SYSTEMATIC INVESTMENT PLAN (SIP) APPLICATION FORM (Please read the instructions before investing) Use this Form for SIP investment. If you wish to make payment through Auto Debit ECS / Standing Instruction you also need to fill separate Instruction Form for the same. Broker Code Sub-broker Code Date & Time of Receipt Serial Number 1 FOR EXISTING UNITHOLDERS Application No. If you are making a purchase in an existing folio, please mention the folio number in the space provided and proceeds to Step 3. Please note that the applicable details and mode of holding will be as per the existing folio. 2 ABOUT YOU Folio No. Date: Name of First Mr. Ms. M/s. Date of Birth (Mandatory) D D M M Y Y Y Y Name of Guardian (in case of minor) / Contact Person (In case of Institutional Investors) Status [Please tick ( )] Mr. Ms. Trust Designation of the Contact Person (In case of Institutional Investors) HUF Bank/FI Mailing Address (Please provide full address) Company Partnership AOP/BoI Club/Society City State Communication Country Sole - NRI/FII/PIO Proprietorship Minor Others (Please specify) Tel. (Res.) (Off.) Mob E-Mail Overseas Address (in case of NRIs/FIIs) City MANDATORY DETAILS State Name of Second Mr. Ms. Name of Third Mr. Ms. Permanent Account Number (PAN) [Please refer to instruction no.ii(b)(4)] 1st 2nd 3rd If you have already provided & validated PAN with an existing folio, please mention the Folio No.: 4 E-MAIL COMMUNICATION I/We wish to receive the following via e-mail instead of physical document: Account Statement Quarterly Review & Annual Report Communication on Change of Address, Bank, etc. Guardian Prudential ICICI AMC Ltd. - ACKNOWLEDGEMENT SLIP (To be filled in by the Investor) Received from: Folio No. Mode of holding [Please tick ( )] Single Anyone or Survivor Joint Occupation [Please tick ( )] Professional Housewife Business Service Retired Student Others (Please specify) If Mandatory Details are not provided, 3 BANK ACCOUNT DETAILS OF FIRST APPLICANT (Refer instruction No.III) your application is liable to be rejected. Name of Branch the Bank Address Bank City A/c. No. A/c. Type Current Savings NRO NRE Country Non- Non- (Please tick ( ) the relevant box) (Please tick ( ) the relevant box) Application No. Address Application for Units of Prudential ICICI Option : Signature, Stamp & Date Note: All future communications in connection with this application should be addressed to the nearest Prudential ICICI Customer Service Centre, quoting full name of the first applicant, the application serial number, the name of the scheme, the amount invested, date and the place of the Customer Service Centre where application was lodged. 1-Dec-2005 17
5 REDEMPTION / DIVIDEND REMITTANCE (Please refer to instruction no.viii) DIRECT CREDIT OF DIVIDEND/REDEMPTION Available in ABN Amro Bank, Bank of Punjab, Centurion Bank, Citibank N.A., Deutsche Bank, HDFC Bank, Hongkong Bank, ICICI Bank, IDBI Bank, Kotak Bank, Standard Chartered Bank, and UTI Bank. Unitholders having bank account with any of these bank will receive their Redemption/ Dividend Payments (if any) directly into their bank account automatically. In case Unitholders wish to receive a cheque please indicate the preference below. I want to receive the redemption and dividend proceeds (if any) by way of a cheque. (Please in this box) 6 INVESTMENT DETAILS (Refer Instruction No.IV) NAME OF THE SCHEME (1) P R U D E N T I A L I C I C I (Please leave one box blank between words) OPTIONS & SUB-OPTIONS (See the Key Features for Scheme specific options & sub-options) [Please tick ( ) the appropriate boxes, only if it is applicable to the scheme/plan in which you wish to invest] Cumulative/Growth Dividend Payout Dividend Reinvestment * Cumulative AEP Regular Option : Encashment of Units is subject to declaration of dividend in the respective Scheme(s). SIP Payment Details (You can choose one of the 3 payment options below. Please tick ( ) the appropriate box) OPTION - I : CHEQUE First Installment Details (to be filled in in case of SIP through cheque) Cheque No. Cheque Date D D M M Y Y Amount Drawn on Bank Subsequent Installment Details (to be filled in in case of SIP through cheque) Single Installment Amount 1st Drawn on Bank Cheque Dated Number of Cheques Start From 7th 10th 15th 25th M M Y Y Y Y ELECTRONIC CLEARING SERVICE (ECS) FOR DIVIDEND ONLY I authorise Prudential ICICI Mutual Fund to credit my dividend payments through ECS (Please ) Please quote 9 Digit Code No. of your Bank and Branch Corresponding to Bank Account Details given in Section - 3 above. (This number appears on every leaf of your chequebook after your cheque number) IMPORTANT: Please attach a blank cancelled Cheque or a clear photocopy of a cheque issued by your bank veryfying of the Code No. AEP-Regular* AEP-Appreciation 7 NOMINATION DETAILS (Optional) I/We hereby nominate the undermentioned Nominee to receive the amounts to my/our credit in event of my/our death. I/We also understand that all payments and settlements made to such Nominee and signature of the Nominee acknowledging receipt thereof, shall be a valid discharge by the AMC / Mutual Fund / Trustees. Nominee Date of Birth (If nominee is minor) Monthly Cheque Number From End To M M Y Y Y Y Quarterly Monthly Quarterly Half Yearly Half Yearly Cheque Number To Mr. Ms. M/s. D D M M Y Y Y Y Address of Nominee (Please provide full address) Branch Branch OPTION - II : AUTO DEBIT THROUGH ECS (You only need to tick this box & fill SIP Auto Debit Instruction Form on page 19) OPTION - III : STANDING INSTRUCTION (You only need to tick this box & fill Standing Instruction Form on page 21) Guardian (If nominee is minor) Code Relationship with minor Address of Guardian Signature of Guardian 8 YOUR CONFIRMATION Code The Trustee DD MM YYYY Prudential ICICI Mutual Fund, I/We have read and understood the offer document(s) of Prudential ICICI Mutual Fund. I/We apply for the units of the scheme(s) and I/we agree to abide by the terms, conditions, rules and regulations of the scheme. I/We confirm to have understood the terms & conditions. Its investment objectives, investment pattern, fundamental objectives and risk factors applicable to the respective Fund(s). I/We agree to abide by the terms, conditions, rules and regulations of the Plan(s). I/We have understood the details of the scheme and I/we have not received nor been induced by any rebate or gifts, directly or indirectly, in making this investment. First Second Third Prudential ICICI AMC Ltd. - ACKNOWLEDGEMENT SLIP (To be filled in by the Investor) SIGNATURE(S) First Installment Cheque No. Cheque Dated D D M M Y Y Drawn on Bank, Branch & City Subsequent Installment Cheque Nos. Cheque Number From Cheque Number To 18 Drawn on Bank, Branch & City Payment through Auto Debit ECS Bank Standing Instruction
Systematic Investment Plan (SIP) Auto Debit Instruction Form Before filling this Instruction Form please ensure you have filled in the SIP Application Form ticking ECS Authorisation in SIP payment details (Section 6) First Investment with a Current Date Cheque I/We hereby apply to the Trustee of Prudential ICICI Mutual Fund for the Systematic Investment Plan (SIP) Enrolment under the following scheme and agree to abide by the terms and conditions of the plan. APPLICANT AND SIP DETAILS Sole / First s Name Application No. Folio No. Scheme Plan Option & Sub Option Each SIP Amount () First SIP Transaction via Cheque No. (Note : Cheque should be drawn on bank, details provided below) SIP Date 1st 7th 10th 15th 25th SIP Period From To MM YYYY MM YYYY New Application Cancellation Change in Bank Account* We hereby, authorise Prudential ICICI Mutual Fund and their authorised service providers, to debit my/our following bank account by ECS (Debit Clearing) for collection of SIP payments. PARTICULARS OF BANK ACCOUNT (Mandatory) Bank Account Holders Name Bank Name Branch Name Broker Code Sub-Broker Code Date & Time of Receipts Application to be submitted at least 30 days before the commencement of SIP Cheque Details Cheque No. Date Amount Account Number Account Type Savings Current Cash Credit 9 Digit MICR Code (Please enter the 9 digit number that appears in your cheque next to the cheque number) I/We hereby declare that the particulars given above are correct and express my willingness to make payments referred above through participation in ECS. If the transaction is delayed or not effected at all for reasons of incomplete or incorrect information, I/We would not hold the user institution responsible. I/We will also inform Prudential ICICI Mutual Fund, about any changes in my bank account. I/We have read and agreed to the terms and conditions mentioned overleaf. Signatures as in Bank Records [* Please provide a cancelled cheque] 1st Holder 2nd Holder Authorisation of the Bank Account Holder This is to inform I/we have registered for the RBI's Electronic Clearing Service (Debit Clearing) and that my payment towards my investment in Prudential ICICI Mutual Fund shall be made from my/our below mentioned bank account with your bank. I/We authorise the representative carrying this ECS mandate Form to get it verified & executed. Signatures as in Bank Records 3rd Holder Account Number 1st Holder 2nd Holder Acknowledgement Slip (Auto Debit) - Prudential ICICI Mutual Fund 3rd Holder Application/Folio No. D D M M Y Y Y Y D D M M Y Y Y Y Each SIP Amount () SIP Period - From SIP Period - To Scheme Plan Option & Sub-option Signature, Date & Stamp 1-Dec-2005 19
Terms & Conditions SIP payment through Electronic Clearing Service (Debit Clearing) of the Reserve Bank of India (RBI) List Cities for SIP Auto Debit via ECS (Debit Clearing) Ahmedabad, Bangalore, Baroda, Bhopal, Bhubaneshwar, Chandigarh, Chennai, Coimbatore, Guwahati, Hyderabad, Indore, Jaipur, Kanpur, Kolkata, Lucknow, Ludhiana, Madurai, Mumbai, Nagpur, New Delhi, Panjim, Pune, Surat, Trivandrum and Vijaywada. 1. This facility is offered to the investors having bank accounts in select cities mentioned above. The cities in the list may be modified/ updated/changed/removed at any time in future entirely at the discretion of Prudential ICICI Mutual Fund without assigning any reasons or prior notice. If any city is removed, SIP instructions for investors in such cities via ECS (Debit) route will be discontinued without prior notice. 2. New Investors who wish to enroll for SIP through Debit should fill this SIP Auto Debit Form in addition to the SIP Application Form. 3. Existing investors need to provide their Folio No. and need not fill up the SIP Application Form. 4. For new investors, please complete all sections of the SIP Application Form including Section 6. For minimum application amount to be invested in SIP, risk factors, features etc. please refer to page nos. 3-8 of the Key Information Memorandum. The cheques should be drawn in favour of "Prudential ICICI Growth Plan" or "Prudential ICICI FMCG Fund" or "Prudential ICICI Technology Fund" or "Prudential ICICI Balanced Fund" or "Prudential ICICI Monthly Income Plan" or "Prudential ICICI Power" or "Prudential ICICI Dynamic Plan" or "Prudential ICICI Discovery Fund" or "Prudential ICICI Emerging S.T.A.R. (Stocks Targeted At Returns) Fund" or "Prudential ICICI Tax Plan" or "Prudential ICICI Income Plan" or "Prudential ICICI Flexible Income Plan" or "Prudential ICICI Income Multiplier Fund" or "Prudential ICICI Index Fund" or "Prudential ICICI Infrastructure Fund"and crossed Account Payee Only. The cheques should be payable locally at the centre where the Application is deposited at the Customer Service Centres of Prudential ICICI AMC. The cheques should be drawn on any bank which is situated at and is a member / sub-member of the Bankers Clearing House. Cheques drawn on a bank not participating in the Clearing House will not be accepted. 5. Investors opting for SIP investment can subscribe to this facility subject to the condition that each of the SIP installments including the initial purchase should be of the same amount. 6. a) Completed Application Form, SIP Auto Debit Form and the first cheque can be submitted on any date of the month and the same would be processed subject to the condition that there would be a minimum of 30 days period between the submission of the application with the current date cheque and the first installment of SIP date. b) Completed Application Form for Cancellation/Change of Bank Mandate can be submitted on any date of the month and the same would be processed subject to the condition that there would be a minimum of 30 days period between the submission of the application and the SIP date. 7. New investors should mandatorily give a cheque for the first transaction. The cheque should be drawn on the same bank account which is to be registered for ECS (Debit). 8. The bank account provided for ECS (Debit) should participate in local MICR clearing. 9. SIP auto debit is available only on specific dates of the month viz. 1st/7th/10th/15th/25th and in case 1st/7th/10th/15th/25th is a holiday, then next business day. In case the Auto Debit does not take effect for three consecutive times then the SIP would be liabile for cancellation. 10. The applicant will have the right to discontinue SIP at any time he or she so desires by providing a written request at the office of the Prudential ICICI Mutual Fund Customer Service Centres. Notice of discontinuance should be received at least 30 days prior to the date that it is required to be effected in. The investor will cease to be a part of the SIP on receipt of the written request. 11. SIP will be available only on monthly basis and an entry load equivalent to 1% of the applicable NAV will be charged on the amount invested under the scheme(s) where SIP facility is available. Amount so invested into the schemes will, in addition to any existing exit load for normal purchases, have an exit load equivalent to 1.25% of the applicable NAV, if the units are redeemed before completion of 2 years from the date of allotment. 12. The investor agrees to abide by the terms and conditions of ECS facility of Reserve Bank of India (RBI). 13. Investor will not hold Prudential ICICI Mutual Fund, its registrars and other service providers responsible if the transaction is delayed or not effected or the investor bank account is debited in advance or after the specific SIP date due to various clearing cycles or ECS. 14. Prudential ICICI Mutual Fund, its registrars and other service providers shall not be responsible and liable for any damages/compensation for any loss, damage etc. incurred by the investor. The investor assumes the entire risk of using this facility and takes full responsibility. 15. Prudential ICICI Mutual Fund reserves the right to reject any application without assigning any reason thereof. 20
Application for Standing Instruction Maintenance for Systematic Investment Plan (SIP) Before filling this Instruction Form please ensure you have filled in the SIP Application Form ticking Standing Instrcution in SIP payment details (Section 6) Application Form No. Existing Folio No. Date: D D M M Y Y Y Y To The Manager, Bank Name : Branch Address: Sub: Request for maintenance of a Standing Instruction (SI) for SIP with Prudential ICICI Mutual Fund I/We,, hereby authorise you to debit on a monthly basis (as a Standing Instruction) from my/our account number mentioned below (hereinafter referred as "funding account") for (Rupees only) and remit the same on Account of Prudential ICICI Mutual Fund as per the details given below: Nature of Instruction : Standing Instruction Scheme Name : Option : Sub-option : Debit Account Number : (For new accounts, Bank will fill up the same) Account Holder : Beneficiary : Prudential ICICI Mutual Fund Account Frequency : Monthly SIP Date: 1st 7th 10th 15th 25th Start Month : End Month : (Month) (Month) 2 0 (Year) 2 0 (Year) Folio Number : (To be filled by Prudential ICICI Mutual Fund) (For new investors) I/We undertake to keep sufficient funds in the funding account on the date of execution of standing instruction. I/We hereby declare that the particulars given above are correct and complete. If the transaction is delayed or not effected at all for reasons of incomplete or incorrect information, I/we would not hold the Mutual Fund or the Bank responsible. If the date of debit to my/our account happens to be a non banking/business day as defined in the Offer Document of the said Scheme of Prudential ICICI Mutual Fund, execution of the SIP will happen on the previous business day and allotment of units will happen as per the Terms and Conditions listed in the Offer Document of the Mutual Fund. I/We have read and understood the offer document(s) of the Fund. I/We apply for the units of the scheme and I/we agree to abide by the terms, conditions, rules and regulations of the scheme. I/We confirm to have understood the terms & conditions. Its investment objectives, investment pattern, fundamental objectives and risk factors applicable to the respective Fund(s). I/We agree to abide by the terms, conditions, rules and regulations of the Plan(s). I/We have understood the details of the scheme and I/we have not received nor been induced by any rebate or gifts, directly or indirectly, in making this investment. Yours faithfully, Signatures as in Bank Records 1st Holder 2nd Holder 3rd Holder For Bank Branch use only: Application Form No. Existing Folio No. Signature Verified by: Approved by BM: For CPU Use only: Maintained on: D D M M Y Y Y Y A/c. No.: A/c Holder: SI Start Date: D D M M Y Y Y Y SI End Date: D D M M Y Y Y Y Next SI Date: D D M M Y Y Y Y Amount: Maintained by: 1-Dec-2005 21
Terms & Conditions SIP through Standing Instruction 1. New Investors who wish to enroll for SIP through Debit should fill this Standing Instruction in addition to the SIP Application Form (Blue Colour). 2. All SIP Standing Instruction request submitted on or before the 20th of the month will be processed in the immediately following month. 3. Existing investors need to provide their Folio No. in this Standing Instruction and need not fill up the SIP Application Form. 4. For new investors, please complete all sections of the Application Form including Section 6. For minimum application amount to be invested in SIP, risk factors, features etc. please refer to page nos. 3-8 of the Key Information Memorandum. The cheques should be drawn in favour of "Prudential ICICI Growth Plan" or "Prudential ICICI FMCG Fund" or "Prudential ICICI Technology Fund" or "Prudential ICICI Balanced Fund" or "Prudential ICICI Monthly Income Plan" or "Prudential ICICI Power" or "Prudential ICICI Dynamic Plan" or "Prudential ICICI Discovery Fund" or "Prudential ICICI Emerging S.T.A.R. (Stocks Targeted At Returns) Fund" or "Prudential ICICI Tax Plan" or "Prudential ICICI Income Plan" or "Prudential ICICI Flexible Income Plan" or "Prudential ICICI Income Multiplier Fund" or "Prudential ICICI Index Fund" or "Prudential ICICI Infrastructure Fund" and crossed Account Payee Only. The cheques should be payable locally at the centre where the Application is deposited at the Customer Service Centres of Prudential ICICI AMC. The cheques should be drawn on any bank which is situated at and is a member / sub-member of the Bankers Clearing House. Cheques drawn on a bank not participating in the Clearing House will not be accepted. 5. Investors opting for SIP investment can subscribe to this facility subject to the condition that each of the SIP installments including the initial purchase should be of the same amount. 6. The applicant will have the right to discontinue SIP at any time he or she so desires by providing a written request at the office of the Prudential ICICI Mutual Fund Customer Service Centres. Notice of discontinuance should be received by 20th of the month. The investor will cease to be a part of the SIP on receipt of the written request. 7. SIP will be available only on monthly basis and an entry load equivalent to 1% of the applicable NAV will be charged on the amount invested under the scheme(s) where SIP facility is available. Amount so invested into the schemes will, in addition to any existing exit load for normal purchases, have an exit load equivalent to 1.25% of the applicable NAV, if the units are redeemed before completion of 2 years from the date of allotment. 8. Prudential ICICI Mutual Fund, its registrars and other service providers shall not be responsible and liable for any damages/compensation for any loss, damage etc. incurred by the investor. The investor assumes the entire risk of using this facility and takes full responsibility. 9. Standing Instructions incomplete in any respect are liable to be rejected. 10. SIP is liable for cancellation if direct debit fails for three consecutive times. Statutory Details: Prudential ICICI Mutual Fund (the Fund) has been set up as a Trust sponsored by Prudential plc (through its wholly owned subsidiary Prudential Corporation Holdings Limited) and ICICI Bank Limited (erstwhile ICICI). Prudential ICICI Trust Limited is the Trustee to the Fund and the Prudential ICICI Asset Management Company Limited is the Investment Manager to the Fund. Risk Factors: Mutual Funds and securities investments are subject to market risks and there is no assurance or guarantee that the objectives of the schemes will be achieved. As with any securities investment, the NAV of the Units issued under the schemes can go up or down depending on the factors and forces affecting the capital markets. Past performance of the Sponsors, AMC/Fund does not indicate the future performance of the schemes. The Sponsors are not responsible or liable for any loss resulting from the operation of the schemes beyond the contribution of an amount of Rs 22.2 lacs collectively made by them towards setting up the Fund and such other accretions and additions to the corpus set up by the Sponsors. Please refer to the Addendum / Offer Document for scheme specific risk factors before investing. 22
MAIN APPLICATION FORM (Please read the instructions before investing) Use this Form if you are making one time investment. For SIP investments use the separate blue coloured SIP form. Broker Code Sub-broker Code Date & Time of Receipt Serial Number APPLICATION NO. 1 FOR EXISTING UNITHOLDERS If you are making a purchase in an existing folio, please mention the folio number in the space provided and proceeds to Step 3. Please note that the applicable details and mode of holding will be as per the existing folio. 2 ABOUT YOU Name of First Folio No. Date: Date of Birth (Mandatory) Mr. Ms. M/s. Name of Guardian (in case of minor) / Contact Person (In case of Institutional Investors) Mr. Ms. Designation of the Contact Person (In case of Institutional Investors) D D M M Y Y Y Y Status [Please tick ( )] HUF Bank/FI AOP/BoI Mailing Address (Please provide full address) Company Trust Club/Society NRI/FII/PIO Partnership Minor City State Communication Tel. (Res.) Tel. (Off.) Country Mob Sole Proprietorship Others (Please specify) E-Mail Overseas Address (in case of NRIs/FIIs) City MANDATORY DETAILS State Name of Second Mr. Ms. Name of Third Mr. Ms. Permanent Account Number (PAN) [Please refer to instruction no.ii(b)(4)] 1st 2nd 3rd 3 BANK ACCOUNT DETAILS OF FIRST APPLICANT (Refer instruction No.III) Bank Particulars ( Bank) Branch Address Account Number 4 E-MAIL COMMUNICATION I/We wish to receive the following via e-mail instead of physical document: Account Statement Quarterly Review & Annual Report Communication on Change of Address, Bank, etc. Non- Non- Guardian (In case of minor) Account Type Current Savings Prudential ICICI AMC Ltd. - ACKNOWLEDGEMENT SLIP (To be filled in by the Investor) Received from: City Country If you have already provided & validated PAN with an existing folio, please mention the Folio No. (Please tick ( ) the relevant box) (Please tick ( ) the relevant box) NRO Folio No. NRE Mode of holding [Please tick ( )] Single Joint Occupation [Please tick ( )] Professional Business Retired If Mandatory Details are not provided, your application is liable to be rejected. Application No. Anyone or Survivor Housewife Service Student Others (Please specify) Address Application for Units of Prudential ICICI Option : Signature, Stamp & Date 1-Dec-2005 23
5 REDEMPTION / DIVIDEND REMITTANCE (Please refer to instruction no.viii) DIRECT CREDIT OF DIVIDEND/REDEMPTION Available in ABN Amro Bank, Bank of Punjab, Centurion Bank, Citibank N.A., Deutsche Bank, HDFC Bank, Hongkong Bank, ICICI Bank, IDBI Bank, Kotak Bank, Standard Chartered Bank, and UTI Bank. Unitholders having bank account with any of these bank will receive their Redemption/ Dividend Payments (if any) directly into their bank account automatically. In case Unitholders wish to receive a cheque please indicate the preference below. I want to receive the redemption and dividend proceeds (if any) by way of a cheque. (Please in this box) ELECTRONIC CLEARING SERVICE (ECS) FOR DIVIDEND ONLY I authorise Prudential ICICI Mutual Fund to credit my dividend payments through ECS (Please ) Please quote 9 Digit Code No. of your Bank and Branch Corresponding to Bank Account Details given in Section - 3 above. (This number appears on every leaf of your chequebook after your cheque number) IMPORTANT: Please attach a blank cancelled Cheque or a clear photocopy of a cheque issued by your bank veryfying of the Code No. 6 INVESTMENT DETAILS (Refer Instruction No.IV) If you wish to use STP/SWP facility please tick the relevant box and fill in the STP/SWP Application Form on page 27 STP SWP NAME OF THE SCHEME (1) P R U D E N T I A L I C I C I OPTIONS & SUB-OPTIONS (See the Key Features for Scheme specific options & sub-options) [Please tick ( ) the appropriate boxes, only if it is applicable to the scheme/plan in which you wish to invest] Cumulative/Growth AEP-Regular* AEP-Appreciation Monthly Quarterly Half Yearly Dividend Payout Daily Fortnighly Quarterly (Please leave one box blank between words) Dividend Reinvestment Weekly Monthly Half Yearly Amount Paid (A) Bank Name & Branch DD Charges (B) (To be filled in, only if the Fund bears the DD Charges) $ Amount Invested (C) = (A) + (B) (To be filled in if the column (B) is applicable to the Scheme/Plan) Cheque/DD No. Cheque/DD Date Account Type (For NRI Investors) D D M M Y Y NRO NRE FCNR * Cumulative AEP Regular Option : Encashment of Units is subject to declaration of dividend in the respective Scheme(s). $ Read the Instruction Number VI(d). 7 NOMINATION DETAILS (Optional) I/We hereby nominate the undermentioned Nominee to receive the amounts to my/our credit in event of my/our death. I/We also understand that all payments and settlements made to such Nominee and signature of the Nominee acknowledging receipt thereof, shall be a valid discharge by the AMC / Mutual Fund / Trustees. Nominee Date of Birth (If nominee is minor) Mr. Ms. M/s. D D M M Y Y Y Y Address of Nominee (Please provide full address) Guardian (If nominee is minor) Code Relationship with minor Address of Guardian Signature of Guardian Code 8 YOUR CONFIRMATION The Trustee DD MM YYYY Prudential ICICI Mutual Fund, I/We have read and understood the offer document(s) of Prudential ICICI Mutual Fund. I/We apply for the units of the scheme(s) and I/we agree to abide by the terms, conditions, rules and regulations of the scheme. I/We confirm to have understood the terms & conditions. Its investment objectives, investment pattern, fundamental objectives and risk factors applicable to the respective Fund(s). I/We agree to abide by the terms, conditions, rules and regulations of the Plan(s). I/We have understood the details of the scheme and I/we have not received nor been induced by any rebate or gifts, directly or indirectly, in making this investment. SIGNATURE(S) First Second Third Prudential ICICI AMC Ltd. - ACKNOWLEDGEMENT SLIP (To be filled in by the Investor) Investment Plan Cheque/DD No. Dated Amount () Drawn on (Name of Bank & Branch) 24 Note: All future communications in connection with this application should be addressed to the nearest Prudential ICICI Customer Service Centre, quoting full name of the first applicant, the application serial number, the name of the scheme, the amount invested, date and the place of the Customer Service Centre where application was lodged.
MAIN APPLICATION FORM (Please read the instructions before investing) Use this Form if you are making one time investment. For SIP investments use the separate blue coloured SIP form. Broker Code Sub-broker Code Date & Time of Receipt Serial Number APPLICATION NO. 1 FOR EXISTING UNITHOLDERS If you are making a purchase in an existing folio, please mention the folio number in the space provided and proceeds to Step 3. Please note that the applicable details and mode of holding will be as per the existing folio. 2 ABOUT YOU Name of First Folio No. Date: Date of Birth (Mandatory) Mr. Ms. M/s. Name of Guardian (in case of minor) / Contact Person (In case of Institutional Investors) Mr. Ms. Designation of the Contact Person (In case of Institutional Investors) D D M M Y Y Y Y Status [Please tick ( )] HUF Bank/FI AOP/BoI Mailing Address (Please provide full address) Company Trust Club/Society NRI/FII/PIO Partnership Minor City State Communication Tel. (Res.) Tel. (Off.) Country Mob Sole Proprietorship Others (Please specify) E-Mail Overseas Address (in case of NRIs/FIIs) City MANDATORY DETAILS State Name of Second Mr. Ms. Name of Third Mr. Ms. Permanent Account Number (PAN) [Please refer to instruction no.ii(b)(4)] 1st 2nd 3rd 3 BANK ACCOUNT DETAILS OF FIRST APPLICANT (Refer instruction No.III) Bank Particulars ( Bank) Branch Address Account Number 4 E-MAIL COMMUNICATION I/We wish to receive the following via e-mail instead of physical document: Account Statement Quarterly Review & Annual Report Communication on Change of Address, Bank, etc. Non- Non- Guardian (In case of minor) Account Type Current Savings Prudential ICICI AMC Ltd. - ACKNOWLEDGEMENT SLIP (To be filled in by the Investor) Received from: City Country If you have already provided & validated PAN with an existing folio, please mention the Folio No. (Please tick ( ) the relevant box) (Please tick ( ) the relevant box) NRO Folio No. NRE Mode of holding [Please tick ( )] Single Joint Occupation [Please tick ( )] Professional Business Retired If Mandatory Details are not provided, your application is liable to be rejected. Application No. Anyone or Survivor Housewife Service Student Others (Please specify) Address Application for Units of Prudential ICICI Option : Signature, Stamp & Date 1-Dec-2005 25
5 REDEMPTION / DIVIDEND REMITTANCE (Please refer to instruction no.viii) DIRECT CREDIT OF DIVIDEND/REDEMPTION Available in ABN Amro Bank, Bank of Punjab, Centurion Bank, Citibank N.A., Deutsche Bank, HDFC Bank, Hongkong Bank, ICICI Bank, IDBI Bank, Kotak Bank, Standard Chartered Bank, and UTI Bank. Unitholders having bank account with any of these bank will receive their Redemption/ Dividend Payments (if any) directly into their bank account automatically. In case Unitholders wish to receive a cheque please indicate the preference below. I want to receive the redemption and dividend proceeds (if any) by way of a cheque. (Please in this box) ELECTRONIC CLEARING SERVICE (ECS) FOR DIVIDEND ONLY I authorise Prudential ICICI Mutual Fund to credit my dividend payments through ECS (Please ) Please quote 9 Digit Code No. of your Bank and Branch Corresponding to Bank Account Details given in Section - 3 above. (This number appears on every leaf of your chequebook after your cheque number) IMPORTANT: Please attach a blank cancelled Cheque or a clear photocopy of a cheque issued by your bank veryfying of the Code No. 6 INVESTMENT DETAILS (Refer Instruction No.IV) If you wish to use STP/SWP facility please tick the relevant box and fill in the STP/SWP Application Form on page 27 STP SWP NAME OF THE SCHEME (1) P R U D E N T I A L I C I C I OPTIONS & SUB-OPTIONS (See the Key Features for Scheme specific options & sub-options) [Please tick ( ) the appropriate boxes, only if it is applicable to the scheme/plan in which you wish to invest] Cumulative/Growth AEP-Regular* AEP-Appreciation Monthly Quarterly Half Yearly Dividend Payout Daily Fortnighly Quarterly (Please leave one box blank between words) Dividend Reinvestment Weekly Monthly Half Yearly Amount Paid (A) Bank Name & Branch DD Charges (B) (To be filled in, only if the Fund bears the DD Charges) $ Amount Invested (C) = (A) + (B) (To be filled in if the column (B) is applicable to the Scheme/Plan) Cheque/DD No. Cheque/DD Date Account Type (For NRI Investors) D D M M Y Y NRO NRE FCNR * Cumulative AEP Regular Option : Encashment of Units is subject to declaration of dividend in the respective Scheme(s). $ Read the Instruction Number VI(d). 7 NOMINATION DETAILS (Optional) I/We hereby nominate the undermentioned Nominee to receive the amounts to my/our credit in event of my/our death. I/We also understand that all payments and settlements made to such Nominee and signature of the Nominee acknowledging receipt thereof, shall be a valid discharge by the AMC / Mutual Fund / Trustees. Nominee Date of Birth (If nominee is minor) Mr. Ms. M/s. D D M M Y Y Y Y Address of Nominee (Please provide full address) Guardian (If nominee is minor) Code Relationship with minor Address of Guardian Signature of Guardian Code 8 YOUR CONFIRMATION The Trustee DD MM YYYY Prudential ICICI Mutual Fund, I/We have read and understood the offer document(s) of Prudential ICICI Mutual Fund. I/We apply for the units of the scheme(s) and I/we agree to abide by the terms, conditions, rules and regulations of the scheme. I/We confirm to have understood the terms & conditions. Its investment objectives, investment pattern, fundamental objectives and risk factors applicable to the respective Fund(s). I/We agree to abide by the terms, conditions, rules and regulations of the Plan(s). I/We have understood the details of the scheme and I/we have not received nor been induced by any rebate or gifts, directly or indirectly, in making this investment. SIGNATURE(S) First Second Third Prudential ICICI AMC Ltd. - ACKNOWLEDGEMENT SLIP (To be filled in by the Investor) Investment Plan Cheque/DD No. Dated Amount () Drawn on (Name of Bank & Branch) 26 Note: All future communications in connection with this application should be addressed to the nearest Prudential ICICI Customer Service Centre, quoting full name of the first applicant, the application serial number, the name of the scheme, the amount invested, date and the place of the Customer Service Centre where application was lodged.
Systematic Transfer Plan (STP) Application Form (Please read the instructions before filling up the form) Use this Form if you wish to transfer your investment systematically from one scheme/plan to another I/We hereby apply to the Trustee of Prudential ICICI Mutual Fund for the Systematic Transfer Plan (STP) Enrolment under the following scheme and agree to abide by the terms and conditions of the plan. Application Number Folio Number (For existing Unitholders) Broker Code Sub-broker Code Eligible Schemes from which you can Transfer: PruICICI Liquid Plan, PruICICI Income Plan, PruICICI Floating Rate Plan, PruICICI Long Term Floating Rate Plan, PruICICI Flexible Income Plan, PruICICI Short Term Plan, PruICICI Gilt Fund- Investment Plan and Treasury Plan, PruICICI Monthly Income Plan (An open ended fund. Monthly income is not assured and is subject to the availability of distributable surplus) and PruICICI Income Multiplier Fund. Eligible Schemes into which you can Transfer: PruICICI Growth Plan, PruICICI Power, PruICICI Tax Plan, PruICICI Dynamic Plan, PruICICI Technology Fund, PruICICI FMCG Fund, PruICICI Balanced Fund, PruICICI Discovery Fund, PruICICI Emerging S.T.A.R. (Stocks Targeted At Returns) Fund and Prudential ICICI Infrastructure Fund. Scheme Name (From where you wish to transfer amount): Plan Option Scheme Name (To where you wish to transfer amount): Plan Option Frequency Weekly Monthly Quarterly Amount (Minimum of 1,000) No. of installments (Minimum of 6 installments) Instructions for Systematic Transfer Plan (STP) i) The minimum amount that can be transferred from one scheme to another is 1,000.00 for a minimum of 6 installments. ii) STP will be available at weekly, monthly and quarterly rests as per the standing instructions of the Unitholder. iii) Units so created in the target schemes will, in addition to any existing exit load for normal purchases, have an exit load equivalent to 1.25% of the applicable NAV, if the units are redeemed before completion of 2 years from the date of each STP transaction. iv) The unitholder can avail the STP facility for a maximum period of 10 years. v) The request for STP should be received on or before the last business day of the week preceding the week in which the effective transaction date falls. Sole/First Second Third SIGNATURE(S) Sole/First Second Third Systematic Withdrawal Plan (SWP) Application Form (Please read the instructions before filling up the form) Use this Form if you wish to withdraw your investment systematically. (Please use separate SWP enrolment form for each Scheme/Plan) Date (dd/mm/yyyy) I/We hereby apply to the Trustee of Prudential ICICI Mutual Fund for the Systematic Withdrawal Plan (SWP) under the following scheme and agree to abide by the terms and conditions of the plan. I/We have read and understood the contents of the Offer Document and the instruction. Application Number Folio Number (For existing Unitholders) PAN/ GIR No. Scheme Name: Option Frequency: Monthly; OR Quarterly Number of Units to be withdrawn OR Amount to be withdrawn Period of Enrolment from (dd/mm/yyyy) To (dd/mm/yyyy) Instructions for Systematic Withdrawal Plan (SWP) 1. New investors who wish to enrol for SWP should fill this enrolment form in addition to the Application Form. 2. Existing investors need to provide the Folio No. and SWP details only. 3. You can opt to withdraw on a Monthly/Quarterly basis. Withdrawal will be effected on the 1st Business Day of the month for monthly and quarterly basis and would be treated as a redemption. 4. SWP will terminate automatically, if all the units are withdrawn from the folio or an expiry of the enrolment period whichever is earlier. 5. The applicant will have the right to discontinue SWP at any time he or she so desires by providing a written request at the office of the Prudential ICICI Mutual Fund Customer Service Centres. Notice of discontinuance should be received 10 days prior to the month that it is required to be effected in. Sole/First Second Third SIGNATURE(S) Sole/First Second Third 27
Trigger Application/Cancellation Form (Please read the instructions carefully before filling up the form and use separate application form for each transaction) Use this form, if you wish to switch units from one scheme to another based on appreciation/stop-loss on your investment or on a specific date. Application Number Folio Number (For existing Unitholders) DETAILS OF TRANSACTION ON WHICH TRIGGER OPTIONS NEED TO BE EXERCISED/CANCELLED Mention the complete name of the scheme along with the plan. Please tick ( ) or fill the appropriate boxe(s) or column(s) SWITCH FROM ( Scheme) Date: D D M M Y Y Y Y TRIGGER [Please tick ( ) the appropriate box] Registration Cancellation (In case of cancellation, the section SWITCH TO and TRIGGER OPTIONS need not be filled in) SWITCH TO ( Scheme) P R U D E N T I A L I C I C I P R U D E N T I A L I C I C I (Please leave one column blank between words) Options & sub-options Cumulative/Growth AEP-Regular* Monthly Half Yearly AEP-Appreciation Quarterly Dividend Payout Daily Fortnighly Quarterly Dividend Reinvestment Weekly Monthly Half Yearly * Cumulative AEP Regular Option : Encashment of Units is subject to declaration of dividend in the respective Scheme(s). (Please leave one column blank between words) Options & sub-options Cumulative/Growth AEP-Regular* Monthly Half Yearly AEP-Appreciation Quarterly Dividend Payout Daily Fortnighly Quarterly Dividend Reinvestment Weekly Monthly Half Yearly * Cumulative AEP Regular Option : Encashment of Units is subject to declaration of dividend in the respective Scheme(s). TRIGGER OPTIONS (In case of multiple triggers ticked, one whose condition is fulfilled first will be exercised and balance, if any, will be nullified) Switch the investment: Specific NAV Trigger: NAV Appreciation Trigger : On NAV (Switchout Scheme) reaching (Rupees in words ) per unit. NAV Stop-Loss Trigger : On NAV (Switchout Scheme) reaching (Rupees in words ) per unit. (NAV per unit should be mention only in multiple of Re. 1) Specific Date Trigger : On the day of D D M M Y Y Y Y INSTRUCTIONS I / We have received, read and understood the offer document/key information memorandum. 1. Trigger will require folio number in case of existing investors or application form number in case of new investor. 2. Trigger facility will switch all the units in the above mentioned scheme within the respective Folio Number of the investor. 3. Entry and Exit loads for the scheme(s) shall be applicable as mentioned in the the relevant Offer Document(s)/Addendum(s). The same will also be applicable for SIP / STP / SWP. 4. Tigger facility is available in all the Schemes of Prudential ICICI Mutual Fund except SPIcE and Index Fund. 5. For the switch to happen the minimum purchase/redemption criteria should be met else the trigger will not be effected. 6. Trigger facility on each scheme will require a separate/independent Trigger request form to be filled. If an investor holds similar schemes in two folios, they will have to register separately for it mentioning the folio number. NAME(S) AND SIGNATURE(S) OF THE APPLICANT(S) Sole/First Second Third 7. Target scheme, where units will be switched if option/sub-options are not selected, it will be switched to the default option (available under the Target Schemes). 8. Switch will be implemented on the day the trigger condition is satisfied. The Trigger is a one time operation and will cease once it is exercised. 9. Once switch is done exercising trigger option, the same will not be reversed whatsoever and it will be final and binding. 10. If trigger is not activated and/or implemented due to reasons, which are beyond the control of PruICICI AMC, the AMC would not be held responsible. Trigger facility is only a facility extended by the AMC for the convenience of the unit holders and does not form part of any scheme/fund objectives. 11. AMC reserves the right to amend/terminate this facility at any time, keeping in view business/ operational exigencies. I/We have read & understood and agree to abide by the terms and conditions and opt for the Trigger facility. SIGNATURE(S) Sole/First Second Third Prudential ICICI AMC Ltd. - ACKNOWLEDGEMENT SLIP (To be filled in by the investor) Folio / Application No. First Holder Name Received request for Trigger facility under Scheme Plan Option switching into the Scheme Plan Option In respect of Trigger Option (please ) NAV Appreciation Trigger : On NAV (Switchout Scheme) reaching per unit switch the investment / NAV Stop-Loss Trigger : On NAV (Switchout Scheme) reaching per unit switch the investment / Specific Date Trigger : On the day of D D M M Y Y Y Y 28 (Please retain this slip for all the future correspondence with Prudential ICICI MF in relevance to this Trigger.) Signature, Stamp & Date
Prudential ICICI Mutual Fund 1. Full Name and Address of the Declarant FORM NO. 60 [See second proviso to rule 114B] Form of declaration to be filed by a person who does not have a Permanent Account Number (PAN) and who enters into any transactions specified in Rule 114B 2. Particulars of transaction 3. Amount of Transaction 4. Are you assessed to tax? [Please tick( )] Yes No 5. If yes, (i) Details of Ward/Circle/Range where the last return of income was filed? (ii) Reasons for not having permanent account number? 6. Details of the document being produced in support of address in Column (1) Verification I, do hereby declare that what is stated above is true to the best of my knowledge and belief. Verify today, the day of Date Place : : Signature of the declarant Instructions: Documents which can be produced in support of the address are :- (a) Ration Card (b) Passport (c) Driving licence (d) Identity Card issued by an institution (e) Copy of the electricity bill or telephone bill showing residential address (f) Any document or communication issued by an authority of Central Government, State Government or local bodies showing residential address. (g) Any other documentary evidence in support of his address given in the declaration. 1-Dec-2005 29
1-Dec-2005 Prudential ICICI Mutual Fund FORM NO. 61 [See proviso to clause (a) of rule 114C] Form of declaration to be filed by a person who has agricultural income and is not in receipt of any other income chargeable to income-tax in respect of transactions specified in clauses (a) to (h) of rule 114B 1. Full name and address of the declarant 2. Particulars of transaction 3. Details of documents being produced in support of address in column (1) [Please tick( )] Yes No I hereby declare that my source of income is from agriculture and I am not required to pay Income-tax on any other income, if any. Place:... Date:...... Signature of the Declarant Verification I, do hereby declare that what is stated above is true to the best of my knowledge and belief. Verify today the day of Place:... Date:...... Signature of the Declarant Instructions: Documents which can be produced in support of the address are :- (a) Ration Card (b) Passport (c) Driving licence (d) Identity Card issued by an institution (e) Copy of the electricity bill or telephone bill having residential address (f) Any document or communication issued by an authority of Central Government, State Government or local bodies showing residential address. (g) Any other documentary evidence in support of his address given in the declaration. 30
Prudential ICICI Mutual Fund APPLICATION FORMS TO BE SUBMITTED AT THE CENTRES MENTIONED BELOW Prudential ICICI Mutual Fund Official Points of Acceptance Ahmedabad: 401, Sears Towers, Nr. Panchawati, Gulbai Tekra, Ahmedabad 380 006. Tel: (079) 26421095/96, 26408960 / 9029 Bangalore: 15/16, Vayudooth Chambers, Ground Floor, Trinity Circle, M. G. Road, Bangalore 560 001. Tel: (080) 25323789, 25323675/76, 25323680 Baroda: 203 Dwarkesh Complex, RC Dutt Road, Baroda 390 007. Tel: (0265) 2322283 / 84 Bhubaneswar: 2nd Foor, Epari Plaza, Plot No. C-653, Unit-3, Janpath, Bhubaneswar, Orissa. Tel: (0674) 2535805, 2535806 Chandigarh: SCO 137-138 Ist Floor, Sector 9-C, Chandigarh 160 017. Tel: (0172) 2745302/3/2746195 Chennai: No. 22/4, Aashika Chambers, Chamiers Road, Teynampet, Chennai 600018. Tel: (044) 2433 8228/9 Coimbatore: Old No:58, New No.126, 1st floor, TV Swamy Road (West), R.S. Puram, Coimbatore 641 002. Tel: (0422) 2543380/2543382/2543384 Durgapur: Mezzanine Floor, Lokenath Mansion, Sahid Khudiram Sarani, City Centre, Durgapur, Dist: Burdwan, West Bengal - 713216. Tel: (0343) 2544682. Fax: (0343) 2544683 Goa: Shop No. 7, Ground Floor, Kamat Chambers, Opp. Hotel Neptune, Menezes Braganza Road, Panjim 403 001. Tel: (0832) 2424520/11 Guwahati: Jadavbora Complex, M. Dewan Path, Ullubari, Guwahati 781007. Mobile: 9864025593 Hyderabad: L.B. Bhavan, 6-3-550 Somajiguda, (Opp. Medinova), Hyderabad 500082. Tel: (040) 55510099/100 Indore: 213-A City Center, 570 M.G. Road, Indore- 452 001. Tel: (0731) 5043003 / 5043004 Jaipur: 305, 3rd floor, Ganpati Plaza, M.I. Road, Jaipur 302 001. Tel: (0141) 2388724, 2362257, 5106161 Kanpur: 516-518, Krishna Tower, 15/63 Civil Lines, Opp. U.P. Stock Exchange, Kanpur-208001. Tel: (0512) 2303505/ 2303520 Kochi: No. 6, 3rd floor, Emgee Square, M.G. Road, Kochi 682 035. Tel: (0484) 2353 199/2371 809 & 3097 458 Kolkata: 124, Lords, 1st Floor, 7/1 Lord Sinha Road, Kolkata 700 071. Tel: (033) 2282 4077/82 Lucknow: Office No.6, Ground Floor, Saran Chambers-I, 5 Park Road, Lucknow 226 001. Tel: (0522) 237923/717/711 Ludhiana: SCO 147, 4th Floor, Feroze Gandhi Market, Ludhiana 141 001. Tel: (0161) 2413101/2/4 Mangalore: 1st Floor, S. L. Chambers, Near Bunt s Hostel Road, Karangalpady, Mangalore 575003. Tel: ( 0824) 2492179, 2491666 Mumbai-Corporate Office: Peninsula Tower, 5th Floor, 503, Peninsula Corporate Park, Ganpatrao Kadam Marg, Off. Senapati Bapat Marg, Lower Parel, Mumbai-400 013. Telephone No.: 022-24999777 Fax No.: 022-2499 7029 Mumbai - Branch Office (Fort): Yeshwant Chambers, Shop No. 6, Ground Floor, 14/18, Burjoji Bharuch Marg, Kalaghoda, Fort, Mumbai-400 023. Tel: (022) 22649260/22613952/22614987 Mumbai - Branch Office (Bandra): 101, Deccan House, Off Turner Road, Behind Copper Chimney, Near Bandra Station, Bandra (W), Mumbai-400 050. Tel: (022) 26404065/66 New Delhi: 206, Ashoka Estate, 2nd floor, 24, Barakhamba Road, New Delhi 110 001. Tel: (011) 23752515/16/17/18 Patna: 306, Ashiana Harnivas, Dak Bungalow Road, Patna 800 001. Tel: (0612) 2230 483, 2213632, 2204164 Pune: 1184/4, 3& 4 Ground Foor, Gokul Nagar, Dyaneshwar Paduka Chowk, Fergusson college Road, Pune 411005. Tel:(020) 56028844, 56023909 Rajkot: 103, Star Plaza, Phul Chaab Chowk, Rajkot 360 001. Tel: (0281) 2294299 Ranchi: 107-108, First Floor, Shrilok Complex, 4-H.B. Road, Ranchi 834 001. Tel: (0651) 2201455/2201456/ 2201457 Surat: 419, Lalbhai Contractor Complex, Nanpura, Surat 395001, Gujarat. Tel. (0261) 2460362, 9824272250 Vijayawada: 40-1-52/5,Ground Floor, Sai Nag Complex, Near Benz Circle, M.G.Road, Vijayawada 520 010. Tel: (0866) 5518882, 5516662, 9848050868 Visakhapatanam: G-8, Rams Plaza, Diamond Park Lane, Dwarkanagar, Visakhapatanam 530 016. Tel: (0891) 5566 333, 5566 318, 2762 660, 9848194249 Other Cities: Additional official transaction acceptance points Agra: CAMS Transaction Point, F-39/203, Sky Tower, Sanjay Place, Agra 282 002. Tel: 0562-252 1812 Allahabad: CAMS Transaction Point, 1st Floor, Chandra Shekhar Azad Complex (Near Indira Bhawan), 5, S.P. Marg, Civil Lines, Allahabad 211 001. Tel: 0532-260 1602 Amaravati: Cams Transaction Point, 81, Gulsham Tower, Near Panchsheel, Amaravati 444 601 Amritsar: CAMS Transaction Point, 378-Majithia Complex, 1st Floor, M. M. Malviya Road, Amritsar 143 001. Tel: 0183-221 1194 Aurangabad: CAMS Transaction Point, Office No. 1, 1st Floor, Amodi Complex, Juna Bazar, Aurangabad 431 001. Tel: 0240-2363 664 Belgaum: CAMS Transaction Point, No. 21, Ground Floor, Arvind Complex, 1552 Maruti Galli, Belgaum 590 002. Tel: 0831-2425 305 Bhilai: CAMS Transaction Point, 209, Khichariya Complex, Opp IDBI Bank, Nehru Nagar Square, Bhilai 490 020. Tel: 0788-505 0568 Bhopal: CAMS Transaction Point, C-12, 1st Floor, Above Life Line Hospital, Zone-I, M.P.Nagar, Bhopal 462011 (M.P.). Tel: 0755-528 5266 Calicut: Cams Transaction Point, 17/28 H 1st Floor, Manama Towers, Marvoor Road, Calicut 673 001. Tel: 0495-272 3173 Dehradun: CAMS Transaction Point, 81, Chakrata Road, Dehradun 248 001. Tel: 0135-271 3233 Guntur: CAMS Transaction Point, Shyamsunder Golden Towers, Ground Floor, 3rd Lane, Brodipet, Adjacent to Over-bridge, Guntur 522 002. Tel: 0863-5580 838 Hubli: CAMS Transaction Point, No. 208, A Block, 1st Floor, Kundagol Complex, Opp. Court, Club Road, Hubli 580 029. Jalandhar: CAMS Transaction Point, 367/8, Central Town, Opp. Gurudwara Diwan Asthan, Jalandhar 144 001. Tel: 0181-2456336 Jamnagar: CAMS Transaction Point, 207/209, K.P. Shah House I, K.V. Road, Jamnagar 361 001. Tel: 0288-255 8467/ 3111909 Jamshedpur: CAMS Transaction Point, Panch Bhawan, R Road, Bistupur, Gr. Floor, (Near Rajasthan Bhawan), Jamshedpur 831 001. Tel: 0657-310 5930 Jodhpur: Cams Transaction Point, 1/5 Nirmal Tower, 1st Chopasani Road, Jodhpur 342003. Tel: 0291-309 2892 / 262 8039 Madurai: CAMS Transaction Point, 86/71A, Tamilsangam Road, Madurai 625 001. Manipal: CAMS Transaction Point, Academy Annex, First Floor, Opposite Corporation Bank, Upendra Nagar, Manipal 576 104. Tel: 0820-257 3333, 529 2033 Meerut: CAMS Transaction Point, 108, 1st Floor, Shivam Plaza, Opposite Eves Cinema, Hapur Road, Meerut 250 002. Tel: 0121-2400 700 Mysore: CAMS Transaction Point, No.3, 1st Floor, CH.26 7th Main, 5th Cross (Above Trishakthi Medicals), Saraswati Puram, Mysore 570 009. Tel: 0821-309 1244 / 234 2182 Nagpur: CAMS Investor Service Centre, 145 Lendra Park, Behind Shabari, New Ramdaspeth, Nagpur 440 010. Tel: (0712) 253 2447, 253 7321 Nasik: CAMS Investor Service Centre, Varsha Bungalow, 1st Floor, Near Rungtha High School, 493, Ashok Stambh, Nasik 422 001. Patiala: CAMS Transaction Point, 35, New Lalbagh Colony, Patiala 147 001. Pondicherry: CAMS Transaction Point, 25, First Floor, Jawaharlal Nehru Street, Pondicherry 605 001. Tel: 0413-222 0575 / 233 5722 Raipur: CAMS Transaction Point, C-23, Sector 1, Devendra Nagar, Raipur 492004. Tel: 0771-309 0830 Rajahmundry: CAMS Transaction Point, D.No 7-27-4 Krishna Complex, Baruvari Street, T Nagar, Rajahmundry 533 101. Tel: 0883-5565531 Rourkela: Cams Transaction Point, 1st Floor, Mangal Bhawan, Phase II, Power House Road, Rourkela 769 001. Salem: CAMS Transaction Point, 28, I Floor, Advytha Ashram Road, Salem 636 004. Tel: 0427-244 6338 Siliguri: CAMS Transaction Point, No 8, Swamiji Sarani, Ground Floor, Hakimpara, Siliguri 734 401. Tel: 0353-221 6065 Thiruvananthapuram: CAMS Transaction Point, 15/ 2012, Sheelatha Building, Womens' College Lane, Vazuthacadu, Trivandrum 695014. Tel: 0471-3950 414 Trichur: CAMS Transaction Point, VIII/350/15, O K John Memorial Building, Ekkanda Warrier Road, Trichur 686 001. Tel: 0487-242 0646 Trichy: CAMS Transaction Point, No 8, I Floor, 8th Cross West Extn., Thillainagar, Trichy 620 018. Tel: 0431-274 1717 Udaipur: CAMS Transaction Point, 32, Ahinsapuri, Fatehpura Circle, Udaipur 313 004. Tel: 0294-3091722 Valsad: C/o. CAD House, Suddhivinayak Complex, F- 1, First Floor, Avenue Building, Near R. J. J. School, Tithal Road, Valsad 396 001. Varanasi: CAMS Transacation Point, C 27/249-22A, Vivekanand Nagar Colony, Maldhaiya, Varanasi 221 002. Tel: 0542-220 8546/ 311 3810. 31