quant mutual

Corporate Office: 6th Floor, Sea Breeze Building, Appasaheb Marathe Marg, Prabhadevi, Mumbai - 400 025. | Tel: +91 22 6295 5000
Whatsapp message: +91 9920 21 22 23 | E-mail: [email protected] | [email protected] | www.quantmutual.com

COMMON APPLICATION FORM

(Use this form if One Time Bank Mandate Form is registered in the folio) To be filled in capital letters and in blue / black ink only. APP No.

Name & Broker Code / Sub Broker / Sub Agent Code ISC Date Time Stamp
ARN / RIA Code Agent ARN Code EUIN* Internal Code for AMC Reference No.
Please Read All Instructions as given in KIM, to help you complete the Application Form Correctly.

EUIN Declaration: Declaration for “Execution Only” Transaction (where Employee Unique Identification Number-EUIN* box is left blank). Please refer instruction 12 of KIM for complete details on EUIN. 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. RIA Declaration: “I/We hereby give you my/our consent to share/provide the transactions data feed/portfolio holdings/ NAV etc. in respect of my/our investments under Direct Plan of
all Schemes managed by you, to the above mentioned SEBI-Registered Investment Adviser/ RIA”.

Signature of 1st Applicant / Guardian / Signature of 2nd Applicant / Guardian / Signature of 3rd Applicant / Guardian /
Authorised Signatory /PoA/Karta Authorised Signatory /PoA Authorised Signatory /PoA

Please  Lumpsum Investment Micro Application SIP Application

TRANSACTION CHARGES (Please  any one of the below. Refer Instruction No. 11)
I AM A FIRST TIME INVESTOR IN MUTUAL FUNDS OR I AM AN EXISTING INVESTOR IN MUTUAL FUNDS
Applicable transaction charges will be deducted in case your distributor has opted for such charges. Upfront commission shall be paid directly by the investor to the ARN Holder (AMFI registered
Distributor) based on the investor’s assessment of various factors including the services rendered by the ARN Holder.
1. EXISTING UNIT HOLDER INFORMATION [Please fill in your Folio Number, KIN, Section 2 & proceed to Section 7 - Investment Details]

Folio No. CKYC Identification No. (KIN)

2. APPLICANT(S) NAME AND INFORMATION [Refer Instruction 2] If the 1st / Sole Applicant is Minor, then please provide details of natural / legal guardian

1st SOLE APPLICANT Mr. / Ms. / M/s. PAN

s.(Please write the name as per PAN Card)
Pls indicate if US Person or a resident for tax purpose / Resident of Canada
CKYC ID No. (KIN)
Yes No$ ($Default if not )
Relationship with Minor (Please )
st
GUARDIAN (In case 1 Applicant is a Minor)
Mr. / Ms. / M/s. Mother Father Legal Guardian
GUARDIAN CKYC KYC (Please ) GUARDIAN
ID No. (KIN) Proof Attached PAN

GUARDIAN AADHAAR No. Aadhaar Copy (Please ) Enclosed

POA / Custodian Name: KYC (Please ) Proof Attached

POA / Custodian POA / Custodian

CKYC ID No. (KIN) PAN

Contact Person for Corporate Investor: Name Designation:

3. FIRST APPLICANT AND KYC DETAILS

1st SOLE APPLICANT Individual or Non-Individual [Please fill Ultimate Beneficial Ownership (UBO) declaration Form in Section 11a & 11b - Refer Instruction No. 17]

*Date of Birth Incorporation D D M M Y Y Y Y Proof of Date of Birth(Please ) Birth Certificate School Leaving Certificate / Mark Sheet
(Individual) (Non-individual) Passport of the Minor (Please specify)
(For minor applicant) Others
(Please write the Date of birth as per Aadhaar Card)
Place of Birth / Country of Birth / Nationality: Gender Male Female Other
Incorporation: Incorporation:
(Please write the Date of birth as per Aadhaar Card)

Type: Resident Individual Sole Prop NRI - NRE Trust Bank / Fls FIIs PIO Society/AOP/BOI Minor through Guardian NRI - NRO

HUF LLP Listed Company Private Company Public Ltd. Company Artificial Juridicial Person Partnership Firm FOF - MF Schemes Others ____________________

Private Sector Public Sector Government Service Student Professional Housewife

a*. Occupation Details [Please tick ()]
Business Retired Agriculture Proprietorship Others___________________
c*. Politically Exposed Person (PEP) Status (Also applicable for authorised signatories/Promoters/Karta/Trustee/Whole time Directors) I am PEP I am Related to PEP Not Applicable

b*. Gross Annual Income (`) [Please tick ()] Below 1 Lakh 1-5 Lakh 5-10 Lakh 10-25 Lakh >25 Lakh > 1 Crore

d*. Net-worth (Mandatory for Non-Individuals) `_______________________________________________ as on (Not older than 1 year)
e*. Non-Individual Investors involved/providing Foreign Exchange / Money Changer Services Gaming/Gambling/Lottery/Casino Services
any of the mentioned services Money Lending / Pawning None of the above
4. BANK ACCOUNT DETAILS - Mandatory [Refer Instruction Nos. 3 & 4]
Name of the Bank:

Core Banking A/c No. A/c. Type Pls. () NRE CURRENT SAVINGS NRO
* mandatory fields

Branch Name: Bank Address:

Branch City: State: Pin Code

Please attach a cancelled cheque IFSC Code (Mandatory for

MICR Code OR a clear photo copy of a cheque Credit via NEFT/RTGS)
 5. JOINT APPLICANTS, IF ANY AND THEIR KYC DETAILS

Mode of Holding: Anyone or Survivor Single Joint (Please note that the Default option is Anyone or Survivor)

2 APPLICANT Mr. / Ms. / M/s.

nd
(Not Applicable in case of Minor Applicant)
Gender Male Female Other
(Please write the name as per PAN Card)
PAN Details Pls indicate if US Person or a resident for tax purpose / Resident of Canada Yes No* (*Default if not )

CKYC ID No. (KIN) KYC Pls  Proof Attached Date of Birth (Mandatory) _____________________
(As per PAN Card)

Place of Birth Country of Birth Nationality:

Private Sector Public Sector Government Student Professional Housewife
a*. Occupation Details [Please tick ()]
Business Retired Service Agriculture Proprietorship Others___________________
b*. Gross Annual Income (`) [Please tick
Below 1 Lakh 1-5 Lakh 5-10 Lakh 10-25 Lakh >25 Lakh >1 Crore
()] c*. Politically Exposed Person (PEP) Status I am PEP I am Related to PEP Not Applicable

Net-worth `_______________________________________________ as on (Not older than 1 year)

Mode of Holding: Anyone or Survivor Single Joint (Please note that the Default option is Anyone or Survivor)

3rd APPLICANT Mr. / Ms. / M/s. (Not Applicable in case of Minor Applicant) Gender Male Female Other
(Please write the name as per PAN Card)
PAN Details Pls indicate if US Person or a resident for tax purpose / Resident of Canada Yes No* (*Default if not )

CKYC ID No. (KIN) KYC Pls  Proof Attached Date of Birth (Mandatory) _________________
(As per PAN Card)

Place of Birth Country of Birth Nationality:

Private Sector Public Sector Government Student Professional Housewife
a*. Occupation Details [Please tick ()]
Business Retired Service Agriculture Proprietorship Others___________________
b*. Gross Annual Income (`) [Please tick ()] Below 1 Lakh 1-5 Lakh 5-10 Lakh 10-25 Lakh >25 Lakh >1 Crore
c*. Politically Exposed Person (PEP) Status I am PEP I am Related to PEP Not Applicable
d. Net-worth `_______________________________________________ as on (Not older than 1 year)
6a. MAILING ADDRESS [Please provide your E-mail ID and Mobile Number to help us serve you better]

Local Address of 1st Applicant

City State Pin Code

Tel. Off. Resi. Mobile^^

E - Mail^^

The primary email address as provided above belongs to me/family member18 (Please ). In case where the e-mail address/mobile no. is not provided on the
application form/not available in the transaction feed file, the e-mail address/mobile no. of the sole/first applicant details will be updated as per the KYC data.
^^Please Use Block Letters. Investors providing email ID would mandatorily receive all Communications, Statement of Accounts and Abridged Annual Report through e-mail only.
However, if you still wish to receive physical copy of the scheme-wise annual prepare of abridged summery thereof please () here
6b. Mandatory for NRI / Fll Applicant [Please provide Full Address. P. O. Box No. may not be sufficient. For Overseas Investors, Indian Address is preferred]

Overseas Correspondence Address

7. INVESTMENT AND PAYMENT DETAILS ( For complete information on Investment Details please refer to Instructions No. 6. )
Scheme : Regular Plan Growth Payout of Income Distribution cum capital withdrawal option
Direct Plan (Default) Reinvestment of Income Distribution cum capital withdrawal option

Payment Type [Please ()] Self (Non-Third Party Payment) Third Party Payment (Please attach ‘Third Party Payment Declaration Form’)
Amount of Cheque / DD / DD Charges, Net Purchase Drawn on Bank / Pay-In Bank A/c No.
Cheque / DD / UTR No. & Date
RTGS / NEFT in figures (Rs.) if any Amount Branch (For Cheque Only)

8. DEMAT ACCOUNT DETAILS - Mandatory for units in Demat Mode - Please ensure that the sequence of names as mentioned under section 3 matches as per the Depository Details.
National Securities Depository Limited (NSDL) Central Depository Services (India) Limited (CDSL)

DP Name DP Name

DP ID I N Benef. A/C No. 16 Digit A/C No.

Enclosures - [Please () Client Masters List (CML) Transaction cum Holding Statement Delivery Instruction Slip (DIS)
9. NOMINATION DETAILS [Minor / HUF / POA Holder / Non Individuals cannot Nominate - Refer Instruction No. 9]
PLEASE REGISTER MY/OUR NOMINEE AS PER BELOW DETAILS OR I/WE DO NOT WISH TO NOMINATE
Date of Birth Name of the Guardian
No. Nominee(s) Name Relationship % of Share Signature of Nominee / Guardian
(in case of Minor) (in case of Minor)
* mandatory fields

3
 10. FATCA & CRS DETAILS (Please consult your professional tax advisor for further guidance on FATCA & CRS classification) (FOR NON-INDIVIDUALS ONLY)
PART A To be filled by Financial Institutions or Direct Reporting Non Finacial Entity (NFEs)

We are a, GIIN
Financial institution
Note: If you do not have a GIIN but you are sponsored by another entity, please provide your sponsor's GIIN above and indicate your sponsor's name below
or
Direct reporting NFE
Name of sponsoring entity:
[Please tick ()]

GIIN not available [Please tick ()] Applied for Not required to apply for - please specify 2 digits sub-category Not obtained – Non-participating FI

PART B (please fill any one as appropriate “to be filled by NFEs other than Direct Reporting NFEs”)

1 Is the Entity a publicly traded company Yes (If yes, please specify any one stock exchange on which the stock is regularly traded)
(that is, a company whose shares are regularly
traded on an established securities market) Name of stock exchange:

2 Is the Entity a related entity of a publicly Yes (If yes, please specify name of the listed company and one stock exchange on which the stock is regularly traded)
traded company (a company whose shares are
regularly traded on an established securities market) Name of listed company:
The detail of this page should be filled by Non-Individual investors only.

Nature of relation Subsidiary of the Listed Company or Controlled by a Listed Company

Name of stock exchange:

3 Is the Entity an active NFE Yes (If yes, please fill UBO declaration in the next section.)
Nature of Business:

Please specify the sub-category of Active NFE Mention code: Refer instruction 16(c)

4 Is the Entity a passive NFE Yes (If yes, please fill UBO declaration in the next section.)
Nature of Business:
For details refer instruction No. 16.
11a. DECLARATION FOR ULTIMATE BENEFICIAL OWNERSHIP [UBO] (Refer instruction No. 17)*
*This declaration is not needed for Companies that are listed on any recognized stock exchange or is a Subsidiary of such Listed Company or is Controlled by such Listed Company. Please list below the details of
controlling person(s), confirming ALL countries of tax residency / permanent residency / citizenship and ALL Tax Identification Numbers for EACH controlling person(s). Owner-documented FFI's should provide FFI Owner
Reporting Statement and Auditor's Letter with required details as mentioned in Form W8 BEN E.
11b. DETAILS OF ULTIMATE BENEFICIAL OWNERS [Mandatory] (If the given space below is not adequate, please attach multiple declaration forms)
Name of UBO & Address Address Type$$ PAN/Tax Payer Document Type Country of tax Country of UBO Code KYC (Yes / NO) % of beneficial
Identification No./ Refer instruction Residency/ citizenship (Mandatory) [please attach interest
%
Equivalent ID No. No. 16(d) permanent the KYC
residency* acknowledgement
copy]

$$ Address Type: Residential or Business (default)/Residential/Business/Registered Office. Attached documents should be self certified by the UBO and certified by the applicant or Authorised signatory. In case the
above information is not provided, it will be presumed that applicant is the UBO, with no declaration to submit. In such case, MAMF/AMC reserves the right to reject the application or reverse the allotment of units, if
subsequently it is found that applicant has concealed the facts of beneficial ownership. I/We also undertake to keep you informed in writing about any changes/modification to the above information in future and also
undertake to provide any other additional information as may be required at your end.
# If passive NFE, please provide below additional details. (Please attach additional sheets if necessary). Also provide below mandatory details if the UBO does not have a PAN. (Refer Instruction No. 16)
PAN / Any other Identification Number (PAN, Aadhaar, Passport, Occupation Type: Service, Business, Others
DOB: Date of Birth
Election ID, Govt. ID, Driving Licence NREGA Job Card, Others) Nationality:
Gender: Male, Female, Other
City of Birth - Country of Birth Father's Name: Mandatory if PAN is not available

1.PAN: Occupation Type:

Date Of Birth:
City of Birth: Nationality:
Gender Male Female Other
Country of Birth: Father's Name:

2.PAN: Occupation Type:

Date Of Birth:
City of Birth: Nationality:
Gender Male Female Other
Country of Birth: Father's Name:

3.PAN: Occupation Type:

Date Of Birth:
City of Birth: Nationality:
Gender Male Female Other
Country of Birth: Father's Name:

# Additional details to be filled by controlling persons with tax residency / permanent residency / citizenship / Green Card in any country other than India.
* To include US, where controlling person is a US citizen or green card holder
%In case Tax Identication Number is not available, kindly provide functional equivalent
 12. FATCA AND CRS DETAILS (Self Certification) (Refer instruction No. 16) (FOR INDIVIDUALS & NON-INDIVIDUALS)
FOR INDIVIDUALS: Please indicate all countries in which you are resident for tax purposes and the associated Tax Reference Numbers below.
FOR NON-INDIVIDUALS: Is the “Entity” a tax resident of any country other than India? Yes No
(If Yes, please provide country/ies in which the entity is a resident for tax purpose and the associated Tax Identification No. below

1st Applicant (Sole / Guardian / Non-Individual) 2nd Applicant 3rd Applicant

Do you have any non-Indian Do you have any non-Indian Do you have any non-Indian
Country(ies) of Birth / Country(ies) of Birth / Country(ies) of Birth /
Citizenship / Nationality Yes No Citizenship / Nationality and Yes No Citizenship / Nationality Yes No
and Tax Residency Tax Residency and Tax Residency

Country of Birth / Country of Birth Country of Birth

Incorporation

Country Citizenship / Country Citizenship / Country Citizenship /

Nationality Nationality Nationality

Are you a US specified Yes No Are you a US specified Yes No Are you a US specified Yes No
person? Please provide Tax Payer Id. person? Please provide Tax Payer Id. person? Please provide Tax Payer Id.

For non-Individual investor in case, if you country of incorporation/Tax resistance in US, but you are not a specified us person then please mention exemption code ______________ (Refer instruction 16 (e))
Individual or Non-Individual investors fill this section Individual investor have to fill in below details in case of joint applicants
if ticked Yes above.

Country: Country: Country:

Tax Residency Tax Residency Tax Residency

Status: 1 No.: Status: 1 No.: Status: 1 No.:

Type: Type: Type:

Country: Country: Country:

Tax Residency Tax Residency Tax Residency

Status: 2 No.: Status: 2 No.: Status: 2 No.:

Type: Type: Type:

Country: Country: Country:

Tax Residency Tax Residency Tax Residency

Status: 3 No.: Status: 3 No.: Status: 3 No.:

Type: Type: Type:

Address Type Address Type Address Type

(Address Type: Residential or Business (default) / Residential / Business / Registered Office) (For address mentioned in form / existing address appearing in folio)

In case of applications with POA, the POA holder should fill separate form to provide the above details mandatorily.

13. DECLARATION AND SIGNATURES / THUMB IMPRESSION OF APPLICANT(s) [Refer Instructions 2(e)]
To The Trustees, quant Mutual Fund (The Fund) – (A) Having read and understood the contents of the SID of the Scheme applied for (Including the scheme(s) available during the New Fund Offer period); I/We hereby apply for units of the said such scheme and agree to abide by the terms, conditions,
rules and regulations governing the scheme. (B) I/We hereby declare that the amount invested in the scheme is through legitimate sources only and does not involve and is not designed for the purpose of the contravention of any 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. (C) Signature of the nominee acknowledging receipts of my/our credit will constitute full discharge of liabilities of quant Mutual Fund. (D) The information given in / with this application form is true and correct and further agrees to
furnish additional information sought by quant Money Managers Ltd./ Fund and undertake to update the information/details with the AMC / Fund/Registrars and Transfer Agent (RTA) from time to time. I/We hereby confirm that the AMC/Fund shall have the right to share my information and other details
with the regulatory and government authorities as and when needed. I/We will indemnify the Fund, AMC, Trustee, RTA and other intermediaries in case of any dispute regarding the eligibility, validity and authorization of my/our transactions. (E) I/We further declare that "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. (F) 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. I/We have not received nor have been induced by any rebate or gifts, directly or indirectly in making this investment. (G) Applicable to Investors availing the online facility: I/
We have read, understood and shall be bound by the terms & conditions of the PIN agreement available on the AMC website for transacting online. (H) RIA: I/We hereby agree to consent the AMC to share my transaction details to the registered investment advisor (RIA) through the registrar or otherwise.
(I) Applicable to Foreign Resident's 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 and other
applicable laws and regulations. (J) I / We confirm that I am / We are not United States person(s) under the laws of United States or resident(s) of Canada. In case of change to this status, I / We shall notify the AMC, in which event the AMC reserves the right to redeem my / our
investments in the Scheme(s). (K) FATCA /CRS Certification: I / We have understood the information requirements of this Form (read along with the FATCA & CRS Instructions) and hereby confirm that the information provided by me / us on this Form is true, correct, and complete. I / We also confirm
that I / We have read and understood the FATCA& CRS Terms and Conditions and hereby accept the same. In case the above information is not provided, it will be presumed that applicant is the ultimate beneficial owner, with no declaration to submit. In such case, the concerned SEBI registered
intermediary reserves the right to reject the application or reverse the allotment of units, if subsequently it is found that applicant has concealed the facts of beneficial ownership. I/We also undertake to keep you informed in writing about any changes/modification to the above information in future & also
undertake to provide any other additional information as may be required at your end. (L) Aadhaar: I/We hereby voluntarily submit Aadhar card to the Fund/AMC for updating the same in my folio.

Signature of 1st Applicant / Guardian / Signature of 2nd Applicant / Guardian / Signature of 3rd Applicant / Guardian /
Authorised Signatory /PoA/Karta Authorised Signatory /PoA Authorised Signatory /PoA

For Lumpsum ‘OR’ SIP

ACKNOWLEDGMENT SLIP

Received Application from Mr. / Ms. / M/s. _____________________________________________________________________________ as per details below:

Scheme Name and Plan Payment Details Date & Stamp of Collection Centre / ISC
Amount (Rs.) ____________________________________
Cheque / DD No.: ________________________________
Dated _________________________________________
Bank & Branch __________________________________
Cheque / DD is subject to realisation
 quant Mutual Fund
(Formerly known as Escorts Mutual Fund)
Corporate Office: 6th Floor, Sea Breeze Building, Appasaheb Marathe Marg, Prabhadevi, Mumbai - 400 025.
Tel: +91 9920 21 22 23 | E-mail: [email protected] | www.quant-mutual.com

SIP ENROLLMENT DETAILS

(Use this form if One Time Bank Mandate Form is registered in the folio) To be filled in capital letters and in blue / black ink only.
DISTRIBUTOR / BROKER INFORMATION APP No.
Name & Broker Code / ARN Sub Broker / Sub Agent ARN Code *Employee Unique Identification Number Sub Broker / Sub Agent Code RIA Code++

ARN- (ARN stamp here) ARN-

*Please sign below in case the EUIN is left blank/not provided. 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. ++ I/We, have invested in the Scheme(s) of quant Mutual Fund under Direct Plan. I/We hereby give you my/our consent to share/provide the transactions data feed/ portfolio holdings/ NAV etc. in respect of my/
our investments under Direct Plan of all Schemes Managed by you, to the above mentioned Mutual Fund Distributor / SEBI-Registered Investment Adviser:

First / Sole Applicant / Guardian Second Applicant / Third Applicant /

Authorised Signatory Authorised Signatory Authorised Signatory
Upfront commission shall be paid directly by the investor to the AMFI registered distributor based on the investor's assessment of various factors including the service rendered by the distributor.
APPLICANT DETAILS FOLIO NO.
Name of Sole/1st holder PAN No / PEKRN. KYC
Name of 2nd holder PAN No / PEKRN. KYC
Name of 3rd holder PAN No / PEKRN. KYC

INITIAL INVESTMENT DETAILS

Cheque/ DD No./Cash Deposit Slip No. Cheque / DD / Cash Deposition Date DD Charge `
Net Amount ` Bank Name: Branch: City:

UNITHOLDING OPTION Demat Mode Physical Mode (Ref. Instruction No. 24) Demat Account details are compulsory if demat mode is opted.)
National Depository Central Depository
Securities Participant Name ____________________________________________ Depository Participant Name ____________________________________________
Depository DP ID No. I N Securities
Beneficiary Account No. Target ID No.
Limited Limited
Enclosures (Please tick any one box) : Client Master List (CML) Transaction cum Holding Statement Cancelled Delivery Instruction Slip (DIS)
Invest Easy Registration for Transaction over SMS, Call, Mobile, Internet etc (Applicable for individual investor only)
Email ID Mobile no.
Email id & Mobile no. provided in this form will supercede the existing details in our records. Please register your Mobile No & Email Id to get instant alerts via SMS & Email. By
By providing Email-id, I understand that IPIN will be issued to me by default through Online Mode, unless I have already opted for IPIN in the past and have created a username.

SIP DETAILS (Refer Instruction No. 14. If the investor wishes to invest in Direct Plan please mention Direct Plan against the scheme name. Please refer respective SID/KIM for product labeling)

Scheme / Plan / Option Frequency Enrollment Period SIP Date STEP-UP Facility
SIP Amount (Optional)
(Please any one) (Please any one) (Please any one)

Monthly REGULAR Amount Frequency Count

1 st
(Default) From : M M / Y Y To : M M / Y Y Half-yearly Increase
PERPETUAL(Default) 10 th (Default)
` ` SIP amount
Quarterly
(Refer Instruction No. 5)
(in figures) (Multiples of Yearly
25 th ** time(s)
Yearly ` 100 only )
From : M M / Y Y To : M M / Y Y (Default) (Default 1time)

DECLARATION : I/We would like to invest in quant ___________________________________________ subject to terms of the Statement of Additional Information (SAI), Scheme Information Document (SID), Key Information Memorandum (KIM) and
subsequent amendments thereto. I/We have read, understood (before filling application form) and is/are bound by the details of the SAI, SID & KIM including details relating to various services. By filling up this form I understand that the amount towards
my lumpsum / systematic investment plan (SIP) transaction will be debited from bank account details provided in my One Time Bank Mandate Form. I/We have not received nor been induced by any rebate or gifts, directly or indirectly, in making this
investment. I /We declare that the amount invested in the Scheme is through legitimate sources only and is not designed for the purpose of contravention or evasion of any Act / Regulations / Rules / Notifications /Directions or any other Applicable Laws
enacted by the Government of India or any Statutory Authority. I accept and agree to be bound by the said Terms and Conditions including those excluding/ limiting quant Mutual Fund liability. I understand that qMF may, at its absolute discretion,
discontinue any of the services completely or partially without any prior notice to me. I agree quant can debit from my folio for the service charges as applicable from time to time. 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 hereby declare that the above information is given by the
undersigned and particulars given by me/us are correct and complete. Further, I agree that the transaction charge (if applicable) shall be deducted from the subscription amount and the said charges shall be paid to the distributors.
I confirm that I am resident of India. 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 Non-Resident External /Ordinary Account/FCNR 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/FCNR Account.

First / Sole Applicant /Guardian Second Applicant Third Applicant

Authorised Signatory Authorised Signatory Authorised Signatory
By signing this SIP enrolment form I/We understand that the amount will be debited from the Bank account mentioned in One Time Bank Mandate / Invest Easy - Individuals Mandate Form. Investors are requested to note
that the amount mentioned in One Time Bank Mandate should be the maximum amount that you would like to invest in schemes of qMF on any transaction day.

Debit Mandate Form NACH / ECS / Direct Debit

APP No.
(NACH / Direct Debit Mandate Form) (Applicable for Lumpsum Additional Purchases as well as SIP Registration)

UMRN Date: D D M M Y Y Y Y

Sponsor Bank Code Utility Code

Create
Modify x I/We hereby authorize _____________________________ to debit (tick ) SB CA CC SB-NRE SB-NRO Other
Cancel x Bank A/c no:

(Name of Destination Bank) IFSC MICR

With Bank ___________________________________________
an amount of Rupees _________________________________________________________________________________ `
FREQUENCY: Monthly Quarterly Half Yearly Yearly as & when presented DEBIT TYPE x Fixed Amount Maximum Amount

Reference 1 Folio No. Email ID:

Reference 2
Mobile / Phone No:
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.

From : 1 ___________________________ 2 ___________________________ 3 ___________________________

PERIOD Signature of Account Holder Signature of Account Holder Signature of Account Holder
To:
Or Until Cancelled Name as in Bank Record
1 ___________________________ Name as in Bank Record
2 ___________________________ Name as in Bank Record
3 ___________________________
This is to confirm that the declaration (as mentioned overleaf) has been carefully read, understood & made by me / us. I am authorizing the User Entity / Corporate to debit my account, based on the instructions as agreed and signed by me.
I have understood that I am authorized 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.
 INSTRUCTIONS cum TERMS AND CONDITIONS
(21) Permanent Account Number (PAN): SEBI has made it mandatory for all applicants (in the case of application in
(1) Auto Debit facility is offered only to the investors maintaining their bank accounts with Bank of Baroda / Bank of joint names, each of the applicants) to mention his/her permanent account number (PAN) irrespective of the
India / Andhra Bank / Kotak Mahindra Bank / ING Vysya Bank / HDFC Bank / ICICI Bank / AXIS Bank / HSBC/ IDBI amount of purchase. Where the applicant is a minor, and does not possess his / her own PAN, he / she shall quote
Bank / State Bank of India / Union Bank Of India / Corporation Bank / Allahabad Bank / Federal Bank / Oriental the PAN of his/ her father or mother or the guardian, signing on behalf of the minor, as the case may be. In order to
Bank of Commerce. The above list is subject to change from time to time. "National Automated Clearing House verify that the PAN of the applicants (in case of application in joint names, each of the applicants), the applicants
(NACH)" is Direct Electronic Debit mode implemented by National Payments Corporation of India (NPCI), list of shall attach along with the purchase application, a photocopy of the PAN card duly self-certified along with the
banks is available on NPCI website www.npci.org.in. The said list is subject to modifications. The investor agrees original PAN Card. The original PAN Card will be returned immediately across the counter after verification. Micro
to abide by the terms and conditions of NACH Debit / Auto Debit facility of Reserve Bank of India / SIP & Investors residing in the state of Sikkim are exempted from the mandatory requirement of PAN proof
Banks. If any city / bank is removed from the above mentioned list qMF at its sole discretion may accept submission however they are required to mandatorily submit KYC Acknowledgement copy. Applications not
Post Dated Cheques (PDC's) from the investors for the balance period.. complying with the above requirement may not be accepted/processed. Additionally, in the event of any
(2) quant Mutual Fund (qMF) its registrars and other service providers shall not be held responsible or Application Form being subsequently rejected for mismatch / non-verification of applicant's PAN details with the
will not be liable for any damages and will not compensate for any loss, damage etc. incurred to the investor. details on the website of the Income Tax Department, the investment transaction will be cancelled and the amount
The investor assumes the entire risk of using this facility and takes full responsibility. Investor will not may be redeemed at the applicable NAV, subject to payment of exit load, if any. Please contact any of the
hold quant Mutual Fund, its registrars and other service providers responsible if the transaction is Investor Service Centres/Distributors or visit our website www.quant-mutual.com for further details.
delayed or not effected or the investor bank account is debited in advance or after the specific SIP date (22) Prevention of Money Laundering and Know Your Client (KYC): SEBI has prescribed uniform KYC
due to various clearing cycles of NACH Debit / Auto Debit / local holidays. compliance procedure for all the investors dealing with them. SEBI also issued KYC Registration Agency
(3) Investors are required to submit One Time Bank Mandate Form and SIP Enrollment Form along with a photo ("KRA") Regulations 2011 and the guidelines in pursuance of the said Regulations and for In-Person
copy/cancelled cheque of Debit Bank Account (as mentioned on the One Time Bank Mandate Form) atleast 21 Verification ("IPV"). All investors (individual and non- individual) are required to be KYC compliant. However,
working days before the first SIP Installment date for NACH Debit & Auto Debit Clearing. applicants should note that minors cannot apply for KYC and any investment in the name of minors should
(4) An investor can opt for Monthly, Quarterly or Yearly frequency for SIP. In case the investor has not specified the be through a Guardian, who should be KYC compliant for the purpose of investing with a Mutual Fund.
frequency then by default the frequency will be treated as Monthly. If an investor does not mention SIP start date Should the applicant desire to change KYC related information, POS will extend the services of effecting
appropriately, the SIP will by default start from the next month after meeting the minimum registration such changes. In case of an existing investor of qMF who is already KYC Compliant under the erstwhile
requirement of 21 working days. If an investor does not mention SIP end date appropriately the tenure of SIP will centralized KYC with CVL (CVLMF) then there will be no effect on subsequent Purchase/Additional Purchase
be treated as perpetual i.e. the end date shall be considered as December 2099. In case an investor, who has (or ongoing SIPs/STPs, etc) in the existing folios/accounts which are KYC compliant. Existing Folio holder
opted for Perpetual SIP, subsequently intends to discontinue the same, a written communication thereof will be can also open a new folio with quant Mutual Fund with the erstwhile centralized KYC.
required to be furnished. (i) In case of an existing investor of quant Mutual Fund and who is not KYC Compliant as per our records, the
(5) An investor shall have the option of choosing for 1 or more than 1 SIP in the same scheme same plan and in the investor will have to submit the standard KYC Application forms available in the website www.cvlkra.com along
same month. SIP debit dates shall be 2nd, 7th, 10th, 18th, 23rd, or 28th. More than one SIP for the same debit with supporting documents at any of the SEBI registered intermediaries at the time of purchase / additional
date shall be acceptable. If an investor does not mention SIP Date in the application form or multiple SIP dates are purchase / new registration of SIP/STP etc. In Person Verification (IPV) will be mandatory at the time of KYC
mentioned in the SIP Mandate or the SIP Date is unclear in the application form / SIP Mandate, the default SIP Submission.
date shall be treated as 10th as per the frequency defined by the investor. In case the criteria are not met the SIP (ii) Investors who have complied with KYC process before December 31, 2011 (KYC status with CVL-KRA as "MF -
would start on the same date from the next month. Investors should check the same at the Designated VERIFIED BY CVLMF") and not invested in the schemes of quant Mutual Fund i.e not opened a folio earlier,
Investor Service Centre of quant Mutual Fund before investing. and wishes to invest on or after December 01, 2012, such investors will be required to submit 'missing/not
(6) For details about the Scheme and its facility please refer the SID, SAI & KIM of the respective schemes / available' KYC information and complete the IPV requirements.
Addendum issued from time to time carefully before investing. Updation of 'missing / not available' KYC information along with IPV is currently a one-time requirement and
(7) In case of three consecutive failures due to insufficient balance in bank account while processing request for SIP, needs to be completed with any one of the mutual funds i.e. need not be done with all the mutual funds
quant Mutual Fund shall reserve the right to terminate the SIP without any written request from the investor. where investors have existing investments. The said form is available on RMF's website i.e. www.quant-
(8) In case an investor wishes to change the bank account details for the existing SIP registered through Auto mutual.com or on the website of Association of Mutual Funds in India i.e. www.amfiindia.com or on the
debit / NACH Debit mode, then he has to provide a cancellation for the existing SIP/One Time Bank website of any authorised KRA's. Once the same is done then the KYC status at CVL-KRA will change to
Mandate and register fresh SIP with the new bank details. 'Verified by CVL KRA' after due verification. In such a scenario, where the KYC status changes to 'Verified by
(9) Allotment of units would be subject to realisation of credit. CVL KRA', investors need not submit the 'missing/not available' KYC information to mutual funds again.
(10) In case the Investor wishes to cancel the One Time Bank Mandate / SIP , Investor will have to submit an One Time
Bank Mandate Cancellation Form or SIP cancellation form , 21 business days prior to discontinuation. (23) Communication for the investors: In accordance with SEBI Circular No. Cir/ IMD/ DF/16/ 2011 dated September 8,
(11) Investors may note that all the transactions executed through Invest Easy such as "Online Transactions" (whether 2011 and SEBI Circular no. CIR/MRD/DP/31/2014 dated November 12, 2014 the investor whose transaction has
on our website or through any other application using the internet) "Transactions through call center", been accepted by quant Mutual Fund shall receive a confirmation by way of email and/or SMS within 5
"Transactions through SMS", "Transactions through Mobile Phone" or any other facility as offered by qMF Business Days from the date of receipt of transaction request, same will be sent to the Unit holders
from time to time using the IPIN / One Time Password (OTP) will be considered as transaction through registered e-mail address and/or mobile number.
the mentioned broker (ARN) mentioned on this "SIP Enrollment Details" Form. Thereafter, a Consolidated Account Statement ("CAS") shall be issued in line with the following procedure:
(12) The Broker Code given in this mandate will be applicable for all the transactions done through Invest Easy mode. 1. Consolidation of account statement shall be done on the basis of PAN. In case of multiple holding, it shall be
In case there is a change of Broker Code then the investor are requested to cancel the existing mandate and PAN of the first holder and pattern of holding.
register a fresh mandate with us. 2. The CAS shall be generated on a monthly basis and shall be issued on or before 10th of the immediately
(13) For Direct Investment Please Mention "Direct in the Column "Name & Broker Code/ARN. succeeding month to the unit holder(s) in whose folio(s) transaction(s) has/have taken place during the month.
(14) Investors are required to clearly indicate the plans/options in the application form of the scheme. 3. In case there is no transaction in any of the mutual fund folios then CAS detailing holding of investments across
Investor may note that following shall be applicable for default plan all schemes of all Mutual Funds will be issued on half yearly basis [at the end of every six months (i.e.
September/ March)]
Broker Code mentioned Plan mentioned by Default Plan to 4. Investors having MF investments and holding securities in Demat account shall receive a Consolidated Account
Scenario Statement containing details of transactions across all Mutual Fund schemes and securities from the
by the investor the investor be captured Depository by email / physical mode.
1 Not mentioned Not mentioned Direct Plan 5. Investors having MF investments and not having Demat account shall receive a Consolidated Account
Statement from the MF Industry containing details of transactions across all Mutual Fund schemes by email /
2 Not mentioned Direct Plan Direct Plan physical mode. The word 'transaction' shall include purchase, redemption, switch, dividend payout, dividend
3 Not mentioned Regular Plan Direct Plan reinvestment, systematic investment plan, systematic withdrawal plan and systematic transfer plan
transactions. CAS shall not be received by the Unit holders for the folio(s) wherein the PAN details are not
4 Mentioned Direct Plan Direct Plan updated. The Unit holders are therefore requested to ensure that the folio(s) are updated with their PAN. For
5 Direct Not mentioned Direct Plan Micro SIP and Sikkim based investors whose PAN details are not mandatorily required to be updated
6 Direct Regular Plan Direct Plan Account Statement will be dispatched by quant Mutual Fund for each calendar month on or before 10th
of the immediately succeeding month.
7 Mentioned Regular Plan Regular Plan In case of a specific request received from the Unit holders, qMF will provide the account statement to the
8 Mentioned Not mentioned Regular Plan investors within 5 Business Days from the receipt of such request.
(24) Units held in the dematerialised form: Unitholders can have a option to hold the units in dematerialized form in
In cases of wrong/ invalid/ incomplete ARN codes mentioned on the application form, the application shall be terms of the guidelines / procedural requirements as laid by the Depositories (NSDL/CDSL) / Stock Exchanges (NSE /
processed under Regular Plan. The AMC shall contact and obtain the correct ARN code within 30 calendar days BSE). Please ensure that the sequence of names as mentioned in the application form matches with that of the
of the receipt of the application form from the investor/distributor. In case, the correct code is not received within account held with any one of the Depository Participant.
30 calendar days, the AMC shall reprocess the transaction under Direct Plan from the date of application without (25) Employee Unique Identification Number (EUIN) would assist in tackling the problem of mis-selling even if the
any exit load. Similarly, in the absence of clear indication as to the choice of option (Growth or Dividend Payout), employee/relationship manager/sales person leave the employment of the distributor.
by default, the units will be allotted under the Growth Option of the default /selected plan of the scheme. (26) STEP-UP Facility: Under this facility the Investor can increase the SIP installment(including MICRO SIP) at
(15) Applications should be submitted at any of the Designated Investor Service Centre (DISCs) of quant pre-defined intervals by a fixed amount. This facility is available for individual investors only. For availing the said
Mutual Fund or Karvy Computershare Pvt. Ltd. facilities, investors are required to note the following:
(16) Existing unit holders should note that unit holders' details and mode of holding (single, jointly, anyone or survivor) 1. Investor willing to register STEP-UP should provide the STEP-UP details along with the SIP enrolment details and is
will be as per the existing Account. also required to fill up " One Time Bank Mandate Form" from which the amount shall be debited. Investors who are
(17) quant Mutual Fund reserves the right to reject any application without assigning any reason thereof qMF currently registered under Invest Easy - Individuals facility may avail this facility without registering the One
in consultation with Trustees reserves the right to withdraw these offerings, modify the procedure, Time Bank Mandate. 2. The minimum amount for STEP-UP facility is `100/- and in multiples of `100/-
frequency, dates, load structure in accordance with the SEBI Regulations and any such change will be [except for quant Tax Saver (ELSS) Fund for which the minimum amount shall be `500/- and in multiple of
applicable only to units transacted pursuant to such change on a prospective basis. `500/-. 3. Monthly SIP offers STEP-UP frequency at half yearly and yearly intervals. Quarterly and Yearly SIP
(18) No entry load will be charged with effect from August 1, 2009. Exit Load as applicable in the respective Scheme at offers STEP-UP frequency at yearly interval only. In case STEP-UP frequency is not indicated, it will be
the time of enrolment of SIP will be applicable. considered as Yearly by Default. 4. There should be clear indication about STEP-UP Count i.e. the number
(19) In order to transact through Call Center, SMS, online mode whether through qMF website or any other of times the SIP Installment amount should be increased. In case STEP-UP amount is mentioned and STEP-
application using the internet and /or through Mobile or any other device, the investor needs to have UP count is not indicated, it will be considered as 1 (One) by Default. 5. The date for STEP-UP Facility will
the IPIN, issued by qMF. By filling this form the investor will be issued IPIN by default in case he has not correspond to the registered SIP. The enrolment period specified in the STEP-UP form should be less than
opted for the same earlier. This IPIN can also be used by the investor to Transact Online. If only the email or equal to the enrolment period mentioned in the SIP. 6. In case of any deviation in period, the tenure of
id of the investor is registered with qMF, investor can execute Transaction through Call Center, the SIP shall be considered. Folio with status Minor are not eligible for STEP-UP facility.
Transaction through mobile WAP (Web Access Portal Site, Transaction through qMF website). If only the
mobile number of the investor is registered with quant Mutual Fund, investor can execute transaction
only through SMS. For further details investors are requested to refer SAI.
20) Kindly note that in case of a folio with joint Unitholders, having mode of operations as "either
or survivor" or "anyone or survivor any one of the Investor(s) can transact through SMS, provided that such
instruction is received vide a SMS from the mobile number registered with qMF with respect to the
concerned folio.

*I/We hereby declare that the particulars given on this mandate are correct and complete. If the transaction is delayed or not effected at all for reasons of incomplete or incorrect information, I/We would not
hold quant Mutual Fund, their representatives, service providers, participating banks & other user institutions responsible. I/We have read the Terms & Conditions and agree to discharge the
responsibility expected of me/us as a participant/s under the scheme. I/We authorize use of above mentioned contact details for the purpose of this specific mandate instruction processing. I/We
hereby confirm adherence to terms on this mandate.

Authorisation to Bank: I/We wish to inform you that I/we have registered with quant Mutual Fund for NACH / Direct Debit through their authorised Service Provider(s) and representative for my/our
payment to the above mentioned beneficiary by debit to my/our above mentioned bank account. For this purpose I/We hereby approve to raise a debit to my/our above mentioned account with your
branch. I/We hereby authorize you to honor all such requests received through to debit my/our account with the amount requested, for due remittance of the proceeds to the beneficiary.

FOR OFFICE USE ONLY (Not to be filled in by Investor)

Affix Barcode Date and Time Stamp No.