Application Form (Except for ETFs, HDFC Retirement Savings fund and HDFC Children’s Gift Fund)

Investors must read the Key Information Memorandum, the instructions and Product Labeling on cover page before completing this Form.
The Application Form should be completed in English and in BLOCK LETTERS only.

KEY PARTNER / AGENT INFORMATION (Investors applying under Direct Plan must mention “Direct” in ARN column.) (Refer Instruction 1) FOR OFFICE USE ONLY
Internal Code Employee Unique
(TIME STAMP)
ARN/RIA Code ARN/RIA Name Sub Agent’s ARN Bank Branch Code for Sub-Agent/ Identification Number
Employee (EUIN)

ARN-
EUIN Declaration (only where EUIN box is left blank) (Refer Instruction 1)
I/We hereby confirm that the EUIN box has been intentionally left blank by me/us as this transaction is executed without any interaction or advice by the employee/relationship manager/sales person
of the above distributor/sub broker or notwithstanding the advice of in-appropriateness, if any, provided by the employee/relationship manager/sales person of the distributor/sub broker.
SIGN

First/ Sole Applicant/ Guardian Second Applicant Third Applicant

TRANSACTION CHARGES FOR APPLICATIONS THROUGH DISTRIBUTORS ONLY (Refer Instruction 2)
In case the purchase/ subscription amount is Rs. 10,000 or more and your Distributor has opted in to receive Transaction Charges, the same are deductible as applicable from the purchase/
subscription amount and payable to the Distributor. Units will be issued against the balance amount invested. Upfront commission shall be paid directly by the investor to the ARN Holder (AMFI
registered Distributor) based on the investors’ assessment of various factors including the service rendered by the ARN Holder.
1. EXISTING UNIT HOLDER INFORMATION (IF YOU HAVE EXISTING FOLIO, PLEASE FILL IN SECTIONS viz. 1, 5, 6, 10 AND 13 ONLY. Refer instruction 3).
Folio No. The details in our records under the folio number mentioned alongside will apply for this application.

2. MODE OF HOLDING [Please tick (P

) Single Joint Anyone or Survivor

3. UNIT HOLDER INFORMATION (Refer instruction 4) DATE OF BIRTH@ D D M M Y Y Y Y Proof of date of birth@ Please (P)
NAME OF FIRST / SOLE APPLICANT (In case of Minor, there shall be no joint holders) Ensure that name is as per Aadhaar Card Attached
Mr. Ms. M/s.
Nationality PAN#/ PEKRN#
KYC Number KYC # [Please tick (P )] (Mandatory) Proof Attached
Status of First/ Sole Applicant [Please tick (P
)] Individual Non - Individual [Please attach FATCA, CRS & Ultimate Beneficial Ownership (UBO) Self Certification Form and
Aadhaar Updation Form ] (Refer Instruction 4, 19 & 18 c) (Mandatory)
Resident Individual NRI-Repatriation NRI-Non Repatriation Partnership Trust HUF AOP PIO Company FIIs Minor through guardian BOI OCI
Body Corporate LLP Society / Club Foreign National Resident in India FPI Sole Proprietorship Non Profit Organisation (please specify)
Others _________________________
NAME OF GUARDIAN (in case of First / Sole Applicant is a Minor) / NAME OF CONTACT PERSON – DESIGNATION (in case of non-individual Investors)
Mr. Ms.
Nationality Designation Contact No.
PAN#/ PEKRN#
KYC Number KYC # [Please tick (P )] (Mandatory) Proof Attached
Relationship with Minor@ Please (P
) Father Mother Court appointed Legal Guardian Proof of relationship with minor@ Please (P) Attached @ Mandatory
MAILING ADDRESS OF FIRST / SOLE APPLICANT (Mandatory) (Refer Instruction 4a)

CITY STATE PIN CODE

CONTACT DETAILS OF FIRST / SOLE APPLICANT Country Code STD Code
Telephone : Off. Res. Fax
eAlerts Mobile eDocs Email^
I/ We would like to register for my/our HDFCMF Personal Identification Number (HPIN) to transact online as per the terms & conditions displayed on website:www.hdfcfund.com (Email id mandatory).
^ On providing email-id investors shall receive scheme wise annual report or an abridged summary thereof/ account statements/ statutory and other documents by email. (Refer Instruction 10 & 12)
4. JOINT APPLICANT DETAILS, If any (Refer instruction 4) (In case of Minor, there shall be no joint holders)
1. NAME OF SECOND APPLICANT
Mr. Ms. M/s.
Nationality PAN#/ PEKRN#
KYC Number KYC # [Please tick (P
)] (Mandatory) Proof Attached
2. NAME OF THIRD APPLICANT
Mr. Ms. M/s.
Nationality PAN#/ PEKRN#
KYC Number KYC # [Please tick (P
)] (Mandatory) Proof Attached
5. ADDITIONAL KYC DETAILS (Refer instruction 4b)
Occupation details for 1st Applicant 2nd Applicant 3rd Applicant Guardian Politically Exposed Person (PEP) details: Is a PEP Related to PEP Not Applicable
Private Sector Service 1st Applicant
Public Sector Service 2nd Applicant
Government Service 3rd Applicant
Business
Mandatory

Guardian
Professional
Agriculturist Authorised Signatories
Promoters
October 2017

Retired
Housewife Partners
Student Karta
Proprietorship Whole-time Directors
Others (Please specify) Trustee
Non-Individual Investors involved/ providing any of the mentioned services Foreign Exchange / Money Changer Services Gaming / Gambling / Lottery / Casino Services
Money Lending / Pawning None of the above
# Please attach Proof. Refer instruction No 16 for PAN/PEKRN and No 18a for KYC (KRA). Refer instruction No 18b for KYC Identification Number issued by CKYCR.

ACKNOWLEDGEMENT SLIP (To be flled in by the Investor) [For any queries please contact our nearest Investor Service Centre or call us at our Customer Service Number 1800 3010 6767 / 1800 419 7676 (Toll Free)]
HDFC MUTUAL FUND Date :
Head Office : HDFC House, 2nd Floor, H.T. Parekh Marg,
165-166, Backbay Reclamation, Churchgate, Mumbai - 400 020.
ISC Stamp & Signature
Received from Mr. / Ms. / M/s. ________________________________________________________________________________________________
an application for Purchase of Units of the Scheme(s) alongwith Cheque / DD / Payment Instrument as detailed overleaf.

... continued overleaf

 5. ADDITIONAL KYC DETAILS, If any (Refer instruction 4b) Contd.
Gross Annual Income Range (in Rs.) 1st Applicant 2nd Applicant 3rd Applicant Guardian Gross Annual Income Range (in Rs.) 1st Applicant 2nd Applicant 3rd Applicant Guardian
Below 1 lac 10-25 lac
1-5 lac 25 lac- 1 cr
5-10 lac > 1 cr

OR Networth in Rs. (Mandatory as on

for Non Individual) (not older
than 1 year)
Mandatory

DD MM YYYY

AADHAAR DETAILS (Ensure all details are as per Aadhaar Card) (for Individual including Sole Proprietor) Not mandatory for NRIs (Refer instruction 18c)
Particulars Aadhaar Number* Date of Birth PIN Code Mobile No. Enrolment
(Please enclose copy of front & back side) Proof#
1st Applicant D D M M Y Y Y Y

2nd Applicant D D M M Y Y Y Y

3rd Applicant D D M M Y Y Y Y

Guardian D D M M Y Y Y Y

POA D D M M Y Y Y Y

* All the applicants whose Aadhaar Number is mentioned are required to sign the form.
# If Aadhaar number is applied for, please enclose proof of enrolment.
6. FATCA AND CRS INFORMATION (for Individual including Sole Proprietor) (Self Certification) (Refer instruction 4)
The below information is required for all applicant(s)/ guardian
Address Type: Residential or Business Residential Business Registered Office (for address mentioned in form/existing address appearing in Folio)
Is the applicant(s)/ guardian's Country of Birth / Citizenship / Nationality / Tax Residency other than India? Yes No
If Yes, please provide the following information [mandatory]
Please indicate all countries in which you are resident for tax purposes and the associated Tax Reference Numbers below.
Category First Applicant (including Minor) Second Applicant/ Guardian Third Applicant
Place/ City of Birth

Country of Birth

Country of Tax Residency#

Mandatory

Tax Payer Ref. ID No^

Identification Type
[TIN or other, please specify]

Country of Tax Residency 2

Tax Payer Ref. ID No. 2

Identification Type
[TIN or other, please specify]

Country of Tax Residency 3

Tax Payer Ref. ID No. 3

Identification Type
[TIN or other, please specify]

#To also include USA, where the individual is a citizen/ green card holder of USA. ^In case Tax Identification Number is not available, kindly provide its functional equivalent.
7. POWER OF ATTORNEY (PoA) HOLDER DETAILS
Name of PoA Mr. Ms. M/s.
PAN#/ PEKRN#
KYC Number KYC # [Please tick (P
)] (Mandatory) Proof Attached
# Please attach Proof. Refer instruction No 16 for PAN/PEKRN and No 18a for KYC (KRA). Refer instruction No 18b for KYC Identification Number issued by CKYCR.
8. BANK ACCOUNT DETAILS OF THE FIRST / SOLE APPLICANT (For redemption/ dividend if any) (refer instruction 5)
(Mandatory to attach proof, in case the pay-out bank account is different from the bank account mentioned under Section 10 below.)
For unit holders opting to hold units in demat form, please ensure that the bank account linked with the demat account is mentioned here.
Bank Name
Mandatory

Branch Name Bank City

Account Number
October 2017

MICR Code (The 9 digit code appears on your cheque next to the cheque number)
Account Type (Please P
) Savings Current NRO NRE FCNR Others (please specify) _______________________
*** Refer Instruction 5C (Mandatory for Credit via NEFT / RTGS) (11 Character code appearing on your
IFSC Code*** cheque leaf. If you do not find this on your cheque leaf, please check for the same with your bank)

Particulars
Scheme Name / Plan / Option / Sub-option / Cheque / DD / Payment Instrument /
Drawn on (Name of Bank and Branch) Amount in figures (Rs.)
Payout Option UTR No. / Date

Please Note: All Purchases are subject to realisation of cheques / demand drafts / Payment Instrument.
9. MODE OF PAYMENT OF REDEMPTION / DIVIDEND PROCEEDS (refer instruction 11)
Unitholders will receive redemption/ dividend proceeds directly into their bank account (as furnished in Section 8) via Direct credit/ NEFT/ECS facility
I/We want to receive the redemption / dividend proceeds (if any) by way of a demand draft instead of direct credit / credit through NEFT system / credit through ECS into my / our bank account

10. INVESTMENTS & PAYMENT DETAILS [Please (P

)] (refer instruction 6 & 7 for Scheme details and instruction 8 & 9 for Payment Details) The name of the first/ sole applicant must be pre-printed on the cheque.
Regular Plan (Purchase/ Subscription routed through Distributor) Direct Plan (Purchase/ Subscription made directly with the Fund)
Mention valid ARN in Key Par tner/ Agent Information Mention DIRECT in Key Par tner/ Agent Information
Scheme/Plan/Sub Option
Mode of Payment Cheque Demand Draft NEFT/ RTGS/ Fund Transfer One Time Mandate (OTM)
Please note that OTM can be selected as mode of payment provided OTM is already registered. In case OTM is not registered please fill in the attached OTM Debit Mandate to make future
transactions via OTM
Payment Type [Please (P
)] Non-Third Party Payment Third Party Payment (Please attach ‘Third Par ty Payment Declaration Form’)
Pay-In Bank Account No. Cheque/ DD/ Cheque/ DD/ Amount of Cheque / DD / DD Charges, Net Cheque/ DD
Drawn on Bank / Branch (For Cheque Only) Payment Instrument/ Payment Instrument/ Payment Instrument / if any
UTR No. UTR Date RTGS/ NEFT in figures (Rs.) Amount

11. UNIT HOLDING OPTION DEMAT MODE* PHYSICAL MODE (Default) ( refer instruction 13)
*Demat Account details are mandatory if the investor wishes to hold the units in Demat Mode
Beneficiary
NSDL DP Name DP ID I N Account No.

Beneficiary
CDSL DP Name Account No.
*Investor opting to hold units in demat form, may provide a copy of the DP statement enable us to match the demat details as stated in the application form.
12. NOMINATION (refer instruction 15) (Mandatory for new folios of Individuals where mode of holding is single) (For Units in Non-Demat Form)
[Please (P
) and sign] I/We do not wish to Nominate

First / Sole Applicant Second Applicant Third Applicant

OR
I/We wish to nominate as under:

Relationship Date of Birth Name and Address of Guardian Signature of Nominee Proportion (%) in which
Name and Address of Nominee(s) with (Optional)/ Guardian of the units will be shared by
Applicant Nominee (Mandatory) each Nominee
(to be furnished in case the Nominee is a minor) (should aggregate to 100%)

Nominee 1

Nominee 2

Nominee 3

13. DECLARATION & SIGNATURE/S (refer instruction 14)

I / We have read, understood the terms and conditions of the scheme related documents and agree to comply with the same SIGN HERE
as an Unitholder. I /We hereby apply for allotment of Units of the Scheme(s) of HDFC Mutual Fund (‘Fund’) and confirm and
declare as under: (Please write Application Form No. / Folio No.
on the reverse of the Cheque / Demand Draft /
(a) I/We am/are eligible Investor(s) as per the scheme related documents and not prohibited by any order/ruling
/judgement passed by SEBI/ Statutory Authority or Courts in India and Foreign laws. I am/We are authorised to make Payment Instrument.)
this investment as per the Constitutive documents/ authorization(s). The amount invested in the Scheme(s) is through
legitimate sources only and is not for the purpose of contravention and/or evasion of any act, rules, regulations,
notifications or directions issued by any regulatory authority in India.
(b) The information given by me /us in or along with this application form is true and correct and shall furnish such other
further/additional information as may be required by the HDFC Asset Management Company Limited (AMC)/ Fund First / Sole
.I/We undertake to promptly inform the AMC / Fund/Registrars and Transfer Agent (RTA) in writing about any change in Applicant /
the information furnished by me/us from time to time. Guardian
(c) I/We hereby authorize you to disclose, share, remit in any form/manner/mode the above information and/or any part of
it including the changes/updates that may be provided by me/us to the Fund, its Sponsor/s, Trustees, Asset
Management Company, its employees, agents and third party service providers, SEBI registered intermediaries for SIGN
single updation/ submission, any Indian or foreign statutory, regulatory, judicial, quasi- judicial authorities/agencies
including but not limited to Financial Intelligence Unit-India (FIU-IND) etc without any intimation/advice to me/us.
(d) I/We shall be liable and responsible for any loss, claims suffered, directly or indirectly by AMC/ Fund/ RTA/ SEBI
Intermediaries, arising out of any false, misleading, inaccurate and incomplete information furnished by me/us at the
time or investing/redeeming the units. I/We hereby unconditionally and irrevocably indemnify and at all time keep
indemnified, save and harmless AMC/Fund/Trustee and their officers, directors and employees against all actions,
proceedings, claims, losses, damages, charges and expenses incurred or suffered /paid by AMC/Fund in this regard
SIGNATURE(S)

October 2017

and in case of any dispute regarding the eligibility, validity and authorization of my/our transactions.
Second
(e) The ARN holder (AMFI registered Distributor) has disclosed to me/us all the commissions (in the form of trail
Applicant
commission or any other mode), payable to him/them for the different competing Schemes of various Mutual Funds
from amongst which the Scheme is being recommended to me/us.
(f) I/WE HEREBY CONFIRM THAT I/WE HAVE NOT BEEN OFFERED/ COMMUNICATED ANY INDICATIVE PORTFOLIO SIGN
AND/ OR ANY INDICATIVE YIELD BY THE FUND/AMC/ITS DISTRIBUTOR FOR THIS INVESTMENT.
Consent for Telemarketing (Refer Instruction 20):
I/We hereby accord my/our consent to HDFC AMC for receiving the promotional information/ material via email, SMS,
telemarketing calls etc. on the mobile number and email provided by me/us in this Application Form.
Consent for authentication and sharing of Aadhaar data:
I/We hereby provide my consent in accordance with Aadhaar Act, 2016 and regulations made thereunder, for (i) collecting,
storing and usage (ii) validating/authenticating and (ii) updating my/our Aadhaar number(s) in accordance with the Aadhaar
Act, 2016 (and regulations made thereunder) and PMLA. I/We hereby provide my/our consent for sharing/ disclose of the
Aadhaar number(s) including demographic information with the asset management companies of SEBI registered mutual Third
fund and their Registrar and Transfer Agent (RTA) for the purpose of updating the same in my/our folios with my PAN. Applicant
For Foreign Nationals Resident in India only:
I/We will redeem my/our entire investment/s before I/We change my/our Indian residency status. I/We shall be fully liable for
SIGN
all consequences (including taxation) arising out of the failure to redeem on account of change in residential status.
For NRIs/ PIO/OCIs only:
I/We confirm that my application is in compliance with applicable Indian and foreign laws.
Please (P ) Yes No If Yes, (P
) Repatriation basis Non-repatriation basis