MA India-China Application&ASBA Form
MA India-China Application&ASBA Form
MA India-China Application&ASBA Form
(Investors must read the accompanying Key Information Memorandum and Instructions before completing this form)
New Fund Offer (NFO) Opens On : 09th March 2011 ; NFO Closes On : 23rd March 2011 Scheme re-opens for continuous sale and re-purchase on or before 05th April 2011 Sub Broker Code / ARN Broker Name / ARN Application No. Collection Centre / ISC Reference No. ISC Name & Stamp / Receipt Date MAICCF-MAIN-
100211
Upfront commission shall be paid directly by the investor to the AMFI registered Distributors based on the investors assessment of various factors including the service rendered by the distributor.
(Please 3)
Folio No.
Lumpsum Investment
1. EXISTING UNIT HOLDER INFORMATION [Please fill in your Folio Number, Name, Section 2 & proceed to Section 8 - Investment Details]
2. PAN AND KYC COMPLIANCE STATUS DETAILS - Mandatory- **If KYC already done - Pls attach KYC Compliance Status proof $ KYC Compliance Status** For Lumpsum Investment / Non - Micro SIP PAN # (refer instruction 2(d)) (For Micro SIP) [Refer Instruction 2e] First / Sole Applicant@ Yes No Document Type __________________________________ Second Applicant No Yes Document Reference No. ___________________________ Third Applicant Yes No $ Please indicate the same in section 10 on the reverse Guardian/POA Holder No Yes
@ If the first/sole applicant is a Minor, then please provide details of Natural / Legal Guardian. 3. APPLICANT(S) INFORMATION [Refer Instruction 2]
NAME OF 1st / SOLE APPLICANT / CORPORATE INVESTOR / MINOR Mr. Ms. M/s. Contact Name NAME OF 2nd APPLICANT Mr. Ms. M/s. NAME OF 3rd APPLICANT Mr. Ms. M/s.
(In case of Corporate Investor)
Designation
NAME OF THE GUARDIAN (In case 1st Applicant is a Minor) / NAME OF POA HOLDER Mr. Ms. M/s. Mode of Holding Anyone or Survivor Occupation Status Business Resident Individual Minor thru Guardian Single Service Sole Prop. NRI - NRO Joint Professional NRI - NRE HUF (Default option is Anyone or Survivor) Retired Trust Company Student Bank / Fls Partner Ship Firm
Relationship with Minor Please (3) Mother Housewife FIIs Society / AOP / BOI Father Legal Guardian
4. MAILING ADDRESS [Please provide Full Address. P. O. Box No. may not be sufficient. For Overseas Investors, Indian Address is prefered] Local Address of 1st Applicant-
City Tel. Off. E - Mail P L E A S E 4a. Mandatory for NRI / Fll Applicant Overseas Correspondence AddressCity5. COMMUNICATION (Please 3) Country-
Pin Code
Please Indicate Preferred Address for Correspondance (for NRI Applicants only)
I / We wish to receive Account Statements / Annual Reports / Quarterly Statements / Newsletter / Updates or any other Statutory Information via E- mail / SMS alerts in lieu of Physical Documents.
7. BANK ACCOUNT DETAILS - Mandatory [Refer Instruction Nos. 3 & 4] Name of the Bank Core Banking A/c No. Branch Name Bank Branch City Address State
Please attach a cancelled cheque OR a clear photo copy of a cheque
CURRENT
SAVINGS
NRO
Pin Code
IFSC Code (Mandatory for MICR Code Credit via NEFT/RTGS) Direct Credit facility is available as per instruction No. 4. However, if you wish to receive a cheque payout, please tick here (3) Electronic Clearing Services (ECS) facility is available for receiving dividends. If you wish to avail of this facility, please tick here (3) ACKNOWLEDGEMENT SLIP [To be filled in by the investor] - Regular Plan (Min ` 5,000 /-) Received from Mr. / Ms. M/s. Please Select *Option :
Investment Amount `
100211
Dividend Payout
Cheque / DD Date
Dividend Reinvestment
Cheque / DD Drawn on (Bank and Branch)
*Default Option is Growth. In case of Dividend, default option is Dividend Reinvestment Units will be allotted subject to realisation of above detailed Cheque / DD
8. $INVESTMENT DETAILS (Please 3) Please issue separate cheque(s) in case you are opting for different Options
Regular Plan
Please Select Option :
Growth
Dividend Payout
Dividend Reinvestment
9. PAYMENT DETAILS [Payment through Cash / Non-MICR Cheques / Outstation Cheques not accepted] Special instructions for NRI Applicants: 1. It is mandatory for NRIs to attach a copy of the payment cheque / FIRC / Debit Certificate to ascertain the repatriation status of the amount invested. 2. The AMC and the Registrar may ascertain the repatriation status purely based on the details provided under Investment and Payment details and will not be liable for any incorrect information provided by the applicant(s). 3. In case the source of funds through Non Domestic Account is not validated/provided, AMC will not be in a position to repatriate redemption proceeds. Please indicate (3) - This is a One time Lumpsum Investment OR This is a SIP Application
Cheque / DD to be made in favour of Mirae Asset India-China Consumption Fund Cheque / DD No. Drawn on Bank
(I) Net Amount - DD/CHEqUE (II) DD Charges (N.A. for Cheque) Total Amount (I + II) (` in figures) (` in figures) (` in figures) (` in words) (` in words) (` in words)
Cheque / DD Date
Branch Name
Third Party Cheque / Transfer will not be accepted for Investment (Refer Instruction No. 6)
EXCEPTION TO THIRD PARTY PAYMENT (i.e. Payment by Parents/Grand-Parents on behalf of Minor, Employer or a Custodian) Yes No* Mandatory Information (Please 3) : The detail of the cheque provided above pertains to my/our own bank account in my/our name *If No, my relationship with the bank account holder is (Please specify) (Application Form without this Information may be rejected) 10. SWITCH REqUEST - I/We wish to Switch Units From SchemeFor (` in Words) Plan & Option(` in Figures)
11. NOMINATION DETAILS [Minor / HUF / POA Holder / Non Individuals cannot Nominate - Refer Instruction No. 8] I / We, the Applicant(s) do here by nominate the undermentioned Nominee(s) to receive the units to my / our credit in this folio no. in the event of my / our death. I / We also understand that all payments and settlements made to such Nominee(s) and Signature of the Nominee(s) acknowledging receipt thereof, shall be a valid discharge by the AMC / Mutual Fund / Trustees. Nomination in respect of the units stands rescinded upon Registration of Fresh/Change in Nomination and the AMC shall not be under any obligation to transfer the units in favour of the erstwhile Nominee(s). Nominee(s) Name Date of Birth (in case of Minor) Name of the Guardian (in case of Minor) Relationship @% of Share Signature of Nominee / Guardian No. 1 2 3
@
D D D
D D D
M M M
M M M
Y Y Y
Y Y Y
Y Y Y
Y Y Y
If the percentage of share is not mentioned then the claim will be settled equally amongst all the indicated nominee(s)
12. DOCUMENTS ENCLOSED (Please 3) For Lumpsum Investment / Non-Micro SIP Applications: Third party Declaration Form Resolution / Authorisation to Invest KYC Compliance Status Proof PAN Proof For Micro SIP Applications: Passport Voter Identity Card Photo Ration Card Memorandum & Articles of Association Partnership Deed Trust Deed Cancelled Cheque Copy Driving License Photo Debit Card ID card issued to employees of specified banks Cards issued by educational institutions Bye-Laws List of Authorised Signatories & Specimen Signature(s) Power of Attorney FIRC Government / Defense identification card Employee ID cards issued by companies registered with ROC Copy of proof of address which is self attested & attested by the ARN holder
Photo Identification issued by designated authorities Senior Citizen / Freedom Fighter ID card PRAN card issued to NPS subscribers by CRA (NSDL).
13. DECLARATION AND SIGNATURES / THUMB IMPRESSION OF APPLICANT(s) [Refer Instructions 2(f)]
To The Trustees, Mirae Asset Mutual Fund - Having read and understood the contents of the SID of the Scheme(s) applied for hereby apply for units of the scheme and agree to abide by the terms, conditions, rules and regulations governing the scheme. I/We understand that the investments are exposed to market risks. I/We confirm that all the risks which the scheme is subject to, will be borne by me/us and that there is no guarantee given by the Fund of any returns including repayment of principal. I/We hereby declare that the amount invested in the scheme (s) is through legitimate sources only and does not involve and is not designed for the purpose of the contravention of any Act, Rules, Regulations, Notifications or Directions of the Provisions of the Income Tax Act, Anti Money Laundering Laws or any other applicable laws enacted by the Government of India from time to time. I/We have understood the details of the scheme (s) and I/We have not received nor have been induced by any rebate or gifts, directly or indirectly in making this investment. I/We confirm that the funds invested in the Scheme, legally belong to me/us. I/We confirm that I/We have read and understood the Know Your Customer (KYC) norms as mentioned under the General Instructions in point 2(e) of this Key Information Memorandum. 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. I/We have not made any other Micro SIPs application which together with the current application would result in aggregate investments exceeding ` 50,000 in a rolling 12 month period or in a financial year. Applicable for NRIs only:- I/We confirm that I am/We are Non-Resident of Indian Nationality/Origin and I/We hereby confirm that the funds for subscription have been remitted from abroad through normal banking channels or from funds in my/our NonResident External / Ordinary Account. I/We undertake that all additional purchases made under this folio will also be from funds received from abroad through approved banking channels or from funds in my/our NRE Account. Applicable to Foreign Residents Residing in India:- I/We confirm that I/We satisfy the Residency test as prescribed under FEMA provisions. I/We further declare that I/We am/are Person Resident in India and are allowed to invest into the Scheme as per the said FEMA regulations. The Companies investing in this fund declares that they have complied with all the laws, rules, regulations, guidelines, etc. as applicable to them. I/We confirm that the details provided by me/us are true and correct.
Risk Factors: Mutual fund investments are subject to market risks and there is no assurance or guarantee that the objectives of the scheme will be achieved. As with any investment in securities, the Net Asset Value (NAV) of the units issued under the Schemes can go up or down depending on the factors and forces affecting the capital markets. Investments in mutual funds are prone to risks of fluctuation in NAVs, uncertainty of dividend distributions etc. Past performance of the Sponsor / AMC / Mutual Fund / Trustee does not guarantee the future performance of the Schemes of Mirae Asset Mutual Fund. The sponsors are not liable or responsible for any loss resulting from the operation of the fund beyond the initial contribution made by them of an aggregate amount of Rupees One Lakh towards setting up of the fund. The past performance may not necessarily be an indication of future results and may not be necessarily provide a basis for comparison with other investments. Mirae Asset India - China Consumption Fund is only the name of the scheme and does not in any manner guarantee either the quality of the scheme or its future prospects or returns. Investors in the scheme are not being offered any guaranteed / indicative/ assured returns. Please see Risk Factors, Scheme Specific Risk Factors and Special Consideration and Right to limit redemptions in the Scheme Information Document (SID). Please read the Statement of Additional Information (SAI)/ SID carefully before investing. A copy of SAI / SID/ Key Information Memorandum cum Application form will be available at AMC offices/AMC web-site www.miraeassetmf. co.in / Investor Service Centre / Distributors on request.
CURRENT
SAVINGS
NRO
Kindly provide photocopy of the payment instrument or Foreign Inward Remittance Certificate (FIRC) Evidencing source of Funds
Branch City
100211
Upfront commission shall be paid directly by the investor to the AMFI registered Distributors based on the investors assessment of various factors including the service rendered by the distributor. 1. EXISTING UNIT HOLDER INFORMATION (The details in our records under the folio number mentioned will apply for this application.)
Folio No.
2. SIP ENROLMENT DETAILS Scheme / Mirae Asset India-China Consumption Fund Plan : Regular Plan
Quarterly
(Min. 4 installments of `1,500/- each) M M M Y Y Y Y
01st
10th (Default)
15th
21st
28th
SIP PERIOD (Default End Date would be 12 months from the 1st installment) Start Month M A Y
2 0 1 1
End Month
There should be a minimum time gap of 30 days and maximum time gap of 60 days between the first cheque for SIP investment and first installment of SIP through ECS (Debit Clearing) or Direct Debit.
3. $INVESTMENT DETAILS (Please 3) Please Select Option : Growth 4. SIP PAYMENT DETAILS
Default Option is Growth. In case of Dividend, default option is Dividend Reinvestment Dividend Payout Dividend Reinvestment
First SIP via Cheque and Subsequent SIP via ECS (Auto Debit Clearing) at select locations** given below OR via Direct Debit facility for Investors having their bank accounts with Core Banking Branches of the following 8 banks - Axis Bank Limited, Bank of Baroda, Bank of India, HDFC Bank Ltd#, IDBI Bank Limited, IndusInd Bank, Kotak Mahindra Bank Limited, and Punjab National Bank. (# Excluding Merged Branches of Centurion Bank of Punjab). Each SIP Amount (Min. ` 1000/-) Drawn on Bank A/c. Type NRE CURRENT SAVINGS NRO
Cheque Date
Kindly provide photocopy of the payment instrument or Foreign Inward Remittance Certificate (FIRC) Evidencing source of Funds
5. ECS / DIRECT DEBIT BANK ACCOUNT DETAILS (Mandatory) I/We hereby authorise Mirae Asset Global Investments (India) Pvt. Ltd., Investment manager to Mirae Asset Mutual Fund acting through their authorised service providers to debit my/our following Bank A/c. by ECS (Auto Debit Clearing / Direct Debit) Facility or any other facility for collection of SIP payments. Name of 1st A/c. Holder as in Bank Records Bank Name Branch Name & Address 9 Digit MICR Code Bank Account Type Please (3) NRE CURRENT Core Banking A/c. No. City SAVINGS NRO
Mandatory Enclosures : Main Application Form and Please (3) Blank Cancelled Cheque
OR Copy of Cheque
Third Party Cheque / Transfer will not be accepted for Investment (Refer Instruction No. 6) EXCEPTION TO THIRD PARTY PAYMENT (i.e. payment by Guardian, Employer or a Custodian) Mandatory Information (Please 3) : The detail of the cheque provided above pertains to my/our own bank account in my/our name Yes No* *If No, my relationship with the bank account holder is (Please specify) (Application Form without this Information may be rejected)
DECLARATION & SIGNATURE: I/We hereby declare that the particulars given in this SIP Application Form are correct and express my/our willingness to make payments referred above through participation in ECS / Direct Debit Facility. I/We also agree that if the transaction is delayed or not effected for reasons of incomplete or incorrect or any other operational reasons. I/We would not hold Mirae Asset Global Investments (India) Pvt. Ltd., their appointed service providers or representatives responsible. I/we will also inform Mirae Asset Global Investments (India) Pvt. Ltd. (Investment Managers to Mirae Asset Mutual Fund) about any change in my/our bank account and also undertake to keep sufficient funds in my bank account on the date of execution of the said standing instructions. I / We have read and understood the contents of the SID/SAI of the Scheme and agree to the Terms and conditions mentioned therein. 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. I/We have not made any other Micro SIPs application which together with the current application would result in aggregate investments exceeding ` 50,000 in a rolling 12 month period or in a financial year.
Signature of 1st Applicant / Guardian / Authorised Signatory /PoA (AS IN BANK RECORDS)
Signature of 2nd Applicant / Guardian / Authorised Signatory /PoA (AS IN BANK RECORDS)
Signature of 3rd Applicant / Guardian / Authorised Signatory /PoA (AS IN BANK RECORDS)
6. AUTHORISATION OF BANK ACCOUNT HOLDER [To be signed by the Account Holder(s) as per Bank Records]
This is to inform I/We have registered for the RBIs Electronic Clearing Service (ECS / Direct Debit) Facility and that my / our payment towards my / our investment in Mirae Asset Mutual Fund shall be made from my / our below mentioned Bank Account Number with your bank. I / We authorise Mirae Asset Mutual Fund, acting through their service providers and representative carrying this ECS Mandate / Direct Debit Facility Form to get it verified & executed. Mandate verification charges, if any, may be charged to my/our account.
Name of A/c. Holder as in Bank Records Core Banking A/c. No. Each SIP Amount (`)
Signature of 1st Applicant / Guardian / Authorised Signatory /PoA (AS IN BANK RECORDS)
Signature of 2nd Applicant / Guardian / Authorised Signatory /PoA (AS IN BANK RECORDS)
Signature of 3rd Applicant / Guardian / Authorised Signatory /PoA (AS IN BANK RECORDS)
**Select ECS Locations (Anand, Agra, Ahmedabad, Allahabad, Amritsar, Aurangabad, Bangalore, Bardhaman, Baroda, Belgaum, Bhavnagar, Bhilwara, Bhopal, Bhubaneshwar, Bijapur, Calicut, Chandigarh, Chennai, Kochi, Coimbatore, Davangere, Dehradun, Delhi, Dhanbad, Durgapur, Erode, Gadag, Gorakhpur, Guwahati, Gwalior, Haldia, Hubli, Hyderabad, Indore, Jabalpur, Jaipur, Jalandhar, Jammu, Jamnagar, Jamshedpur, Jodhpur, Kakinada, Kanpur, Kolhapur, Kota, Kolkata, Lucknow, Ludhiana, *Madurai, Mangalore, Mumbai, Mysore, Nagpur, Nasik, Nellore, Panjim, Patna, *Pondicherry, Pune, Raipur, Rajkot, Ranchi, Salem, Shimla, Sholapur, Siliguri, Surat, Thirupur, Tirupati, Trichur, *Trichy (Available through Direct Debit facility), Trivandrum, Udaipur, Udupi, Varanasi, Vijayawada, Vizag). *For Madurai - SIP through ECS date available is 01st & for Pondicherry - 15th.
Mirae Asset India - China Consumption Fund (An Open Ended Equity Oriented Scheme)
New Fund Offer (NFO) Opens On : 09th March, 2011; NFO Closes On : 23rd March, 2011
Scheme re-opens for continuous sale and re-purchase on or before 05th April 2011
100211
1. APPLICANT(S) INFORMATION - (Existing Unit Holder - Please Fill Folio Number and Name)
Folio No. Name of 1st Unit Holder
DATE OF BIRTH (Mandatory in case of Minor)
D D M M Y Y Y Y
NAME OF 1st / SOLE APPLICANT / CORPORATE INVESTOR / MINOR Mr. Ms. M/s. Contact Name NAME OF 2nd APPLICANT Mr. Ms. M/s. NAME OF 3rd APPLICANT Mr. Ms. M/s.
(In case of Corporate Investor)
Designation
NAME OF THE GUARDIAN (In case 1st Applicant is a Minor) / NAME OF POA HOLDER Mr. Ms. M/s.
2. PAN DETAILS
1st / Sole Applicant 2nd Applicant 3rd Applicant Guardian/POA Holder
@
DP ID
N
#
@If the 1st / sole applicant is a Minor, then please provide details of Natural / Legal Guardian. # Please ensure that the sequence of names as mentioned under section 1 above, matches with DP Details.
4. INVESTMENT DETAILS - Please (3) Option you wish to Invest - Growth or Dividend (Div.)
5. SCSB ACCOUNT DETAILS - Attn.: NRI Investors: Payment should be made through NRE Accounts only
Name of the Bank Core Banking A/c No. Branch Name Bank Branch City Amount to be blocked (`) In figures Address State In Words Pin Code A/c. Type Please (3) NRE CURRENT SAVINGS NRO
Undertaking by ASBA Investor & A/c Holder, Declaration & Signature(s): 1-I/ We hereby undertake that, I/ we have read and understood the instructions contained in this Form and Terms and Conditions concerning ASBA as contained in the Scheme Information Document (SID) / Key Information Memorandum (KIM) of the above mentioned Scheme and Statement of Additional Information (SAI) of Mirae Asset Mutual Fund. Further, I/we understand that if the details as provided by me/us in this Form are different from those in the NFO Application Form, then in such a case; the information as provided by me/us herein will be relied upon. 1-A-I/we further confirm and undertake that I am/ we are eligible ASBA applicants(s) as per the relevant provisions of the SEBI (Issue of Capital and Disclosure Requirement) Regulations, 2009. 2-In accordance with provisions of ASBA in the SEBI ICDR Regulations, 2009 and as disclosed in the SAI, I/We authorize-(a) the SCSB to do all acts as are necessary to make an application in the New Fund Offer of above mentioned Scheme, including uploading of application details, blocking the amount to the extent mentioned above under SCSB BANK ACCOUNT DETAILS or unblocking of funds in the bank account maintained with the SCSB specified above, transfer of funds to the Mirae Asset Mutual Funds account on receipt of instructions from the Registrar to Mirae Asset Mutual Fund after finalisation of the basis of allotment, entitling me/us to receive mutual fund units on such transfer of funds, etc. (b) Registrar to issue instructions to the SCSB to unblock the funds in the bank account specified above upon finalisation of the basis of allotment and to transfer the requisite money to the Mirae Asset Mutual Funds account. 3-In case the amount available in the bank account specified above is insufficient, the SCSB shall reject the application. Further, I/We also authorize the SCSB to make relevant revisions as may be required to be done during the NFO, in the event of any modification due to any information required. 4-If the DP ID, Beneficiary or PAN is not provided by me/us or the details on the same as furnished in the form are incorrect or incomplete or not matching with the depository records, my/ our application shall be rejected and Mirae Asset Mutual Fund or SCSB shall not be liable for losses, if any.
Signature of 1 Applicant / Guardian / Auth. Signatory / PoA / Karta (AS IN BANK RECORDS)
st
nd
rd
ACKNOWLEDGEMENT SLIP (To be filled and attached by the Applicant with the NFO Application Form)
Mirae Asset India - China Consumption Fund (An Open Ended Equity Oriented Scheme)
New Fund Offer (NFO) Opens On : 09th March, 2011; NFO Closes On : 23rd March, 2011 App No - MAICC-ASBA 100211 Received from ________________________________________ (sole / 1st applicant) ASBA Application Form details of which are as follows: Application No. ____________________________________________________ SCSB (Bank and Branch) ___________________________________________ Date of Submission ________________________________________________ Amount Blocked (`) ______________________________________________ Bank Account No. _______________________________________________
3.
4.
Mirae Asset Global Investments (India) Pvt. Ltd. Unit No. 606, 6th Floor, Windsor Bldg., Off CST Road, Kalina, Santacruz (E), Mumbai 400 098 Telephone: (91 22) 6780 0300 Direct line: (91 22) 6780 0309 Facsimile: (91 22) 6725 3944
We confirm having carried out necessary Customer due diligence with regard to the Beneficiary and to the source of the funds received from him, as per the standards of Anti-Money Laundering laws in our country. Branch Manager/Declarant(s) Name:
Signature:
Address Details of Declarant(s):______________________________________________________________________________ ________________________________________________________________________________ City: Postal code: Contact Number: _____________________________________ _____________________________________ _____________________________________ State:________________________________ Country:______________________________
Important Note: It is clarified that the bankers certificate suggested above is recommendatory in nature, as there may be existing Bank Letters / Certificates / Declarations, which will confirm to the spirit of the requirements, if all required details are mentioned in the certificate.
Payments by Payments to
Parent/Grand-Parents/Related Persons Other than the Registered Guardian To a Minor Folio only; In consideration of: Natural love and affection or as gift only Not Exceeding ` 50,000/- (each regular purchase or per SIP installment)
: Maximum Value :
Application and Payment Details Folio No. Beneficial Minors Name: Investment Amount: (`) Payment Cheque No. Cheque Drawn on Bank: Cheque Drawn on A/c No.: Declaration and Signatures Particular Name Relationship with Minor: PAN No. KYC Acknowledgement
(All details below are mandatory, including relationship, PAN and KYC) Appln Form no. Trxn / Appln Date Dated dd / mmm / yyyy dd / mmm / yyyy
Attached Mandatory for any amount I hereby declare and confirm that the minor stated above is the beneficial owner of the investment details mentioned above. I am providing the funds for these investments on account of my natural love and affection or as gift from my bank account only.
Declaration
I confirm that I am the legal guardian of the Minor, registered in folio and have no objection to receiving these funds on behalf of the minor.
Signature/s
Contact Number