Common Application Form For Resident Indians and NRIs/FPIs

(Please read the instructions before filling up the form. All sections to be completed in english in black / blue coloured ink and in block letters.)
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Distributor Name & ARN/ RIA No. Sub Broker Name & ARN/ RIA No. Sub Broker Code Employee Unique ID. No. (EUIN) Application No.
E
Distributor Mobile No. Distributor Email Id
Applicable only for Regular Schemes. Please note the Distributor Mobile & Email Id will not be updated in the Broker Master and will be restricted to this transaction only.
EUIN is mandatory for “Execution Only” transactions. Ref. Instruction No. 9
I/we hereby confirm that the EUIN box has been intentionally left blank my 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.

First Applicant / Authorised Signatory Second Applicant Third Applicant

Transaction Charges for Applications routed through Distributors/agents only (Refer Instruction 1 (viii))
In case the subscription (lumpsum) amount is ` 10,000/- or more and your Distributor has opted to receive Transaction Charges, ` 150/- (for first time mutual fund investor) or ` 100/- (for investor other than
first time mutual fund investor) will be deducted from the subscription amount and paid to the distributor. Units will be issued against the balance amount invested.

Existing Unitholder please fill in your Folio No., Name & Email ID and then proceed to Section 5 (Applicable details and Mode of holding will be as per the existing Folio No.)

Existing Folio No. GSTIN

1. FIRST / SOLE APPLICANT INFORMATION (MANDATORY) (Refer Instruction No. 2,3,4) Fresh / New Investors fill in all the blocks. (1 to 8) In case of investment "On behalf of Minor", Please Refer Instruction no. 2(ii)

Name of First/Sole Applicant Mr. Ms. M/s.

(as per PAN Card)#
PAN / PEKRN (Mandatory) Date of Birth** D D M M Y Y Y Y

(Prefix
CKYC Number if any)
14 digit CKYC Number

Name of the Second Applicant Mr. Ms. M/s.

(as per PAN Card)#
PAN / PEKRN (Mandatory) Date of Birth** D D M M Y Y Y Y

(Prefix
CKYC Number if any)
14 digit CKYC Number

Name of the Third Applicant Mr. Ms. M/s.

(as per PAN Card)#
PAN / PEKRN (Mandatory) Date of Birth** D D M M Y Y Y Y

(Prefix
CKYC Number if any)
14 digit CKYC Number
Name of the Guardian (as per PAN Card)# (In case First / Sole Applicant is minor) / Contact Person - Designation - Poa Holder (In case of Non-individual Investors)

Mr. Ms. M/s.

PAN / PEKRN (Mandatory) Date of Birth** D D M M Y Y Y Y

(Prefix
CKYC Number if any)
14 digit CKYC Number

Relationship of Guardian (Refer Instrcution No. 2(ii))

ISD CODE TEL: OFF. S T D -

#The application is liable to get rejected if

TEL: RESI S T D -
does not match with PAN card

Proof of the Relationship with Minor** ** Mandatory in case the First / Sole Applicant is Minor
08/2021 - Print

Tax Status [Please tick (3)] (Applicable for First / Sole Applicant)
Resident Individual FPIs NRI - NRO HUF Club / Society PIO Body Corporate Minor Government Body

Trust NRI - NRE Bank and FI Sole Proprietor Partnership Firm Provident Fund Others (Please Specify)

Acknowledgement Slip (To be filled in by the Investor) Common Application Form

Collection Centre /
Application No.
ABSLAMC Stamp & Signature

Received from Mr. / Ms. __________________________________________________________ Date : _____/_____/___________

[Please Tick (3)] Enclosed PAN/PEKRN Proof KYC Complied NECS Form Yes No

Aditya Birla Sun Life AMC Limited (Investment Manager to Aditya Birla Sun Life Mutual Fund) Contact Us:
Regn. No.: 109. Regd Office: One World Center, Tower 1, 17th Floor, Jupiter Mill Compound, 1800-270-7000
841, Senapati Bapat Marg, Prabhadevi, Mumbai - 400013
+91 22 4356 7000 | [email protected] | www.adityabirlasunlifemf.com | CIN: U65991MH1994PLC080811
adityabirlacapital.com
 MODE OF HOLDING [Please tick (3)] (Please Refer Instruction No. 2(v)) Joint Single Anyone or Survivor (Default option is Anyone or survivor)
MAILING ADDRESS OF FIRST / SOLE APPLICANT (P. O. Box Address is not sufficient. Please provide full address.)

CITY

STATE PINCODE

OVERSEAS ADDRESS (Mandatory for NRI/FPI Applicant.)

CITY COUNTRY ZIP CODE

2. GO GREEN [Please tick (3)] (Refer Instruction No. 10)

SMS Transact Online Access I/ We would like to register for my/our SMS Transact and/
Mobile No. +91
or Online Access
Email Id
Default Communication mode is E-mail only, if you wish to receive following document(s) via physical mode: [Please tick (3)] Account Statement Annual Report Other Statutory Information

Facebook Id Twitter Id

3. BANK ACCOUNT DETAILS (In case of Minor investment, bank details should be of Minor or from a joint account of Minor with the guardian only) Refer Instruction No. 3(A)
Name of the Bank

Branch Address

Pin Code City

Account No.

Account Type [Please tick (3)] SAVINGS CURRENT NRE NRO FCNR OTHERS (Please Specify)

11 Digit IFSC Code 9 Digit MICR Code

4. INVESTMENT DETAILS [Please tick (3)] (Refer Instruction No. 5, 9 & 14) (If this section is left blank, only folio will be created)
Separate cheque/ demand draft must be issued for each investment drawn in favour of respective scheme name and the instrument should be crossed “A/c Payee Only”.
Please write appropriate scheme name as well as the Plan/Option/Sub Option

S. Cheque/ DD Favouring/ Auto Debit Mandate Cheque Amount DD Net Amount Cheque/DD No./UTR No.
Plan/Option
No. Scheme Name* (refer Instruction 5) Mandate Date Invested (`) Charges^ Paid (`) (in case of NEFT/RTGS)

ABSL
1.
Drawn on Bank/Branch: ______________________________________________________________ A/c no._____________________________________ A/c Type: ______________
ABSL
2.
Drawn on Bank/Branch: ______________________________________________________________ A/c no._____________________________________ A/c Type: ______________
ABSL
3.
Drawn on Bank/Branch: ______________________________________________________________ A/c no._____________________________________ A/c Type: ______________
ABSL
4.
Drawn on Bank/Branch: ______________________________________________________________ A/c no._____________________________________ A/c Type: ______________
ABSL
5.
Drawn on Bank/Branch: ______________________________________________________________ A/c no._____________________________________ A/c Type: ______________
# (Type of Account : Saving / Current / NRE / NRO / FCNR / NRSR) *All purchases are subject to realization of funds ^Refer to Instruction No. 5 (vi)

KYC DETAILS (Mandatory)

OCCUPATION [Please tick (3)]
Private Sector Service Public Sector Service Government Service Business Professional Agriculturist Retired Housewife
FIRST APPLICANT
Student Forex Dealer Others .............................................................................................. (please specify)
Private Sector Service Public Sector Service Government Service Business Professional Agriculturist Retired Housewife
SECOND APPLICANT
Student Forex Dealer Others .............................................................................................. (please specify)
Private Sector Service Public Sector Service Government Service Business Professional Agriculturist Retired Housewife
THIRD APPLICANT
Student Forex Dealer Others .............................................................................................. (please specify)

Payment Details
S. Plan / Option Net Amount Paid (`)
Scheme Name
No. Cheque/DD No./UTR No.
(in case of NEFT/RTGS) Bank and Branch

1. ABSL
 GROSS ANNUAL INCOME [Please tick (3)]
Below 1 Lac 1-5 Lacs 5-10 Lacs 10-25 Lacs > 25 Lacs - 1 Crore > 1 Crore
FIRST APPLICANT
Net worth (Mandatory for Non - Individuals) Rs. ______________________________________ as on D D M M Y Y Y Y [Not older than 1 year]

SECOND APPLICANT Below 1 Lac 1-5 Lacs 5-10 Lacs 10-25 Lacs > 25 Lacs - 1 Crore > 1 Crore OR Net Worth ______________________________________

THIRD APPLICANT Below 1 Lac 1-5 Lacs 5-10 Lacs 10-25 Lacs > 25 Lacs - 1 Crore > 1 Crore OR Net Worth ______________________________________

For Individuals For Non-Individual Investors (Companies, Trust, Partnership etc.)

I am I am Not
Politically Related to Applicable Is the company a Listed Company or Subsidiary of Listed Company or Controlled by a Listed Company: Yes No
Exposed Politically (If No, please attach mandatory UBO Declaration)
Person Exposed
Person
Foreign Exchange / Money Charger Services Yes No
Sole/First Applicant
Gaming / Gambling / Lottery / Casino Services Yes No
Second Applicant
Third Applicant Money Lending / Pawning Yes No

5. DEMAT ACCOUNT DETAILS (OPTIONAL) (If Demat details are provided, units will be compulsorily given in Demat form only) (Please ensure that the sequence of names as mentioned in the application form matches with that of
the A/c. held with the depository participant.) Refer Instruction No. 3(B)

NSDL: Depository Participant Name: _______________________________ DPID No.: I N Beneficiary A/c No.

CDSL: Depository Participant Name: ______________________________________ Beneficiary A/c No.

Enclosed: Client Master Transaction/ Statement Copy/ DIS Copy

6. NOMINATION DETAILS (Mandatory) (Refer Instruction No. 7)

I/We wish to nominate I/We DO NOT wish to nominate and sign here ................................................................................................. 1st Applicant Signature (Mandatory)
Nominee Name and Address Applicant’s Relationship Guardian Name (in case of Minor) Allocation % Nominee/ Guardian Signature
with the Nominee

Nominee 1

Nominee 2

Nominee 3

7. FATCA & CRS INFORMATION [Please tick (3)] For Individual Investors including Sole Proprietor (Non Individual Investors should mandatorily fill seperate FATCA detail form)
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)
Is the applicant(s)/ guardian's Country of Birth / Citizenship / Nationality / Tax Residency other than India? Yes No
If Yes, please provide the following information [mandatory]
Please indicate all countries in which you are resident for tax purposes and the associated Tax Reference Numbers below.
Category First Applicant (including Minor) Second Applicant/ Guardian Third Applicant
Name of Applicant
Place/ City of Birth
Country of Birth
Country of Tax Residency#
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. DECLARATION(S) & SIGNATURE(S) (Refer Instruction No. 1)
To,
Date D D M M Y Y Y Y
The Trustee,
Aditya Birla Sun Life Trustee Private Limited.
Having read and understood the contents of the Statement of Additional Information / Scheme Information Document of the Scheme, I/We hereby apply for units of the scheme and agree
to abide by the terms, conditions, rules and regulations governing the scheme. I/We hereby declare that the amount invested in the scheme is through legitimate sources only and does not
involve and is not designed for the purpose of the contravention of any Act, Rules, Regulations, Notifications or Directions of the provisions of the Income Tax Act, Anti Money Laundering
Laws, Anti Corruption Laws or any other applicable laws enacted by the government of India from time to time. I/We have understood the details of the scheme & I/we have not received
nor have been induced by any rebate or gifts, directly or indirectly in making this investment.
For Non-Individual Investors: I/We hereby confirm that the object clause of the constitution document of the entity (viz. MOA / AOA / Trust Deed, etc.), allows us to apply for investment
in this scheme of Aditya Birla Sun Life AMC Limited and the application is being made within the limits for the same. I/We are complying with all requirements / conditions of the entity while
applying for the investments and I/We, including the entity, if the case may arise so, hereby agree to indemnify ABSLAMC / ABSLMF in case of any dispute regarding the eligibility, validity
and authorization of the entity and/or the applicants who have applied on behalf of the entity.
For NRIs only: I/We confirm that I am/we are Non Residents of Indian Nationality/Origin and that I/we have remitted funds from abroad through approved banking channels or from funds
in my/our Non-Resident External/Non-Resident Ordinary/FCNR account. (Refer Inst. No. 6)
I/We confirm that details provided by me/us are true and correct.**
** I have voluntarily subscribed to the on-line access for transacting through the internet facility provided by Aditya Birla Sun Life AMC Limited (Investment Manager of Aditya Birla Sun Life
Mutual Fund) and confirm of having read, understood and agree to abide the terms and conditions for availing of the internet facility more particularly mentioned on the website
www.adityabirlasunlifemf.com and hereby undertake to be bound by the same. I further undertake to discharge the obligations cast on me and shall not at any time deny or repudiate the on-line
transactions effected by me and I shall be solely liable for all the costs and consequences thereof.
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 / We acknowledge that the RIA has entered into an agreement with the AMC / MF for accepting transaction feeds under the code. I / We hereby indemnify, defend and hold harmless the AMC /
MF against any regulatory action, damage or liability that they may suffer, incur or become subject to in connection therewith or arising from sharing, disclosing and transferring of the aforesaid
information."
FATCA & CRS Declaration: I/ We have understood the information requirements of this Form (read along with FATCA & CRS Instructions) and hereby confirm that the information provided
by me/ us on this Form is true, correct, and complete. I/ We also confirm that I/ We have read and understood the FATCA & CRS Terms and Conditions and hereby accept the same. (Refer
Inst. No. 14)

Signature of First Applicant / Authorised Signatory Signature of Second Applicant Signature of Third Applicant

CONFIRMATION CLAUSE
I/We hereby give consent to the Company or its Authorized Agents and third party service providers to use information/data provided by me to contact me through any channel of
communication including but not limited to email, telephone, sms, etc. and further authorise the disclosure of the information contained herein to its affiliates/group companies or
their Authorized Agents or Third Party Service Providers in order to provide information and updates to me on various financial and investment products and offering of other services.
I/We agree that all personal or transactional related information collected/provided by me can be shared/transferred and disclosed with the above mentioned parties including with
any regulatory, statutory or judicial authorities for compliance with any law or regulation in accordance with privacy policy as available at the website of the Company. Yes No

VALUE ADD
I/We am/are interested in knowing my/our credit score and am/are happy to receive help in this regard.
I / We hereby provide my consent to :-
1. Aditya Birla Sun Life AMC Limited and its group companies & associates to conduct check on my/our credit information with any of the credit bureau.
2. Aditya Birla Sun Life AMC Limited and its group companies & associates to conduct a background check either by their employees or through any third party vendor. Yes No