Diribut ARN / RIA ARN/RIA Key Infmation Memandum and Common Application Fm Continuous Offer of Units at Applicable NAV Fm - Diribut Name Sub-Diribut ARN/RIA By mentioning RIA code, I/We auize you share wi e SEBI Regiered Invement Advis e details of my/our transactions in e scheme(s) of Motilal Oswal Mutual Fund. ARN Inves applying under Direct Plan mu mention Direct in ARN Column Upfront commission shall be paid directly by e inve e AMFI regiered diribut based on e inve's assessment of various facts including e service rendered by e diribut. Fir / Sole Applicant / Application. Internal Sub-Broker/Employee Code EUIN Second Applicant Third Applicant Power of Attney Holder TRANSACTION CHARGES FOR APPLICATIONS THROUGH DISTRIBUTORS ONLY(Refer Inruction ) In case e subscription amount is `0,000 me and your Diribut has opted receive Transaction Charges, e same are deductible as applicable from e purchase/ subscription amount and payable e Diribut. Units will be issued again e balance amount inveed. Transaction Charges f per subscription ` 0,000 and above Exiing Inve - `00 New Inve - `50 EXISTING INVESTOR'S DETAILS (Please fill your Folio., Name, Section 2,7,0 &2) Folio. 2 FIRST APPLICANT'S DETAILS (n-individual inve please fill in FATCA, CRS & UBO Declaration in Section 0B, & 2 ) Faer s PAN /PEKRN CIN Date of Bir / Incpation D D Place of Bir / Incpation Country of Bir / Incpation Nationality Indian US Oers ( Pl e a s e S p e c i f y) City of Incpation F Invements "On behalf of Min" Bir Certificate School Certificate Passpt Oers Specify (Refer Inruction d) Name of e (In case of min) / Contact person f non individuals / PoA holder name named below is / PoA PAN Faer Moer Court Appointed F I R S T M I D D L E L A S T Tax Residence Address (f KYC Address) Regiered office Crespondence Address City State Pin Code Overseas address Mandaty incase of NRI s & Mobile. are essential enable us communicate better wi you Please mention PAN/PEKRN(PAN Exempted KYC Reference Number) as it is mandaty 3 (Mandaty) Mobile Tel. Status Partnership Firm HUF Private Limited Company Public Limited Company Lied Company Society AOP/BOI Tru H Liquidat Artificial Juridical Person Limited Liability Partnership Resident Individual Propriet PIO Tru Min FII/ FPI NRI Body Cpate NGO FI Govt. Body Bank Defence Eablishments NPO Oers Specify Occupation Pvt. Sect Service Public Sect Gov. Service Housewife Defence Professional Retired Agriculture Student Fex Dealer Oers Specify Income OR Net-w t older an one year <L -5L 5-0L 0-25L 25L-CR >CR netw Any oer infmation NON- <L -5L 5-0L 0-25L 25L-CR >CR netw (Netw is mandaty f n-individuals) Any oer infmation Is e entity involved in any of e following: Feign Exchange/ Money Changer Yes 2 Gaming / Gambling / Lottery Yes (casinos, betting syndicates) 3 Money Lending/ Pawning Yes 4 JOINT APPLICANT'S DETAILS SECOND APPLICANT'S DETAILS Mode of Holding Joint Anyone Surviv (Default) I am PEP I am Related PEP t Applicable From ACKNOWLEDGMENT SLIP Received subject realisation, verification and conditions, an application f purchase of Units as mentioned in e application fm. Cheque no. Date Amount Scheme Application. Stamp & Signature
Faer s PAN /PEKRN Mobile & Mobile. are essential enable us communicate better wi you Date of Bir D D Place of Bir Country of Bir Nationality Indian US Oers ( Pl e a s e S p e c i f y) Occupation Pvt. Sect Service Public Sect Gov. Service Housewife Defence Professional Retired Agriculture Student Fex Dealer Oers Specify Income OR Netw t older an one year <L -5L 5-0L 0-25L 25L-CR >CR netw Any oer infmation Politically Exposed Person (PEP) Status I am PEP I am Related PEP t Applicable THIRD APPLICANT'S DETAILS Faer s PAN /PEKRN Mobile & Mobile. are essential enable us communicate better wi you Date of Bir D D Place of Bir Country of Bir Nationality Indian US Oers ( Pl e a s e S p e c i f y) Occupation Pvt. Sect Service Public Sect Gov. Service Housewife Defence Professional Retired Agriculture Student Fex Dealer Oers Specify Income OR Netw t older an one year <L -5L 5-0L 0-25L 25L-CR >CR netw Any oer infmation Politically Exposed Person (PEP) Status I am PEP I am Related PEP t Applicable Please mention PAN/PEKRN (PAN Exempted KYC Reference Number) as it is mandaty 5 (Mandaty, only if you require units in e demat fm. Please fill in all details, else e application is liable be rejected). DEMAT ACCOUNT DETAILS mination provided in demat account shall be considered. NSDL CDSL Deposity Participant (DP) Name DP ID Beneficiary A/c. 6 EMAIL COMMUNICATION All communications will be sent by default e regiered E-mail id / Mobile. In case you wish receive physical communication please 7 INVESTMENT & PAYMENT DETAILS Payment Type (Please ) n - Third party payment Third party payment (Please fill e Third Party Payment Declaration Fm) Scheme Motilal Oswal MOSt Focused Dynamic Equity Fund Motilal Oswal MOSt Focused Multicap 35 Fund Motilal Oswal MOSt Focused 25 Fund Motilal Oswal MOSt Focused Long Term Fund Motilal Oswal MOSt Focused Midcap 30 Fund Motilal Oswal MOSt Ultra Sht Term Bond Fund Plan and Option Option Grow (Default Option) Div - Payout 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. Date D D M M Y Y Bank Name Bank A/c. Branch Name & City Account Current Savings NRO NRE FCNR OR Div - Reinve (Default Option) (N/A f MOSt Focused Long Term) SYSTEMATIC INVESTMENT PLAN SYSTEMATIC INVESTMENT PLAN / MICRO SIP-ECS (please fill ECS Debit Fm-2) SIP Inalment Amount (`) Cheque /DD. Drawn on Bank Monly Quartely Applicable f Motilal Oswal MOSt Focused Dynamic Equity Fund Quartely Annually (Default Option) Applicable f Motilal Oswal MOSt Ultra Sht Term Bond Fund Daily Monly Quartely (t Applicable f Dividend Payout Option) Subsequent SIP Inalment Amount (`) -4 SIP Period From M M Y Y 7-2 7 (Default) 7 (Default) To In wds Bank & Branch Perpetual Date D D M M Y Y 4 4 oer 2 2 28 28 M M Y Y Motilal Oswal Asset Management Company Limited 0 Flo, Motilal Oswal Tower, Rahimtullah Sayani Road, Opposite Parel ST Depot, Prabhadevi, Mumbai - 400025 Email: mfservice@motilaloswal.com. Toll Free.: 800-200-6626 website: www.motilaloswalmf.com
8 BANK DETAILS (Mandaty) Redemption / Dividend /Refund payouts will be credited in 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. IFSC Code ( digit) Current Savings NRO NRE FCNR Oers Branch Name City Pin MICR Code (9 digit) Type Mentioned on your cheque leaf I / We underand at e inructions 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 wards 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 in 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 issue a demand draft / payable at par cheque in case it is not possible make payment by Direct Cash/NEFT/ECS. If however e unit holders wish receive a cheque (inead of a direct credit in eir bank account) Please tick e box alongside Specify 9 NOMINATION DETAILS (Refer Inruction 9) Name (Date of Bir if nominee is min) Address Name (in case minee is a Min) Signature ( in case minee is a Min) Allocation Unit Holder's Signature If you do not wish nominate sign here. Fir / Sole Applicant / Second Applicant Third Applicant Power of Attney Holder 00 0 FATCA- CRS Declaration and Supplementary Infmation 0A Declaration f Individual Are you a tax resident (i.e., are you assessed f Tax) in any oer country outside India? Yes If please proceed f e signature of declaration If'YES', please fill f ALL countries (oer an India) in which you are a Resident f tax purposes i.e., where you are a Citizen / Resident / Green Card Holder / Tax Resident in e respective countries Fir Applicant Second Applicant Third Applicant Country of Tax Residency Tax Identification Number Functional Equivalent Identification Type (TIN oer, please specify) If TIN is not available, please tick ( ) e reason A, B, & C (as defired below) Reason A: The country where e Account Holder is liable pay tax does not issue Tax Identification Numbers its residents. Reason B: TIN required. (Select is reason Only if e auities of e respective country of tax residence do not require e TIN be collected). Reason C: Oers; please ate e reason ereof. Please attach additional sheets if necessary 0B Declaration f n-individual / Legal Entity. Is Entity a tax resident of any country oer an India Yes (If yes, please provide country/ies in which e entity is a resident f tax purposes and e associated Tax ID number below.) Country Tax Identification Number Identification Type (TIN Oer, please specify) In case Tax Identification Number is not available, kindly provide its functional equivalent. In case TIN its functional equivalent is not available, please provide Company Identification number Global Entity Identification Number GIIN, etc. 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 Please refer para 3(vii) Exemption code f U.S. persons of FATCA inructions & Definitions n-individual. Part A ( be filled by Financial Initutions Direct Repting NFEs). We are a, Global Intermediary Identification Number (GIIN) te: 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 GIIN not available (please tick as applicable) If e entity is a financial initution, Applied f t required apply f - please specify 2 digits sub-categy t obtained n-participating FI Part B (please fill any one as appropriate 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) 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 n Financial Entity (NFE) Yes Nature of Please specify e sub-categy of Active NFE (Mention code refer 2 FATCA inruction and definition f non-individual) Yes (If yes, please fill UBO declaration in e next section.) Nature of
If passive NFE, please provide below additional details f each controlling person. (Please attach additional sheets if necessary.) Name/ PAN/ Any oer Identification Number (PAN, Aadhar, Passpt Election ID, Govt. ID, Driving Licence NREGA Job Card, Oers) City of Bir - Country of Bir Service,, Oers Faer's Name: Mandaty if PAN is not available Gender: Male, Female, Oer.Name: City of Bir: Country of Bir: 2.Name: City of Bir: Country of Bir: 3.Name: City of Bir: Country of Bir: Faer's Name: Faer's Name: Faer's Name: 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 Additional details 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 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, PIN/ZIP Code & Contact Details) Address Type PAN/Tax Payer Equivalent ID. Country of tax Residency Controlling Person Type (Mandaty) intere.:.:.: UBO 2 DECLARATION AND SIGNATURE Having read and underood e contents of e Scheme Infmation Document of e Scheme(s), I/We hereby apply f e units of e scheme(s) and agree 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, tifications 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 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 me/us. In e event Know Your Cuomer process is not completed by me/us e satisfaction of e Mutual Fund, I/we hereby auize e Mutual Fund, 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 me/us all e commissions (in e fm of trail commission any oer mode), payable him f e different competing Scheme of various Mutual Funds from among which e Scheme is being recommended me/us. F NRIs only : I/We confirm at I am/we are n Residents of Indian nationality/igin and at I/We have remitted funds from abroad rough approved banking channels from funds in my/our n-resident External/n-Resident Ordinary/FCNR Account. I/We confirm at e details provided by me/us are true and crect. I declare at e infmation is e be of my Knowledge, belief, accurate and complete. I agree notify MOMF/AMC immediately in e event of infmation changes. FATCA / CRS Certification: Declaration f Individual: I hereby confirm at e infmation provided hereinabove is true, crect, and complete e be of my knowledge and belief and at I shall be solely liable and responsible f e infmation submitted above.i also confirm at I have read and underood e FATCA & CRS Terms and Conditions below and hereby accept e same. I also undertake keep you infmed in writing about any changes / modification e above infmation in future wiin 30 days of e same being effective and also undertake provide any oer additional infmation as may be required any intermediary by domeic overseas regulats/ tax auities Declaration f n-individual: I / We have underood e infmation requirements of is Fm (read along wi e FATCA & CRS Inructions) and hereby con?rm at e infmation provided by me / us on is Fm is true, crect, and complete. I / We also con?rm at I /We have read and underood e FATCA & CRS Terms and Conditions and hereby accept e same. Fir / Sole Applicant / Second Applicant Third Applicant Power of Attney Holder Date: Place:
Diribut ARN / RIA Diribut Name Sub-Diribut ARN/RIA Internal Sub-Broker/Employee Code 0460 ARN EUIN: E02553 By mentioning RIA code, I/We auize you 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. UNIT HOLDER INFORMATION Exiing Folio Number 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 confirm at e declaration/inruction has been carefully read, underood. I/We have underood at I/we are auized cancel/amend is mandate by appropriately communicating e cancellation/amendment reque e User entity e bank where I have auized e debit and express my willingness and auize make payments rough participation in NACH/ECS/Direct Debit/Standing Inructions. I/We hereby confirm adherence e terms of NACH/ECS (Debits)/Direct Debits /Standing Inructions. Auization Bank: This is infm at I/We have regiered f ECS / NACH (Debit Clearing) / Direct Debit / Standing inructions facility and at my/our payment wards 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 get it verified and executed. (Please attach a cancelled cheque/cheque copy) Fir / Sole Applicant / / Auised Signaty Second Applicant Third Applicant (To be signed by all holders if mode of operation of Bank Account is Joint ) Application. NACH/ ECS/ Direct Debit Mandate Fm Fm -2 Mobile. 2 Tick () Create Modify Cancel SYSTEMATIC INVESTMENT PLAN DETAILS NACH/ ECS/ Direct Debit Mandate Fm [Applicable f Lumpsum Additional Purchases as well as SIP Regirations] UMRN F Official Use Date D D M M Y Y Spons Bank Code F Official Use Utility Code F Official Use I/We hereby auize Motilal Oswal Mutual Fund To Debit ( tick ) SB CA CC SB-NRE SB-NRO Oer an amount of Rupees FREQUENCY Reference Reference 2 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 Motilal Oswal MOSt Focused Dynamic Equity Fund Option: Grow Div Payout Annually Div Reinvement Annually Motilal Oswal MOSt Ultra Sht Term Bond Fund Option: Grow Div Payout Div Reinvement Bank a/c number Monly Monly Monly Monly Monly Monly wi Bank Name of cuomer bank IFSC Or MICR Mly Qtly H.Yrly Yrly As & when presented DEBIT TYPE Fixed Amount Maximum Amount I agree f e debit of mandate processing charges by e bank whom I am auizing debit my account as per late schedule of charges of e bank. Period. Signature Primary account holder 2. Signature of account holder 3. Signature of account holder From D D To 3 2 2 0 9 9. 2. 3. This is confirm at e declaration has been carefully read, underood & made by me/us. I am auizing e User entity/ Cpate debit my account based on e inruction as Or Until cancelled agreed and signed by me. I Have underood at I am auized cancel/ amend is mandate by appropriately communicating e cancellation/amendment reque e User entity/ cpate e bank where I have auized e debit ACKNOWLEDGMENT SLIP (To be filled by e inve) Application. Mob.. SIP Amount Min. ` 000/- (// Monly) & ` 2000/- (Qtrly) Y Y Folio. Scheme Name Inve Name Plan Option SIP Period From D D M M Y Y To D D M M Y Y Stamp & Signature