Application Form for Shriram Multi Sector Rotation Fund New Fund Offer opens on: November 18,

ffer opens on: November 18, 2024 Scheme Risk-o-meter Benchmark Riskometer
(An open-ended scheme investing in equity and related instruments following New Fund Offer closes on: December 02, 2024
multi sector rotation theme) Scheme Re-opens for continuous December 13, 2024
sale and repurchase on:
Scheme Code: SHRI/O/E/THE/24/09/0009
This product is suitable for investors who are seeking:
511-512, Meadows, Sahar Plaza, • Capital appreciation over medium to long term in an actively Investors understand that their principal will be at Benchmark Riskometer is at very high risk. As per
J. B. Nagar, Andheri (East), managed portfolio of equity & equity related instruments of very high risk AMFI Tier 1 Benchmark i.e NIFTY 500 TRI value index
Mumbai - 400 059 specific identifiable sectors that are performing well
Website : www.shriramamc.in • Sustainable alpha over the benchmark Application No.

Internal code for sub Bank Serial No./Bank Stamp/

Name & ARN Code Sub Broker Code / ARN EUIN
Agent/Employee Receipt Date

The upfront commission on investment made by the investor, if any, shall be paid to the ARN Holder (AMFI registered distributor) directly by the investor, based on the investor’s assessment of various factors
including service rendered by the ARN Holder.
Applicable only if ARN is mentioned but EUIN box is left blank: “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.” Applicable only if RIA Code is mentioned: “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 SEBI-Registered Investment Adviser whose code is mentioned herein.”
TRANSACTION CHARGES (Refer instructions and tick the appropriate option) Applicable for transactions routed through distributors/agents/brokers who have opted to receive transaction charges.
I am a first time investor in mutual funds (Rs.150 will be deducted). I am an existing mutual funds investor (Rs.100 will be deducted).

Signatures First / Sole Applicant / Guardian Second Applicant Third Applicant

1. INVESTOR EXISTING FOLIO NUMBER INFORMATION (Please fill in your folio Number and proceed to Investment Details)

Folio No. The details in our records under the folio number mentioned will apply for this application.

2. APPLICANT(S) DETAILS (Please refer to instruction No. II (b) & (IV) (Name should be as per Aadhaar) (Mandatory Information)
Sole /First Applicant/Minor* Date of Birth

PAN/PEKRN* Enclose (Please P ) O KYC Acknowledgement Letter AADHAAR No.#

KYC Id No.*
Name of GUARDIAN (In case First/Sole applicant is minor / CONTACT PERSON- DESIGNATION/ PoA HOLDER (In case of Non-Individual Investor) Date of Birth

PAN/PEKRN* KYC Proof Attached (Mandatory) | Relationship with Minor applicant: O Natural guardian O Court applicant guardian AADHAAR No.#

KYC Id No.*
2nd APPLICANT (Name should be as per Aadhaar) Date of Birth

PAN/PEKRN* Enclose (Please P ) O KYC Acknowledgement Letter AADHAAR No.#

KYC Id No.*
3rd APPLICANT (Name should be as per Aadhaar) Date of Birth

PAN/PEKRN* Enclose (Please P ) O KYC Acknowledgement Letter AADHAAR No.#

KYC Id No.*
*If the first/sole applicant is a Minor, then please provide details of Natural/Legal Guardian. # If Aadhaar No. is applied for please enclose proof of enrolment.
Mode of Holding (Please ) Anyone or Survivor Single Joint (Default option is Anyone or Survivor)
Tax Status (Please ) Resident Individual NRI/PIO Trust HUF Bank FIs Sole Proprietorship NRO Other
Minor Company/Body Corporate FIIs Partnership Firm AOP/BOI Society

3. MAILING ADDRESS (Please provide Full Address, P.O. Box No. may not be sufficient, Overseas Investors will have to provide Indian Address)
Local Address of 1st Applicant -

City State Pincode

Tel. Off. Resi. Mobile^
E-mail^
Overseas Correspondence Address (Mandatory for NRI/FII Applicant)
City Country Pincode
^ Primary Holder’s own email address and mobile number to be provided

4. COMMUNICATION (Please )
Opt-in facility to receive physical copy of the scheme - wise annual report or abridged summary there of.
I/We wish to receive Account Statement/Annual Reports/Quarterly Statements/Newsletter/Updates or any other Statutory Information via E-mail/SMS alerts in lieu of Physical Documents.
I/We would like to know more about Shriram MF products over the telephone / Mailer.

5. BANK ACCOUNT DETAILS - MANDATORY (For multiple banks registration please submit the Multiple Bank Registration Form)
Name of the Bank
Branch Address
Bank Branch City State Pincode
Account No. A/C. Type (Please P) Savings NRE Current NRO FCNR
9 digit MICR Code 11 digit IFSC Code
Please attach a cancelled cheque OR a clear photo copy of a cheque

ACKNOWLEDGEMENT SLIP (To be filled in by the Sole / First Applicant)

Shriram Multi Sector Rotation Fund

Application No.

511-512, Meadows, Sahar Plaza, J. B. Nagar, Andheri (East), Mumbai - 400 059 Date / /
Website : www.shriramamc.in
Stamp, Signature & Date
Received from Mr. / Ms. / M/s.

an application for purchase of units of Shriram Multi Sector Rotation Fund for Rs.__________________on date D D / M M / Y Y Y Y
“In case there is any change in your KYC information please update the same by using the prescribed ‘KYC Change Request Form’ and submit the same at the Point of Service of any KYC Registration Agency”

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6. ■ UNIT S I N D E M AT MODE ( Ple a s e P) ■ NSDL ■ CDSL

DP ID Beneficiary Account No./Client ID

DP Name
Note : Please attach the depository transaction statement or DP master data indicating the DP account number of the applicant. Please ensure that sequence of names as
mention in the Application Form match with that of the account held with the DP.

7. POWER OF ATTORNEY (POA)

POA Name

PAN KYC Yes No - if investment is being made by a constitutional Attorney, please submit the notarized copy of the POA

8. INVESTMENT DETAILS AND PAYMENT DETAILS-Cheque/DD/RTGS/NEFT/Transfer (outstation cheques will be rejected) Please P wherever applicable.
Scheme Name : Shriram Multi Sector Rotation Fund
Plan : Regular * Direct Option : Growth
* Default Plan

Investment Amount (Rs.) DD Charges if any (Rs.) Net Amount (in words)

Mode of Payment (Please )

Cheque DD Funds Transfer RTGS/NEFT Rs. (amt. in Rs.) (in words) )

Drawn on Bank

Branch & City Account No.

Cheque / DD No. Date D D M M Y Y Y Y IFSC Code

*A/c Type - S/B source of funds NRE* Current NRO FCNR* | *Kindly provide photocopy of the payment Instrument or Foreign Inward Remittance Certificate (FIRC) evidencing
Cheque/D.D. to be crossed “Account Payee” only and should be drawn payable to :-“Shriram Multi Sector Rotation Fund A/C xxxxxx” (Investor PAN) or “Shriram Multi
Sector Rotation Fund A/C XXXXXX” (Name of the Firstholder)

9. KYC DETAILS (Mandatory)

Occupation Please (P)
Sole/First Private sector service Public sector service Government Services Business Professional Agriculturist Retired
Applicant Housewife Student Forex Dealer Other (Please Specify)
Second Private sector service Public sector service Government Services Business Professional Agriculturist Retired
Applicant Housewife Student Forex Dealer Other (Please Specify)
Third Private sector service Public sector service Government Services Business Professional Agriculturist Retired
Applicant Housewife Student Forex Dealer Other (Please Specify)

Gross Annual Income [Please tick (P)]

Sole/First Below 1 Lac 1-5 Lac 5-10 Lacs 10-25 Lacs >25 Lacs - 1Crore >1 Crore OR Net Worth
Applicant
OR Net worth (Mandatory for Non - Individuals) as on D D M M Y Y Y Y Not order than 1 year

Second Below 1 Lac 1-5 Lac 5-10 Lacs 10-25 Lacs >25 Lacs - 1Crore >1 Crore OR Net Worth
Applicant

Third Below 1 Lac 1-5 Lac 5-10 Lacs 10-25 Lacs >25 Lacs - 1Crore >1 Crore OR Net Worth
Applicant

Others [Please tick (P)]

Sole/First For Individuals [Please tick (P)] I am Politically Exposed Person (PEP)* I am Related to Politically Exposed Person (RPEP) Not applicable
Applicant
For Non Individuals [Please tick (P)] (Please attach mandatory Ultimate Beneficial Ownership (UBO) declaration form:
(i) Foreign Exchange/Money changer services - Yes No (ii) Gaming/Gambling/Lottery/Casino Services - Yes No (iii) Money Lending/Pawing - Yes No

Second Politically Exposed Person (PEP)* Related to Politically Exposed Person (RPEP) Not applicable
Applicant

Third Politically Exposed Person (PEP)* Related to Politically Exposed Person (RPEP) Not applicable
Applicant

Scheme Name : Shriram Multi Sector Rotation Fund

Plan : Regular Direct (Please P any one). Option : Sub Option :
Cheque / DD No. Date : Amount Rs.:

Bank and Branch :

REGISTRAR & TRANSFER AGENTS

Computer Age Management Services Ltd., (SEBI Registration No. : INR000002813)
New No. 10, Old No. 178, M.G.R. Salai, Nungambakkam, Chennai - 600 034, Email [email protected], Website : www.camsonline.com

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10. FATCA AND CRS DETAILS FOR INDIVIDUALS (Including Sole Proprietor) (Mandatory)
Non Individual Investors should mandatorily fill separate FATCA Form (The below information is required for all applications guardian.

Place/City of Birth Country of Birth Country of Citizenship / Nationality

First Applicant/Guardian Indian U.S. Others (Please Specify)

Second Applicant Indian U.S. Others (Please Specify)

Third Applicant Indian U.S. Others (Please Specify)

Are you a tax resident (i.e. are you assessed for Tax) in any other country outside India? Yes No [Please tick (P)]
If “Yes” please fill for All countries (Other than India) in which you are a Resident for tax purpose i.e. where you are a Citizen/Resident /Green Card Holder /Tax Resident in the respective
countries.

Country of Tax Tax identification number Identification Type Country of Citizenship / Nationality
Residency or Functional Equivalent (TIN or other please specify)

First Applicant/Guardian Reason : A B C

Second Applicant Reason : A B C

Third Applicant Reason : A B C

Reason A : The country where the Account Holder is liable to pay tax does not issue Tax Identification Numbers to its residents.
Reason B : No TIN required (Select this reason only if the authorities of the respective country of tax residence do not require the TIN to be collected)
Reason C : Others, please state the reason thereof:

Address Type of Sole/1st Holder : Address Type of 2nd Holder : Address Type of 3rd Holder :
Residential Registered Office Business Residential Registered Office Business Residential Registered Office Business
FATCA Form for Non Individual is available on the website of AMC i.e. www.shriramamc.in or at the CAMS Investor Service

11. NOMINATION DETAILS [Minor / HUF / POA Holder / Non Individuals Cannot Nominate]

I/We do hereby nominate the undermentioned Nominee(s) to receive the units to my/
our credit in the folio no. in the event of my/our death. I/We also understand that all payments made to such Nominee(s) and Signature of the Nominee(s) acknowledging
receipt thereof, shall be a valid discharge by the AMC / Mutual Fund / Trustees.

No. Nominee (s) Name PAN Relationship % of Share* Date of Birth Nominee(s) Signature
1 D D M M Y Y Y Y
2 D D M M Y Y Y Y
3 D D M M Y Y Y Y
No. Name of the Guardian (In case of Nominee is Minor) Guardian(s) Signature
1
2
3
* If the percentage of share is not mentioned then the claim will be settled equally amongst all the indicated nominee(s)
I/We do not wish to nominate anybody on my/our behalf. Signature of the declarant

12. DECLARATION
I/We have read, understand and hereby agree to abide by the Scheme information Document/ Key information Memorandum of the Scheme(s), Foreign Account Tax
Compliance Act (FATCA) and Common Reporting Standards (CRS) under FATCA & CRS provision of the Central Board of Director Taxes notified Rules114 F to 114 H,
as part of the Income tax Rules, 1962. I/We hereby apply to the Shriram Mutual Fund for allotment of units of the Scheme, as indicated above and agree to abide by the
terms, conditions, rules and regulations of the Scheme. I / We hereby confirm and certify that the source of these funds is not directly / indirectly a result of “ proceeds of
crime” as defined in “The Prevention of Money Laundering Act, 2002” and I/we undertake to provide all necessary proof/ documentation, if any, required to substantiate
the facts of this undertaking. I/We have not received nor been induced by any rebate or gifts, directly or indirectly in making this investment. I / We authorize the Fund to
disclose details of my/our account and all my/our transactions to the intermediary whose stamp appears on the application form. I/We also authorize the Fund to disclose
details as necessary, to the Fund’s and investor’s bankers for the purpose of effecting payments to me/ us. Applicable to NRIs only : 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 approved banking channels or from
funds in my/our Non-Resident External / Ordinary Account/FCNR/NRSR Account.
Investment in the scheme is made by me / us on : Repatriation basis Non Repatriation basis.
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.

Signature

First / Sole Applicant / Guardian Second Applicant Third Applicant

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