This Key Information Memorandum (KIM) sets forth the information, which a prospective investor ought to know before investing. For further details of the scheme/Mutual
Fund, due diligence certificate by the AMC, Key Personnel, investors’ rights & services, risk factors, penalties & pending litigations etc. investors should, before investment,
refer to the Scheme Information Document and Statement of Additional Information available free of cost at any of the Investor Service Centers or distributors or from the
website www.axismf.com.
The Scheme particulars have been prepared in accordance with Securities and Exchange Board of India (Mutual Funds) Regulations 1996, as amended till date, and filed with
Securities and Exchange Board of India (SEBI). The units being offered for public subscription have not been approved or disapproved by SEBI, nor has SEBI certified the
accuracy or adequacy of this KIM.
The Units of the Scheme will not be available for Subscription / Switch-in after the closure of NFO period. The Units of the Scheme will be listed on the BSE/ any other Stock
Exchange. Investors can purchase / sell Units on a continuous basis on the Stock Exchange(s) on which the Units are listed. As the Units are listed on the Stock Exchange, the
Scheme will not provide redemption facility until the date of Maturity.
The Mutual Fund or AMC and its empaneled brokers have not given and shall not give any indicative portfolio and indicative yield in any communication, in any manner
whatsoever. Investors are advised not rely on any communication regarding indicative yield/portfolio with regard to the scheme.
BSE Disclaimer: It is to be distinctly understood that the permission given by BSE Ltd. should not in any way be deemed or construed that the Scheme Information Document has
been cleared or approved by BSE Ltd. nor does it certify the correctness or completeness of any of the contents of the Scheme Information Document. The investors are advised
to refer to the Scheme Information Document for the full text of Disclaimer Clause of BSE Ltd.
The date of this Key Information Memorandum is December 26, 2023.
Name of scheme AXIS FIXED TERM PLAN - SERIES 119 (71 DAYS) A Close ended debt scheme; A Moderate Interest Rate Risk and Moderate Credit Risk.
Scheme Code AXIS/C/D/FTP/23/09/0082
Investment Objective The Scheme will endeavour to generate returns through a portfolio of debt & money market instruments that are maturing on or before the maturity
of the scheme. However, there is no assurance that the investment objective of the Scheme will be achieved. The Scheme does not assure or
guarantee any returns.
Maturity of the Scheme 71 days from the date of allotment (including the date of allotment.) If the maturity / pay out date falls on a non business day, the maturity / pay out
date shall be the next business day.
Asset Allocation Pattern For Scheme(s) having maturity up to 400 days.
of the Scheme
Under normal circumstances the asset allocation will be:
Instruments Indicative Allocation (% of Net Assets)
Minimum Maximum
Debt * and Money Market Instruments 0% 100%
*securitized debt up to 40% of the debt portfolio. The Scheme shall not invest in foreign securitized debt.
Investment in Derivatives - up to 50% of the debt portfolio. Investment in derivatives shall be for hedging. The cumulative gross exposure
through debt (including money market instruments) and derivative positions shall not exceed 100% of the net assets of the scheme. Cash or cash
equivalents with residual maturity of less than 91 days shall be treated as not creating any exposure. SEBI vide letter dated November 3, 2021,
has clarified that Cash Equivalent shall consist of Government Securities, T-Bills and Repo on Government Securities having residual maturity of
less than 91 days.
Investment in Repo in Corporate Debt Securities: The Scheme may undertake repo transactions in corporate debt securities in accordance with
the directions issued by RBI and SEBI from time to time. The gross exposure of the Scheme to repo transactions in corporate debt securities shall
not be more than 10% of the net assets of the Scheme or such higher limit as may be specified by SEBI. Further investment shall be made subject
to the guidelines which may be prescribed by the Board of Directors of the Asset Management Company and Trustee Company.
Credit Enhancement / Structured Obligations: In accordance with the Para 12.3 of Master Circular for Mutual Funds, the investment by the
Scheme in the following instruments shall not exceed 10% of the debt portfolio of the scheme and the group exposure in such instruments shall
not exceed 5% of the debt portfolio of the scheme:
Axis Asset Management Company Limited (Investment Manager)
KEY INFORMATION MEMORANDUM AND APPLICATION FORM
AXIS FIXED TERM PLAN - SERIES 119 (71 DAYS)
(A Close ended debt scheme; A Moderate Interest Rate Risk and Moderate Credit Risk)
Offer of Units of Rs. 10 each during the New Fund Offer
NEW FUND OFFER OPENS ON: JANUARY 03, 2024
NEW FUND OFFER CLOSES ON: JANUARY 09, 2024
(The product labelling assigned during the New Fund Offer is based on internal assessment of the Scheme Characteristics or model portfolio and the same may vary post
NFO when actual investments are made)
This product is suitable for investors
who are seeking*
Optimal returns over 71 Days
Investment in debt & money market
instruments maturing on or before
the maturity of the scheme.
*Investors should consult their financial
advisers if in doubt about whether the
product is suitable for them.
Product Labelling
Product Riskometer Benchmark Riskometer
CRISIL Liquid Debt Index
Fund Name & Benchmark
AXIS FIXED TERM PLAN - SERIES 119 (71 DAYS) (A Close ended debt scheme; A Moderate Interest Rate Risk and
Moderate Credit Risk)
Benchmark: CRISIL Liquid Debt Index
Potential Risk Class Matrix
Relatively
Low
(Class A)
Moderate
(Class B)
Relatively
High
(Class C)
Relatively Low
(Class I)
Moderate
(Class II)
Relatively High
(Class III)
Credit Risk
Interest Rate
Risk
B-II
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High
Moderately
High
Moderate
Low to
Moderate
Low
Very High
RISKOMETER
Investors understand that their principal
will be at low to moderate risk
High
Moderately
High
Moderate
Low to
Moderate
Low
Very High
RISKOMETER
a. Unsupported rating of debt instruments (i.e. without factoring-in credit enhancements) is below investment grade and
b. Supported rating of debt instruments (i.e. after factoring-in credit enhancement) is above investment grade.
These limits shall not be applicable on investments in securitized debt instruments, as defined in SEBI (Public Offer and Listing of Securitized
Debt Instruments) Regulations 2008. The Scheme shall invest in abovementioned securities within such limits as may be revised by SEBI from
time to time.
Investment in Mutual Fund units: The Scheme may seek exposure in Mutual Fund units of debt schemes subject to applicable Regulations. Such
investment shall not exceed 5% of the net assets of the Scheme.
The scheme will not invest in unrated debt instruments, Credit default Swaps (CDS), securities covered under under Para 12.2 of Master circular
for Mutual Fund Scheme , REITs / InvITs, foreign Securities. The Scheme will not engage in short selling and securities lending.
The scheme retains the flexibility to invest across all the securities in the debt, Money Markets Instruments and units of mutual funds. The fund
manager can use Derivative instruments to protect the downside risk.
Investment in Short Term Deposits: Pending deployment of the funds in securities in terms of investment objective of the Scheme, the AMC may
in terms of Para 12.16 of Master Circular for Mutual Fund may be amended from time to time as may be amended from time to time, park the
funds of the Scheme in short term deposits of the Scheduled Commercial Bank
The net assets of the Scheme will be invested in Debt & Money market instruments maturing on or before the maturity date of the scheme.
Investment Strategy The fund manager will invest in debt & money market instruments maturing on or before the maturity date of the scheme(s) with the objective of
of the Scheme limiting interest rate volatility.
The fund manager will allocate assets of the scheme(s) between various fixed income securities (which mature on or before the maturity of the
scheme) with an endeavor to achieve optimal risk adjusted returns.
The Scheme does not assure or guarantee any returns.
Credit evaluation policy: The investment team of the AMC will carry out rigorous in depth credit evaluation of the money market and debt
instruments proposed to be invested in. The credit evaluation will essentially be a bottom up approach and include a study of the operating
environment of the issuer, the past track record as well as the future prospects of the issuer and the short term / long term financial health of the
issuer.
List of sectors the fund would not be investing
Aviation and gems & jewelry.
Floors and ceilings within a range of 5% of the intended allocation (in %) against each sub asset class/rating
As per the regulations, the scheme is allowed to invest within a range of 5% of the intended allocation (floor and cap) against each sub asset
class/credit rating..
Instruments Credit Rating
AAA A1+ AA A BBB Not applicable
Cds -- 35%-40% -- -- -- --
CPs -- 60%-65% -- -- -- --
NCDs/ Bonds -- -- --
Securitized Debt -- -- --
Government of India dated Securities/ State Government Securities -- -- -- -- -- 0-5%
Tri Party Repos, T-Bills, Cash Management Bill, Repos -- -- -- -- -- 0-5%
1. In Securities with rating A and AA shall include A+ and A- & AA+ and AA- respectively.
2. Positive variation in investment towards higher credit rating in the same instrument shall be allowed.
3. In case of non-availability of and taking into account the risk-reward analysis of CPs, NCDs (including securitized debt), the Scheme may
invest in CDs and CBLO having equivalent or higher ratings.
4. At the time of building up the portfolio post NFO and towards the maturity of the Scheme, there may be a higher allocation to cash and cash
equivalents.
5. Subsequent to the initial portfolio construction, during the tenure of the Scheme, the allocation of the scheme may vary due to instances like
(i) coupon inflow; (ii) the instrument is called or bought back by the issuer; (iii) in anticipation of any adverse credit event, etc.
6. All investment shall be made based on the rating prevalent at the time of investment. Further, in case of an instrument having dual ratings,
the most conservative publicly available rating would be considered.
7. Disclosures with respect to investment in unrated securities, derivatives, etc. if any.
8. In the event of any deviations from the floor and ceiling of credit ratings specified for any instrument, the same shall be rebalanced within 30
calendar days from the date of the said deviation.
Risk Profile of the Scheme Mutual Fund Units involve investment risks including the possible loss of principal. Please read the SID carefully for details on risk factors before
investment. Scheme specific Risk Factors are summarized below:
The scheme carries risks associated with investing in debt and money market securities.
Investment in mutual fund units involves investment risks such as trading volumes, settlement risk, liquidity risk and default risk. Trading volume
may restrict liquidity. The AMC may choose to invest in unlisted securities which may increase the risk on the portfolio. Also, the value of the
Scheme investments may be affected by changes in law/policies of the government, taxation laws and political, economic or other developments.
Investments in debt and money market instruments are subject to interest rate risk, re-investment risk, basis risk, credit risk, spread risk,
prepayment risk, creation of segregated portfolio, investment in debt instruments having credit enhancement, etc.
Listing of the units of the fund does not necessarily guarantee their liquidity and there can be no assurance that an active secondary market for
the units will develop or be maintained. Consequently, the Fund may quote below its face value / NAV.
Please refer to the SID for further details.
Risk Management Interest rate risk is managed by a meticulous determination of the modified duration of the portfolio. Extensive analysis of macro-economic
conditions is done to form a view on future interest rates and to position the portfolio accordingly. Credit risk is managed by in-depth analysis of
issuer (financial/operating performance) with the help of internal and external research. Liquidity risk is addressed by maintaining exposure to
cash/cash equivalents and highly liquid instruments.
Creation of Segregated In case of credit event, the Scheme may create segregated portfolio of debt and money market instruments in terms of applicable SEBI
Portfolio regulations/ circulars.
Plans and Options Axis Fixed Term Plan - Series - 119 (71 Days) offers the following Plans:
1. Axis Fixed Term Plan - Series 119 (71 Days) - Regular Plan
2. Axis Fixed Term Plan - Series 119 (71 Days) - Direct Plan
Regular Plan: Regular Plan is available for all type of investors investing through Distributor.
Direct Plan: Direct Plan is only for investors who purchase /subscribe Units in a Scheme directly with the Fund and is not available for investors
who route their investments through a Distributor.
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All the Plans will have common portfolio.
The Scheme offers the following options under each plans:
Options Sub-options
Growth Nil
Income Distribution cum Capital Withdrawal (IDCW) Quarterly IDCW Payout
Scheme(s) having maturity ranging up to 12 months will offer Quarterly IDCW option (payout facility) in addition to Growth option.
IDCW may or may not be declared under this option at the discretion of the Trustee.
In case of Units held in dematerialized mode, the Depositories (NSDL/CDSL) will give the list of demat account holders and the number of Units
held by them in electronic form on the Record date to the Registrars and Transfer Agent of the Mutual Fund.
Default Plan/Option : The investor must clearly specify his choice of plan/ option. In the absence of such clear instruction, it will be assumed that
the investor has opted for ‘default’ plan/ option and the application will be processed accordingly.
Investors subscribing under Direct Plan of a Scheme will have to indicate “Direct Planagainst the Scheme name in the application form e.g. Axis
Fixed Term Plan - Series 119 (71 Days) - Direct Plan. Investors should also indicate “Direct” in the ARN column of the application form.
The investors may refer to the following table for applicability of Direct Plan/ Regular Plan under different scenario:
Scenario Broker Code mentioned by the investor Plan mentioned by the investor Default Plan to be captured
1 Not mentioned Not mentioned Direct Plan
2 Not mentioned Direct Direct Plan
3 Not mentioned Regular Direct Plan
4 Mentioned Direct Direct Plan
5 Direct Not Mentioned Direct Plan
6 Direct Regular Direct Plan
7 Mentioned Regular Regular Plan
8 Mentioned Not Mentioned Regular Plan
In cases of wrong/ invalid/ incomplete ARN codes mentioned on the application form, the application shall be processed under Regular Plan. The
AMC shall contact and obtain the correct ARN code within 30 calendar days of the receipt of the application form from the investor/ distributor.
In case, the correct code is not received within 30 calendar days, the AMC shall reprocess the transaction under Direct Plan from the date of
application without any exit load.
Default option: Growth
Applicable NAV Being a close ended Scheme, Investors can subscribe to the Units of the scheme during the New Fund Offer Period only.
After close of NFO Period, the Fund will not provide facility for subscription / redemption /switches, and hence cut-off timing and applicable NAV
provisions do not apply.
In case of switch-out proposed for investing the redemption proceeds in another scheme of the Fund, the switch-out request will be accepted up
to 3.00 p.m. on the Maturity Date.
Minimum Application Purchase Additional Purchase Repurchase
Amount/ Number of Units ` 5,000 and in multiples of ` 10/- thereafter Not applicable Not applicable
Non CTS / Outstation Cheques/Demand Drafts will not be accepted.
Application in NFO will be processed through Direct Credit mode(Transfer / NEFT / RTGS) only. Switch-in requests from equity and hybrid
schemes will be accepted up to January 08, 2024 till the cut-off time applicable for switches. Switch-in requests from debt schemes will be
accepted up to January 09, 2024, till the cut-off time applicable for switches.
Despatch of Repurchase As the Scheme is closed ended scheme, investors will not be able to redeem their units during the tenor of the scheme. Units under the scheme
(Redemption) Request will be compulsorily and without any further act by the Unit holder(s) redeemed on the Maturity Date of the scheme.
The redemption proceeds shall be dispatched to the unit holders within three (3) working days from the Maturity Date of the scheme.
Benchmark Index CRISIL Liquid Debt Index
IDCW Policy The Trustee will endeavor to declare the IDCW as specified, subject to availability of distributable surplus calculated in accordance with the
Regulations. The actual declaration of IDCW and frequency will inter-alia, depend on availability of distributable surplus calculated in
accordance with SEBI (MF) Regulations and the decisions of the Trustee shall be final in this regard. There is no assurance or guarantee to the
Unit holders as to the rate of IDCW nor that will the IDCW be paid regularly.
Name of the Fund Manager Mr. Sachin Jain (Since Inception)
Tenure of Managing the Tenure is applicable from the date of inception of the Scheme
Scheme as Fund Manager
Scheme’s portfolio Not applicable as the scheme is a new fund to be launched
holdings
Fund allocation towards Not applicable as the scheme is a new fund to be launched
various Sectors
Website link for Please visit www.axismf.com to obtain Scheme’s latest fortnightly / monthly portfolio holding statement.
Fortnightly / Monthly
Portfolio Holding
Portfolio Turnover Portfolio turnover ratio: Not applicable as the scheme is a new fund to be launched.
Name of the Trustee Axis Mutual Fund Trustee Limited
Company
Performance of This Scheme is a new scheme and does not have any performance track record.
the scheme
Expenses of the Scheme (i) Load Structure
Entry load: Not applicable
Para 10.4 of Master Circular for Mutual Funds has decided that there shall be no Entry Load for all Mutual Fund schemes.
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.
Exit load : Nil
(ii) Recurring expenses
All fees and expenses charged in a Direct Plan (in percentage terms) under various heads including the investment and advisory fee shall not
exceed the fees and expenses charged under such heads in other than Direct Plan. **Direct Plan shall have a lower expense ratio excluding
distribution expenses, commission, etc. and no commission for distribution of Units will be paid / charged under Direct Plan.
Mutual Fund/AMCs may charge GST on investment and advisory service fees (‘AMC fees’) in addition to the maximum limit as prescribed in
regulation 52 of the SEBI Regulations.
The expenses towards Investment Management and Advisory Fees under Regulation 52 (2) and the various sub-heads of recurring
expenses mentioned under Regulation 52 (4) of SEBI (MF) Regulations can be apportioned under various expense heads/ sub heads without
any sub limit, as permitted under the applicable regulations. Thus, there shall be no internal sub-limits within the expense ratio for expense
heads mentioned under Regulation 52 (2) and (4) respectively.
These estimates have been made in good faith as per the information available to the Investment Manager and are subject to change inter-se
or in total subject to prevailing Regulations.
The AMC will charge the Scheme such actual expenses incurred, subject to the statutory limit prescribed in the Regulations.
The recurring expenses of the Scheme (including the Investment Management and Advisory Fees) shall be as per the limits prescribed under
the SEBI (MF) Regulations.
The total expenses of the Scheme including the investment management and advisory fee shall not exceed the limit stated in Regulation
52(6) of the SEBI (MF) Regulations and amendments thereto.
Expenses charged to the Scheme:
A. In addition to the limits as specified in Regulation 52(6) of SEBI MF Regulations or the Total Recurring Expenses (Total Expense Limit) as
specified above, the following costs or expenses may be charged to the Scheme namely-
Additional expenses for gross new inflows from specified cities
a) expenses not exceeding of 0.30 per cent of daily net assets, if the new inflows from such cities as specified by SEBI/AMFI from
time to time are at least -
i. 30 per cent of gross new inflows in the Scheme, or;
ii. 15 per cent of the average assets under management (year to date) of the Scheme, whichever is higher:
Provided that if inflows from such cities is less than the higher of sub-clause (i) or sub- clause (ii), such expenses on daily net assets
of the Scheme shall be charged on proportionate basis.
Provided further that, expenses charged under this clause shall be utilised for distribution expenses incurred for bringing inflows
from such cities.
Provided further that amount incurred as expense on account of inflows from such cities shall be credited back to the Scheme in
case the said inflows are redeemed within a period of one year from the date of investment.
Note: Pursuant to SEBI letter dated February 24, 2023 read with AMFI communication dated March 02, 2023, w.e.f March 01,
2023 no additional expense shall be charged on the new inflows received on or after March 01, 2023 from specified cities as per
Regulation 52 (6A) (b) till any further guidance is received from SEBI in this regard.
This sub clause (a) shall be applicable for inflows received during the NFO period.
b) GST payable on investment and advisory service fees (‘AMC fees’) charged by Axis Asset Management Company Ltd.;
Brokerage and transaction cost incurred for the purpose of execution shall be charged to the schemes as provided under
Regulation 52 (6A) (a) upto 12 bps and 5 bps for cash market transactions and derivatives transactions respectively. Any payment
towards brokerage & transaction costs, over and above the said 12 bps and 5 bps for cash market transactions and derivatives
transactions respectively within the maximum limit of Total Expense Ratio (TER) as prescribed under Regulation 52 of the
Regulations
B. Within the Total Expense Limit chargeable to the scheme, following will be charged to the Scheme:
(a) GST on other than investment and advisory fees, if any, (including on brokerage and transaction costs on execution of trades) shall
be borne by the Scheme
(b) Investor education and awareness initiative fees of at least 2 basis points on daily net assets of respective Scheme.
C. AMC fees charged by Axis AMC to the scheme will be within the Total Expense Limit as prescribed by SEBI Regulations, as amended
from time to time.
Expenses over and above the prescribed limit shall be charged / borne in accordance with the Regulations prevailing from time to time.
The mutual fund would update the current expense ratios on its website (www.axismf.com) atleast three working days prior to the effective
date of the change. Investors can refer ‘Total Expense Ratio of Mutual Fund Schemes’ section on https://www.axismf.com/total-expense-
ratio for Total Expense Ratio (TER) details.
Transaction charge In terms of Para 10.5 of Master Circular of Mutual Funds, as amended from time to time, Transaction Charge per subscription of Rs.10, 000/
and above shall be charged from the investors and shall be payable to the distributors/ brokers (who have opted in for charging the
transaction charge) in respect of applications routed through distributor/ broker relating to Purchases / subscription / new inflows only (lump
sum). The transaction charge (based on the type of the product), if any shall be deducted by AMC from the subscription amount and paid to the
distributor; and the balance shall be invested and accordingly units allotted. The statement of account shall clearly state the net investment
as gross subscription less transaction charge. The charge is, subject to the following:
For Existing / New investors: Rs.100 / Rs.150 as applicable per subscription of 10,000/ and above
There shall be no transaction charge on subscription below Rs. 10,000/-.
There shall be no transaction charges on direct investments.
There shall be no transaction charges for transaction other than purchases/subscriptions relating to new inflows such as Switches, etc.
Transactions carried out through the Stock Exchange platforms for mutual funds shall not be subject to transaction charges.
Further, the Investors are requested to note that the requirement of Minimum Application Amount for investment shall not be applicable if
the investment amount falls below the minimum requirement due to deduction of Transaction Charge from the subscription amount.
The Transaction Charge as mentioned above shall be deducted by the AMC from the subscription amount of the unit holder and paid to the
distributor. The balance amount shall be invested in the Scheme.
Waiver of Load for Not applicable
Direct Applications
Tax treatment for the Investors are advised to refer to the paragraph on Taxation in the “Statement of Additional Information” and to consult their own tax advisors
Investors (Unitholders) with respect to the specific amount of tax and other implications arising out of their participation in the scheme.
Daily Net Asset Value The NAV will be declared on all business days. NAV can also be viewed on www.axismf.com and www.amfiindia.com [You can also telephone
(NAV) Publication us at 1800 221 322.]
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For Investor Grievances Name and Address of Registrar Name, address, telephone number, fax number, e-mail I.D. of the Mutual Fund
please contact KFin Technologies Ltd. Mr. C P Shivkumar Nair
Unit - Axis Mutual Fund Axis Asset Management Company Ltd.
Tower B, Plot number 31 & 32, Axis House", 1st Floor, C-2, Wadia International Centre, Pandurang Budhkar Marg,
Financial District, Gachibowli, Worli, Mumbai – 400025. Phone no.: 022 4325 4123 Fax No: 022 4325 5199
Hyderabad - 500008 Toll Free: 1800-3000-3300 e-mail: customerservice@axismf.com
Tel : 040 33211000
For any grievances with respect to transactions through BSE StAR and / or NSE MFSS, the investors / Unit Holders should approach either the
stock broker or the investor grievance cell of the respective stock exchange.
Unitholders’ Information Account Statements:
On acceptance of the application for subscription, an allotment confirmation specifying the number of units allotted by way of email and/or
SMS within 5 business days from the date of receipt of transaction request will be sent to the Unit Holders registered email address and/or
mobile number.
In case of Unit Holders holding units in the dematerialized mode, the Fund will not send the account statement to the Unit Holders. The
statement provided by the Depository Participant will be equivalent to the account statement.
For those Unit holders who have provided an e-mail address, the AMC will send the account statement by e-mail.
Unit holders will be required to download and print the documents after receiving e-mail from the Mutual Fund. Should the Unit holder
experience any difficulty in accessing the electronically delivered documents, the Unit holder shall promptly advise the Mutual Fund to
enable the Mutual Fund to make the delivery through alternate means. It is deemed that the Unit holder is aware of all security risks including
possible third party interception of the documents and contents of the documents becoming known to third parties.
The Unit holder may request for a physical account statement by writing/calling the AMC/ISC/Registrar. In case of specific request received
from the Unit Holders, the AMC/Fund will provide the Account Statement to the Investors within 5 business days from the receipt of such
request.
Consolidated Account Statement (CAS) : CAS is an account statement detailing all the transactions and holding at the end of the month including
transaction charges paid to the distributor, across all schemes of all mutual funds. CAS issued to investors shall also provide the total purchase
value/cost of investment in each scheme.
Further, CAS issued for the half-year (September/ March) shall also provide
a. The amount of actual commission paid by AMC/Mutual Fund to distributors (in absolute terms) during the half-year period against the
concerned investor’s total investments in each scheme.
b. The scheme’s average Total Expense Ratio (in percentage terms) along with the break up between Investment and Advisory fees,
Commission paid to the distributor and Other expenses for the period for each scheme’s applicable plan (regular or direct or both) where the
concerned investor has actually invested in.
The amounts can be distributed out of investors capital (Equalization Reserve), which is part of sale price that represents realized gains.
The word transaction will include purchase, redemption, switch, IDCW payout, IDCW reinvestment, systematic investment plan, systematic
withdrawal plan and systematic transfer plan.
a) For Unitholders not holding Demat Account:
CAS for each calendar month shall be issued, on or before 15th day of succeeding month by the AMC.
The AMC shall ensure that a CAS for every half yearly (September/ March) is issued, on or before 21st day of succeeding month, detailing
holding at the end of the six month, across all schemes of all mutual funds, to all such investors in whose folios no transaction has taken place
during that period.
The AMC shall identify common investors across fund houses by their Permanent Account Number (PAN) for the purposes of sending CAS.
In the event the account has more than one registered holder, the first named Unit Holder shall receive the Account Statement.
The AMC will send statement of accounts by e-mail where the Investor has provided the e-mail id. Additionally, the AMC may at its discretion
send Account Statements individually to the investors.
b) For Unitholders holding Demat Account:
SEBI vide its circular no. CIR/MRD/DP/31/2014 dated November 12, 2014 read with other applicable circulars issued by SEBI from time to
time, to enable a single consolidated view of all the investments of an investor in Mutual Fund and securities held in demat form with
Depositories, has required Depositories to generate and dispatch a single CAS for investors having mutual fund investments and holding
demat accounts.
In view of the aforesaid requirement, for investors who hold demat account, for transactions in the schemes of Axis Mutual Fund, a CAS,
based on PAN of the holders, will be sent by Depositories to investors holding demat account, for each calendar month within 15th day of the
succeeding month to the investors in whose folios transactions have taken place during that month.
CAS will be sent by Depositories every half yearly (September/March), on or before 21st day of succeeding month, detailing holding at the
end of the six month, to all such investors in whose folios and demat accounts there have been no transactions during that period.
CAS sent by Depositories is a statement containing details relating to all financial transactions made by an investor across all mutual funds
viz. purchase, redemption, switch, IDCW payout, IDCW reinvestment, systematic investment plan, systematic withdrawal plan, systematic
transfer plan (including transaction charges paid to the distributor) and transaction in dematerialized securities across demat accounts of
the investors and holding at the end of the month.
In case of demat accounts with nil balance and no transactions in securities and in mutual fund folios, the depository shall send account
statement in terms of regulations applicable to the depositories. Investors whose folio(s)/ demat account(s) are not updated with PAN shall
not receive CAS.
Consolidation of account statement is done on the basis of PAN. Investors are therefore requested to ensure that their folio(s)/ demat
account(s) are updated with PAN. In case of multiple holding, it shall be PAN of the first holder and pattern of holding.
For Unit Holders who have provided an e-mail address to the Mutual Fund or in KYC records, the CAS is sent by e-mail. However, where an
investor does not wish to receive CAS through email, option is given to the investor to receive the CAS in physical form at the address
registered in the Depository system.
Investors who do not wish to receive CAS sent by depositories have an option to indicate their negative consent. Such investors may contact
the depositories to opt out. Investors who do not hold demat account continue to receive CAS sent by RTA/AMC, based on the PAN, covering
transactions across all mutual funds as per the current practice.
In case an investor has multiple accounts across two depositories; the depository with whom the account has been opened earlier will be the
default depository.
The dispatches of CAS by the depositories constitute compliance by the AMC/ the Fund with the requirement under Regulation 36(4) of SEBI
(Mutual Funds) Regulations. However, the AMC reserves the right to furnish the account statement in addition to the CAS, if deemed fit in
the interest of investor(s).
Investors whose folio(s)/demat account(s) are not updated with PAN shall not receive CAS. Investors are therefore requested to ensure that
their folio(s)/demat account(s) are updated with PAN.
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For folios not included in the CAS (due to non-availability of PAN), the AMC shall issue monthly account statement to such Unit holder(s), for
any financial transaction undertaken during the month on or before 15th of succeeding month by mail or email.
For folios not eligible to receive CAS (due to non-availability of PAN), the AMC shall issue an account statement detailing holding across all
schemes at the end of every six months (i.e. September/March), on or before 21st day of succeeding month, to all such Unit holders in whose
folios no transaction has taken place during that period shall be sent by mail/e-mail.
Option to hold units in dematerialized (demat) form
Investors shall have an option to receive allotment of Mutual Fund units in their demat account while subscribing to the Scheme in terms of
the guidelines/ procedural requirements as laid by the Depositories (NSDL/CDSL) from time to time.
Investors desirous of having the Units of the Scheme in dematerialized form should contact the ISCs of the AMC/Registrar.
Where units are held by investor in dematerialized form, the demat statement issued by the Depository Participant would be deemed
adequate compliance with the requirements in respect of dispatch of statements of account.
In case investors desire to convert their existing physical units (represented by statement of account) into dematerialized form or vice versa,
the request for conversion of units held in physical form into Demat (electronic) form or vice versa should be submitted along with a
Demat/Remat Request Form to their Depository Participants. In case the units are desired to be held by investor in dematerialized form, the
KYC performed by Depository Participant shall be considered compliance of the applicable SEBI norms.
Further, demat option shall also be available for SIP transactions. Units will be allotted based on the applicable NAV as per Scheme
Information Document and will be credited to investors Demat Account on weekly basis on realization of funds.
Units held in Demat form are freely transferable in accordance with the provisions of SEBI (Depositories and Participants) Regulations, as
may be amended from time to time. Transfer can be made only in favor of transferees who are capable of holding units and having a Demat
Account. The delivery instructions for transfer of units will have to be lodged with the Depository Participant in requisite form as may be
required from time to time and transfer will be affected in accordance with such rules / regulations as may be in force governing transfer of
securities in dematerialized mode.
For details, Investors may contact any of the Investor Service Centers of the AMC.
Annual Report:
The Scheme wise annual report or an abridged summary thereof shall be e-mailed to the registered e-mail address of the unitholders not later
than four months (or such other period as may be specified by SEBI from time to time) from the date of closure of the relevant accounting year (i.e.
31st March each year). AMC shall provide physical copy of the abridged summary of annual report, without charging any cost, on specific request
received from a unitholder. Full annual report shall be available for inspection at the Head Office of the Mutual Fund and a copy shall be made
available to the Unit holders on request on payment of nominal fees, if any. Scheme wise annual report shall also be displayed on the website of
the AMC (www.axismf.com) and Association of Mutual Funds in India (www.amfiindia.com).
Mutual Fund shall also publish an advertisement every year, in an all India edition of one national English daily newspaper and in one Hindi
newspaper, disclosing the hosting of the scheme wise annual report on the website of the Mutual Fund and AMFI and the modes through which a
unitholder can submit a request for a physical or electronic copy of the annual report or abridged summary thereof.
Fortnightly/Monthly and Half yearly disclosures
The AMC will disclose the portfolio of the Scheme (along with ISIN) on fortnightly, monthly and half yearly basis on the website of the Mutual
Fund and AMFI within 5 days of every fortnight, 10 days from close of each month and within 10 days from the close of each half year (i.e. 31st
March and 30th September) respectively in a user-friendly and downloadable spreadsheet format. Further, AMC shall publish an advertisement
in an all India edition of one national English daily newspaper and one Hindi newspaper, every half year, disclosing the hosting of the half-yearly
statement of its schemes’ portfolio on the website of the Mutual Fund and AMFI and the modes through which unitholder(s) can submit a request
for a physical or electronic copy of the statement of scheme portfolio.
The AMC will also provide a dashboard, in a comparable, downloadable (spreadsheet) and machine readable format, providing performance and
key disclosures like Scheme’s AUM, investment objective, expense ratios, portfolio details, scheme’s past performance etc. on website..
Riskometer The AMC shall review Riskometers on a monthly basis based on evaluation of risk level of Scheme’s month end portfolios. Changes in
Riskometers, if any, shall be communicated by way of Notice cum Addendum. Investors may also refer to the website/portfolio disclosure for the
latest Riskometers.
Scheme Summary The AMC has provided on its website Scheme summary document which is a standalone scheme document for all the Schemes which contains all
document the details of the Scheme viz. Scheme features, Fund Manager details, investment details, investment objective, expense ratios, portfolio details,
etc.
Disclosure of Potential Pursuant to the provisions of Para 17.5 of Master Circular for Mutual Funds, all debt schemes are required to be classified in terms of a Potential
Risk Class (PRC) Matrix Risk Class matrix consisting of parameters based on maximum interest rate risk (measured by Macaulay Duration (MD) of the scheme) and
maximum credit risk (measured by Credit Risk Value (CRV) of the scheme). Mutual Funds are required to disclose the PRC matrix (i.e. maximum
risk that a fund manager can take in a Scheme) along with the mark for the cell in which the Scheme resides on the front page of initial offering
application form, SID, KIM, common application form and scheme advertisements in the manner as prescribed in the said circular. The scheme
would have the flexibility to take interest rate risk and credit risk below the maximum risk as stated in the PRC matrix. Subsequently, once a PRC
cell selection is done by the Scheme, any change in the positioning of the Scheme into a cell resulting in a risk (in terms of credit risk or duration
risk) which is higher than the maximum risk specified for the chosen PRC cell, shall be considered as a fundamental attribute change of the
Scheme in terms of Regulation 18(15A) of SEBI (Mutual Fund) Regulations, 1996.
The Mutual Funds shall be required to inform the unitholders about the PRC classification and subsequent changes, if any, through SMS and by
providing a link on their website referring to the said change.
The Mutual Fund/ AMC shall also publish the PRC Matrix in the scheme wise Annual Reports and Abridged summary.
Further as stated in Para 3.5 of Master Circular for Mutual Funds the positioning of the Index Fund in the Potential Risk Class (PRC) matrix shall
be in the same cell as that of positioning of the index in the PRC matrix.
Statutory Details: Axis Mutual Fund has been established as a Trust under the Indian Trusts Act, 1882, sponsored by Axis Bank Ltd. (liability restricted to `1 Lakh). Trustee: Axis
Mutual Fund Trustee Ltd. Investment Manager: Axis Asset Management Co. Ltd. (the AMC). Risk Factors: The sponsor is not liable or responsible for any loss or shortfall
resulting from the operation of the scheme. Mutual Fund investments are subject to market risks, read all scheme related documents carefully.
Axis Asset Management Company Limited (Investment Manager)
APPLICATION FORM
AXIS FIXED TERM PLAN - SERIES 119 (71 DAYS)
(A Close ended debt scheme; A Moderate Interest Rate Risk and Moderate Credit Risk)
Offer of Units of Rs. 10 each during the New Fund Offer
NEW FUND OFFER OPENS ON: JANUARY 03, 2024
NEW FUND OFFER CLOSES ON: JANUARY 09, 2024
(The product labelling assigned during the New Fund Offer is based on internal assessment of the Scheme Characteristics or model portfolio and the same may vary post
NFO when actual investments are made)
This product is suitable for investors
who are seeking*
Optimal returns over 71 Days
Investment in debt & money market
instruments maturing on or before
the maturity of the scheme.
*Investors should consult their financial
advisers if in doubt about whether the
product is suitable for them.
Product Labelling
Product Riskometer Benchmark Riskometer
CRISIL Liquid Debt Index
Fund Name & Benchmark
AXIS FIXED TERM PLAN - SERIES 119 (71 DAYS) (A Close ended debt scheme; A Moderate Interest Rate Risk and
Moderate Credit Risk)
Benchmark: CRISIL Liquid Debt Index
Potential Risk Class Matrix
Relatively
Low
(Class A)
Moderate
(Class B)
Relatively
High
(Class C)
Relatively Low
(Class I)
Moderate
(Class II)
Relatively High
(Class III)
Credit Risk
Interest Rate
Risk
B-II
High
Moderately
High
Moderate
Low to
Moderate
Low
Very High
RISKOMETER
Investors understand that their principal
will be at low to moderate risk
High
Moderately
High
Moderate
Low to
Moderate
Low
Very High
RISKOMETER
TRANSACTION CHARGES FOR APPLICATIONS THROUGH DISTRIBUTORS ONLY (Refer Instruction No. 17)
I confirm that I am a first time investor across Mutual Funds.
In case the subscription amount is ` 10,000 or more and your Distributor has opted 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.
You/ Sole Applicant /Guardian Second Applicant Third Applicant Power of Attorney Holder
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.
Distributor
ARN
(PLEASE READ THE INSTRUCTIONS BEFORE FILLING UP THE FORM. ALL SECTIONS TO BE COMPLETED IN ENGLISH IN BLACK/BLUE COLOURED INK & IN BLOCK LETTERS)
FOR FIRST TIME INVESTORS FOR LUMPSUM INVESTMENTS / SIP INVESTMENTS.
Upfront commission shall be paid directly by the investor to the AMFI registered distributor based on the investor's assessment of various factors including the service rendered by the distributor. ^I/We, have invested in the
scheme(s) of Axis Mutual Fund under Direct Plan. I/We hereby give 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 of
Axis Mutual Fund, to the above mentioned SEBI Registered Investment Adviser. ^^I/We, have invested in the scheme(s) of Axis Mutual Fund under Direct Plan. I/We hereby give 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 of Axis Mutual Fund, to the above mentioned SEBI Registered Portfolio Manager.
PMR (Portfolio Manager's
Registration) Number ^^
SUB-Distributor
ARN
Internal
SUB-Broker/Sol ID
EUIN
Employee
Code
RIA
CODE^
Serial No., Date
& Time Stamp
OR
I confirm that I am an existing investor across Mutual Funds.
01 MY DETAILS
(To be filled in Block Letters. Please provide the following details in full)
My Name (Should match with PAN Card)
PAN/PEKRN (1st Applicant) KYC
My Guardian’s Name (if minor)/POA/Contact Person (For Non-individuals)
PAN/PEKRN (Guardian/POA)
KYC
On behalf of Minor (*Attach Mandatory Documents as per instructions)
Guardian named is
Date of Birth Minor’s
D
D M M Y Y Y Y
Date of Birth Proof attached*
Father Mother Court Appointed
Guardian named is
JOINT APPLICANTS (IF ANY) DETAILS
2nd Applicant Name (Should match with PAN Card)
PAN/PEKRN (Second applicant) KYC
3rd Applicant Name (Should match with PAN Card)
PAN/PEKRN (Third applicant)
KYC
(In case of investment "On behalf of minor", Please refer instruction No. 11)
Mode of Operation
Single Joint Either or Survivor(s) [Default]
MY CONTACT DETAILS
(For electronic communication, Please refer instruction No. 14)
(As per KYC records. To be filled in Block Letters)
Address
City
Pin Code
State
Address Type (Mandatory) Residential & Business Residential Business Registered Office
Email ID
(CAPITAL
letters only)
Email ID and Mobile number should pertain to First Holder only.
Mobile
No.
Tel
No.
02
03
Existing folio number
Add overseas address (Mandatory for NRI / FII Applicants)
I/ We want to create new Folio (Instruction No. 26)
City
Pin Code
Country
(Joint applicant details not to be filled in case of minor investments).
BANK ACCOUNT DETAILS
(Please note that as per SEBI Regulations it is mandatory for
investors to provide their bank account details. Refer Instruction No. 6)
(Avail Multiple Bank Registration Facility)
Branch Address
City
Pin Code
State
IFSC code: (11 digit)
My Bank Name
Bank A/C No. A/C Type
Savings Current NRE NRO FCNR Others
BANK
MICR code (9 digit)
(This is a 9 digit number next to your cheque number)
04
Valid up to
Note: LEI code mandatory to provide if transaction value is
equal to or exceeds ` 50 crore limit, with LEI proof.
LEI Code
D
D M M Y Y Y Y
Unit Holding Option
Physical Mode Demat Mode
(in case of Demat, please fill sec 7)
I declare that provided in this form belongs to (tick any one): Email address
I declare that provided in this form belongs to (tick any one)Mobile Number
Spouse
Dependent Children
Dependent Siblings
Dependent Parents
Guardian
PMS
and approve for usage of these contact details for any communication with Axis Mutual Fund.
Self
Spouse
Dependent Children
Dependent Siblings
Dependent Parents
Guardian
PMS
and approve for usage of these contact details for any communication with Axis Mutual Fund.
Self
I wish to receive Scheme : Account Statement along with Annual Report & Abridged Summary
(Choose online mode to help us save paper & contribute
towards a greener & cleaner environment.)
Online (Preferred & Default) Physical Copy
If above any option is not ticked (P) or selected then (Self) option is considered as a default.
APPLICATION NO.
APPLICATION FORM FOR
AXIS FIXED TERM PLAN - SERIES 119 (71 DAYS)
(A Close ended debt scheme; A Moderate Interest Rate Risk and Moderate Credit Risk)
NFO OPENS : NFO CLOSES : JANUARY 03, 2024 AND JANUARY 09, 2024
MFD / EUIN holder/ sub-distributor is not related to the 1st holder.
If yes, declare that joint holders details provided in this form belongs to (tick any one):
Spouse
Children
Siblings
Parents
MY INVESTMENT DETAILS
(For investments, Please refer instruction No. 1 & 19)
Bank Name
Payment Details
First Cheque Date M M Y Y Y YD D
05
NOMINATION DETAILS
(For nomination, Please refer instruction No. 15)
06
DEPOSITORY ACCOUNT DETAILS
(For DEMAT details Please refer instruction No. 16)
07
(Optional. To be filled if investor wishes to hold the units in Demat mode).
Beneficiary Ac No.
I N
NSDL:
Beneficiary Ac No.
CDSL:
(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. 19.
Enclosed
Client Master
Transaction / Statement Copy / DIS Copy
Depository Participant Name
DP ID:
Depository Participant Name
If source of payment bank is same as above bank details tick here.
Account No.
IFSC Code MICR Code
Amount
Cheque No.
RTGS/ NEFT/ Funds Transfer
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.
Nominee Name
Details
PAN
Allocation (%)
Relationship
with Investor
Guardian Name
(in case of Minor)
Nominee/Guardian
Signature
Nominee date
of birth
Nominee Address
NOMINEE 1 NOMINEE 2 NOMINEE 3
M M Y Y Y YD D M M Y Y Y YD D M M Y Y Y YD D
Amount
Scheme Name Plan
Regular
Direct
Option
AXIS FIXED TERM PLAN - SERIES 119 (71 DAYS)
Growth
(Default Option)
Quarterly IDCW Payout
ACKNOWLEDGEMENT SLIP
APPLICATION NO.
Stamp & Signature
Received from
Scheme Name
Amount
Bank & Branch details
Plan
Option
Cheque/DD No.
D
D M M Y Y Y Y
Date
KNOW YOUR CUSTOMER (KYC) DETAILS
(For KYC details. Refer Instruction No. 8)
(Mandatory. Please Tick/ Specify. The application is liable to get rejected
if details not filled.)
08
Tax Status details for
Resident Individual
NRI/PIO/OCI
Sole Proprietorship
Minor through Guardian
Non Individual
1st Applicant
2nd Applicant
3rd Applicant
Guardian
Company Body Corporate Partnership
Trust Society HUF
AOP
FI
FPI
Others (Please specify)
Gross Annual Income Range (in `)
Below 1 lac
5-10 lac
25 lac- 1 cr
5 - 10 cr
OR Networth in `
(Mandatory for Non
Individual) (not older
than 1 year)
as on as on as on as on
D D M M Y Y D D M M Y Y D D M M Y Y D D M M Y Y
Occupation details for
Private Sector
1st Applicant
2nd Applicant
3rd Applicant
Guardian
Public Sector
Government Service
Business
Professional
Agriculturist
Retired
Housewife
Student
Others (Please specify)
Politically Exposed Person (PEP) details
1st Applicant
Is a PEP
Related to PEP
Not Applicable
2nd Applicant
3rd Applicant
Guardian
Authorised Signatories
Promoters
Partners
Karta
Whole-time Directors/Turstee
Bank
FII
ADDITIONAL INFORMATION
(For additional information Please refer instruction No. 8A)
Applicant
First Applicant
Second Applicant
Third Applicant
Guardian or POA^
KIN No. (If KYC done via CKYC)
#
Date of Birth
M M Y Y Y YD D
Gender
Male Female
#
Date of Birth - Mandatory if CKYC ID mentioned. ^G: Guardian; POA: Power Of Attorney
M M Y Y Y YD D
M M Y Y Y YD D
M M Y Y Y YD D
Male Female
Male Female
Male Female
Details
Mobile No.
Email Id.
Second Applicant
Third Applicant
G or POA
9
Relationship with
Investor
DEBIT MANDATE
(For Debit mandate Please refer instruction No. 5 & 19)
(Only for Axis Bank Account holders: Now you don't have to issue a cheque if you hold
an Axis Bank Account). To be processed in CMS software under client code "AXISMF"
10
Account type
I/ We
N a m e o f t h e a cc o u n t h o ld e r ( s )
Specify
Amount
(in Figures)
to pay for the purchase of
authorise you to debit my/our account no.
(in words)
Signature of
First Account Holder
Signature of
Second Account Holder
Signature of
Third Account Holder
APPLICATION NO.
Savings
NRO
CurrentNRE FCNR
Others
M M Y Y Y YD D
Date*
*Date is mandatory
I declare that provided in this form belongs to (tick any one): Email address
I declare that provided in this form belongs to (tick any one)Mobile Number
Spouse
Dependent Children
Dependent Siblings
Dependent Parents
Guardian
PMS
and approve for usage of these contact details for any communication with Axis Mutual Fund.
Self
Spouse
Dependent Children
Dependent Siblings
Dependent Parents
Guardian
PMS
and approve for usage of these contact details for any communication with Axis Mutual Fund.
Self
If above any option is not ticked (P) or selected then (Self) option is considered as a default.
Scheme Name
OR
Axis MF Multiple Schemes
In case of Non-Profit Entity (refer point no 21)
1-5 lac
10-25 lac
1 -5 cr
> 10 cr
We are falling under “Non-Profit Organization” [NPO] which has been constituted
for religious or charitable purposes referred to in clause (15) of section 2 of the
Income-tax Act, 1961 (43 of 1961), and is registered as a trust or a society under the
Societies Registration Act, 1860 (21 of 1860) or any similar State legislation or a
Company registered under the section 8 of the Companies Act, 2013 (18 of 2013).
If yes, please quote Registration No. of Darpan portal of Niti Aayog. (refer point no 21)
YES
NO
AXIS FIXED TERM PLAN - SERIES 119 (71 DAYS)
To stay up to date with your
mutual fund investments,
connect with us on our
WhatsApp number.
Sent us a 'Hi' on 7506771113
from your registered mobile
number to have your queries
answered.
WhatsApp
Follow
Us on
https://ifaconnect.
axismf.com/#/home
WEBSITE
Axis MF
www.axismf.com
https://www.axismf.com/
corporate/Login.aspx
App
Axis MF
DECLARATION AND SIGNATURE
(For declaration and signature, please refer point number 4)
13
Having read and understood the content of the SID / KIM of the scheme and SAI of the Axis Mutual
Fund (The Fund), I/we hereby apply for units of the scheme. I have read and understood the terms,
conditions, details, rules and regulations governing the scheme. I/We hereby declare that the amount
invested in the scheme is through legitimate source only and does not involve designed for the purpose
of the contravention of any Act, Rules, Regulations, Notifications or Directives 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 not received nor have been induced
by any rebate or gifts, directly or indirectly in making this investment. I/We confirm that the funds
invested in the Scheme, legally belongs to me/us. In event “Know Your Customer” process is not
completed by me/us to the satisfaction of the Mutual Fund, (I/we hereby authorize the Mutual Fund, to
redeem the funds invested in the Scheme, in favour of the applicant, at the applicable NAV prevailing on
the date of such redemption and undertake such other action with such funds that may be required by
the law.) The ARN holder has disclosed to me/us all the commissions (trail commission or any other
mode), payable to him for the different competing Schemes of various Mutual Funds amongst which
the Scheme is being recommended to me/ us. I / we give my / our consent to collect personal data or
information as prescribed in the privacy policy which is available on the website of the AMC / Fund.
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.
You/ Sole Applicant /Guardian Second Applicant Third Applicant
Power of Attorney Holder
M M Y Y Y YD D
Date Place
QUICK CHECKLIST
14
KYC acknowledgement letter (Compulsory for MICRO Investments) Self attested PAN card copy Plan / Option / Sub Option name mentioned in addition to
scheme name Multiple Bank Accounts Registration form (if you want to register multiple bank accounts so that future payments can be made from any of the accounts)
Email id and mobile number provided for online transaction facility SIP Registration Form for SIP investments Relationship proof between guardian and minor (if
application is in the name of a minor) FATCA Declaration Additional documents attached for Third Party payments. Refer instruction No. 7.
FATCA AND CRS DETAILS
(Including Sole Proprietor. Refer Instruction No. 20)
Details
11
For Individuals (Mandatory). Non Individual investors including HUF should
mandatorily fill separate FATCA/CRS/UBO details form
Sole/ 1st Applicant 2nd Applicant 3rd Applicant
Guardian/POA
Place & Country of Birth
Nationality
Are you a tax resident of
any country other than
India?
If Yes: Mandatory to enclose FATCA /CRS Annexure
Yes No Yes No Yes No Yes No
I/We confirm that I/We do not have any existing Micro SIP/Lumpsum investments which together with
the current application will result in aggregate investments exceeding ` 50,000 in a year (Applicable
for Micro investment only.) with your fund house. 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. I/We confirm that details provided by me/us are true and correct.
I/ We give my consent to Axis Asset Management Company Limited and its agents to contact me over
phone, SMS, email or any other mode to address my investment related queries and/or receive
communication pertaining to transactions/ non-commercial transactions/ promotional/ potential
investments and other communication/ material irrespective of my blocking preferences with the
Customer Preference Registration Facility.
I/ We hereby provide my/our consent in accordance with Aadhaar Act, 2016 and regulations made
thereunder, for (i) collecting, storing and usage (ii) validating/authenticating and (ii) updating my/ our
Aadhaar number(s) (if provided) in accordance with the Aadhaar Act, 2016 (and regulations made
thereunder) and PMLA. I/ We hereby provide my/our consent for sharing/disclosing of the Aadhaar
number(s) including demographic information with the asset management companies of SEBI
registered mutual fund (s)and their Registrar and Transfer Agent (RTA) for the purpose of updating the
same in my/our folios with my PAN.
CERTIFICATION: I / We have understood the information requirements of this Form (read along with
the 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 below and hereby accept the same.
I/We have read and understood the instructions on nomination given below/overleaf 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.
Switch to Scheme Name
Plan Option
If an investor fails to specify the Plan / Option he will be allotted units under the default Plan / Option / Sub Option of the scheme.
Proceeds to be dispatched /
Credit to bank A/c
(As may be applicable).
I / We would like to switch all units from the schemes on its maturity. Investor can opt for having the payout on maturity at his / her designed bank account and the redemption
or repurchase proceeds. The same shall be dispatched to the unitholders within 3 Business Days from the date of redemption or repurchase.
AUTO SWITCH ON MATURITY
12
(Refer Instruction No. 21)
INSTRUCTIONS FOR COMPLETING THE APPLICATION FORM
(Please read the SID carefully before signing the application form and tendering payment.)
1. GENERAL INSTRUCTIONS
a. The application form should be completed in ENGLISH and in BLOCK LETTERS.
b. All cheques, demand drafts and pay orders should be crossed “Account Payee
only” and made in favour of “Scheme Name A/c First Investor Nameor “Scheme
Name A/c Permanent Account No..
c. If the Scheme name on the application form and on the payment instrument are
different, the application may be processed and units allotted at applicable NAV
of the scheme mentioned in the application / transaction slip duly signed by
investor(s).
d. Any over-writing / changes made while filling the form must be authenticated by
canceling the original entry, re-entering correct details and ensuring that all
applicants counter-sign against each correction.
e. Application forms along with supporting documents can be submitted to ISCs /
OPAs, contact details of which are available on www.axismf.com.
f. Investors must write the application form number / folio number on the reverse
of the cheque / demand draft.
g. Investors are requested to check contents of the account statement on receipt.
Any discrepancy should be reported to the AMC / Registrar within 7 calendar
days of the receipt of the statement; else contents of the statement would be
presumed to be correct and binding. The AMC may modify any discrepancy at its
discretion.
h. Units will be allotted subject to realization of payment proceeds.
i. Unitholder / Guardian name should be same as per PAN / KYC records. Please
note that AMC at discretion may replace the name as per KRA.
j. FATCA Declaration: Individual investors, please fill in FATCA / CRS annexure and
attach along with Application form. Non-Individual investors, please fill in UBO
form along with FATCA / CRS annexure and attach along with Application form
available on our website www.axismf.com
2. DIRECT INVESTMENTS
Investors subscribing under Direct Plan of the scheme will have to indicate “Direct
Planagainst the scheme name in the application form e.g. “Axis Arbitrage Fund -
Direct Plan. Investors should also indicate “Direct” in the ARN column of the
application form. However, in case Distributor code is mentioned in the application
form, but“Direct Plan” is indicated against the scheme name, the application will be
processed under Direct Plan. Further, where application is received for Regular Plan
without Distributor code or “Direct” mentioned in the ARN Column, the application
will be processed under Direct Plan.
Note: Direct Plan investment not applicable for ETF schemes.
3. EMPLOYEE UNIQUE IDENTIFICATION NUMBER (EUIN)
Investor investing through distributor shall mention EUIN on the application form, if
he/she has been advised by Sales Person/ Employee/ Relationship Manager of the
distributor this would assist in addressing any instance of mis-selling. If left blank,
applicant(s) need to tick and sign the following declaration “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.” on the form. SEBI has made it
mandatory to obtain EUIN no. for every employee/ relationship manager/ sales
person of the distributor for selling mutual fund products.
4. DECLARATION AND SIGNATURES
a. Thumb impressions must be attested by a Magistrate / Notary Public under his /
her official seal.
b. In case of HUF, the Karta needs to sign on behalf of the HUF.
c. Applications by minors should be signed by their guardian.
d. For Corporates, signature of the Authorised Signatory (from the Authorised
Signatory List (ASL)) is required.
5. PAYMENTS
a. The AMC intends using electronic payment services (NEFT, RTGS, ECS (Credit),
Direct Credit, etc.) to the extent possible for dividends / redemptions for faster
realization of proceeds to investors. In case an investor wishes to receive
payments vide cheques / demand drafts to be sent using a postal / courier
service, please provide appropriate written instructions to the AMC / Registrar
for the same.
b. Please enclose a cancelled cheque leaf (or copy thereof) in case your investment
instrument (pay-in) is not from the same bank account as mentioned under bank
account details.
c. Any communication, dispatch of redemption / dividend payments / account
statements etc. would be made by the Registrar / AMC as per reasonable
standards of servicing.
d. The Debit Mandate is an additional facility available to Axis Bank account
holders only.
6. BANK DETAILS
It is mandatory for investors to mention bank account details on the form as per
directives issued by SEBI. Applications without this information are liable to be
rejected. The Mutual Fund / AMC reserve the right to hold redemption proceeds in
case requisite bank details are not submitted.
Option to register multiple bank accounts
The AMC / Mutual Fund has also provided a facility to investors to register multiple
bank accounts. By registering multiple bank accounts, investors can use any of their
registered bank accounts to receive redemption / dividend proceeds. Any request
for a change in bank mandate requires 10 days for validation and verification.
Further, these account details will be used by the AMC / Mutual Fund / R&T for
verification of instruments (like cheques/DDs/POs) received at the time of
subscription / purchase applications to ensure that subscription payments are
received only from one of the registered bank accounts. Payments from non-
registered bank accounts (called third party payments) will not be accepted (except
where permitted as per SEBI regulations). Investors are requested to avail of this
facility by filling in the application form for registration of multiple bank accounts
available at any of our ISCs / OPAs or on our website www.axismf.com.
Cheques submitted at the time of purchase should be from the beneficiary investors
account or from an account mentioned in your Multiple Bank Accounts Registration
form (except for minors for amounts less than ` 50,000 and Corporates / non-
individuals).
Demand drafts submitted at the time of subscription should be accompanied by a
banker’s certificate clearly stating the investor’s name and PAN as well as
mentioning that the demand draft has been issued by debiting the investor’s own
bank account. Pre-funded instruments issued by the bank against cash shall not be
accepted for investments of `50,000 or more. This pre-funded instrument should
also be accompanied by a certificate from the banker giving the investor’s name,
address and PAN.
Payments made through RTGS/NEFT/NECS should be accompanied by a banker’s
certificate stating that the RTGS/NEFT/NECS payment has been made by debiting
the investor’s own bank account along with mention of the investor’s name and
PAN.
7. THIRD PARTY PAYMENTS
When payment is made through instruments issued from a bank account other than
that of the investor, the same is referred to as a Third Party payment. Where an
investor has opted to register multiple bank accounts (using the ‘Multiple Bank
Accounts Registration Form’), and purchase payment is made from an account
different from what is registered, any one of the following documents need to be
provided as proof along with the payment instrument.
Banker’s certificate stating that the investment is from the investor’s own bank
account along with mention of his name and PAN
Bank account passbook or statement mentioning the investor’s name / PAN
Restriction on acceptance of Third Party payments for subscriptions, and
exceptions thereto
a. In case of payments from a joint bank account, one of the joint holders of the
bank account must be the first account holder under the investment application.
b. The Asset Management Company shall not accept subscriptions with Third
Party payments except in the following situations:
1. Where payment is made by parents/grand parents/related persons on
behalf of a minor in consideration of natural love and affection or as gift for a
value not exceeding ` 50,000
(each regular purchase or per SIP installment). However this restriction will
not be applicable for payment made by a guardian whose name is registered
in the records of Mutual Fund in that folio.
2. Where payment is made by an employer on behalf of an employee under
Systematic Investment Plans through payroll deductions.
3. Custodian on behalf of an FII or a client.
Documents to be submitted for exceptional cases
1. KYC is mandatory for all investors (guardian in case of minor) and the person
making the payment i.e. the third party. Investors and the person making the
payment should attach their valid KYC acknowledgement letter to the
application form.
2. Submission of a separate, complete and validThird Party Payment
Declaration Form' from the investors (guardian in case of minor) and the
person making the payment i.e. third party. The said Declaration Form shall,
inter-alia, contain the details of the bank account from which the payment is
made and the relationship with the investor(s). Please contact the nearest
OPA/ISC of Axis Mutual Fund or visit our website www.axismf.com for the
declaration form.
8. KYC
All Applicants (including POAs and Guardians) are required to be KYC compliant
irrespective of the amount of investment. In case you are not KYC certified, please
fill in the KYC form (individual or Non-Individual). A KYC acknowledgement letter
should be submitted along with application for opening a folio or making an
investment. Each holder in the folio must be KYC compliant.
Investors may kindly note that new SEBI Circular issued regarding uniformity in the
KYC process was effective from January 1, 2012.
1. SEBI has introduced a common KYC Application Form for all the SEBI registered
intermediaries, new Investors are therefore requested to use the common KYC
Application Form and carry out the KYC process including In-Person
Verification (IPV) with any SEBI registered intermediaries including mutual
funds. The KYC Application Forms are available on our website
www.axismf.com.
2. The Mutual Fund shall perform the initial KYC of its new investors and shall also
accept the details change form for investors who have done their KYC prior to
31st Dec11.
3. It is mandatory to carry out In-Person Verification(IPV) for processing the KYC
of its new / existing investors from January 1, 2012.
4. Once the KYC and IPV-In Person Verification has been done with any SEBI
registered intermediary, the investor need not undergo the same process again
with any another intermediary including mutual funds. However, the Mutual
Fund reserves the right to carry out fresh KYC/additional KYC of the investor.
5. Existing KYC compliant investors of the Mutual Fund can continue to invest as
per the current practice.
6. Non-individual investors will have to do a fresh KYC due to significant changes in
KYC requirements.
7. In accordance with SEBI Circular No. CIR/MIRSD/13/2013 dated December 26,
2013, the additional details viz. Occupation details, Gross Annual
Income/networth and Politically Exposed Person (PEP)* status mentioned
under section 2 & 3 which was forming part of uniform KYC form will now be
captured in the application form of the Fund. Also, the detail of nature of services
viz. Foreign Exchange/Gaming/Money Lending, etc.,(applicable for first/sole
applicant) is required to be provided as part of Client Due Diligence (CDD)
Process of the Fund.
The said details are mandatory for both Individual and Non Individual applicants.
*PEP are defined as individuals who are or have been entrusted with prominent
public functions in a foreign country, e.g., Heads of States or of Governments,
senior politicians, senior Government/judicial/ military officers, senior
executives of state owned corporations, important political party officials, etc.
Subsequently, SEBI, vide its circular no. MIRSD/Cir-5/2012 dated April 13, 2012
advised various intermediaries to upload KYC data of its existing customers into
the KRA system. While uploading KYC data into the KRA system, intermediaries
were also required to highlight such ‘Missing/Not Available’ KYC information of
a customer, which was either not required or not taken previously, but was
mandatory as per uniform KYC guidelines issued by SEBI.
8. In accordance with AMFI circular - 35P/MEM-COR/54/2019-20 dated
February 28, 2020, it is mandatory, KYC to be verified by KYC Registration
Agency before processing redemption. Further, investor requested to complete
KYC process before placing redemption request.
In accordance with AMFI Best practices guidelines circular no. 62/2015-16
dated September 18, 2015, investors may note the following:
It is mandatory for all new/existing investors to provide additional KYC
information such as Income details, Occupation, association with politically
exposed person, net worth etc. as mentioned in the application form.
Subscription requests, without providing these details, are liable to be rejected.
No subscriptions (whether fresh or additional) and switches pertaining to ‘KYC
on-hold’ cases are accepted, unless the investor / unitholder also submits
relevant KYC missing / updated information, which is appropriately updated on
the KRA - KYC.
Further, it is mandatory for existing customers to complete In-Person
Verification process and provide the missing KYC information failing which their
applications / transaction requests for additional subscription (including
switches) is liable to be rejected.
8A Operationalisation of Central KYC Records Registry (CKYCR)
Central Registry of Securitisation and Asset Reconstruction and Security interest of
India (‘CERSAI’) has been authorised by Government of India to act as Central KYC
Records Registry under Prevention of Money-Laundering (Maintenance of
Records) Rules, 2005 (‘PMLA Rules’).
SEBI vide its circular ref. no. CIR/MIRSD/66/2016 dated July 21, 2016 and circular
ref. no. CIR/MIRSD/120/2016 dated November 10, 2016 has prescribed that the
Mutual Fund/ AMC should capture KYC information for sharing with CKYCR as per
the KYC template prescribed by CERSAI for uniform and smooth implementation of
CKYC norms for onboarding of new investors in mutual funds.
In accordance with the aforesaid SEBI circulars and AMFI best practice guidelines
for implementation of CKYC norms with effect from February 1, 2017:
a) Individual investors who have never done KYC process under KRA regime i.e. a
new investor who is new to KRA system and whose KYC is not registered or
verified in the KRA system shall be required to provide KYC details in the CKYC
Form to the Mutual Fund/ AMC.
b) Individual investor who fills old KRA KYC Form, should provide additional /
missing information using Supplementary KYC Form or fill CKYC Form.
c) Details of investors shall be uploaded on the system of CKYCR and a 14 digit
unique KYC identifier (‘KIN’) will be generated for such customer.
d) New investors, who have completed CKYC process & have obtained KIN may
quote their KIN in the application form instead of submitting CKYC Form/
Supplementary KYC Form.
e) AMC/ Mutual Fund shall use the KIN of the investor to download the KYC
information from CKYCR system and update its records.
f) If the PAN of investor is not updated on CKYCR system, the investor should
submit self-certified copy of PAN card to the Mutual Fund/ AMC.
The CKYC Form and Supplementary KYC Form are available at Investor Service
Centre (ISC) of Axis Mutual Fund and on website www.axismf.com.
The AMC reserves the right to reject transaction application in case the investor(s)
fails to submit information and/or documentation as mentioned above. In the event
of non compliance of KYC requirements, the Trustee / AMC reserves the right to
freeze the folio of the investor(s).
9. ULTIMATE BENEFICIAL OWNERS(S)
SEBI vide its circular no. CIR/MIRSD/2/2013 dated January 24, 2013 further read
with AMFI Best practices guidelines circular no. 62/2015-16 dated September 18,
2015 and other applicable regulations and guidelines, for identification of Beneficial
Ownership to be followed by the intermediaries for determination of beneficial
owners. A ‘Beneficial owner’ is defined as a natural person or persons who
ultimately own, control or influence a client and/or persons on whose behalf a
transaction is being conducted and includes a person who exercises ultimate
effective control over a legal person or arrangement. In this regard, all categories of
investors (including all new / existing investors / unitholders) (except individuals,
companies listed on a stock exchange or majority-owned subsidiary of such
companies) are mandatorily required to provide beneficial ownership details for all
investments. Failing which, fund reserves the right to reject applications /
subscription requests / additional subscription requests (including switches) /
restrict further investments or seek additional information from investors who
have not provided the requisite information on beneficial ownership. In the event of
change in beneficial ownership, investors are requested to immediately update the
details with the Fund/Registrar.
10. PERMANENT ACCOUNT NUMBER (PAN)
Each applicant is required to submit self attested PAN Card Copy (Including
Guardian in case of Minor and POA holders).However PAN is not mandatory in case
of Investors residing in the State of Sikkim, Central & State Government officials
and officials appointed by the Courts e.g. Official Liquidator, Court receiver etc.
(under the category of Government) subject to Axis AMC confirming the above
mentioned status.
PAN Exempt Investments
SEBI vide its circular dated 24th July 2012, conveyed that the investments
aggregating ` 50,000 in a rolling 12 month period or in a financial year i.e. April to
March, in all the schemes of Mutual Funds are exempt from the PAN requirement.
Where the aggregate of the Lumpsum Investment (Fresh Purchase & Additional
Purchase) and Micro SIP installments by an investor based on the rolling 12 month
period/ in a financial year i.e. April to March does not exceed ` 50,000/-, it shall be
exempt from the requirement of PAN, (hereafter referred to as "Micro
Investments”).
INSTRUCTIONS FOR COMPLETING THE APPLICATION FORM (CONTD....)
(Please read the SID carefully before signing the application form and tendering payment.)
PAN requirement exemption will be available only to Micro Investments made by
the individuals being Indian Citizens (Including NRIs, Joint Holders*, Minor acting
through Guardian and Sole proprietory firms not having PAN). Person of Indian
Origin, Hindu Undivided Family,(HUF),Qualified Foreign Investor (QFI) and other
categories of investors will not be eligible for this exemption. However the eligible
investors are required to submit PAN exempt KYC issued by SEBI registered KRA
(KYC Registration Authority). * In case of joint holders, first holder must not possess
a PAN.
11. APPLICATIONS ON BEHALF OF MINORS
Where the investment is on behalf of a Minor by the Guardian:
a. The Minor shall be the first and sole holder in the account.
b. No Joint holders are allowed. In case an investor provides joint holder details,
these shall be ignored.
c. Guardian should be either a natural guardian (i.e. father or mother) or a court
appointed legal guardian.
d. Guardian should mention the relationship with Minor and date of birth of the
Minor on the application form.
e. A document evidencing the relationship and date of birth of the Minor should be
submitted along with the application form. Photo copy of any one of the
following documents can be submitted a) Birth certificate of the minor or b)
school leaving certificate / mark sheet of Higher Secondary board of respective
states, ICSE, CBSE etc. c) Passport of the minor d) Any other suitable proof
evidencing the relationship.
f. Where the guardian is not a natural guardian (father or mother) and is a court
appointed legal guardian, suitable supporting documentary evidence should be
provided.
g. If the mandatory details and/or documents are not provided, the application is
liable to be rejected without any information to the applicant.
12. APPLICATIONS UNDER POWER OF ATTORNEY
An applicant wanting to transact through a power of attorney must lodge the
photocopy of the Power of Attorney (PoA) attested by a Notary Public or the
original PoA (which will be returned after verification) within 30 days of submitting
the Purchase Application Form / Transaction Slip at a Designated ISC / Official Point
of Acceptance, or along with the application in case of application submitted duly
signed by POA holder. Applications are liable to be rejected if the power of attorney
is not submitted within the aforesaid period.
13. NRIs, FIIs
a. Repatriation basis
I. NRIs: Payment may be made either by inward remittance through normal
banking channels, or from funds held in a Non-Resident (External) Rupee
Account (NRE) / Foreign Currency (Non-Resident) Account (FCNR). In case
Indian rupee drafts are purchased abroad or from Foreign Currency
Accounts or Non-resident Rupee Accounts, an account debit certificate
from the bank issuing the draft confirming the debit will need to be enclosed.
II. FIIs can pay their subscription either by inward remittance through normal
banking channels or from funds held in Foreign Currency Account or Non-
Resident Rupee Account maintained by the FII with a designated branch of
an authorised dealer.
III. Axis Mutual Fund has decided to restrict subscriptions from U.S. Persons
(including NRIs and all persons residing in U.S, U.S Corporations or other
entities organized under the laws of U.S) and Residents of Canada in the
Schemes of Axis Mutual Fund.
b. Non-repatriation basis
In the case of NRIs, payment may be made either by inward remittance through
normal banking channels or out of funds held in a NRE / FCNR / Non-Resident
Ordinary Rupee Account (NRO). In case Indian rupee drafts are purchased
abroad or from Foreign Currency Accounts or Non-resident Rupee Accounts, an
account debit certificate from the bank issuing the draft confirming the debit will
need to be enclosed.
c. TDS where ever applicable would be rounded off to the Rupee.
14. ELECTRONIC SERVICES
The AMC provides electronic transaction services through its website and over the
phone.
a. KFINKART: Transactions through electronic platform(s) of KFin Technologies
Limited (effective from January 2, 2017): Investors will be allowed to transact
through https://mfs.kfintech.com/investor/, an electronic platform provided by
Kfin Technologies Limited, Registrar & Transfer Agent, in Schemes of Axis
Mutual Fund (‘Fund’) (except Axis Gold ETF and Axis Nifty ETF). The facility will
also be available through mobile application i.e. ‘KFINKART’.
b. Online Schedule Transaction Facility (‘the OST facility’/ ‘the Facility’):
The OST facility shall enable Investors to schedule subscription / redemption /
switch transaction(s) on specified date for specified amount/ units by giving
online instruction.
The terms and conditions of the OST facility shall be as under:
1 The Facility is available to the existing Investors of open ended schemes of
Axis Mutual Fund (except Axis Gold ETF and Axis Nifty ETF), subject to
completion of lock-in, if any.
2. The Facility is available only to Individual (including sole proprietor)
Investors for units held in / subscription in physical mode.
3. The Facility for subscription transaction would be available to Investors
after completion of OTM Mandate / equivalent mandate registration
process.
4. Under the Facility the transaction can be scheduled to be executed on a
specified date which shall be within 30 calendar days from the date of the
instruction. Such specified date shall be a business day. In case the
scheduled transaction date falls on a nonbusiness day, the transaction will
be executed on the immediately following business day.
5. The Facility shall be available on online transaction platform(s) viz website
of Axis AMC i.e. www.axismf.com. Axis AMC may extend the Facility to
other transaction platforms from time to time, at its discretion.
INSTRUCTIONS FOR COMPLETING THE APPLICATION FORM (CONTD....)
(Please read the SID carefully before signing the application form and tendering payment.)
6. The scheduled transaction may be cancelled by giving suitable instruction
atleast one calendar day prior to the scheduled transaction date.
7. The triggered transaction on the scheduled date shall be considered as time
stamped and will be executed on the specified date at the applicable NAV of
the relevant scheme.
8. The scheduled transaction(s) shall be subjected to exit load, minimum
subscription/ additional subscription application and other terms and
conditions of the relevant scheme as per SID applicable on the specified
date.
9. The scheduled transaction shall be liable to be rejected if sufficient amount
is not available for subscription or sufficient number of units / amount is not
available for redemption.
10. Redemption transactions will not be executed in case units are pledged or
where lien is marked on units, at the time of online instruction / on specified
date;
11. Investors availing this facility shall acquaint themselves with the features of
the relevant scheme(s), including any modification / amendments carried
out before the specified date.
The above is an additionally provided facility to the Investors to plan their
transactions in schemes using online platforms.
c. Email facility - Applicants who provide their email address will receive
communication by email. In case an investor wishes to receive a hard copy of an
account statement or other document, he/she is requested to submit a request
at customerservice@axismf.com or call us on Additional Contact Number:
8108622211 From Monday to Saturday - 9.00 AM to 6:30 PM.
d. SMS alerts facility - Applicants who wish to receive transaction alerts on their
mobile phone need to provide their mobile no.
e. Online investment facility - New or existing investors can invest with us online at
www.axismf.com. To avail of this facility, applicants are requested to provide
both their mobile no. and email address in the spaces provided.
f. In case mobile no. & email ID is not provided on the application form then it will
be capture as per KYC record.
g. Investors should provide their own email address and mobile number to enable
Axis AMC for speed and ease of communication in a convenient and cost-
effective manner, and to help prevent fraudulent transactions.
15. NOMINATION
a. Nomination is mandatory for all the folios/accounts, where the mode of holding
is single or the folio/account is opened by an individual without any joint holding.
New subscriptions received from individuals without nomination will be
rejected.
b. The nomination can be made only by individuals holding units on their own
behalf singly or jointly. Non-Individuals including Society, Trust, Body Corporate,
Partnership Firm, Karta of Hindu Undivided Family, holder of Power of Attorney
cannot nominate. If the units are held jointly, all joint holders must sign against
the nomination.
c. Nomination is not allowed for folios/accounts opened in the name of minors.
d. A minor can be nominated against a folio/account. In such a case, the name and
address of the Guardian of the minor nominee must be provided. If no Guardian
name is provided, the nomination of the minor will be invalid. The Guardian of
the minor nominee should be a person other than the holder of that
folio/account. Nomination can also be in favour of the Central Govt, State Govt, a
local authority, any person designated by virtue of his office or a religious
charitable trust.
e. The Nominee cannot be a trust (other than a religious or charitable trust),
society, body corporate, partnership firm, Karta of HUF or a Power of Attorney
holder. A non-resident Indian can be a Nominee subject to the exchange controls
in force, from time to time.
f. Nomination stands rescinded upon transfer of units or cancellation of
nomination.
g. The nomination facility extended under the Scheme is subject to existing laws.
The AMC shall, subject to production of such evidence which in their opinion is
sufficient, proceed to effect the payment / transfer to the Nominee(s) in the
event of demise of the unit holder. Transfer of units / payment to the nominee(s)
of the sums shall discharge Axis Mutual Fund / Axis AMC of all liability towards
the estate of the deceased unit holder and his / her / their successors / legal heirs.
h. Cancellation of nomination can only be made only by those individuals who hold
units on their own behalf singly or jointly and who made the original nomination.
(Please note that if one of the Joint Holders die, the other surviving holders
cannot cancel or change the nomination.)
i. Nomination shall be registered only if the form is filled in completely.
j. Nomination will be updated at folio/account level and not at scheme level.
k. Nomination can be made for maximum of 3 nominees. In case of multiple
nominees, the percentage of allocation / share in favour of each of the nominees
should be indicated against their name and such allocation / share should be in
whole numbers without any decimals making a total of 100 percent. In the event
of unit holders not indicating the percentage of allocation / share for each of the
nominees, the Mutual Fund / the AMC, by invoking default option shall settle the
claim equally amongst all the nominees.
l. The investor(s) who nominate is / are deemed to have read and understood the
provisions of Regulation 29 A of SEBI (Mutual Funds) Regulations, 1996, read
with SEBI circular dated Feb. 16, 2004 and / or any amendments thereto or any
rules / regulations framed in pursuance thereof governing the nomination
facility and agree/s to be bound by the same.
m. Fresh nominee registrations will override older nominations under the folio.
n. In case an investor does not wish to nominate for a specific folio / account, he/she
should strike off the nomination fields and mention “Nomination not required”.
o. Even those investors who do not wish to nominate must sign separately
confirming their non-intention to nominate.
p. In case of existing Folio(s) where individual unit holder(s) holding mutual fund
units either solely or jointly who have not registered nomination, the folio(s)
shall be frozen for debit(s) after March 31, 2023.
q. In case of investors subscribing to mutual fund units on or after October 1, 2022
under new folios, applications where details of nomination/intention to opt out
of nomination, has not been provided, are liable to be rejected.
16. DEMAT ACCOUNT DETAILS
If you wish to invest in the scheme through Demat you need to have a beneficiary
account with a Depositary Participant (DP) of the NSDL/CDSL and specify the same
in this Application Form.You must ensure that the sequence of names with other
details like address, PAN, etc mentioned under Demat details should match with DP
records. Only those applications where the details are matched with the depository
data, will be treated as valid application. If the details mentioned in the application
are incomplete /incorrect, or does not match with the depository data, the applicant
shall be treated as invalid and shall be liable to be rejected and would be allotted in
Physical form. Demat option will be applicable for the applications along with SIP
option.
Please attach Client Master List along with application form.
17. TRANSACTION CHARGE
As per SEBI circular dated August 22, 2011, Transaction Charge per subscription of
` 10,000/- and above shall be charged from the investors and shall be payable to the
distributors/ brokers (who have not opted out of charging the transaction charge) in
respect of applications routed through distributor/broker relating to Purchases /
subscription / new inflows only (lumpsum and SIP), subject to the following:
For Existing / New investors: `100 / ` 150 as applicable per subscription of
` 10,000/and above.
Transaction charge for SIP shall be applicable only if the total commitment
through SIP amounts to ` 10,000/- and above. In such cases the transaction
charge would be recovered in maximum 4 successful installments.
There shall be no transaction charge on subscription below ` 10,000/-.
There shall be no transaction charges on direct investments.
There shall be no transaction charges for transaction other than
purchases/subscriptions relating to new inflows such as Switches, etc.
Transactions carried out through the Stock Exchange platforms for mutual funds
shall not be subject to transaction charges.
The requirement of minimum application amount shall not be applicable if the
investment amount falls below the minimum requirement due to deduction of
transaction charges from the subscription amount.
However, the option to charge “transaction charges” is at the discretion of the
distributors. Investors may note that distributors can opt to receive transaction
charges based on type of the Scheme. Accordingly, the transaction charges would be
deducted from the subscription amounts, as applicable.
18. Non-profit organizationmeans any entity or organisation, constituted for religious
or charitable purposes referred to in clause (15) of section 2 of the Income-tax Act,
1961 (43 of 1961), that is registered as a trust or a society under the Societies
Registration Act, 1860 (21 of 1860) or any similar State legislation or a Company
registered under the section 8 of the Companies Act, 2013 (18 of 2013).
19. MULTIPLE INVESTMENTS
1. Investor can make purchases in up to three schemes within the same Folio by
making a single consolidated payment for the investments.
2. Multiple Investments facility is not available for Axis Children's Gift Fund, Axis
Liquid Fund, Axis Overnight Fund, Axis Gold ETF, Axis Nifty ETF, any closed
ended schemes, and during NFO period.
3. Cheque/ DD/ Debit mandate should be drawn for Total Amount of investment in
all three schemes.
4. The Cheque/ DD should be drawn favouring "Axis MF Multiple Schemes".
5. In case of payment through a Debit Mandate, please tick "Axis MF Multiple
Schemes" only.
6. If the total amount of investments mentioned on the application is different from
the amount mentioned on the accompanying Cheque / Demand Draft / Debit
mandate, then the application is liable to be rejected.
7. Please mention all scheme/ plan/ option details in the table in section 7A of the
form. If the scheme details are provided in any other format, the application is
liable to be rejected.
8. Investments will be accepted subject to minimum investment criteria applicable
for the schemes opted for investment. Even if one of the schemes specified for
investment does not satisfy the minimum investment criteria, the application
will be liable to be rejected for all schemes.
9. This facility is only available for lumpsum purchases.
20. FOREIGN ACCOUNT TAX COMPLIANCE (FATCA)
FATCA & CRS TERMS & CONDITIONS : Details under FATCA & CRS: The Central
Board of Direct Taxes has notified Rules 114F to 114H, as part of the Income- tax
Rules, 1962, which Rules require Indian financial institutions such as Axis MF to
seek additional personal, tax and beneficial owner information and certain
certifications and documentation from all our investors and counter parties. In
relevant cases, information will have to be reported to tax authorities / appointed
agencies.
Towards compliance, we may also be required to provide information to any
institutions such as withholding agents for the purpose of ensuring appropriate
withholding from the account or any proceeds in relation thereto.
The onus to provide accurate, adequate and timely inputs in this regard would be
that of the investor or counterparty. Should there be any change in any information
provided by you, please ensure you advise us promptly, i.e., within 30 days.
Please note that Axis MF will be unable to provide advice to you about any tax status
or FATCA/CRS classification relevant to your account. It is your responsibility to
ensure that you record your correct tax status / FATCA/ CRS classification. You may
seek advice from your tax advisor in this regard.
Please note that you may receive more than one request for information if you have
multiple relationships with Axis MF or its group entities. Therefore, it is important
that you respond to our request, even if you believe you have already supplied any
previously requested information.
FATCA & CRS INSTRUCTIONS:
If you have any questions about your tax residency, please contact your tax advisor.
If you are a US citizen or resident or green card holder, please include United States
in the foreign country information field along with your US Tax Identification
Number. It is mandatory to supply a TIN or functional equivalent if the country in
which you are tax resident issues such identifiers. If no TIN is yet available or has not
yet been issued, please provide an explanation and attach this to the form.
Investors are requested to provide all the necessary information / declarations to
facilitate compliance, considering India’s commitment to implement FATCA and
CRS under the relevant international treaties.
Please consult your professional tax advisor for further guidance on your tax
residency, if required.
21. AUTO SWITCH ON MATURITY
1. Investor can opt for the Auto Switch Facility by way of redemption of units from
AXIS FIXED TERM PLAN - SERIES 119 (71 DAYS) (A Close ended debt scheme; A
Moderate Interest Rate Risk and Moderate Credit Risk) on it’s maturity to any of
the Open ended schemes of Axis Mutual Fund (on the date of maturity or next
business day if date of maturity is non-business day).
2. This facility is not available for units held in demat mode.
3. Broker code for Auto Switch transaction will be captured as per the initial NFO
application form.
4. If investor ticks on both the options and mentions scheme details in Auto switch
on maturity section , default option would be considered as Auto Switch on
maturity” else maturity amount would be paid out to investor.
Investors are advised to read the SID and KIM of above mentioned scheme before
opting for Auto Switch facility.
INSTRUCTIONS FOR COMPLETING THE APPLICATION FORM (CONTD....)
(Please read the SID carefully before signing the application form and tendering payment.)
FATCA & CRS Indicia observed (ticked)
U.S. place of birth
Residence/mailing address in a country
other than India
Telephone number in a country other
than India
Telephone number in a country other
than India
Documentation required for Cure of FATCA/ CRS Indicia
1. Self-certification that the account holder is neither a citizen of United States of America nor a resident for tax purposes;
2. Non-US passport or any non-US government issued document evidencing nationality or citizenship (refer list below);AND
3. Any one of the following documents:
Certified Copy of “Certificate of Loss of Nationality
or Reasonable explanation of why the customer does not have such a certificate despite renouncing US citizenship;
or Reason the customer did not obtain U.S. citizenship at birth
1. Self-certification that the account holder is neither a citizen of United States of America nor a tax resident of any country other
than India; and
2. Documentary evidence (refer list below)
If no Indian telephone number is provided
1. Self-certification that the account holder is neither a citizen of United States of America nor a tax resident of any country other
than India; and
2. Documentary evidence (refer list below)
If Indian telephone number is provided along with a foreign country telephone number
1. Self-certification that the account holder is neither a citizen of United States of America nor a tax resident for tax purposes of any
country other than India; OR
2. Documentary evidence (refer list below)
1. Self-certification that the account holder is neither a citizen of United States of America nor a tax resident of any country other
than India; and
2. Documentary evidence (refer list below)
24. Submission of Aadhar Number
Pursuant to requirement under Prevention of Money Laundering (Maintenance of
Records) Rules, 2005 as amended from time to time, proof of possession of Aadhar
can be accepted as a valid document for proof of address or proof of identity of
investors, provided the investor redact or blackout his Aadhar number while
submitting the applications for investments.
The aforesaid guidelines will be subject to change as per the directives issued by the
concerned regulatory/ government authority from time to time.
For further details refer to SAI.
25. E-mail Communication
Investors should ensure that the email id provided is that of First /Sole holder or of
their Family member. Family means spouse, dependent children or dependent
parents. This email address and mobile no. provided shall be registered in the folio
for all communications. In case, this section is left blank, the email id and mobile no.
of the First / Sole Holder available in the KYC records shall be registered in the folio.
26. Declaration for Creating New Folio
If Name of the holders, Pan Proof, Bank Mandate, Address, Mode of holding &
Nominee are in the same order the transaction will process under existing folio.
27. Legal Entity Identifier no updation
RBI vide circular dated January 2021 on “Introduction of Legal Entity Identifier for
Large Value Transactions in Centralized Payment Systems” decided to introduce
the LEI system for all payment transactions of value INR 50 crore and above for Real
Time Gross Settlement (RTGS) and National Electronic Funds Transfer (NEFT) from
April 1, 2021. In view of the same it will be mandatory to include 20-digit Legal
Entity Identifier (LEI) information while initiating any transaction of value INR 50
crore and above by entities (non-Individual) for purchase and redemption
transaction.
To,
Axis Asset Management Company Limited
Axis House, First Floor, C-2,
Wadia International Centre,
Pandurang Budhkar Marg,
Worli, Mumbai - 400 025, India.
NAME AND SIGNATURE OF UNITHOLDER(S)
DECLARATION FORM FOR OPTING OUT OF NOMINATION IN FOLIO
First Unitholder Signature
Mutual Fund Folio Number
Sole / First Holder Name
Second Holder Name
Third Holder Name
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.
Date
D D M M Y Y Y Y
First Unitholder Name
Second Unitholder Signature
Second Unitholder Name
Third Unitholder Signature
Third Unitholder Name
APPLICATION SUPPORTED BY BLOCKED AMOUNT (ASBA) FORM
Folio Number
Mr. Ms.
M/s.
(If you have an existing folio number, please mention the number here)
National Securities Depository Ltd.
Central Depository Services [India] Limited
Bank Name
In figures
in words
City
Landline No.
Scheme Plan
Option
Amount
You/ Sole Applicant /Guardian Second Applicant Third Applicant Power of Attorney Holder
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.
Name and
AMFI Regn No.
Upfront commission shall be paid directly by the investor to the AMFI registered distributor based on the investor's assessment of various factors including the service rendered by the distributor. ^I/We, have invested in the
scheme(s) of Axis Mutual Fund under Direct Plan. I/We hereby give 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 of
Axis Mutual Fund, to the above mentioned SEBI Registered Investment Adviser. ^^I/We, have invested in the scheme(s) of Axis Mutual Fund under Direct Plan. I/We hereby give 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 of Axis Mutual Fund, to the above mentioned SEBI Registered Portfolio Manager.
PMR (Portfolio Manager's
Registration) Number ^^
SUB-Distributor
ARN
EUIN
NAME OF FIRST APPLICANT
(Name should be as available in Demat Account)
BROKER/AGENT INFORMATION
FOR OFFICE USE ONLY
SCSB
SCSB IFSC Code
Syndicate Member Code
Sl No.
DEPOSITORY ACCOUNT DETAILS
Depository Name
Depository Participant Name
DP-ID Beneficiary Account Number
PAN DETAILS
1st applicant
(Permanent Account Number)
2nd applicant 3rd applicant
INVESTMENT DETAILS
Direct
Regular
Bank Account Number
Branch Name where account is held
Total Amount to be blocked
DETAILS OF BANK ACCOUNT FOR BLOCKING OF FUNDS
Contact Person (In case of non Individual Investor)
Address
State
CONTACT DETAILS - FIRST APPLICANT/GUARDIAN/CORPORATE
(PO Box address is not sufficient. Mobile number and email is mandatory to avail
online facility.)
Pincode
APPLICATION NO.
ACKNOWLEDGMENT SLIP (to be filled in by the investor)
SCSB Stamp, Signature
AXIS FIXED TERM PLAN - SERIES 119 (71 DAYS)
AXIS FIXED TERM PLAN - SERIES 119 (71 DAYS)
SCSB Account details: Account No.
Bank Name
Total Amount to be blocked
Time of receipt
D
D M M Y Y Y Y
Date
an application for purchase of units
Branch
Received from Mr / Ms / Mrs / M/s
in words
In figures
AXIS FIXED TERM PLAN - SERIES 119 (71 DAYS)
(A Close ended debt scheme; A Moderate Interest Rate Risk and Moderate Credit Risk)
NFO OPENS : NFO CLOSES : JANUARY 03, 2024 AND JANUARY 09, 2024
1) I/We hereby under take that I/We am/are an ASBA Investor as per the applicable provisions of the SEBI (Issue of Capital and Disclosure Requirements.) Regulation 2009 (’SEBI
Regulation’) as amended from time to time. 2) In accordance with ASBA process provided in the SEBI Regulations and as disclosed in this application, I/We authorize (a) the SCSB to do
all necessary acts including blocking of application money towards the Subscription of Units of the Scheme, to the extent mentioned above in the “SCSB/ASBA Account details” or
unblocking of funds in the bank account maintained with the SCSB specified in this application form, transfer of funds to the Bank account of the Scheme/Axis Mutual Fund on receipt
of instructions from its Registrar and Transfer Agent after the allotment of the Units entiting me/us to receive Units on such transfer of funds, etc. (b) Registrar and Transfer Agent to
issue instruction to the SCSB to remove the block on the funds in the bank account specified in the application, upon allotment of Units and to transfer the requisite money to the
Scheme’s account / Bank account of Axis Mutual Fund. 3) In case the amount available in the bank account specified in the application is insufficient for blocking the amount
equivalent to the application money towards the Subscription of Units, the SCSB shall reject the application. 4) If the DP ID, Beneficiary Account No. or PAN furnished by me/us in the
application is incorrect or incomplete or not matching with the depository records, the application shall be rejected and the Axis Mutual Fund or Axis Asset Management Company
Limited or SCSBs shall not be liable for losse, if any. All future communication in connection with NFO should be addressed to the SCSB/RTA/AMC quoting the full name of the
Sole/First Applicant, NFO Application Number, ASBA Application Number, Depository Account details [If it has been provided]. Amount applied for and the account number from
where NFO amount was blocked.
Having read and understood the content of the SID / SAI of the scheme, I / we hereby apply for units of the scheme. I have read and understood the terms, conditions, rules and
regulations governing the scheme. I / We hereby declare that the amount invested in the scheme is through legitimate source only and does not involve designed for the purpose of the
contravention of any Act, Rules, Regulations, Notifications or Directives 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. I / We confirm that the funds invested in the Scheme, legally belongs to me / us. In event “Know Your Customer” process is not
completed by me / us to the satisfaction of the Mutual Fund, (I / we hereby authorize the Mutual Fund, to redeem the funds invested in the Scheme, in favour of the applicant, at the
applicable NAV prevailing on the date of such redemption and undertake such other action with such funds that may be required by the law.) 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. 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. I / We confirm that details provided by me / us are true and
correct.
Signature of Bank Account Holders
1. MEANING OF ASBA
ASBA is an application for subscribing to a New Fund Offer (NFO), containing an
authorisation to block the application money in a bank account.
2. SELF CERTIFIED SYNDICATE BANK (SCSB)
SCSB is a banker to an issue registered with the SEBI which offers the facility of
applying through the ASBA process. The list of SCSBs will be displayed by SEBI on
its website at www.sebi.gov.in from time to time. ASBAs can be accepted only by
SCSBs, whose names appear in the list of SCSBs displayed on SEBI’s website. As on
April 15, 2010,27 Banks have been recognised as SCSBs. Investors maintaining
their accounts in of any of these Banks may approach one of the designated
branches of these SCSBs for availing this facility. Further it may be noted that from
time to time new banks register themselves as SCSBs who become eligible to
provide these services and also the existing SCSBs designate additional branches
that also provide this facility. An updated list of all the registered SCSBs, their
controlling branches, contact details and details of their contact persons, a list of
their designated branches which are providing such services is available on the
website of SEBI at the address http://www.sebi.gov.in. Further these details are
also available on the websites of the Stock Exchanges at http://www.bseindia.com
and http://www.nseindia.com. Alternatively, investors may also contact the AMC,
R& TA for information about the SCSBs or the ASBA process. These SCSBs are
deemed to have entered into an agreement with the Issuer and shall be required to
offer the ASBA facility to all its account holders for all issues to which ASBA process
is applicable. A SCSB shall identify its Designated Branches (DBs) at which an ASBA
bidder shall submit ASBA and shall also identify the Controlling Branch (CB), which
shall act as a coordinating branch for the Registrar to the Issue, Stock Exchanges
and Merchant Bankers. The SCSB, its DBs and CB shall continue to act as such, for
all issues to which ASBA process is applicable. The SCSB may identify new DBs for
the purpose of ASBA process and intimate details of the sarne to SEBI. after which
SEBI wi ll add the DB to the list of SCSBs maintained by it. The SCSB shall
communicate the following details to Stock Exchanges for making it available on
their respective websites. These details shall also be made available by the SCSB on
its website: (i) Name and address of the SCSB (ii) Addresses of DBs and CB and other
details such as telephone number, fax number and email ids. (iii) Name and contact
details of a nodal officer at a senior level from the CB.
3. ELIGIBILITY OF INVESTORS
An Investor shall be eligible to apply through ASBA process, if he/she: (i) is a
Resident Retail Individual Investor, Non Institutional Investor, QIBs, Eligible NRls
applying on non-repatriation basis, Eligible NRls applying on repatriation basis i.e.
any investor, (ii) is applying through blocking of funds in a bank account with the
SCSB; Such investors are hereinafter referred as "ASBA Investors".
4. ASBA FACILITY IN BRIEF
Investor shall submit his Bid through an ASBA cum Application Form, either in
physical or electronic mode, to the SCSB with whom the bank account of the ASBA
Investor or bank account utilised by the ASBA Investor ("ASBA Account") is
maintained. The SCSB shall block an amount equal to the NFO application Amount
in the bank account specified in the ASBA cum Application Form, physical or
electronic, on the basis of an authorisation to this effect given by the account holder
at the time of submitting the Application. The Bid Amount shall remain blocked in
the aforesaid ASBA Account until the Allotment in the New fund Offer and
consequent transfer of the Application Amount against the allocated Units to the
Issuer's account designated for this purpose, or until withdrawal/failure of the Offer
or until withdrawal/rejection of the ASBA Application, as the case may be. The ASBA
data shall thereafter be uploaded by the SCSB in the electronic IPO system of the
Stock Exchanges. Once the Allotment is finalised, the R&TA to the NFO shall send an
INSTRUCTIONS FOR FILLING ASBA APPLICATION FORM
appropriate request to the Controlling Branch of the SCSB for unblocking the
relevant bank accounts and for transferring the amount allocable to the successful
ASBA Bidders to the
AMC account designated for this purpose. In case of withdrawal/Rejection of the
Offer, the R&TA to the Offer shall notify the SCSBs to unblock the blocked amount
of the ASBA Bidders within one day from the day of receipt of such notification.
5. OBLIGATIONS OF THE AMC:
AMC shall ensure that adequate arrangements are made by the R&TA for the NFO
to obtain information about all ASBAs and to treat these applications similar to
non-ASBA applications while allotment of Units, as per the procedure specified in
the Securities and Exchange Board of India (Issue of Capital and Disclosure
Requirements) Regulations, 2009.
Investors are requested to check with their respective banks about the availability
of the ASBA facility.
6. OTHER INFORMATION FOR ASBA INVESTORS:
1. SCSB shall not accept any ASBA after the closing time of acceptance on the last
day of the NFO period.
2. SCSB shall give ASBA investors an acknowledgment for the receipt of ASBAs.
3. SCSB shall not upload any ASBA in the electronic system of the Stock
Exchange(s) unless (i) it has received the ASBA in a physical or electronic form;
and (ii) it has blocked the application money in the bank account specified in the
ASBA or has systems to ensure that Electronic ASBAs are accepted in the
system only after blocking of application money in the relevant bank account
opened with it.
4. SCSB shall ensure that complaints of ASBA investors arising out of errors or
delay in capturing of data, blocking or unblocking of bank accounts, etc. are
satisfactorily redressed.
5. SCSB shall be liable for all its omissions and commissions in discharging
responsibilities in the ASBA process.
6. R&TA to the NFO shall act as a nodal agency for redressing complaints of ASBA
and non-ASBA investors, including providing guidance to ASBA investors
regarding approaching the SCSB concerned.
Grounds for rejection of ASBA applications
ASBA application forms can be rejected by the AMC/Registrar/SCSBs, on the following
technical grounds:
1. Applications by persons not competent to contract under the Indian Contract Act,
1872, including but not limited to minors, insane persons etc.
2. Mode of ASBA i.e. either Physical ASBA or Electronic ASBA, not selected or ticked.
3. ASBA Application Form without the stamp of the SCSB.
4. Application by any person outside India if not in compliance with applicable foreign
and Indian laws.
5. Bank account details not given/incorrect details given.
6. Duly certified Power of Attorney, if applicable, not submitted alongwith the ASBA
application form.
7. No corresponding records available with the Depositories matching the
parameters namely (a) Names of the ASBA applicants (including the order of names
of joint holders) (b) DP ID (c) Beneficiary account number or any other relevant
details pertaining to the Depository Account.
8. Insufficient funds in the investor's account.
9. Application accepted by SCSB and not uploaded on/with the Exchange / Registrar.
UNDERTAKING BY ASBA INVESTOR
DECLARATION AND SIGNATURES
FOR NON-INDIVIDUALS - SUPPLEMENTARY KNOW YOUR CLIENT (KYC), FATCA, CRS
& ULTIMATE BENEFICIAL OWNERSHIP (UBO) SELF CERTIFICATION FORM
Name of the entity
Type of address given at KRA
Residential or Business Residential
Business
Registered Office
Address of tax residence would be taken as available in KRA database. In case of any change, please approach KRA & notify the changes"
Folio Number
Partnership Firm HUF Private Limited Company Public Limited Company Society AOP/BOI Trust
Liquidator
Limited Liability Partnership Artificial Juridical Person Others
specify
Folio Number Folio Number
PAN Date of incorporation
D D
M M
Y Y Y Y
City of incorporation
Country of incorporation
Entity Constitution Type
(Please ü as appropriate)
%
Tax Identification Number
Country
Identification Type (TIN or Other, please specify)
Is “Entity” a tax resident of any country other than India
Yes No
(If yes, please provide country/ies in which the entity is a resident for tax purposes and the associated Tax ID number below.)
%
In case Tax Identification Number is not available, kindly provide its functional equivalent$.
In case TIN or its functional equivalent is not available, please provide Company Identification number or Global Entity Identification Number or GIIN, etc.
In case the Entity's Country of Incorporation / Tax residence is U.S. but Entity is not a Specified U.S. Person, mention Entity's exemption code here
Gross Annual Income (`)
Below 1 Lac
1 - 5 Lacs 5 - 10 Lacs 10 - 25 Lacs >25 Lacs - 1 Crore >1 Crore
Net-worth (Mandatory for Non-Individuals)
`
as on (Not older than 1 year)
Politically Exposed Person (PEP) Status* (Also applicable for authorised signatories/ Promoters/
Karta/ Trustee/ Whole time Directors)
PEP Related to PEP Not Applicable
*PEP are defined as individuals who are or have been entrusted with prominent public functions in a foreign country, e.g., Heads of States or of Governments,
senior politicians, senior Government/judicial/ military officers, senior executives of state owned corporations, important political party officials, etc.
OR
Is the entity involved in any of the mentioned services:
(Please ü as appropriate)
Foreign exchange/ Money changer Gaming/ Gambling/ Lottery (Casinos, betting syndicates)
Money lending/ Pawning Not applicable
ADDITIONAL KYC INFORMATION
D D
M M
Y Y Y Y
PART A (to be filled by Financial Institutions or Direct Reporting NFEs)
FATCA & CRS Declaration
(Please consult your professional tax advisor for further guidance on FATCA & CRS classification)
We are a,
6
Financial institution
OR
7
Direct reporting NFE
(please tick as appropriate)
GIIN
Note: If you do not have a GIIN but
you are sponsored by another
en t i ty, ple a se pro vid e y our
sponsor's GIIN above and indicate
your sponsor's name below
Name of sponsoring entity
GIIN not available
(please ü as applicable)
If the entity is a financial institution
Applied for
10
Not required to apply for - please specify 2 digits sub-category
Not obtained - Non-participating FI
1
1
Is the Entity a publicly traded company (that is, a company
whose shares are regularly traded on an established
securities market)
Yes (If yes, please specify any one stock exchange on which the stock is regularly traded)
Name of stock exchange
2
2
Is the Entity a related entity of a publicly traded company (a
company whose shares are regularly traded on an
established securities market)
Yes (If yes, please specify name of the listed company and one stock exchange on which the
stock is regularly traded)
Name of listed company
Nature of relation: Subsidiary of the Listed Co. or Controlled by a Listed Co.
Name of stock exchange
3
3
Is the Entity an active NFE
Yes Nature of Business
Please specify the sub-category of Active NFE (Mention code-refer 2c of Part D)
4
4
Is the Entity a passive NFE
Yes Nature of Business
1 2 3 4 6 7 10
Refer 2a of Part C | Refer 2b of Part C | Refer 2c of Part C | Refer 3(ii) of Part C | Refer 1 of Part C | Refer 3(vii) of Part C | Refer1A of Part C
PART B (please fill any one as appropriate “to be filled by NFEs other than Direct Reporting NFEs”)
UBO Declaration (Mandatory for all entities except, a Publicly Traded Company or a related entity of Publicly Traded Company)
Category (Please tick l
applicable category)
Unlisted Company Partnership Firm Limited Liability Partnership Company Unincorporated association / body of individuals
Public Charitable Trust Religious Trust
Private Trust
Others
Please list below the details of controlling person(s), confirming ALL countries of tax residency / permanent residency / citizenship and ALL Tax Identification Numbers for
EACH controlling person(s). (Please attach additional sheets if necessary)
Owner-documented FFI's should provide FFI Owner Reporting Statement and Auditor's Letter with required details as mentioned in Form W8 BEN E (Refer 3(vi) of part C)
Details UBO1 UBO2
UBO3
Name
City of Birth
Country of birth
Occupation Type
Nationality
Father's Name
Gender
Date of Birth
Service
Business Others
Male Female Others
D D M M Y Y Y Y
Percentage of Holding (%)^
Service
Business Others
Male Female Others
D D M M Y Y Y Y
Country of Tax residency*
UBO Code (Refer 3(iv) (A) of Part C)
%
Tax ID No.
Tax ID Type
Service
Business Others
Male Female Others
D D M M Y Y Y Y
Address
Address Type
Zip
State
Country
Residence Registered office Business
Zip
State
Country
Residence Registered office Business
Zip
State
Country
Residence Registered office Business
PAN
# Additional details to be filled by controlling persons with tax residency / permanent residency / citizenship / Green Card in any country other than India:
* To include US, where controlling person is a US citizen or green card holder
%In case Tax Identification Number is not available, kindly provide functional equivalent
^Attach valid documentary proof like Shareholding pattern duly self attested by Authorized Signatory / Company Secretary
4 11
Refer 3(iii) of Part C | Refer 3(iv) (A) of Part C
FATCA - CRS Terms and Conditions
The Central Board of Direct Taxes has notified Rules 114F to 114H, as part of the Income-tax Rules, 1962, which Rules require Indian financial institutions such as the Bank
to seek additional personal, tax and beneficial owner information and certain certifications and documentation from all our account holders. In relevant cases, information
will have to be reported to tax authorities/ appointed agencies. Towards compliance, we may also be required to provide information to any institutions such as withholding
agents for the purpose of ensuring appropriate withholding from the account or any proceeds in relation thereto.
Should there be any change in any information provided by you, please ensure you advise us promptly, i.e., within 30 days.
Please note that you may receive more than one request for information if you have multiple relationships with Axis Mutual Fund or its group entities. Therefore, it is
important that you respond to our request, even if you believe you have already supplied any previously requested information.
If you have any questions about your tax residency, please contact your tax advisor. If any controlling person of the entity is a US citizen or resident or green card holder,
please include United States in the foreign country information field along with the US Tax Identification Number.
$It is mandatory to supply a TIN or functional equivalent if the country in which you are tax resident issues such identifiers. If no TIN is yet available or has not yet been
issued, please provide an explanation and attach this to the form.
I / We have understood the information requirements of this Form (read along with the 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 below and hereby accept the
same.
Name
Designation
CERTIFICATION
Date
Place
D D
M M
Y Y Y Y
Signatures Signatures Signatures
PART C FATCA Instructions & Definitions
1 Financial Institution (FI) - The term FI means any financial institution that is a
Depository Institution, Custodial Institution, Investment Entity or Specified
Insurance company, as defined.
Depository institution: is an entity that accepts deposits in the ordinary
course of banking or similar business.
Custodial institution is an entity that holds as a substantial portion of its
business, holds financial assets for the account of others and where it's
income attributale to holding financial assets and related financial
services equals or exceeds 20 percent of the entity's gross income during
the shorter of
(i) The three financial years preceding the year in which determination is
made; or
(ii) The period during which the entity has been in existence, whichever is
less.
Investment entity is any entity:
That primarily conducts a business or operates for or on behalf of a
customer for any of the following activities or operations for or on behalf of
a customer
(I) Trading in money market instruments (cheques, bills, certificates of
deposit, derivatives, etc.); foreign exchange; exchange, interest rate
and index instruments; transferable securities; or commodity futures
trading; or
(ii) Individual and collective portfolio management; or
(iii) Investing, administering or managing funds, money or Fnancial asset
or money on behalf of other persons;
OR
The gross income of which is primarily attributable to investing,
reinvesting, or trading in Fnancial assets, if the entity is managed by
another entity that is a depository institution, a custodial institution, a
speciFed insurance company, or an investment entity described above.
An entity is treated as primarily conducting as a business one or more of
the 3 activities described above, or an entity's gross income is primarily
attributable to investing, reinvesting, or trading in Financial assets of the
entity's gross income attributable to the relevant activities equals or
exceeds 50 percent of the entity's gross income during the shorter of :
(i) The three-year period ending on 31 March of the year preceding the
year in which the determination is made;
OR
(ii) The period during which the entity has been in existence.
The term “Investment Entity” does not include an entity that is an
active non-financial entity as per codes 03, 04, 05 and 06 - refer point
2c.)
Specified Insurance Company: Entity that is an insurance company (or the
holding company of an insurance company) that issues, or is obligated to
make payments with respect to, a Cash Value Insurance Contract or an
Annuity Contract.
FI not required to apply for GIIN:
A. Reasons why FI not required to apply for GIIN:
Code Sub-category
01 Governmental Entity, International Organization or Central Bank
02 Treaty Qualified Retirement Fund; a Broad Participation
Retirement Fund; a Narrow Participation Retirement Fund; or a
Pension Fund of a Governmental Entity, International
Organization or Central Bank
03 Non-public fund of the armed forces, an employees' state
insurance fund, a gratuity fund or a provident fund
04 Entity is an Indian FI solely because it is an investment entity
05 Qualified credit card issuer
06 Investment Advisors, Investment Managers& Executing
Brokers
07 Exempt collective investment vehicle
08 Trustee of an Indian Trust
09 FI with a local client base
10 Non-registering local banks
11 FFI with only Low-Value Accounts
12 Sponsored investment entity and controlled foreign
corporation
13 Sponsored, Closely Held Investment Vehicle
14 Owner Documented FFI
2. Non-financial entity (NFE) - Foreign entity that is not a financial institution
Types of NFEs that are regarded as excluded NFE are:
a. Publicly traded company (listed company)
A company is publicly traded if its stock are regularly traded on one or
more established securities markets
(Established securities market means an exchange that is officially
recognized and supervised by a governmental authority in which the
securities market is located and that has a meaningful annual value of
shares traded on the exchange)
b. Related entity of a publicly traded company
The NFE is a related entity of an entity of which is regularly traded on an
established securities market;
c. Active NFE : (is any one of the following):
Code Sub-category
01 Less than 50 percent of the NFE's gross income for the
preceding financial year is passive income and less than 50
percent of the assets held by the NFE during the preceding
financial year are assets that produce or are held for the
production of passive income;
02 The NFE is a Governmental Entity, an International
Organization, a Central Bank , or an entity wholly owned by one
or more of the foregoing;
03 Substantially all of the activities of the NFE consist of holding (in
whole or in part) the outstanding stock of, or providing financing
and services to, one or more subsidiaries that engage in trades
or businesses other than the business of a Financial Institution,
except that an entity shall not qualify for this status if the entity
functions as an investment fund, such as a private equity fund,
venture capital fund, leveraged buyout fund, or any
investment vehicle whose purpose is to acquire or fund
companies and then hold interests in those companies as capital
assets for investment purposes;
04 The NFE is not yet operating a business and has no prior
operating history, but is investing capital into assets with the
intent to operate a business other than that of a Financial
Institution, provided that the NFE shall not qualify for this
exception after the date that is 24 months after the date of the
initial organization of the NFE;
05 The NFE was not a Financial Institution in the past five years,
and is in the process of liquidating its assets or is reorganizing
with the intent to continue or recommence operations in a
business other than that of a Financial Institution;
06 The NFE primarily engages in financing and hedging
transactions with, or for, Related Entities that are not Financial
Institutions, and does not provide financing or hedging services
to any Entity that is not a Related Entity, provided that the group
of any such Related Entities is primarily engaged in a business
other than that of a Financial Institution;
07 Any NFE that fulfills all of the following requirements:
It is established and operated in India exclusively for
religious, charitable, scientific, artistic, cultural, athletic, or
educational purposes; or it is established and operated in
India and it is a professional organization, business league,
chamber of commerce, labor organization, agricultural or
horticultural organization, civic league or an organization
operated exclusively for the promotion of social welfare;
It is exempt from income tax in India;
It has no shareholders or members who have a proprietary
or beneficial interest in its income or assets;
The applicable laws of the NFE's country or territory of
residence or the NFE's formation documents do not permit
any income or assets of the NFE to be distributed to, or
applied for the benefit of, a private person or non-
charitable Entity other than pursuant to the conduct of the
NFE's charitable activities, or as payment of reasonable
compensation for services rendered, or as payment
representing the fair market value of property which the
NFE has purchased; and
The applicable laws of the NFE's country or territory of
residence or the NFE's formation documents require that,
upon the NFE's liquidation or dissolution, all of its assets be
distributed to a governmental entity or other non-profit
organization, or escheat to the government of the NFE's
country or territory of residence or any political
subdivision thereof.
Explanation.- For the purpose of this sub-clause, the
following shall be treated as fulfilling the criteria provided
in the said sub-clause, namely:-
(I) an Investor Protection Fund referred to in clause (23EA);
(II) a Credit Guarantee Fund Trust for Small Industries
referred to in clause 23EB; and
(III) an Investor Protection Fund referred to in clause (23EC), of
section 10 of the Act;
3. Other definitions
(i) Related entity
An entity is a 'related entity' of another entity if either entity controls the
other entity, or the two entities are under common control For this
purpose, control includes direct or indirect ownership of more than 50% of
the votes and value in an entity.
(ii) Passive NFE
The term passive NFE means
(i) any non-financial entity which is not an active non-financial entity
including a publicly traded corporation or related entity of a publicly
traded company; or
(ii) an investment entity defined in clause (b) of these instructions
PART C FATCA Instructions & Definitions
(iii) a withholding foreign partnership or withholding foreign trust;
(Note: Foreign persons having controlling interest in a passive NFE are
liable to be reported for tax information compliance purposes)
(iii) Passive income
The term passive income includes income by way of :
(1) Dividends,
(2) Interest
(3) Income equivalent to interest,
(4) Rents and royalties, other than rents and royalties derived in the
active conduct of a business conducted, at least in part, by employees
of the NFE
(5) Annuities
(6) The excess of gains over losses from the sale or exchange of financial
assets that gives rise to passive income
(7) The excess of gains over losses from transactions (including futures,
forwards, options and similar transactions) in any financial assets,
(8) The excess of foreign currency gains over foreign currency losses
(9) Net income from swaps
(10) Amounts received under cash value insurance contracts
But passive income will not include,in case of a non-financial
entitythat regularly acts as a dealer in financial assets, any income
from any transaction entered into in the ordinary course of such
dealer's business as such a dealer.
(iv) Controlling persons
Controlling persons are natural persons who exercise control over an
entity and includes a beneficial owner under sub-rule (3) of rule 9 of the
Prevention of Money-Laundering (Maintenance of Records) Rules,
2005.In the case of a trust, the controlling person means the settl or, the
trustees, the protector (if any), the beneficiaries or class of beneficiaries,
and any other natural person exercising ultimate effective control over the
trust. In the case of alegalar rangement other than a trust, controlling
person means persons in equivalent or similar positions.
Pursuant to guidelines on identification of Beneficial Ownership issued
vide SEBI circular no. CIR/MIRSD/2/2013 dated January 24, 2013,
persons (other than Individuals) are required to provide details of
Beneficial Owner(s) ('BO'). Accordingly, the Beneficial Owner means
'Natural Person', who, whether acting alone or together, or through one or
more juridical person, exercises control through ownership or who
ultimately has a controlling ownership interest of / entitlements to:
i. More than 25% of shares or capital or profits of the juridical person,
where the juridical person is a company;
ii. More than 15% of the capital or profits of the juridical person, where
the juridical person is a partnership; or
iii. More than 15% of the property or capital or profits of the juridical
person, where the juridical person is an unincorporated association
or body of individuals.
Where the client is a trust, the financial institution shall identify the
beneficial owners of the client and take reasonable measures to verify the
identity of such persons, through the identity of the settler of the trust, the
trustee, the protector, the beneficiaries with 15% or more interest in the
trust and any other natural person exercising ultimate effective control
over the trust through a chain of control or ownership.
Where no natural person is identified the identity of the relevant natural
person who holds the position of senior managing official.
(A) Controlling Person Type:
Code Sub-category
01 CP of legal person-ownership
02 CP of legal person-other means
03 CP of legal person-senior managing official
04 CP of legal arrangement-trust-settlor
05 CP of legal arrangement--trust-trustee
06 CP of legal arrangement--trust-protector
07 CP of legal arrangement--trust-beneficiary
08 CP of legal arrangement--trust-other
09 CP of legal arrangement—Other-settlor equivalent
10 CP of legal arrangement—Other-trustee equivalent
11 CP of legal arrangement—Other-protector equivalent
12 CP of legal arrangement—Other-beneficiary equivalent
13 CP of legal arrangement—Other-other equivalent
14 Unknown
(v) Specified U.S. person A U.S person other than the following:
(i) a corporation the stock of which is regularly traded on one or more
established securities markets;
(ii) any corporation that is a member of the same expanded affiliated
group, as defined in section 1471(e)(2) of the U.S. Internal Revenue
Code, as a corporation described in clause (i);
(iii) the United States or any wholly owned agency or instrumentality
thereof;
(iv) any State of the United States, any U.S. Territory, any political
subdivision of any of the foregoing, or any wholly owned agency or
instrumentality of any one or more of the foregoing;
(v) any organization exempt from taxation under section 501(a) of the
U.S. Internal Revenue Code or an individual retirement plan as
defined in section 7701(a)(37) of the U.S. Internal Revenue Code;
(vi) any bank as defined in section 581 of the U.S. Internal Revenue Code;
(vii) any real estate investment trust as defined in section 856 of the U.S.
Internal Revenue Code;
(viii) any regulated investment company as defined in section 851 of the
U.S. Internal Revenue Code or any entity registered with the U.S.
Securities and Exchange Commission under the Investment Company
Act of 1940 (15 U.S.C. 80a-64);
(ix) any common trust fund as defined in section 584(a) of the U.S. Internal
Revenue Code;
(x) any trust that is exempt from tax under section 664(c) of the U.S.
Internal Revenue Code or that is described in section 4947(a)(1) of
the U.S. Internal Revenue Code;
(xi) a dealer in securities, commodities, or derivative financial
instruments (including notional principal contracts, futures,
forwards, and options) that is registered as such under the laws of the
United States or any State;
(xii) a broker as defined in section 6045(c) of the U.S. Internal Revenue
Code; or
(xiii) any tax-exempt trust under a plan that is described in section 403(b)
or section 457(g) of the U.S. Internal Revenue Code.
(vi) Owner documented FFI
An FFI meets the following requirements:
(a) The FFI is an FFI solely because it is an investment entity;
(b) The FFI is not owned by or related to any FFI that is a depository
institution, custodial institution, or specified insurance company;
(c) The FFI does not maintain a financial account for any non
participating FFI;
(d) The FFI provides the designated withholding agent with all of the
documentation and agrees to notify the withholding agent if there is a
change in circumstances; and
(e) The designated withholding agent agrees to report to the IRS (or, in
the case of a reporting Model 1 IGA, to the relevant foreign
government or agency thereof) all of the information described in or
(as appropriate) with respect to any specified U.S. persons and (2).
Notwithstanding the previous sentence, the designated withholding
agent is not required to report information with respect to an indirect
owner of the FFI that holds its interest through a participating FFI, a
deemed-compliant FFI (other than an owner-documented FFI), an
entity that is a U.S. person,an exempt beneficial owner, or an excepted
NFE.
(vii) Direct reporting NFE
A direct reporting NFFE means a NFFE that elects to report information
about its direct or indirect substantial U.S. owners to the IRS.
(viii) Exemption code for U.S. persons
Code Sub-category
A An organization exempt from tax under section 501(a) or any
individual retirement plan as defined in section 7701(a)(37)
B The United States or any of its agencies or instrumentalities
C A state, the District of Columbia, a possession of the United
States, or any of their political subdivisions or instrumentalities
D A corporation the stock of which is regularly traded on one or
more established securities markets, as described in Reg.
section 1.1472-1(c)(1)(I)
E A corporation that is a member of the same expanded affiliated
group as a corporation described in Reg. section 1.1472-
1(c)(1)(I)
F A dealer in securities, commodities, or derivative financial
instruments (including notional principal contracts, futures,
forwards, and options) that is registered as such under the laws
of the United States or any state
G A real estate investment trust
H A regulated investment company as defined in section 851 or
an entity registered at all times during the tax year under the
Investment Company Act of 1940
I A common trust fund as defined in section 584(a)
J A bank as defined in section 581
K A broker
L A trust exempt from tax under section 664 or described in
section 4947(a)(1)
M A tax exempt trust under a section 403(b) plan or section 457(g)
plan
Authorized Signatory
Authorized Signatory
Authorized Signatory
Declaration Form of Non-Profit Organization (NPO)
(Mandatory for Trusts/Society)
Investor Name
PAN
I/We hereby confirm that above stated entity / organization is falling under “Non-profit organization” [NPO] which has been constituted
for religious or charitable purposes referred to in clause (15) of section 2 of the Income-tax Act, 1961 (43 of 1961), and is registered as a
trust or a society under the Societies Registration Act, 1860 (21 of 1860) or any similar State legislation or a Company registered under
the section 8 of the Companies Act, 2013 (18 of 2013).
Enclosed relevant documentary proof evidencing the above definition.
We further confirm that we have registered with DARPAN Portal of NITI Aayog as NPO and registration details are as follows:
Registration Number of DARPAN portal
If not, please register immediately and confirm with the above information. In absence of receipt of the Darpan portal registration details,
MF/AMC/RTA will be required to register your entity on the said portal and/or report to the relevant authorities as applicable.
I/We hereby confirm that the above stated entity / organization is NOT falling under Non-profit organization as defined above or in
PMLA Act/Rules thereof.
I/We acknowledge and confirm that the information provided above is true and correct to the best of my/our knowledge and belief. In case any
of the above specified information is found to be false or untrue or misleading or misrepresenting, I/We am/are aware that I/We may be liable
for it for any fines or consequences as required under the respective statutory requirements and authorize you to deduct such fines/charges
under intimation to me/us or collect such fines/charges in any other manner as might be applicable. I/We hereby authorize you
[RTA/Fund/AMC/Other participating entities] to disclose, share, rely, remit in any form, mode or manner, all / any of the information provided
by me, including all changes, updates to such information as and when provided by me to any of the Mutual Fund, its Sponsor, Asset
Management Company, trustees, their employees / RTAs ('the Authorized Parties') or any Indian or foreign governmental or statutory or
judicial authorities / agencies including to the Financial Intelligence Unit-India (FIU-IND), the tax / revenue authorities in India or outside
India wherever it is legally required and other investigation agencies without any obligation of advising me/us of the same. Further, I/We
authorize to share the given information to other SEBI Registered Intermediaries or any other statutory authorities to facilitate single
submission / update & for regulatory purposes. I/We also undertake to keep you informed in writing about any changes / modification to the
above information in future within 30 days of such changes and undertake to provide any other additional information as may be required at
your / Fund’s end or by domestic or overseas regulators/ tax authorities.
Signature with relevant seal:
M M Y Y Y YD D
Date
Place