AIG World Gold Fund
AIG World Gold Fund
AIG World Gold Fund
BROKER/AGENT CODE SUB-BROKER CODE BANK/BRANCH BANK SERIAL NO. REGISTRAR SERIAL NO. DATE OF RECEIPT
NJ India Invest
ARN - 0155 54934
* Mandatory
1. For Existing Unitholders
First Unitholder F I R S T M I D D L E L A S T N A M E
Existing Folio No.
Please ensure that all unitholders are KYC compliant in case of investment of Rs. 50,000 and above.
2. For New Investors - Sole / First Applicant’s Personal Details
Sole / First Applicant Salutation Mr. Ms. M/s Dr. Minor Gender Male Female
F I R S T M I D D L E L A S T N A M E
Status of Sole/1st Individual Minor through Guardian HUF Company AOP/BOI Partnership firm Body Corporate
Applicant (Please 9) Trust Society Bank/ FI Proprietorship NRI – NRE NRI – NRO Others Please Specify
Complete Address for Correspondence (only P.O. Box Address is not sufficient) Home Office
Bank Name
Branch Address
ACKNOWLEDGEMENT SLIP (To be filled in by the investor)
Received from Mr. / Ms. / M/s. _________________________________________________ an application for investment in AIG World Gold Fund.
3rd Applicant F I R S T M I D D L E L A S T N A M E
MODE OF HOLDING (Please 9 ) Anyone or Survivor Joint (Default, in case of more than one applicant)
5. Type of Investment
Lumpsum Investment Systematic Investment Please use separate Application Forms for
Please 9 OR
Please fill up Section on Lumpsum Investment below Please fill up the enclosed SIP Auto Debit (ECS) Lumpsum & Systematic Investment
Form and submit it together with Application Form
City
Account Type (Please 9) Savings Current NRE NRO FCNR Others Please specify
NRI / FII investors please enclose (9 as applicable) Account Debit Foreign Inward Remittance Certificate Others Please specify
7. Nomination Details
Nominee Name of Guardian (in case of Minor) Percentage of Investment Allocation %
Nominee 1
Address
Nominee 2
Address
Nominee 3
Address
Sole / First
SIGNATURE(S) Applicant / Second Third
Guardian Applicant Applicant
If the investment is being made by a Constituted Attorney please furnish Name of Power of Attorney Holder (POA) in respect of each applicant below:
Name POA Holder for Applicant 1 POA Holder for Applicant 2 POA Holder for Applicant 3
Address
PAN No.*
KYC Compliant #
(Please 9) Yes No Yes No Yes No
#
*Mandatory - Please enclose a Certified PAN Card Copy KYC Mandatory for investment of Rs. 50,000 and above
DOCUMENTS TO BE SUBMITTED
Please ensure that: Documents Individuals Companies Trusts Societies Partnership NRIs FIIs Investments through POA
z Your Application Form is complete in all respects & duly signed by all Certified PAN Card 3 3 3 3 3 3 3 3
applicants:
z Name, Address and Contact Details are mentioned in full. KYC Acknowledgement Letter of all applicants 3 3 3 3 3 3 3 3
for investments of Rs. 50,000 and above
z Bank Account Details are entered completely and correctly. 9 digit
MICR Code of your bank is mentioned in the Application Form. Resolution / Authorisation to invest 3 3 3 3 3
z Permanent Account Number (PAN) of all Applicants is mentioned List of Authorised Signatories with Specimen 3 3 3 3 3 3
and necessary documents are enclosed for all investments. Signature(s)
z KYC Acknowledgement Letter of all applicants is enclosed if Memorandum & Articles of Association 3
investment amount is Rs. 50,000 and above. Trust Deed 3
z You attach the proof of identity and address along with the application Bye-Laws 3
form. See Instructions for more details.
Partnership Deed 3
z Appropriate Investment Option is selected. If the Dividend Option
is chosen, Dividend Payout or Re-investment and Dividend Notarised Power of Attorney 3
Frequency is indicated. Account Debit / Foreign Inward Remittance 3 3
z If units are applied for Jointly, Mode of Holding of account is indicated. Certificate from remitting Bank
z Application Number is mentioned on the reverse of the cheque. All documents above should be originals / true copies certified by the Director / Trustee / Company Secretary / Authorised Signatory / Notary Public.
z Relevant documents as listed alongside are submitted with the
Application Form.
(An Open Ended Fund of Funds Scheme)
Sr. No.
*Please enclose a Certified PAN Card Copy # KYC Mandatory for investment of Rs. 50,000 and above
Account No. MICR Code M A N D A T O R Y (This is a 9 Digit Number next to your Cheque Number)
For NRI / FII Investors, please indicate account type of your remittance (please 9) NRE NRO FCNR Others Please specify
Enclosed (please 9 ) Account Debit Foreign Inward Remittance Certificate Others
I/We hereby, declare that the particulars given above are correct and express my/our willingness to make payments referred above through direct debit / 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 AIG GIobal Investment Group Mutual Fund, their Investment Manager - AIG Global Asset Management Company (India)
Private Limited or any of their appointed service providers or representatives responsible. I/We will also inform AIG Global Asset Management Company (India) Private Limited about any changes in my/our
bank account. I/We have read and agreed to the terms and conditions mentioned overleaf.
SIGNATURE(S) (ALL ACCOUNT HOLDERS MUST SIGN HERE)
First Account Holder’s Signature (As in Bank Records) Second Account Holder’s Signature (As in Bank Records) Third Account Holder’s Signature (As in Bank Records)
FOR OFFICE USE ONLY (Not to be filled in by investor)
Recorded Recorded
on D D / M M / Y Y Y Y
by
Dated D D / M M / Y Y Y Y Credit
A/c. No.
Account Number
Name of First Account Holder (As in Bank Records) Name of Second Account Holder (As in Bank Records) Name of Third Account Holder (As in Bank Records)
First Account Holder’s Signature (As in Bank Records) Second Account Holder’s Signature (As in Bank Records) Third Account Holder’s Signature (As in Bank Records)
TERMS AND CONDITIONS FOR SIP WITH AUTO DEBIT (ECS) FACILITY
SIP payment through Electronic Clearing Service (Debit Clearing) of the Reserve Bank of India (RBI)
List of Cities for SIP Auto Debit Facility via ECS (Debit Clearing)
Agra Bhopal Dhanbad Jabalpur Kolhapur Nagpur Rajkot Tirupati
Ahmedabad Bhubaneshwar Durgapur Jaipur Kolkata Nasik Ranchi Trichur
Allahabad Calicut Erode Jalandhar Lucknow Nellore Salem Trichy
Amritsar Chandigarh Gorakhpur Jammu Ludhiana Panjim Shimla Trivandrum
Aurangabad Chennai Guwahati Jamshedpur Madurai Patna Sholapur Udaipur
Bangalore Cochin Gwalior Jodhpur Mangalore Pondicherry Siliguri Varanasi
Bardwan Coimbatore Hubli Kakinada Mumbai Pune Surat Vijaywada
Baroda Dehradun Hyderabad Kanpur Mysore Raipur Thirupur Vizag
Bhilwara Delhi Indore
New Fund Offer Opens on : April 15, 2008 New Fund Offer Closes on : May 14, 2008 Ongoing Offer Opens on or before : June 12, 2008
Investor Care 1800-425-3444 (MTNL/BSNL); 60003444 (Others) Email: [email protected] Distributor Care 60000344 Email: [email protected]