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    Association of Mutual Funds in India: Application Form For Renewal of Arn/ Euin

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    grr.home
    This document is an application form for renewing an ARN/EUIN (AMFI Registration Number/Employee Unique Identification Number) with the Association of Mutual Funds in India (AMFI). It collects information such as the applicant's name, date of birth, address, NISM certification details, and payment details. The applicant must sign an undertaking agreeing to follow SEBI and AMFI guidelines. Instructions are provided on completing the form and certification requirements.

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    © All Rights Reserved
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    Association of Mutual Funds in India: Application Form For Renewal of Arn/ Euin

    Uploaded by

    grr.home
    225 views4 pages
    This document is an application form for renewing an ARN/EUIN (AMFI Registration Number/Employee Unique Identification Number) with the Association of Mutual Funds in India (AMFI). It collects information such as the applicant's name, date of birth, address, NISM certification details, and payment details. The applicant must sign an undertaking agreeing to follow SEBI and AMFI guidelines. Instructions are provided on completing the form and certification requirements.

    Original Description:

    Application to renew mutual fund distributor certification

    Original Title

    form-a

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    This document is an application form for renewing an ARN/EUIN (AMFI Registration Number/Employee Unique Identification Number) with the Association of Mutual Funds in India (AMFI). It collects information such as the applicant's name, date of birth, address, NISM certification details, and payment details. The applicant must sign an undertaking agreeing to follow SEBI and AMFI guidelines. Instructions are provided on completing the form and certification requirements.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    225 views4 pages

    Association of Mutual Funds in India: Application Form For Renewal of Arn/ Euin

    Uploaded by

    grr.home
    This document is an application form for renewing an ARN/EUIN (AMFI Registration Number/Employee Unique Identification Number) with the Association of Mutual Funds in India (AMFI). It collects information such as the applicant's name, date of birth, address, NISM certification details, and payment details. The applicant must sign an undertaking agreeing to follow SEBI and AMFI guidelines. Instructions are provided on completing the form and certification requirements.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    ASSOCIATION OF MUTUAL FUNDS IN INDIA

    One Indiabulls centre, Tower 2, Wing B, 701, 7th Floor, 841, Senapati Bapat Marg,
    Elphinstone Road, Mumbai 400013

    APPLICATION FORM FOR RENEWAL OF ARN/ EUIN


    (FOR INDIVIDUAL ARN HOLDERS / NEW CADRE OF DISTRIBUTORS & EMPLOYEE ONLY)

    PART A
    ARN /EUIN

    DATE OF VALIDITY OF ARN/EUIN

    1.6x1.8cm
    WXH
    Two color
    photograph

    D D M M Y Y Y Y
    FIRST NAME

    MIDDLE NAME

    LAST NAME

    DATE OF BIRTH

    D D M M Y Y Y Y
    SEX

    F
    PAN

    TEST/ CPE DETAILS (NISM-Series-V-A: Mutual Fund Distributors Certification Examination /NISM SeriesV-A: Mutual Fund Distributors Continuing Professional Education). (To be filled in by Individual ARN
    Holders & Employees)

    NISM PASSING/ CPE CERTIFICATE NUMBER :

    DATE OF PASSING TEST/ ATTENDING CPE

    D D M M Y Y Y Y

    TEST/ CPE DETAILS (NISM-Series-V-B: Mutual Fund Foundation Certification Examination / NISM Series
    V-B: Mutual Fund Foundation Continuing Professional Education Program) (To be filled in by New Cadre
    of Distributors)

    NISM PASSING/ CPE CERTIFICATE NUMBER :

    DATE OF PASSING TEST/ ATTENDING CPE

    D D M M Y Y Y Y
    ADDRESS

    CITY

    PIN CODE

    TELEPHONE NUMBER (Residence)

    TELEPHONE NUMBER (Mobile)

    TELEPHONE NUMBER (Office)

    E-MAIL ID

    PAYMENT DETAILS

    DD NO

    DATE

    AMOUNT

    DRAWN ON

    PART B (Additional information to be filled in by Employees)


    ARN UNDER WHICH REGISTERED AS EMPLOYEE:

    NAME OF THE ARN HOLDER UNDER WHICH REGISTERED AS EMPLOYEE:

    OFFICE ADDRESS

    UNDERTAKING
    (To be signed by Individual ARN Holders & Employees)
    I, hereby apply for renewal of ARN/ EUIN with Association of Mutual Funds in India (AMFI), which has been
    allotted to me by AMFI solely for the purpose to enable me to canvass sale of products of Mutual Funds.
    I hereby confirm that I am canvassing business for selling products of Mutual Funds in accordance with the Code
    of Conduct and Guidelines prescribed by SEBI and AMFI and shall continue to follow the same including any
    Rules and Regulations that may be framed or amended by SEBI and AMFI from time to time.
    I undertake that any breach of Guidelines and Code of Conduct or any Rules and Regulations framed by SEBI
    and AMFI will render my registration liable to be cancelled.
    DATE: __________________
    PLACE: _________

    (SIGNATURE OF THE APPLICANT)

    * ATTESTED BY
    NAME OF THE AUTHORISED SIGNATORY: __________________________

    DESIGNATION:_________________

    SIGNATURE WITH CORPORATE STAMP

    * NOTE: Signature of the applicant, who is corporate employee, is to be attested by authorized signatory
    of the corporate and corporate stamp to be affixed against the same.

    UNDERTAKING
    (To be signed by New Cadre of Distributors)
    I, hereby apply for renewal of ARN/ EUIN with Association of Mutual Funds in India (AMFI), which has been
    allotted to me by AMFI solely for the purpose to enable me to canvass sale of products of simple and
    performing Mutual Fund schemes, as defined in SEBI Circular no. CIR/IMD/DF/21/2012 dated September
    13, 2012.
    I hereby confirm that I am canvassing business for selling products of Mutual Funds in accordance with the Code
    of Conduct and Guidelines prescribed by SEBI and AMFI and shall continue to follow the same including any
    Rules and Regulations that may be framed or amended by SEBI and AMFI from time to time.
    I undertake that any breach of Guidelines and Code of Conduct or any Rules and Regulations framed by SEBI
    and AMFI will render my registration liable to be cancelled.
    DATE: __________________
    PLACE: _________________

    (SIGNATURE OF THE APPLICANT)

    INSTRUCTIONS
    Form should be completed in all respects. None of the column should be left blank. Incomplete
    form shall be liable for rejection.
    All individual ARN holders are required to complete KYD process. For more details visit
    www.amfiindia.com.
    Individual ARN/ EUIN holders are required to attend NISM Series-V-A: Mutual Fund
    Distributors Continuing Professional Education (CPE) / pass 'NISM Series V-A : Mutual
    Fund Distributors Certification Examination' offered by National Institute of Securities
    Market (NISM).
    New Cadre of Distributors are required to attend NISM Series V-B: Mutual Fund
    Foundation Continuing Professional Education Program (CPE) / pass NISM-Series-V-B:
    Mutual Fund Foundation Certification Examination offered by NISM.
    A copy of CPE certificate/ valid NISM passing certificate is required to be submitted
    along with application form for renewal of ARN/ EUIN.
    ARN/ EUIN holder can also submit a self attested copy of mark-sheet along with the
    renewal application form, provided the mark-sheet contains candidate's photo and PAN.
    Mark-sheet is accepted only up to two months from date of exam and thereafter one has
    to submit a self attested copy of passing certificate.
    For more details on CPE/ certification examination, please log on to www.nism.ac.in
    The prescribed fees is to be paid only by a Demand Draft (DD) in favor of ASSOCIATION OF
    MUTUAL FUNDS IN INDIA payable at the place of CAMS center at which form is submitted.
    List of CAMS centers is available on AMFI Website www.amfiindia.com. You may submit the
    form at center convenient to you.
    Two-stamp size identical color photographs should be sent along with the form.
    Please send your application well in advance before due date for renewal.

    __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
    ACKNOWLEDGEMENT
    Received Renewal Form from Mr./Ms._________________________________________________
    along with a Demand Draft No._________________ dated_______________ for Rs.___________
    (Rs._______________________________________________________________) being Fees for
    Renewal of ARN with AMFI.

    (SIGNATURE OF THE RECEIVER)

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