TRANSACTION FORM

(For Existing Unit Holders only)

Please read the instructions overleaf carefully and complete the relevant section legibly in black/dark coloured ink and in BLOCK CAPITALS. Please strike out sections that you intend to leave blank.
Distributor/Broker Code Sub-Broker Code Branch Code Relationship Manager
NAME

ARN- (ARN stamp here) MOBILE

Initial commission shall be paid directly by the investor to the AMFI registered distributor on the investors' assessment of various factors including the service rendered by the distributor.
1 UNIT HOLDERS’ DETAILS (MANDATORY) (See note 1 overleaf)
Sole/First First Name Middle Name Last Name
Unit Holder Folio No.
Please furnish below PAN of each Applicant. Fulfilment of KYC requirements is mandetory for all investments w.e.f. January 1, 2011.
PAN First Applicant Second Applicant Third Applicant

Please enclose a copy of KYC Acknowledgement Letter for all applicants to evidence fulfilment of KYC requirements.
Please refer General Instructions 4 and 5 and Note 1 of Guidance notes overleaf.
2 PURCHASE REQUEST (See note 2 overleaf)
Scheme Plan
Option (ü ) Growth OR Dividend Reinvestment OR Dividend Payout Dividend Frequency
Investment Amount DD Charges (If applicable) Net Amount (Cheque/DD Amount)
Rs. A Rs. B Rs. A minus B
Refer note on 3rd party payments overleaf
Mode of Payment (ü ) Cheque or DD or Fund Transfer or Others (please specify)

Instrument No. Dated D D / M M / Y Y Y Y Drawn on Bank

Branch City
NRI Investors, please indicate source of funds for your investment (Please ü ) NRE NRO FCNR Others (please specify)

REASON FOR INVESTMENT Child's Education Child's Marriage Purchase of House Purchase of Car Retirement Others

3 REDEMPTION REQUEST (See note 3 overleaf)

Scheme Plan
Option (ü ) Growth OR Dividend Dividend Frequency

Amount (Rs.) OR No. of Units OR All Units (ü )

4 SWITCH REQUEST (See note 4 overleaf)

From Scheme Plan
Option (ü ) Growth OR Dividend Dividend Frequency
To Scheme Plan
Option (ü ) Growth OR Dividend Reinvestment OR Dividend Payout Dividend Frequency

Amount (Rs.) OR No. of Units OR All Units (ü )

5 SYSTEMATIC WITHDRAWAL PLAN (SWP) (To be submitted at least 7 days before the 1st due date for withdrawal) (See note 5 overleaf)
Scheme Plan
Option (ü ) Growth OR Dividend Dividend Frequency

Withdrawal Preference Fixed Amount OR Fixed No. of Units Withdrawal From D D/M M/Y Y Y Y To D D/M M/Y Y Y Y
Withdrawal Instalment X No. of Instalments (First Instalment) (Last Instalment)
Total Withdrawal Withdrawal Frequency (ü ) Monthly OR Quarterly

6 SYSTEMATIC TRANSFER PLAN (STP) (To be submitted at least 7 days before the 1st due date for transfer) (See note 6 overleaf)
From Scheme Plan
Option (ü ) Growth OR Dividend Dividend Frequency
To Scheme Plan
Option (ü ) Growth OR Dividend Reinvestment OR Dividend Payout Dividend Frequency

Transfer Instalment Rs. Min. Rs. 500/- X No. of Instalments Transfer Frequency (Please choose either Weekly or Fortnightly or Monthly) (ü )
Total Transfer Rs. Weekly (ü ) Mon OR Tue OR Wed OR Thu OR Fri
Fortnightly Date
(2nd Date will be 1st Date + 15)
Transfer Period From M M/Y Y Y Y To M M/Y Y Y Y
(First Instalment) (Last Instalment) Monthly Date

7 UNIT HOLDER(S) SIGNATURE(S) (To be signed by ALL UNIT HOLDERS if mode of holding is ‘Joint’.)
I/We have read and understood the contents of the respective Scheme Information Document, Statement of Additional Information and Key Information Memorandum of Fidelity Mutual Fund. I/We have
neither received nor been induced by any rebate or gifts, directly or indirectly in making this transaction. The ARN holder has disclosed to me/us all the commissions (in the form of trail commission or any other
mode), payable to him for the different competing schemes of various Mutual Funds from amongst which the Scheme is being recommended to me/us.

X X X
Sole/First Unit Holder Second Unit Holder Third Unit Holder
From Jan 1, 2011, KYC compliance is mandatory for investing in Mutual Funds. For more information, please visit www.fidelity.co.in
Date D D / M M / Y Y Y Y

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 GENERAL INSTRUCTIONS
1. This transaction form would help you make purchases in our various schemes, switch or redeem your existing investments or register for our Systematic Withdrawal Plan
(SWP) or Systematic Transfer Plan (STP). This form is meant for use by existing Unit holders only. New Applicants would need to fill in the Common Application Form.
2. Please read the respective Scheme Information Document and Statement of Additional Information carefully before investing.
3. Please strike off sections that are not relevant/applicable. Please counter-sign in line with your mode of holding against any corrections made in the Transaction Form.
4. PERMANENT ACCOUNT NUMBER (PAN) : Please note that for all Lumpsum investments, it is mandatory to furnish PAN together with an attested copy of PAN card for
all applicants/unit holders. In the absence of this, your application will be rejected. The attestation of the PAN card may be done by a Notary Public or a Gazetted Officer or
a Manager of a Bank or a financial advisor under its/his seal and should carry the name and designation of the person attesting it.
5. KNOW YOUR CUSTOMER (KYC) COMPLIANCE : KYC is mandatory for all investors for investing (Purchase / Switch / SIP / STP) in Mutual Funds w.e.f. 1st January,
2011. The KYC status for a Unit holder could be any one of the following as indicated in your Account Statement:
KYC Verified: The KYC checks are completed for the Unit holder. This would indicate that the Unit holder is KYC Compliant
KYC Pending: The KYC checks are in progress
KYC Failed: The KYC checks have failed on account of some deficiencies in the form/documents submitted to CVL
KYC Not Available: The KYC checks are yet to happen for the Unit holder
In case any Unit holder in the folio is not yet KYC Compliant, please approach a Point of Service (POS) of CVL to complete the KYC compliance procedure for such Unit
holder and submit a copy of the KYC acknowledgement letter to us. For more information, please visit www.fidelity.co.in
PLEASE ALSO NOTE THE FOLLOWING:
l POA holders need to be KYC-compliant.
l Guardians to minor applicants need to be KYC-compliant.
6. NON-INDIVIDUAL INVESTORS : Please intimate us of any change in your list of signatories immediately after the change giving us a certified copy of the Board
Resolution and List of Authorised Signatories.
7. Please refer the ‘GUIDANCE NOTES’ below. This should help you fill in the necessary details correctly and completely.
8. Completed Transaction Forms should be submitted to your nearest Investor Service Centre of Fidelity Mutual Fund or CAMS.

GUIDANCE NOTES TO HELP YOU FILL IN THE TRANSACTION FORM

Note 1 – UNIT HOLDERS’ DETAILS u If your redemption request specifies both amount and units for redemption, the
u Please furnish the name of the Sole/First Unit Holder and the Folio Number. latter would be processed.
u Please fulfil requirements specified in General Instructions 4 and 5 above (as u Redemption will be processed only for such (part or whole) holdings for which
applicable) for all unit holders. purchase proceeds have been realised. If the balance in the
Scheme/Plan/Option after taking into account the redemption is below the
Note 2 –PURCHASE REQUEST minimum redemption size (either in amount or in units whichever is less), the
u Please specify the scheme details, investment amount and cheque details. entire balance would be redeemed and paid out.
u Your investment cheque should be drawn in favour of the scheme in which you u To safeguard investors against fraudulent action on their investments, where a
propose to invest. redemption request is received together with a request for Change of Address
and/or Change in Bank Details, the AMC may release the payment only after
u If you are an NRI Investor please indicate source of funds for investment.
completing necessary additional checks.
REASON FOR INVESTMENT: We offer you a facility to record the reason for
investing in a specific scheme (if you are making this investment towards financing a Note 4 – SWITCH REQUEST
specific goal). u Please specify the source and target scheme details for the switch.
Please note that you can only indicate one reason per scheme. If you have already u Please specify the amount/number of units you wish to switch. If you wish to
furnished a reason for investment in this scheme and choose a different reason for a switch all units, please tick against the box provided for the purpose.
subsequent investment in the same scheme within the folio, your earlier reason u If your switch request specifies both amount and units, the latter would be
would be over-written by the latest reason provided. If you wish to keep your processed.
investments segregated, you can choose to make the investment in a different folio.
u If the balance in the source Scheme/Plan/Option after taking into account the
THIRD PARTY PAYMENTS: For purchases and SIP, please note that where the switch is below the minimum redemption size (either in amount or in units
payment instrument/advice does not mention the bank account holders' name/s, whichever is less), the entire balance in the source scheme would be switched
investor should provide self-attested bank pass book copy/bank statement/bank to the target scheme.
letter to substantiate that the first unit holder is one of the joint holders of the bank
account. Note 5 – SYSTEMATIC WITHDRAWAL REQUEST (SWP)
Where a payment is through a DD, a bank certification of bank account details used u Please indicate whether you wish to withdraw a fixed amount per period or
for DD issuance in the prescribed format should be attached. In case of a mismatch, it fixed number of units. If neither is indicated in the form, the instalment will be
will be deemed to be a 3rd party payment and rejected except under the following considered as amount by default. Please also specify the scheme details, the
exceptional circumstances: number of instalments, the total withdrawal sought, the withdrawal frequency
and the withdrawal period.
Payment by Parents / Grand-Parents / Related persons on behalf of a minor (other
than the registered guardian) in consideration of natural love and affection or as gift u Minimum Withdrawal Size – Rs. 500 or 50 units.
provided the purchase value is less than or equal to Rs. 50,000 and KYC is u Please note that your SWP request would be registered with us within 7 days
completed for the registered Guardian and the person making the payment. from the date of lodgement of your SWP Request. Hence, please date your
Additional declaration in the prescribed format signed by the guardian and Parents / SWP Period – From Date at least 7 days after the date of lodgement of your
Grand-Parents / Related persons is also required along with the application form. request.
Payment by an Employer on behalf of Employee under Systematic Investment Plans u You can cancel the SWP request at any time by giving a written request for the
through Payroll deductions provided KYC is completed for the employee who is the same. The cancellation of a registeredSWPrequest would take 15 days.
beneficiary investor and the employer who is making the payment. Additional
declaration in the prescribed format signed by and is also required along with the Note 6 – SYSTEMATIC TRANSFER REQUEST (STP)
application form. u Please specify the scheme details, your transfer instalment amount, the
Custodian on behalf of an FII or a Client provided KYC is completed for the Investor number of instalments, the total amount sought to be transferred, the transfer
and Custodian. Additional declaration in the prescribed format signed by and is also frequency and the transfer period.
required along with the application form. u Minimum Transfer Size – Rs. 500.
Note 3 – REDEMPTION REQUEST u Please note that your STP request would be registered with us within 7 days
u Please specify the scheme details and the amount/number of units you wish to from the date of lodgement of your STP Request. Hence, please date your STP
redeem. If you wish to redeem all units, tick against the box provided for the Period – From Date at least 7 days after the date of lodgement of your request.
purpose. u You can cancel the STP request at any time by giving a written request for the
u Redemption payout would be made only to the Sole/First unit holder favouring same. The cancellation of a registered STP request would take 15 days.
the bank account appearing in our records.

CONTACT US
Phone 1800 2000 400 (toll-free) OR 0124 3915670 (at long distance rates)
Lines open from 9 a.m. to 6 p.m. on all Business Days.
TF 09/2010 - P 09/2010

E-Mail [email protected] Website www.fidelity.co.in

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