Key Information Memorandum and Common Application Form Continuous Offer of Units at Applicable NAV

Transcription

1 ARN/RIA TRANSACTION CHARGES FOR APPLICATIONS THROUGH DISTRIBUTORS ONLY(Refer Inruction ) In case e subscription amount is $0,000 me and your Diribut has opted to receive Transaction Charges, e same are deductible as applicable from e purchase/ subscription amount and payable to e Diribut. Units will be issued again e balance amount inveed. Inves applying under Direct Plan mu mention Direct in ARN Column Upfront commission shall be paid directly by e inve to e AMFI regiered diribut based on e inve's assessment of various facts including e service rendered by e diribut. Diribut ARN / RIA Key Infmation Memandum and Common Application Fm Continuous Offer of Units at Applicable NAV Diribut Name EXISTING INVESTOR'S DETAILS (Please fill your Folio No., Name, Section 2A, 2B, 6 & ) Sub-Diribut ARN/RIA By mentioning RIA code, I/We auize you to share wi e SEBI Regiered Invement Advis e details of my/our transactions in e scheme(s) of Motilal Oswal Mutual Fund. ARN Fir / Sole Applicant / Guardian Fm - Internal Sub-Broker/Employee Code Second Applicant Third Applicant Power of Attney Holder Transaction Charges f $ 0,000 and above Exiing Inve - $00 New Inve - $50 Folio No. Name EUIN 2 FIRST APPLICANT'S DETAILS (Non-individual inve please fill in FATCA, CRS & UBO Declaration in Section 9 & 0 ) Mr. Ms. M/s Name Faer s Name PAN ** CIN Date of Bir / Incpation D D Place of Bir / Incpation Country of Bir / Incpation Nationality F Invements "On behalf of Min" Bir Certificate School Certificate Passpt Oers (Refer Inruction d) Name of e Guardian (In case of min) / Contact person f non individuals / PoA holder name Guardian named below is Guardian / PoA PAN Faer Moer Court Appointed Crespondence address City State Pin Code Overseas address ID Mandaty incase of NRI s Mobile Tel. 2A Status ID & Mobile No. are essential to enable us to communicate better wi you KYC Details (Mandaty) Partnership Firm HUF Private Limited Company Public Limited Company Lied Company Society Artificial Juridical Person Occupation Pvt. Sect Service Public Sect Gov. Service Housewife Defence Professional Retired Business Agriculture Student Fex Dealer Oers AOP/BOI Tru H Liquidat Limited Liability Partnership Resident Individual Propriet PIO Tru Min FII/ FPI NRI Body Cpate NGO FI Govt. Body Bank Defence Eablishments NPO Oers Gross Annual Income OR Net-w* in ` * Not older an one year INDIVIDUALS <L -5L 5-0L 0-25L 25L-CR >CR netw as on Any oer infmation NON-INDIVIDUALS <L -5L 5-0L 0-25L 25L-CR >CR netw as on (Netw is mandaty f Non-individuals) Any oer infmation Is e entity involved in any of e following: Feign Exchange/ Money Changer Yes No 2 Gaming / Gambling / Lottery Yes No (casinos, betting syndicates) 3 Money Lending/ Pawning Yes No Politically Exposed Person (PEP) Status (Also applicable f auised signaties/promoters/ Karta/ Truee/ Whole time Directs) I am PEP I am Related to PEP Not Applicable 2B FATCA Details Are you a tax resident of any country oer an India? Yes No If yes, please indicate all countries in which you are resident f tax purposes and e associated Tax ID Numbers below. (use annexure in case you are a residents in 3 me country) Country Tax Identification Number Identification Type (TIN Oer, please specify) Permissible Documents **Please mention PAN as it is mandaty Passpt Election ID Card PAN Card Govt. ID Card Driving License UIDAI Card NREGA Job Card Oers To also include USA, where e individual is a citizen / green card holder of The USA In case Tax Identification Number is not available, kindly provide its functional equivalent $ In case e Entity's Country of Incpation / Tax residence is U.S. but Entity is not a Specified U.S. Person, mention Entity's exemption code here From ACKNOWLEDGMENT SLIP Received subject to realisation, verification and conditions, an application f purchase of Units as mentioned in e application fm. Cheque no. Date Amount Scheme Stamp & Signature

2 3 JOINT APPLICANT'S DETAILS SECOND APPLICANT'S DETAILS Mode of Holding Joint Anyone Surviv (Default) Mr. Ms. M/s Name Faer s Name PAN ** ID Mobile ID & Mobile No. are essential to enable us to communicate better wi you Date of Bir D D Place of Bir Country of Bir Nationality Occupation Pvt. Sect Service Public Sect Gov. Service Housewife Defence Professional Retired Business Agriculture Student Fex Dealer Oers Gross Annual Income OR Netw* in ` * Not older an one year INDIVIDUALS <L -5L 5-0L 0-25L 25L-CR >CR netw as on Any oer infmation Politically Exposed Person (PEP) Status I am PEP I am Related to PEP Not Applicable Are you a tax resident of any country oer an India? Yes No If yes, please indicate all countries in which you are resident f tax purposes and e associated Tax ID Numbers below. (use annexure in case you are a residents in 3 me country) Country Tax Identification Number Identification Type (TIN Oer, please specify) Permissible Documents Passpt Election ID Card PAN Card Govt. ID Card Driving License UIDAI Card NREGA Job Card Oers To also include USA, where e individual is a citizen / green card holder of The USA In case Tax Identification Number is not available, kindly provide its functional equivalent $ THIRD APPLICANT'S DETAILS Mr. Ms. M/s Name Faer s Name PAN ** ID Mobile ID & Mobile No. are essential to enable us to communicate better wi you Date of Bir D D Place of Bir Country of Bir Nationality Occupation Pvt. Sect Service Public Sect Gov. Service Housewife Defence Professional Retired Business Agriculture Student Fex Dealer Oers Gross Annual Income OR Netw* in ` * Not older an one year INDIVIDUALS <L -5L 5-0L 0-25L 25L-CR >CR netw as on Any oer infmation Politically Exposed Person (PEP) Status I am PEP I am Related to PEP Not Applicable Are you a tax resident of any country oer an India? Yes No If yes, please indicate all countries in which you are resident f tax purposes and e associated Tax ID Numbers below. (use annexure in case you are a residents in 3 me country) Country Tax Identification Number Identification Type (TIN Oer, please specify) Permissible Documents Passpt Election ID Card PAN Card Govt. ID Card Driving License UIDAI Card NREGA Job Card Oers To also include USA, where e individual is a citizen / green card holder of The USA In case Tax Identification Number is not available, kindly provide its functional equivalent $ 4 (Mandaty, only if you require units in e demat fm. Please fill in all details, else e application is liable to be rejected). DEMAT ACCOUNT DETAILS Nomination provided in demat account shall be considered. NSDL CDSL Deposity Participant (DP) Name DP ID Beneficiary A/c No. 5 COMMUNICATION All communications will be sent by default to e regiered id / Mobile No. In case you wish to receive physical communication please **Please mention PAN as it is mandaty Motilal Oswal Asset Management Company Limited 0 Flo, Motilal Oswal Tower, Rahimtullah Sayani Road, Opposite Parel ST Depot, Prabhadevi, Mumbai mfservice@motilaloswal.com. Toll Free No.: website:

3 6 INVESTMENT & PAYMENT DETAILS Payment Type (Please ) Non - Third party payment Third party payment (Please fill e Third Party Payment Declaration Fm) Scheme Motilal Oswal MOSt Focused Long Term Fund Motilal Oswal MOSt Focused Multicap 35 Fund Motilal Oswal MOSt Focused Midcap 30 Fund Motilal Oswal MOSt Focused 25 Fund Motilal Oswal MOSt Ultra Sht Term Bond Fund Plan Regular Direct Option Grow (Default Option) Div - Payout Applicable f MOSt Ultra Sht Term Bond Fund Div - Reinve (Default Option) Daily Weekly Ftnightly Monly Quartely (N/A f MOSt Focused Long Term) (Not Applicable f Dividend Payout Option) LUMPSUM INVESTMENT LUMPSUM INVESTMENT OR ZERO BALANCE Payment Mode: Cheque DD RTGS NEFT Funds Transfer Amount (`) (i) DD charges (`) (ii) Total Amt. (`) (i)+(ii) Inrument No. Date Bank Name Bank A/c No. Branch Name & City Account Type: Current Savings NRO NRE FCNR OR SYSTEMATIC INVESTMENT PLAN SYSTEMATIC INVESTMENT PLAN / MICRO SIP-ECS (please fill ECS Debit Fm-2) SIP Inalment Amount (`) Cheque /DD No. Drawn on Bank Subsequent SIP Inalment Amount (`) Weekly Ftnightly Monly Quartely (,, 4, 2, ) -4 SIP Period From M M Y Y -2 (Default) (Default) To In wds Bank & Branch Perpetual Date oer 2 2 M M Y Y BANK DETAILS (Mandaty) Redemption / Dividend /Refund payouts will be credited into is bank account in case it is in e current li of banks wi whom Motilal Oswal Mutual Fund has Direct Credit facility. Bank Name Bank A/c No. Type Current Savings NRO NRE FCNR Oers Branch Name City Pin IFSC Code ( digit)* 8 NOMINATION DETAILS (Refer Inruction 9) Name (Date of Bir if nominee is min) MICR Code (9 digit)* Address Guardian Name (in case Nominee is a Min) *Mentioned on your cheque leaf I / We underand at e inructions to e bank f Direct Credit / NEFT /ECS will be given by e Mutual Fund, and such inructions will be adequate discharge of e Mutual Fund towards redemption / dividend / refund proceeds. In case e bank does not credit my / our bank account wi / wiout assigning any reason ereof, if e transaction is delayed not effected at all credited into e wrong account f reasons of incomplete increct infmation. I / We would not hold Motilal Oswal Mutual Fund responsible. Furer e Mutual Fund reserves e right to issue a demand draft / payable at par cheque in case it is not possible to make payment by Direct Cash/NEFT/ECS. If however e unit holders wish to receive a cheque (inead of a direct credit into eir bank account) Please tick e box alongside Signature (Guardian in case Nominee is a Min) Allocation Unit Holder's Signature If you do not wish to nominate sign here. 9 Fir / Sole Applicant / Guardian Second Applicant Third Applicant Power of Attney Holder FATCA & CRS Declaration f Non- Individuals (Please consult your professional tax advis f furer guidance on FATCA & CRS classification) 00 PART A (to be filled by Financial Initutions Direct Repting NFEs). We are a, GIIN Financial initution Direct repting NFE (please tick as appropriate) GIIN not available (please tick as applicable) If e entity is a financial initution, Applied f PART B (please fill any one as appropriate to be filled by NFEs oer an Direct Repting NFEs). Is e Entity a publicly traded company (at is, a company whose shares are regularly traded on an eablished securities market) Note: If you do not have a GIIN but you are sponsed by anoer entity, please provide your spons's GIIN above and indicate your spons's name below Name of sponsing entity Not required to apply f - please specify 2 digits sub-categy Not obtained Non-participating FI Yes (If yes, please specify any one ock exchange on which e ock is regularly traded) Name of ock exchange 2. Is e Entity a related entity of a publicly traded company (a company whose shares are regularly traded on an eablished securities market) Yes (If yes, please specify name of e lied company and one ock exchange on which e ock is regularly traded) Name of lied company Nature of relation Subsidiary of e Lied Company Controlled by a Lied Company Name of ock exchange 3. Is e Entity an active NFE Yes (If yes, please fill UBO declaration in e next section.) Nature of Business Please specify e sub-categy of Active NFE (Mention code refer 2c of Part D) 4. Is e Entity a passive NFE Yes (If yes, please fill UBO declaration in e next section.) Nature of Business F details please refer FATCA Inructions and Definitions (f Non-Individuals)

4 0 DETAILS OF ULTIMATE BENEFICIAL OWNERS / ULTIMATE BENEFICIAL OWNERSHIP [UBO] DECLARATION [Mandaty] (If e given space below is not adequate, please attach multiple declaration fms) *This declaration is not needed f Companies at are lied on any recognized ock exchange is a Subsidiary of such Lied Company is Controlled by such Lied Company. Please li below e details of controlling person(s), confirming ALL countries of tax residency / permanent residency / citizenship and ALL Tax Identification Numbers f EACH controlling person(s). Owner-documented FFI's should provide FFI Owner Repting Statement and Audit's Letter wi required details as mentioned in Fm W8 BEN E. Name of UBO Address (Include State, Country, Address Type PAN/Tax Payer Identification No./ Country of tax Residency* Controlling Person Type of beneficial intere PIN/ZIP Code & Contact Details) Equivalent ID No. (Mandaty) Residential Business Regiered Office Residential Business Regiered Office Residential Business Regiered Office No.: Type: No.: Type: No.: Type: Attached documents should be self certified by e UBO and certified by e applicant Auised signaty. I/We acknowledge and confirm at e infmation provided above is/are true and crect to e be of my/our knowledge and belief. In e event any of e above infmation is/are found to be false/increct and/ e declaration is not provided, en e AMC/Truee/Mutual Fund shall reserve e right to reject e application and/ reverse e allotment of units and e AMC/Truee/Mutual Fund shall not be liable f e same. I/We hereby auize sharing of e infmation furnished in is fm wi all SEBI Regiered Intermediaries and ey can rely on e same. In case e above infmation is not provided, it will be presumed at applicant is e ultimate beneficial owner, wi no declaration to submit. I/We also undertake to keep you infmed in writing about any changes/modification to e above infmation in future and also undertake to provide any oer additional infmation as may be required at your end. If passive NFE, please provide below additional details. (Please attach additional sheets if necessary). PAN / Any oer Identification Number (PAN, Aadhar, Passpt, Election ID, Govt. ID, Driving Licence NREGA Job Card, Oers) City of Bir - Country of Bir. PAN: City of Bir: Country of Bir: 2. PAN: City of Bir: Country of Bir: 3. PAN: City of Bir: Country of Bir: Occupation Type: Service, Business, Oers Nationality: Faer's Name: Mandaty if PAN is not available Occupation Type: Nationality: Faer's Name: Occupation Type: Nationality: Faer's Name: Occupation Type: Nationality: Faer's Name: Additional details to be filled by controlling persons wi tax residency / permanent residency / citizenship / Green Card in any country oer an India. * To include US, where controlling person is a US citizen green card holder In case Tax Identification Number is not available, kindly provide functional equivalent DOB: Date of Bir Gender: Male, Female, Oer Date Of Bir: D D Gender Male Female Oer Date Of Bir: D D Gender Male Female Oer Date Of Bir: D D Gender Male Female Oer (Refer 3(ivA)) of FATCA Inructions and Definitions (f Non-Individuals) DECLARATION AND SIGNATURE Having read and underood e contents of e Scheme Infmation Documents of e Scheme(s), I/We hereby apply f e units of e scheme(s) and agree to abide by e terms, conditions, rules and regulation governing e scheme(s). I/We hereby declare at e amount inveed in e scheme(s) is rough legitimate Sources only and does not involve and is not designed f e purpose of e contravention of any Act, Rules, Regulations, Notifications Directions of e provisions of e income tax Act, Anti Money Laundering Laws, Anti Cruption Laws any oer applicable laws enacted by e Government of India from time to time. I/We have underood e details of e scheme (s) & I/We have not received n have been induced by any rebate gifts, directly indirectly in making is invement. I/We confirm at e funds inveed in e Scheme (s), legally belong to me/us. In e event Know Your Cuomer process is not completed by me/us to e satisfaction of e Mutual Fund, I/we hereby auize e Mutual Fund, to redeem e funds inveed in e Scheme(s), in Favour of e applicant, at e applicable NAV prevailing on e date of such redemption and undertake such oer action wi such funds at may be required by e law. The ARN holder has disclosed to me/us all e commissions (in e fm of trail commission any oer mode), payable to him f e different competing Scheme of various Mutual Funds from among which e Scheme is being recommended to me/us. F NRIs only : I/We confirm at I am/we are Non Residents of Indian nationality/igin and at I/We have remitted funds from abroad rough approved banking channels from funds in my/our Non-Resident External/Non-Resident Ordinary/FCNR Account. I/We confirm at e details provided by me/us are true and crect. I declare at e infmation is to e be of my Knowledge, belief, accurate and complete. I agree to notify MOMF/AMC immediately in e event of infmation changes. FATCA / CRS Certification: I / We have underood e infmation requirements of is Fm (read along wi e FATCA & CRS Inructions) and hereby confirm at e infmation provided by me / us in is Fm is true, crect, and complete. I / We also confirm at I /We have read and underood e FATCA& CRS Terms and Conditions and hereby accept e same. Fir / Sole Applicant / Guardian Second Applicant Third Applicant Power of Attney Holder Motilal Oswal Asset Management Company Limited 0 Flo, Motilal Oswal Tower, Rahimtullah Sayani Road, Opposite Parel ST Depot, Prabhadevi, Mumbai mfservice@motilaloswal.com. Toll Free No.: website:

5 ARN/RIA Diribut ARN / RIA NACH/ ECS/ Direct Debit Mandate Fm Fm -2 Diribut Name Sub-Diribut ARN/RIA By mentioning RIA code, I/We auize you to share wi e SEBI Regiered Invement Advis e details of my/our transactions in e scheme(s) of Motilal Oswal Mutual Fund. I/We hereby confirm at e EUIN box has been intentionally left blank by me/us as is is an execution-only transaction wiout any interaction advice by e employee/relationship manager/sales person of e above diribut notwianding e advice of in-appropriateness, if any, provided by e employee/relationship manager/sales person of e diribut and e diribut has not charged any advisy fees on is transaction. ARN Internal Sub-Broker/Employee Code UNIT HOLDER INFORMATION Mr. Ms. M/s Exiing Folio Number Mobile No. Motilal Oswal MOSt Ultra Sht Term Bond Fund Weekly (,, 4, 2, ) Ftnightly -4-2 * Monly 4 Option: Grow * Div Payout Div Reinvement * Quarterly 4 *Default 3 DECLARATION AND SIGNATURE (To be signed by ALL UNIT HOLDERS if mode of holding is joint ) EUIN Fir Holder Second Holder Third Holder This is to confirm at e declaration/inruction has been carefully read, underood. I/We have underood at I/we are auized to cancel/amend is mandate by appropriately communicating e cancellation/amendment reque to e User entity e bank where I have auized e debit and express my willingness and auize to make payments rough participation in NACH/ECS/Direct Debit/Standing Inructions. I/We hereby confirm adherence to e terms of NACH/ECS (Debits)/Direct Debits /Standing Inructions. Auization to Bank: This is to infm at I/We have regiered f ECS / NACH (Debit Clearing) / Direct Debit / Standing inructions facility and at my/our payment towards my/our invement in Motilal Oswal Mutual Fund shall be made from my/our bank account wi your Bank. I/We auize e representatives Motilal Oswal Mutual Fund carrying is mandate fm to get it verified and executed. (Please attach a cancelled cheque/cheque copy) ID Name 2 SYSTEMATIC INVESTMENT PLAN DETAILS Scheme Names SIP Frequency and Date SIP Mon / Year/ Perpetual Motilal Oswal MOSt Focused 25 Fund Option: Grow * Div Payout Div Reinvement Motilal Oswal MOSt Focused Midcap 30 Fund Option: Grow * Div Payout Div Reinvement Motilal Oswal MOSt Focused Multicap 35 Fund Option: Grow * Div Payout Div Reinvement Motilal Oswal MOSt Focused Long Term Fund Option: Grow * Div Payout Monly Quarterly Weekly Ftnightly Monly Quarterly Weekly Ftnightly Monly Quarterly Weekly Ftnightly Monly Quarterly * * 4 4 (,, 4, 2, ) -4-2 * 4 * 4 (,, 4, 2, ) -4-2 * 4 * 4 (,, 4, 2, ) -4-2 * 4 * to to to to to SIP Amount Min. ` 000/- (Monly) & ` 2000/- (Qtrly) & ` 500/- ELSS Fir / Sole Applicant / Guardian / Auised Signaty Second Applicant Third Applicant (To be signed by all holders if mode of operation of Bank Account is Joint ) Tick (ü) Create Modify Cancel ü NACH/ ECS/ Direct Debit Mandate Fm [Applicable f Lumpsum Additional Purchases as well as SIP Regirations] UMRN F Official Use Date Spons Bank Code F Official Use Utility Code F Official Use I/We hereby auize Motilal Oswal Mutual Fund To Debit (to tick ü) SB CA CC SB-NRE SB-NRO Oer Bank a/c number wi Bank Name of cuomer bank IFSC Or MICR Y Y an amount of Rupees FREQUENCY Mly Qtly H.Yrly Yrly ü As & when presented DEBIT TYPE Fixed Amount ü Maximum Amount Reference Folio No.: Mob. No. Reference 2 ID I agree f e debit of mandate processing charges by e bank whom I am auizing to debit my account as per late schedule of charges of e bank. SIP Period. Signature of e account holder 2. Signature of e account holder 3. From D D To Or Until cancelled 9 9 ACKNOWLEDGMENT SLIP (To be filled by e inve). Name of e account holder 2. Name of e account holder 3. This is to confirm at e declaration has been carefully read, underood & made by me/us Signature of e account holder Name of e account holder Folio No. Inve Name Scheme Name Scheme Name Plan SIP Period From To Option Stamp & Signature

6 SYSTEMATIC INVESTMENT PLAN DETAILS. The Mandate will be regiered under e be suited mode i.e. NACH ECS SI at e discretion of its appointed payment Aggregat rough whom e mandate will be regiered f e SIP debit facility. 2. Unit holder(s) need to provide along wi e mandate fm an iginal cancelled cheque ( a copy) wi name and account number pre-printed of e bank account to be regiered f regiration of e mandate failing which regiration may not be accepted. The Unit holder(s) cheque/ bank account details are subject to ird party verification. 3. Where e cancelled cheque a copy of e cheque does not mention e bank account holder s name(s), Inve should provide self-atteed bank pass book copy / bank atement / bank letter to subantiate at e fir unit holder is one of e joint holder of e bank account. In case of a mismatch, it will be deemed to be a 3rd party payment and rejected except u n d e r e following exceptional circumances. a) Payment by parents / grand-parents / related person on behalf of a min in consideration of natural love and affection as gift provided e purchase value is less an equal to $ 50,000/- and KYC is completed f e regiered Guardian and e person making e payment. However, single subscription value shall not exceed above $ 50,000/- (including invement rough each regular purchase single SIP inalment). However, is reriction will not to be applicable f payment made by a guardian whose name is regiered in e recds of Mutual Fund in at folio. Additional declaration in e prescribed fmat signed by e guardian and parents/grand -parents/ related person is also required along wi e application fm. b) Payment by an Employer on behalf of employee under Syematic Invement plans rough, Payroll deductions TERMS AND CONDITIONS FOR ECS (Debit Clearing). The cities/ banks/ branches in e li may be modified /updated / changed / removed at any time in future entirely at e discretion of Motilal Oswal Mutual Fund wiout assigning any reasons pri notice. If any city / bank/ branch is removed, SIP inructions f inves in such city/bank/branch via (ECS) (Debit Clearing) Direct Debit route will be discontinued wiout pri notice. 2. Li of Cities f SIP Auto Debit Facility via ECS (Debit Clearing):- Agra, Ahmedabad, Allahabad, Amritsar, Anand, Asansol, Aurangabad, Bangale, Bardhaman, Baroda, Belgaum, Bhavnagar, Bhilwara, Bhopal, Bhubaneshwar, Bijapur, Bikaner, Calicut, Chandigarh, Chennai, Cochin, Coimbate, Cuttack, Davangere, Dehradun, Delhi, Dhanbad, Durgapur, Erode, Gadag, Gangtok, Goa, Gakhpur, Gulbarga, Guwahati, Gwali, Haldia, Hasan, Hubli, Hyderabad, Imphal, Inde, Jabalpur, Jaipur, Jalandhar, Jammu, Jamnagar, Jamshedpur, Jodhpur, Kakinada, Kanpur, Kolhapur, Kolkata, Kota, Lucknow,Ludhiana, Madurai, Mandya, Mangale, Mumbai, Myse, Nagpur, Nasik, Nelle, Patna, Pondicherry, Pune, Raichur, Raipur, Rajkot, Ranchi, Salem, Shillong, Shimla, Shimoga, Sholapur, Siliguri, Surat, Tirunelveli, INSTRUCTIONS TO FILL THE NACH / ECS / SI MANDATE. UMRN Code, Spons Code, and Utility Code are f official use only. Please do not write anying in ese boxes/spaces. 2. The following infmation has to be mandatily filled in e Mandates. In case any of ese fields are not filled, e mandate is liable f rejection. a) Please tick e Appropriate Account Type and furnish e Bank Account Number from which e SIP inallment/s is/are to be debited. b) Please mention e Bank Name, Digit IFSC code, 9 Digit MICR Code of your Bank in e appropriate boxes provided f e purpose. The MICR code is e number appearing next to e cheque number on e MICR band at e bottom of e cheque.in e absence of ese infmation, Mandate regiration is liable to be rejected. provided KYC is completed f e employee who is e beneficiary inve and e employer who is making e payment. Additional declaration in e prescribed fmat signed by employee and employer is also required along wi e application fm c) Cuodian on behalf of an FII a Client provided KYC is completed f e inve and cuodian. Additional declaration in e prescribed fmat signed by Cuodian and FII/ Client is also required along wi e application fm. 4. Please not at in e event of a min mismatch between e bank account number mentioned in e application from and as appearing in e cheque leaf submitted, bank account number would be updated based on e cancelled cheque leaf provided e name(s) of e inve/applicant appears in e cheque leaf. 5. AUTHORISATION BY BANK ACCOUNT HOLDER(S) a) Please indicate e name of e bank & branch, bank account number. b) If e mode of operation of bank account is joint, all bank account holders would need to sign at e place marked. 6. Applications incomplete in any respect are liable to be rejected. AMC/ Service Provider shall have absolute discretion to reject any such Application fms.. AMC oer service providers shall not be responsible and liable f any damages / compensation f any loss, damage etc. The inve assumes e entire risk of using is facility and takes full responsibility. 8. DECLARATION & SIGNATURES This section need to be signed by e applicant(s) / unit holder(s) at e places marked as per e mode of holding recded wi us (i.e. Single, Anyone Surviv Joint ). Tirupati, Tiruppur, Trichur, Trichy, Trivandrum, Tumkur, Udaipur, Udipi, Varanasi, Vijaywada, Vizag Li of Banks f SIP Direct Debit Facility:- Allahabad Bank, Axis Bank, Bank of Baroda, Bank of India, Citi Bank, Cpation Bank, Federal Bank, ICICI Bank, IDBI Bank, IndusInd Bank, Kotak Mahindra Bank, Punjab National Bank, Sou Indian Bank, State Bank of India, State Bank of Patiala, UCO Bank, Union Bank of India, United Bank of India 3. Applications f SIP Auto Debit (ECS/ Direct Debit) Facility would be accepted only if e bank branch participates in local MICR/ECS clearing. 4. In case e inve s bank chooses to cross verify e auto debit mandate wi him/ her as e bank s cuomer, inve would need to promptly act on e same.amc / Service Provider will not be liable f any transaction failures due to rejection of e transaction by inve s bank/ branch its refusal to regier e SIP mandate any charges at may be levied by e Bank/ Branch on inve / applicant. c) Please mention e maximum amount at can be debited using is mandate. The amount needs to be mentioned bo in wds as well as numbers. d) Please mention your Mobile Number and Id on e mandate fm. e) Please provide e Start and End date f e period which e Mandate should be active. If you do not wish to provide an End date, please tick e check box f Until Cancelled. 3. SIGNATURES The mandate needs to be signed by all e account holders in line wi e mode of holding recded wi e inve s bank. The Account holder s names have to be mentioned as per eir mode of holding in Account.

7 THIRD PARTY PAYMENT DECLARATION FORM THIRD PARTY PAYMENT DECLARATION FORM should be completed in English and in BLOCK LETTERS only. (Please read e Third Party Payment Rules and Inructions carefully befe completing is Fm.) Fm - 4 Declaration Fm No. FOR OFFICE USE ONLY Date of Receipt Folio No. Branch Trans. No.. BENEFICIAL INVESTOR INFORMATION FOLIO NO. (F exiing inve) NAME OF FIRST/ SOLE APPLICANT (Beneficial Inve) Mr. / Ms. / M/s. 2. THIRD PARTY INFORMATION NAME OF THIRD PARTY (Person Making e Payment) Mr. / Ms. / M/s. Nationality PAN KYC** (Please ü) Attached (Mandaty f any amount) Mandaty f any amount. Please attach PAN Proof. NAME OF CONTACT PERSON & DESIGNATION (in case of non-individual Third Party) Mr. / Ms. Designation MAILING ADDRESS (P.O. Box Address may not be sufficient) City State Pin Code CONTACT DETAILS Tel. : Off. STD Code Tel. : Res. STD Code Mobile Fax STD Code RELATIONSHIP OF THIRD PARTY WITH THE BENEFICIAL INVESTOR [Please ü ( ) as applicable.] Status of e Min Fll Employee (s) Beneficial Inve Relationship of Third Party Parent Cuodian Employer wi e Beneficial Inve Grand Parent SEBI Regiration No. of Cuodian Related Person (Please specify) Client Regiration Valid Till D D Declaration by I/We declare at e payment made on behalf I/We declare at e payment is made on behalf of FII/ I/We declare at e payment is made on Third Party of min is in consideration of natural love and Client and e source of is payment is from funds provided behalf of employee(s) under Syematic affection as a gift. to us by FII/Client. Invement Plans rough Payroll Deductions. 3. THIRD PARTY PAYMENT DETAILS Mode of Payment [Please ü (/)] Mandaty Enclosure(s)* Cheque In case e account number and account holder name of e ird party is not pre-printed on e cheque en a copy of e bank passbook / atement of bank account letter from e bank certifying at e ird party maintains a bank account. Pay Order Demand Draft Banker's Cheque RTGS NEFT Fund Transfer Certificate from e Issuing Banker ating e Bank Account Holder's Name and Bank Account. Number debited f issue of e inrument. Copy of e Inruction to e Bank ating e Bank Account Number which has been debited. * Motilal Oswal Mutual Fund/ Motilal Oswal Asset Management Company Limited reserves e right to seek infmation and / obtain such oer additional documents/infmation from e Third Party f eablishing e identity of e Third Party. Amount in figures in wds Cheque/DD/PO/UTR No. Pay- in Bank A/c No. Name of e Bank Cheque/DD/PO/RTGS Date D D Branch Bank City Account Type [Please ü] SAVINGS CURRENT NRE NRO FCNR OTHERS (please specify) including Demand Draft charges, if any.

8 4. DECLARATIONS & SIGNATURE/S THIRD PARTY DECLARATION I/We confirm having read and underood e Third Party Payment rules, as given below and hereby agree to be bound by e same. I/We declare at e infmation declared herein is true and crect, which Motilal Oswal Mutual Fund is entitled to verify directly indirectly. I agree to furnish such furer infmation as Motilal Oswal Mutual Fund may require from me/us. I/We agree at, if any such declarations made by me/us are found to be increct incomplete, Motilal Oswal Mutual Fund/Motilal Oswal AMC is not bound to pay any intere compensation of whatsoever nature on e said payment received from me/us and shall have absolute discretion to reject / not process e Application Fm received from e Beneficial Inve(s) and refund e subscription monies. I/We hereby declare at e amount inveed in e Scheme is rough legitimate sources only and does not involve and is not designed f e purpose of any contravention evasion of any Act, Rules, Regulations, Notifications Directions issued by any regulaty auity in India. I/We will assume personal liability f any claim, loss and/ damage of whatsoever nature at Motilal Oswal Mutual Fund/Motilal Oswal AMC may suffer as a result of accepting e afesaid payment from me/us towards processing of e transaction in favour of e beneficial inve(s) as detailed in e Application Fm. Applicable to NRIs only : I/We confirm at I am/we are Non-Resident of Indian Nationality/Origin and I/We hereby confirm at e funds f subscription have been remitted from abroad rough nmal banking channels from funds in my / our Non-Resident External / Ordinary Account /FCNR Account. Please (ü) Yes No If yes, (ü) Repatriation basis Non-repatriation basis Signature of e Third Party I/We certify at e infmation declared herein by e Third Party is true and crect. I/We acknowledge at Motilal Oswal Mutual Fund reserves e right in its sole discretion to reject/not process e Application Fm and refund e payment received from e afesaid Third Party and e declaration made by e Third Party will apply solely to my/our transaction as e beneficial inve(s) detailed in e Application Fm. Motilal Oswal Mutual Fund/ Motilal Oswal AMC will not be liable f any damages losses any claims of whatsoever nature arising out of any delay failure to process is transaction due to occurrences beyond e control of Motilal Oswal Mutual Fund/Motilal Oswal AMC. Applicable to Guardian receiving funds on behalf of Min only: BENEFICIAL INVESTOR(S) DECLARATION I/We confirm at I/We are e legal guardian of e Min, regiered in folio and have no objection to e funds received towards Subscription of Units in is Scheme on behalf of e min. SIGNATURE/S X Fir / Sole Applicant / Guardian Second Applicant Third Applicant THIRD PARTY PAYMENT RULES. In der to enhance compliance wi Know your Cuomer (KYC) nms under e Prevention of Money Laundering Act, 2002 (PMLA) and to mitigate e risks associated wi acceptance of ird party payments, Association of Mutual Funds of India (AMFI) issued be practice guidelines on "risk mitigation process again ird party inruments and oer payment modes f mutual fund subscriptions". AMFI has issued e said be practice guidelines requiring mutual funds/asset management companies to ensure at Third-Party payments are not used f mutual fund subscriptions. 2. The following wds and expressions shall have e meaning specified herein: (a) "Beneficial Inve" is e fir named applicant/inve in whose name e application f subscription of Units is applied f wi e Mutual Fund. (b) "Third Party" means any person making payment towards subscription of Units in e name of e Beneficial Inve. (c) "Third Party payment" is referred to as a payment made rough inruments issued from a bank account oer an at of e fir named applicant/ inve mentioned in e application fm. Illurations Illuration : An Application submitted in joint names of A, B & C alongwi cheque issued from a bank account in names of B, C & Y. This will be considered as Third Party payment. Illuration 2: An Application submitted in joint names of A, B & C alongwi cheque issued from a bank account in names of C, A & B. This will not be considered as Third Party payment. Illuration 3: An Application submitted in joint names of A, B & C alongwi cheque issued from a bank account in name of A. This will not be considered as Third Party payment. 3. Motilal Oswal Mutual Fund/Motilal Oswal Asset Management Company will not accept subscriptions wi Third Party payments except in e following exceptional cases, which is subject to submission of requisite documentation/ declarations: (i) Payment by Parents / Grand-Parents / Related Persons* on behalf of a min in consideration of natural love and affection as gift f a value not exceeding ` 50,000/- each regular Purchase per SIP inallment. (ii) Payment by Employer on behalf of employee(s) under Syematic Invement Plan (SIP) Payroll deductions. (iii) Cuodian on behalf of an FII a Client. * 'Related Person' means any person inveing on behalf of a min in consideration of natural love and affection as a gift. 4. Applications submitted rough e above mentioned 'exceptional cases' are required to comply wi e following, wiout which applications f subscriptions f units will be rejected / not processed / refunded. (i) Mandaty KYC f all inves (guardian in case of min) and e person making e payment i.e. ird party. (ii) Submission of a complete and valid 'Third Party Payment Declaration Fm' from e inves (guardian in case of min) and e person making e payment i.e. ird party. 5. Inve(s) are requeed to note at any application f subscription of Units of e Scheme(s) of Motilal Oswal Mutual Fund accompanied wi Third Party payment oer an e above mentioned exceptional cases as described in Rule (2b) above is liable f rejection wiout any recourse to Third Party e applicant inve(s). The above mentioned Third Party Payment Rules are subject to change from time to time. Please contact any of e Inve Service Centres of Motilal Oswal AMC visit our website f any furer infmation updates on e same.

9 SYSTEMATIC TRANSFER PLAN / SYSTEMATIC WITHDRAWAL PLAN Fm - 4 Diribut ARN/RIA ARN Name Sub-Diribut ARN/RIA Internal Sub-Broker/Employee Code EUIN ARN/RIA ARN I/We hereby confirm at e EUIN box has been intentionally left blank by me/us as is is an execution-only transaction wiout any interaction advice by e employee/relationship manager/sales person of e above diribut notwianding e advice of in-appropriateness, if any, provided by e employee/relationship manager/sales person of e diribut and e diribut has not charged any advisy fees on is transaction. EXISTING UNIT HOLDER INFORMATION SYSTEMATIC TRANSFER PLAN (STP) (Please mention e PAN/PERN wiout which, is application fm will be considered incomplete and is liable to be rejected.) SYSTEMATIC WITHDRAWAL PLAN (SWP) (Please mention e PAN/PERN wiout which, is application fm will be considered incomplete and is liable to be rejected.) M M Y Y M M Y Y Having read and underood e contents of e Scheme Infmation Document of e Scheme(s), I / We hereby apply f units of e Scheme(s) and agree to abide by e terms, conditions, rules and regulation governing e Scheme(s). I / We hereby declare at e amount inveed in e Scheme(s) is rough legitimate sources only and does not involve and is not designed f e purpose of e contravention of any Act, Rules, Regulations, Notifications Directions fo e provisions of e Income Tax Act, Anti Money Laundering Laws, Anti Cruption Laws any oer applicable laws enacted by e Government of India from time to time. I / We have underood e details of e Scheme(s) and I / We have not received n have been induced by any rebate gifts, directly indirectly in making is invement. I / We confirm at e funds inveed in e Scheme(s), legally belong to me / us. In e event Know Your Cuomer process is not completed by me / us to e satisfaction of e Mutual Fund, I / We hereby auize e Mutual Fund, to redeem e funds inveed in e Scheme(s), in favour of e applicant, at e applicable NAV prevailing on e date of such redemption and undertake such oer action wi such funds at may be required by e Law. The ARN holder has disclosed to me/us all e commissions (in e fm of trail commission any oer mode), payable to him f e different competing Schemes of various Mutual Funds from among which e Scheme is being recommended to me / us. F NRIs only: I / We confirm at I am / we are Non Residents of Indian nationality / igin and at I / We have remitted funds from abroad rough approved banking channels from funds in my / our Non-Resident External / Non-Resident Ordinary / FCNR account. I / We confirm at details provide by me / us are true and crect. X