s.

Applicant PAN/ PEKRN# (Mandatory) KYC Number KYC Proof

Mandatory Attached
Sole / First Applicant

Second Applicant

Third Applicant

Guardian/POA Holder

# Please attach Proof. If PAN/PEKRN/KYC is already validated please don’t attach any proof. PEKRN mandatory for Micro SIP. Refer Item No. 11 and 12.
NAME OF THE GUARDIAN (In case of minor) / CONTACT PERSON - DESIGNATION (In case of Non-individual Investors)/ PoA HOLDER
Mr. Ms. M/s.
RELATIONSHIP WITH MINOR

I/WE WOULD LIKE TO INVEST TO MEET MY/OUR FINANCIAL GOALS (choose anyone (P) (Refer Item No. 15)

Purchase of Residence Children’s Education Children’s Marriage Retirement Please Specify

Others __________________________________________

Target Amount

ACKNOWLEDGEMENT SLIP (To be filled in by the Unit holder)

HDFC MUTUAL FUND
Head Office : HDFC House, 2nd Floor, H.T. Parekh Marg, 165-166, Backbay Reclamation, Churchgate, Mumbai - 400 020.
Date:
ISC Stamp & Signature
Application/ Folio No.
Received from Mr./Ms./M/s. SIP application
Scheme / Plan / Option Scheme 1
Scheme 2
 2A) INVESTMENT DETAILS FOR SIP [Please tick (P)]
Scheme Name (1) Plan Option/Sub-option
______________________________________________________________ Regular Direct _______________________________________
SIP Installment Start Month/Year End Month/Year (Default Dec 2040)* SIP Frequency (Please refer Item iii) Daily++ Weekly##
+
Amount (`) _____________________________ M M Y Y Y Y M M Y Y Y Y Monthly Quarterly Half-Yearly Yearly
SIP Date (Please (ü) one or more of the following dates) (Please refer Item 5) For Weekly SIP (Please (ü) Monday Tuesday Wednesday+ Thursday Friday
1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th+ 11th 12th 13th 14th 15th 16th
17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th 29th 30th 31st
SIP TOP-UP (ü) Not available for Daily and Weekly SIP SIP TOP-UP CAP CAP Month-Year#:
Amount (`)^ __________________ $ CAP Amount*: ` ________________________ OR
+
OR Percentage (%) ______ (Investor has to choose only one option) M M Y Y Y Y
Frequency (ü): Half Yearly Yearly Frequency: Yearly
Scheme Name (2) Plan Option/Sub-option
______________________________________________________________ Regular Direct _______________________________________
SIP Installment Start Month/Year End Month/Year (Default Dec 2040)* SIP Frequency (Please refer Item iii) Daily++ Weekly##
Amount (`) _____________________________ M M Y Y Y Y M M Y Y Y Y Monthly+ Quarterly Half-Yearly Yearly
SIP Date (Please (ü) one or more of the following dates) (Please refer Item 5) For Weekly SIP (Please (ü) Monday Tuesday Wednesday+ Thursday Friday
1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th+ 11th 12th 13th 14th 15th 16th
17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th 29th 30th 31st
SIP TOP-UP (ü) Not available for Daily and Weekly SIP SIP TOP-UP CAP CAP Month-Year#:
Amount (`)^ __________________ $ CAP Amount*: ` ________________________ OR
+
OR Percentage (%) ______ (Investor has to choose only one option) M M Y Y Y Y
Frequency (ü): Half Yearly Yearly Frequency: Yearly
Scheme Name (3) Plan Option/Sub-option
______________________________________________________________ Regular Direct _______________________________________
SIP Installment Start Month/Year End Month/Year (Default Dec 2040)* SIP Frequency (Please refer Item iii) Daily++ Weekly##
+
Amount (`) _____________________________ M M Y Y Y Y M M Y Y Y Y Monthly Quarterly Half-Yearly Yearly
SIP Date (Please (ü) one or more of the following dates) (Please refer Item 5) For Weekly SIP (Please (ü) Monday Tuesday Wednesday+ Thursday Friday
1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th+ 11th 12th 13th 14th 15th 16th
17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th 29th 30th 31st
SIP TOP-UP (ü) Not available for Daily and Weekly SIP SIP TOP-UP CAP CAP Month-Year#:
Amount (`)^ __________________ $ CAP Amount*: ` ________________________ OR
+
OR Percentage (%) ______ (Investor has to choose only one option) M M Y Y Y Y
Frequency (ü): Half Yearly Yearly Frequency: Yearly
+ ++ ##
Default, if not selected. • Triggered and processed only on all Business Days and SIP TOP up facility shall not be available. • Triggered and processed on the day opted by the investor. If the day opted
falls on non-business day, it will be triggered and processed on the next business day and SIP TOP up facility shall not be available. • In case of Quarterly SIP, only the Yearly option is available as SIP Top-Up
frequency. • ^TOP UP amount has to be in multiples of Rs.100 only. Please see Item v (a)) • $The minimum TOP UP Percentage has to be 10% and in multiples of 1% thereafter, of the existing SIP installment.
Investors/unit holders subscribing for this facility are required to submit the request at least 30 days prior to the SIP date. Top-up will be applicable from next effective SIP installment.
*TOP-UP CAP amount: Please refer Item v (b){1}] # TOP-UP CAP Month-Year: Please refer Item v (b){2}]
Maximum amount of debit (SIP+Top-up) under direct debit facility for investors with bank accounts with State Bank of India shall not exceed Rs. 5,00,000/- per installment.
First SIP Transaction via Cheque No. Cheque Dated D D M M Y Y Y Y Amount@ (Rs.)
Mandatory Enclosure (if 1st Installment is not by cheque) Blank cancelled cheque Copy of cheque @The first cheque amount should be same
The name of the first/ sole applicant must be pre-printed on the cheque. as each/total SIP Amount.
2B) INVESTMENT DETAILS FOR FLEX SIP [Please tick (P)]
Scheme Name (1) Plan Option/Sub-option
_________________________________________________________________________ Regular Direct Growth
SIP Installment SIP Frequency [Please refer Item No. E] Start Month/Year
+
Amount (`) ______________________________________________________________
Maximum Rs. 1,00,000 Monthly Quarterly M M Y Y Y Y
SIP Date (Please (ü) one or more of the following dates) (Please refer Item No. 5)
1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th+ 11th 12th 13th 14th 15th 16th
17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th 29th 30th 31st
+
Tenure of SIP - Please (ü) (Please refer Item No. D) 3 Years 5 Years 10 Years
20 Years 15 Years
Scheme Name (2) Plan Option/Sub-option
_________________________________________________________________________ Regular Direct Growth
SIP Installment SIP Frequency [Please refer Item No. E] Start Month/Year
+
Amount (`) ______________________________________________________________
Maximum Rs. 1,00,000 Monthly Quarterly M M Y Y Y Y
SIP Date (Please (ü) one or more of the following dates) (Please refer Item No. 5)
1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th+ 11th 12th 13th 14th 15th 16th
17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th 29th 30th 31st
+
Tenure of SIP - Please (ü) (Please refer Item No. D) 3 Years 5 Years 10 Years 15 Years 20 Years
+
Default, if not selected. • Investors/unit holders subscribing for this facility are required to submit the request at least 30 days prior to the SIP date.

First SIP Transaction via Cheque No. Cheque Dated D D M M Y Y Y Y Amount (Rs.)
Mandatory Enclosure (if 1st Installment is not by cheque) Blank cancelled cheque Copy of cheque
The name of the first/ sole applicant must be pre-printed on the cheque.
 3) BANK DETAILS
OTM Bank Details to be debited for the SIP (OTM already Registered)
Bank Name: Account Number:

NOTE: In case the OTM is not registered, please fill in the attached OTM Debit Mandate.

4) UNIT HOLDING OPTION DEMAT MODE* PHYSICAL MODE (Default) (refer instruction 6)
*Demat Account details are mandatory for (i) FPIs and (ii) investors who wish to hold the units in Demat Mode (Account statement (CAS) for units held in demat mode will be issued only by NSDL/CDSL)
Beneficiary
NSDL DP Name DP ID I N Account No.

Beneficiary
CDSL DP Name Account No.
*Investor opting to hold units in demat form, may provide a copy of the DP statement for us to match the demat details as stated in the application form.

5) DECLARATION AND SIGNATURE(S)

I / We hereby confirm and declare as under:-
I/ We have read, understood and agree to comply with the terms and conditions of the scheme related documents of the Scheme and the terms & conditions of enrolment for Systematic Investment Plan (SIP)
and of NACH/ Debit Clearing / Direct Debit / Standing Instruction facilities. I/ We hereby apply to the Trustees for enrolment under the SIP.
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.
SIGNATURE (S)

First/ Sole Unit holder/ Guardian/ POA Holder Second Unit holder Third Unit holder
Please note: Signature(s) should be as it appears in the folio/ on the Application Form and in the same order.
In case the mode of holding is joint, all Unit holders are required to sign.

% %
OTM Debit Mandate Form NACH/DIRECT DEBIT/SI
[Applicable for Lumpsum Additional Purchases as well as SIP Registrations received through various modes]

UMRN OFFICE USE ONLY Date D D M M Y Y Y Y

Utility Code OFFICE USE ONLY Create Modify Cancel

Sponsor Bank Code OFFICE USE ONLY I/We authorize HDFC Mutual Fund
To debit (tick3) SB/CA/CC/SB-NRE/SB-NRO/OTHER Bank A/c number

With Bank IFSC/MICR

an amount of Rupees `
Debit Type Fixed Amount 3 Maximum Amount Frequency Monthly Quarterly Half Yearly Yearly 3 As & when presented
PAN/PEKRN 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 authorised 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
To D D M M Y Y Y Y Signature of Primary Account Holder Signature of Account Holder Signature of Account Holder

Or Until Cancelled
1. Name as in Bank Records 2. Name as in Bank Records 3. Name as in Bank Records
Phone No.
 INSTRUCTIONS TO FILL ONE TIME MANDATE (OTM)

1. Investor may register for the One Time Mandate (OTM) for NACH/DIRECT 7. Date and the validity of the mandate should be mentioned in DD/MM/YYYY
DEBIT/Standing Instruction (SI), as applicable, for payment towards any future format.
purchase transactions (eg lumpsum, SIP) received through any mode i.e.
8. Utility Code of the Service Provider will be mentioned by HDFC Mutual Fund
physical or electronic (“OTM facility”). Investors who have already submitted a
One Time Mandate (OTM) form i.e. already registered for OTM facility should not 9. Tick on the respective option to select your choice of action and instruction.
submit OTM form again as OTM registration is a one-time process only for each
10. The numeric data like Bank account number, Investors account number should
bank account. However, if such investors wish to add a new bank account
be left padded with zeroes.
towards OTM facility may fill the form.
11. Please mention the Name of Bank and Branch, IFSC / MICR Code.
2. Investors, who have not registered for OTM facility, may fill the OTM form and
submit duly signed with their name mentioned. 12. The maximum amount per transaction that can be processed must be mentioned
in words. The amount in figures should be same as the amount mentioned in
3. Mobile Number: Unit holder(s) should mandatorily provide their mobile number
words. In case of ambiguity, the mandate will be rejected.
on the mandate form.
13. If the investor wishes to opt for more than one dates / frequencies for debit from
4. Where the mode of holding in the bank account is “Joint”, the OTM mandate is to
the bank account as in case of Systematic Investment Plan, it is advisable to
be signed by all Jointholders. Unit holder(s) need to provide along with the
select - "As & when presented".
mandate form an original cancelled cheque (or a copy) with name and account
number pre-printed of the bank account to be registered or bank account 14. There is no maximum duration for enrolment.
verification letter for registration of the mandate failing which registration may not
An investor has an option to choose the ‘End Date’ of the mandate by filling the
be accepted. The Unit holder(s) cheque/ bank account details are subject to third
date or the Default Date i.e. December 2040 will be the end date.
party verification.
15. Please affix the Names of investors and signature/s as well as seal of Company
5. PAN/PEKRN: Investors should provide the PAN/PEKRN of the First Holder in the
(where required) and sign the undertaking.
space provided.
16. Investors enrolling for Daily/ Weekly SIP should select “As & when presented” as
6. Investors are deemed to have read and understood the terms and conditions of
payment frequency in the OTM.
OTM Facility, SIP registration through OTM facility, the Scheme Information
Document, Statement of Additional Information, Key Information Memorandum,
Instructions and Addenda issued from time to time of the respective Scheme(s)
of HDFC Mutual Fund.

% %

Declaration: I/We hereby declare that the particulars provided in this mandate are correct and complete and hereby agree to participate in the NACH/Direct Debit/Standing Instructions (SI) and make
payments through the NACH platform according to the terms and conditions thereof. I/We further hereby agree and acknowledge that I/we will not hold the AMC and/or responsible for any delay and/or
failure in debiting my bank account for reasons not attributable to the negligence and/or misconduct on the part of the AMC I/We hereby declare and confirm that, irrespective of my/our registration of the
above mobile number in the 'DO NOT DISTURB (DND)', 'or in any similar register maintained under applicable laws, now or subsequent to the date hereof, I/We hereby consent to the Bank/AMC
communicating with me/us in any manner whatsoever on the said mobile number with respect to the transactions carried out in my/our aforementioned bank account(s). I/We will inform the AMC about
any changes in my bank account. I/We hereby agree to abide by the terms and conditions that may be intimated to me/us by the AMC/Bank with respect to the NACH/Direct Debit/SI from time to time.
Authorisation to Bank: This is to inform that I/We have registered for NACH (Debit Clearing) / Direct Debit / SI facility and that the payment towards my/our investments in the Schemes of HDFC Mutual
Fund shall be made from my/our above mentioned bank account with your Bank. I/We hereby authorize the representatives of HDFC Asset Management Company Limited, Investment Manager to HDFC
Mutual Fund carrying this mandate form to get it verified and executed. I/We authorize the Bank to debit my/our above-mentioned bank account for any charges towards mandate verification, registration,
transactions, returns, etc, as applicable for my/our participation in NACH/Direct Debit/SI.