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 page 83 & 84 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 CAMS bar code
ARN/RIA Code/Stock Broker/ ARN/RIA/Portfolio Internal Code Employee Unique (TIME STAMP)
Portfolio Manager Registration Manager's/ Stock Broker's Sub Agent’s ARN Bank Branch Code for Sub-Agent/ Identification Number
Number (PMRN) Name Employee (EUIN)

ARN- 68172 E060449

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/ PoA Holder Second Applicant Third Applicant

TRANSACTION CHARGES FOR APPLICATIONS THROUGH DISTRIBUTORS ONLY (Refer Instruction 2)

I confirm that I am a first time investor across Mutual Funds. OR I confirm that I am an existing investor across Mutual Funds.
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.
1. EXISTING UNIT HOLDER INFORMATION (IF YOU HAVE EXISTING FOLIO, PLEASE FILL IN SECTIONS viz. 1, 5, 7, 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) 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 (Mandatory)
(Refer Instruction 4 & 19)
Resident Individual Partnership Trust HUF AOP PIO Pvt. Ltd. Company Public Ltd. Company Minor through guardian BOI OCI Body Corporate LLP
Society/Club NRI-Repatriation NRI-Non Repatriation Foreign National Resident in India FPI Sole Proprietorship Non Profit Organisation (please specify)
Others _______________________
LEI No. Expiry Date: D D M M Y Y Y Y
(Mandatory for Non - Individuals transacting / proposing to transact for an amount of Rs. 50 crores or more)
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 of First / Sole holder^ IN CAPITALS
This email id belongs to (Mandatory Please P): Self Spouse Dependent Children Dependent Siblings Dependent Parents Guardian POA Custodian (for FPIs only) PMS
This mobile number belongs to (Mandatory Please P): Self Spouse Dependent Children Dependent Siblings Dependent Parents Guardian POA Custodian (for FPIs only) PMS
I hereby declare that I shall immediately notify any change to the mobile number/ email id. (Refer instruction 10)
I/ We would like to register for online access to transact on HDFCMFOnline Investors as per the terms & conditions displayed on website: www.hdfcfund.com (Email id mandatory)
(only for non individuals and individuals with mode of holding as 'Joint'). Refer Instruction 12.
^ On providing email-id investors shall receive the scheme wise annual report or an abridged summary thereof/ account statements/ statutory and other documents by email.
However, if the investors wish to receive physical copy of the scheme wise annual report or an abridged summary thereof [Please tick (P)] Opt-in (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#
April 2023

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

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 (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
Guardian
Professional
Authorised Signatories
Agriculturist
Retired Promoters
Housewife Partners
Student Karta
Proprietorship Whole-time Directors
Others (Please specify) Trustee
Mandatory

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
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) DD MM YYYY

# 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.
6. 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.
7. 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)
Category First Applicant/Guardian in case of Minor Second Applicant/ Guardian Third Applicant
Place/ City of Birth
Country of Birth
Country of Tax Residency#
Is the applicant(s)/guardian's Country of Birth/Citizenship/ First Applicant/Guardian in case of Minor Second Applicant/ Guardian Third Applicant
Nationality/Tax Residency other than India?
Please indicate all countries in which you are resident for tax Yes No Yes No Yes No
purposes and the associated Tax Reference Numbers below*.
Mandatory

If Yes, please provide the following information [mandatory]

Category First Applicant/Guardian in case of Minor Second Applicant/ Guardian Third Applicant
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.
8. MODE OF PAYMENT OF REDEMPTION / IDCW PROCEEDS (refer instruction 11)
I / We would like to receive redemption / IDCW proceeds :
directly into my / our bank account (as per Section 8) (Default mode) OR via cheque / demand draft
9. UNIT HOLDING OPTION DEMAT MODE* PHYSICAL MODE (Default) ( refer instruction 13)
*Demat Account details are mandatory for (i) FPIs and (ii) investors who wish to hold the units in Demat Mode (Account statement (CAS) for units held in demat mode will be issued only by NSDL/CDSL)
Beneficiary
NSDL DP Name DP ID I N Account No.
April 2023

Beneficiary
CDSL DP Name Account No.
*Investor opting to hold units in demat form, may provide a copy of the DP statement for us to match the demat details as stated in the application form.

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.
 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/ Frequency
Growth Option Income Distribution cum Capital Withdrawal (IDCW) Option Payout
(The amounts can be distributed out of investor’s capital (Equalization Reserve), which is part of sale price that represents realized gains.) Reinvestment
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

Cheque/ DD Amount (in words):

11. BANK ACCOUNT DETAILS OF THE FIRST / SOLE APPLICANT (For redemption/ IDCW Payments 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
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)
12. NOMINATION FOR UNITS IN NON-DEMAT MODE (Mandatory for new folios. For existing folios, mandatory to follow instruction no. 15)
I/We wish to nominate as under: OR I / We hereby confirm that I / We do not wish to appoint any nominee(s) for my mutual fund units held in my / our mutual fund folio and understand the
implications / issues involved in non-appointment of any nominee(s) and am/ are further aware that in case of my demise / death of all the unit holders in the folio,
my / our legal heir(s) would need to submit all the requisite documents issued by the Court or such other competent authority, as may be required by the Mutual
Fund / AMC for settlement of death claim / transmission of units in favour of the legal heir(s), based on the value of the units held in the mutual fund folio/s.
Name and Address of Nominee(s) Nominee Name of the Guardian (Mandatory) Signature of Nominee Proportion (%) in which the
(IN CAPITALS) PAN Relationship PAN and Address of Guardian (Optional)/ Guardian of units will be shared by
Date of Birth
(Mandatory) (Mandatory)* (Optional) Nominee (Mandatory) each Nominee (should
(Proof to be aggregate to 100%)
attached) (Mandatory to be furnished in case the Nominee is a minor) (Mandatory)

Nominee 1
PAN: _______________________

Nominee 2
PAN: _______________________

Nominee 3
PAN: _______________________
*Guardian’s Relationship with Nominee (Mandatory): Mother Father Legal Guardian
Proof of Relationship of Guardian with Minor: Birth Certificate School Leaving Certificate Passport Others _________________________
I/We have read and understood the instructions on nomination and I/We hereby undertake to abide by the same. The instructions contained herein supercedes all previous nominations made by
me/us in respect of the folio(s) mentioned above.
To be signed by ALL holders, irrespective of Mode of Holding or Mode of Operation

POA holder cannot

nominate.
First / Sole Applicant Second Applicant Third Applicant

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

I / We have read, understood the terms and conditions of the scheme related documents and the addendum issued SIGN HERE
therein till date, Key Information Memorandum of the Schemes as well as the rules and regulations of SEBI, AMFI,
Prevention of Money Laundering Act, 2002 and such other regulations as may be applicable to me/us from time to (Please write Application Form No. / Folio No.
time and agree to comply with the same as a Unitholder. I /We hereby apply to the Trustees for allotment of Units of
the Scheme(s) of HDFC Mutual Fund (‘Fund’) and confirm and declare as under: 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 from accessing capital Payment Instrument.)
markets by any order/ruling / judgment etc. passed by SEBI/ Statutory Authority or Courts in India and Foreign laws. I
am/We are authorised to make 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) I / We will be bound by the Fund's terms and conditions as amended from time to time.
(c) The information given by me /us in or along with this application form is true and correct and I/we shall furnish First / Sole
such other further/additional information as may be required by the HDFC Asset Management Company Limited
(AMC)/ Fund. I/We undertake to promptly inform the AMC / Fund/Registrars and Transfer Agent (RTA) in writing Applicant /
about any change in the information furnished by me/us from time to time. Guardian
(d) 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 single updation/ submission, any Indian or foreign statutory, regulatory, judicial, quasijudicial SIGN
authorities/agencies including but not limited to Financial Intelligence Unit-India (FIU-IND) etc without any
intimation/advice to me/us.
(e) I/We hereby consent for providing transactions data feed, portfolio holdings, NAV etc. in respect of my/our transactions
under Direct Plan to the RIA/Portfolio Managers/ Stock Broker registered in the concerned folio, if applicable.
(f) 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
SIGNATURE(S)

actions, proceedings, claims, losses, damages, charges and expenses incurred or suffered /paid by AMC/Fund Second
in this regard and in case of any dispute regarding the eligibility, validity and authorization of my/our transactions.
(g) 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
April 2023

Funds from amongst which the Scheme is being recommended to me/us.

(h) I/WE HEREBY CONFIRM THAT I/WE HAVE NOT BEEN OFFERED/ COMMUNICATED ANY INDICATIVE
PORTFOLIO AND/ OR ANY INDICATIVE YIELD BY THE FUND/AMC/ITS DISTRIBUTOR FOR THIS INVESTMENT. SIGN
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 disclosure of Personal Information in terms of Privacy Policy
I/We hereby confirm to have read, understood and agree to the terms of Privacy Policy (available on
https://www.hdfcfund.com) (“Policy”) of HDFC AMC/ Fund.
I/We hereby accord my/our consent to HDFC AMC/Fund for collecting, receiving, possessing, storing, dealing,
handling or disclosure of my/ our Personal Data and hereby authorize to disclose it to the third party or another body Third
corporate or any person acting under a lawful contract with HDFC AMC, in accordance with the Privacy Policy. 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 all consequences (including taxation) arising out of the failure to redeem on account of change in SIGN
residential status.
For NRIs/ PIO/ OCIs/ FPIs only:
I/We confirm that my application is in compliance with applicable Indian and foreign laws.
For NRIs/ PIO/OCIs Please (P) Repatriation basis Non-repatriation basis
 Application Form for Equity and Debt Systematic Investment Plan (SIP)
[For Investments through NACH/ Direct Clearing/ Direct Debit Facility/ Standing Instruction]
Important: Please strike out the Section(s) that is/are not used by you to avoid any unauthorised use April 2023

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

ARN- 68172 E060449

EUIN Declaration (only where EUIN box is left blank)
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 Here Sign Here Sign Here

First/ Sole Applicant/ Guardian/ PoA Holder Second Applicant Third Applicant
Transaction Charges for Applications through Distributors only Date: D D M M Y Y Y Y
I confirm that I am a first time investor across Mutual Funds. OR I confirm that I am an existing investor across Mutual Funds.
If the total commitment of investment through SIP (i.e. amount per SIP installment X no. of installments) amounts to Rs.10,000 or more and your Distributor has opted to receive transaction
Charges, the same are deductible as applicable from the installment amount and payable to the Distributor. In such cases Transaction Charge will be recoverable in 3-4 installments. Units will be
issued against the balance of the installment amounts invested.

Please (P) any one. In the absence of indication of the option the form is liable to be rejected. NEW REGISTRATION CANCELLATION
1) INVESTOR DETAILS Application No. (For new investor)/ Folio No. (For existing Unitholder)

Applicant Name PAN/ PEKRN# (Mandatory)

Sole / First Applicant

Second Applicant

Third Applicant

Guardian/POA Holder

# Please attach Proof. If PAN/PEKRN/KYC is already validated please don’t attach any proof. PEKRN mandatory for Micro SIP.
I/WE WOULD LIKE TO INVEST TO MEET MY/OUR FINANCIAL GOALS (choose anyone (P)

Purchase of Residence Children’s Education Children’s Marriage Retirement Please Specify

Others __________________________________________
Target Amount

2) INVESTMENT DETAILS FOR SIP [Please tick (P)]

Scheme Name 1. 2. 3.

Plan / Option Regular Direct Regular Direct Regular Direct

Daily++ Weekly ##
Monthly+ Daily++ Weekly ##
Monthly+ Daily++ Weekly## Monthly+
Frequency
Quarterly Half-Yearly Yearly Quarterly Half-Yearly Yearly Quarterly Half-Yearly Yearly

SIP Date+ or Weekly SIP Day+ D D or ______________________ D D or ______________________ D D or ______________________

(Not for daily frequency)

Enrolment Period* (MM/YY) From M M Y Y To M M Y Y From M M Y Y To M M Y Y From M M Y Y To M M Y Y

SIP Amount
SIP TOP-UP (3) Not available for Daily and Weekly SIP
Frequency Half Yearly Yearly+ Half Yearly Yearly+ Half Yearly Yearly+
Amount

Percentage$ (%) & Frequency ______________________ Yearly ______________________ Yearly ______________________ Yearly

SIP Top-Up Cap Amount _________________________________ _________________________________ _________________________________

or CAP Month-Year#:
M M Y Y M M Y Y M M Y Y
+ ++ ##
Default, if not selected. • Triggered and processed only on all Business Days and SIP TOP up facility shall not be available. • Triggered and processed on the day opted by the investor. If the day opted
falls on non-business day, it will be triggered and processed on the next business day and SIP TOP up facility shall not be available. • In case of Quarterly SIP, only the Yearly option is available as SIP Top-Up
frequency. • ^TOP UP amount has to be in multiples of Rs.100 only. • $The minimum TOP UP Percentage has to be 10% and in multiples of 1% thereafter, of the existing SIP installment. Investors/unit holders
subscribing for this facility are required to submit the request at least 30 days prior to the SIP date. Top-up will be applicable from next effective SIP installment. • *TOP-UP CAP amount • # TOP-UP CAP
Month-Year

ACKNOWLEDGEMENT SLIP FOR SIP (To be flled in by the Investor)

HDFC MUTUAL FUND: Head Office : HDFC House, 2nd Floor, H.T. Parekh Marg, 165-166, Backbay Reclamation, Churchgate, Mumbai - 400 020.

DATE D D M M Y Y Y Y FOLIO NO.

ISC Stamp & Signature
Received from Mr. / Ms. _______________________________________________________________________________________________________

[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)]

) e-mail us at: [email protected] or visit our website: www.hdfcfund.com & Missed Call Number - +91 85069 36767
 2) INVESTMENT DETAILS FOR SIP [Please tick (P)]
Maximum amount of debit (SIP+Top-up) under direct debit facility for investors with bank accounts with State Bank of India shall not exceed Rs. 5,00,000/- per installment.
First SIP Transaction via Cheque No. Cheque Dated D D M M Y Y Y Y Amount@ (Rs.)

Mandatory Enclosure (if 1st Installment is not by cheque) Blank cancelled cheque Copy of cheque @The first cheque amount should be same
as each/total SIP Amount.
The name of the first/ sole applicant must be pre-printed on the cheque.
3) BANK DETAILS
OTM Bank Details to be debited for the SIP (OTM already Registered)
Bank Name: Account Number:
NOTE: In case the OTM is not registered, please fill in the attached OTM Debit Mandate.
4) UNIT HOLDING OPTION DEMAT MODE* PHYSICAL MODE (Default)
*Demat Account details are mandatory for (I) Foreign Portfolio Investors and (ii) investors who wish to hold the units in Demat Mode (Account statement (CAS) for units held in demat mode will be
issued only by NSDL/CDSL)

Beneficiary
NSDL Depository Participant (DP) Name DP ID I N Account No.

Beneficiary
CDSL Depository Participant (DP) Name Account No.
*Investor opting to hold units in demat form, may provide a copy of the DP statement for us to match the demat details as stated in the application form.

5) DECLARATION AND SIGNATURE(S)

I / We hereby confirm and declare as under:-
I/ We have read, understood and agree to comply with the terms and conditions of the scheme related documents of the Scheme and the terms & conditions of enrolment for Systematic Investment Plan (SIP)
and of NACH/ Debit Clearing / Direct Debit / Standing Instruction facilities. I/ We hereby apply to the Trustees for enrolment under the SIP.
The ARN holder has disclosed to me/us all the commissions (in the form of trail 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.
SIGNATURE (S)

First/ Sole Unit holder/ Guardian/ POA Holder Second Unit holder Third Unit holder

Please note: Signature(s) should be as it appears in the folio/ on the Application Form and in the same order.
In case the mode of holding is joint, all Unit holders are required to sign.

Terms and Conditions and Instructions

For detailed terms and conditions on SIP, including for OTM facility, please visit our website www.hdfcfund.com and also refer to scheme related documents.
• Where a onetime mandate is already registered in a folio for a bank account, the Unit Holder(s) will have to fill only the SIP Registration Form and there is no need of a separate cheque to be given along
with the SIP Registration Form.
• The total of all installments in a day should be less than or equal to the amount as mentioned in One Time Mandate already registered or submitted, if not registered.
• Where the mandate form and the SIP registration form are submitted together, debits for the SIP may happen only on successful registration of the mandate by the Unit holder(s) bank. The Fund / AMC
would present the SIP transactions without waiting for the confirmation of the successful registration from the Unit holder(s)’ bank.\
• In case the onetime mandate is successfully registered, new SIP registration will take upto five days. The first debit may happen any time thereafter, based on the dates opted by the Unit holder(s).
• While the Fund and RTA reserve the right to enhance the SIP period to ensure minimum installments as per respective scheme offer documents, even if the investor has submitted the form late or
requested for a period less than minimum installments, they may reject the applications for less than minimum installments.
• If start date for SIP period is not specified, SIP will be registered to start anytime from a period after five days from the date of receipt of application based on the SIP date available / mentioned, subject to
mandate being registered. If end date is not specified or is opted as 'Perpetual', SIP will be registered till December 2099 or end date of mandate, whichever is earlier.
• If any time during the SIP period, the onetime mandate is to be modified to reduce the validity period which is more than SIP end period registered through OTM, investor should first cancel the SIP and
thereafter modify the OTM end period.
• In case of Micro SIP application without PAN, the investor/s hereby declare that they do not have any existing Micro SIPs with HDFC Mutual Fund which together with the current application will result in
aggregate investments exceeding Rs. 50,000 in a year.
• In case the selected date falls on a Non-Business Day or on a date which is not available in a particular month, the SIP will be processed on the immediate next business day/date.
• For SIPs through OTM, the maximum per installment amount after Top-Up shall not exceed Rs. 5 lakhs or the maximum amount mentioned in OTM form, whichever is less.
• The Top-up details cannot be modified once enrolled. In order to make any changes, the investor needs to cancel the existing SIP and enroll for a fresh SIP with Top-up option.
• HDFC Mutual Fund or the AMC, its registrars and other service providers are not responsible if the registration and subsequent transaction are delayed or not effected or the investor's bank account is
debited in advance or after the specific SIP date due to local holidays or any other reason.
• Investors are deemed to have read and understood the terms and conditions of OTM Facility and SIP facility in the Scheme Information Document, Statement of Additional Information, Key Information
Memorandum, Instructions and Addenda issued from time to time of the respective Scheme(s) of HDFC Mutual Fund.
• The Enrolment Form should be submitted atleast 30 days before the first date^ for NACH/ Direct Clearing/ Direct Debit / Standing Instruction.
If the start period is not mentioned, the chosen/Default date falling 15 days from submission date will be considered as the start date and will be registered from that date (eg. If the application is submitted
on June 1 without indicating the start period then the SIP start date would be July 1).
In cases where D-SIP/W-SIP application is accompanied with fresh OTM mandates, the start date/day for D-SIP/W-SIP shall be 10 days after receipt of confirmation for registration of OTM from
destination banks.
Investors enrolling for D-SIP/W-SIP should select “As & when presented” as payment frequency in the OTM.
In case the D-SIP/W-SIP instalment is not debited on a particular day on account of system constraints, technical/operational issues/actions of other parties or any other circumstances beyond
the control of HDFC AMC/Fund, such missed debits will not be re-initiated.
^ In case the auto debit start date/day as mentioned in the form does not satisfy this condition, the first date/day shall be rolled over to begin from the immediately following month (provided the roll over
date/day does not exceed the maximum time gap of 90 days between the SIP submission date and first installment of SIP through NACH/Direct Clearing or Direct Debit/ Standing Instruction) and the end
date/day shall accordingly get extended.
• The SIP registrations will be discontinued in cases where six (6) consecutive installments are not honored.

ACKNOWLEDGEMENT SLIP FOR SIP (To be flled in by the Investor)

Scheme / Plan / Option Scheme 1

Scheme 2

Scheme 3
[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)]

) e-mail us at: [email protected] or visit our website: www.hdfcfund.com & Missed Call Number - +91 85069 36767
 OTM Debit Mandate Form NACH/DIRECT DEBIT/SI
[Applicable for Lumpsum Additional Purchases as well as SIP Registrations received through various modes]

UMRN OFFICE USE ONLY Date D D M M Y Y Y Y

Utility Code OFFICE USE ONLY Create Modify Cancel

Sponsor Bank Code OFFICE USE ONLY I/We authorize HDFC Mutual Fund
To debit (tick3) SB/CA/CC/SB-NRE/SB-NRO/OTHER Bank A/c number

With Bank IFSC/MICR

an amount of Rupees `
Debit Type Fixed Amount 3 Maximum Amount Frequency Monthly Quarterly Half Yearly Yearly 3 As & when presented

PAN/PEKRN Reference 2
1. I agree for the debit of mandate processing charges by the bank whom I am authorizing to debit my account as per latest schedule of charges of the bank. 2. This is to confirm that the
declaration has been carefully read, understood & made by me/us. I am authorising the user entity/Corporate to debit my account, based on the instructions as agreed and signed by me.
3. I have understood that I am authorised to cancel/amend this mandate by appropriately communicating the cancellation / amendment request to the user entity/ corporate or the bank
where I have authorized the debit.

From D D M M Y Y Y Y
To D D M M Y Y Y Y Signature of Primary Account Holder Signature of Account Holder Signature of Account Holder

Or Until Cancelled
1. Name as in Bank Records 2. Name as in Bank Records 3. Name as in Bank Records
Phone No.
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