COMMON APPLICATION FORM

Please read Product Labelling available on the Front Inside APPLICATION NO.
Cover Page and instructions before filling this form
(all points marked * are mandatory)
Sponsor: Edelweiss Financial Services Limited | Trustee Company: Edelweiss Trusteeship Company Limited | Investment Manager: Edelweiss Asset Management Limited
Edelweiss Mutual Fund, Edelweiss House, Off. C.S.T Road, Kalina, Mumbai - 400 098, Maharashtra.
PLEASE READ THE INSTRUCTIONS BEFORE FILLING UP THE FORM. All sections to be completed in ENGLISH in BLACK / BLUE COLOURED INK and in BLOCK LETTERS. Use this form If you are
making a one time investment. For SIP investment use the separate SIP Form.
DISTRIBUTOR INFORMATION
Distributor Code Sub-Broker Code Sub-Broker Code Employee Unique E-Code RIA CODE^
INTERNAL CODE IDENTIFICATION NO. (EUIN) ONLY FOR DIRECT INVESTMENT
ARN - ARN -
*Investors should mention the EUIN of the person who has advised the investor. If left blank, the fund will assume following declaration by the investor “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”.
Upfront commission shall be paid directly by the investor to the AMFI registered Distributors based on the investors’ assessment of various factors including the service rendered by the
distributor. For Direct investments, please mention ‘Direct’ in the column ‘Name & Distributor Code’.
^I/We, have invested in the below mentioned scheme of Edelweiss Mutual Fund under the Direct Plan. I/We hereby give my/our consent to share/provide the transaction data feed / portfolio
holdings / NAV etc. in respect of this particular transaction, to the SEBI Registered Investment Advisor (RIA) bearing the above mentioned registration number.

SIGNATURE (s)
SOLE / FIRST APPLICANT SECOND APPLICANT THIRD APPLICANT

MAKE YOUR SELECTION BEFORE FILLING FORM (PLEASE ? ) INVEST NOW ZERO BALANCE FOLIO (Refer Instruction No.XII)

TRANSACTION CHARGES (PLEASE ? ) (Default option Existing Investor) (Refer Instruction No.XIII)
I am a First Time Investor in Mutual Funds I am an Existing Investor in Mutual Funds
In case the subscription amount is `10,000/- or more and your Distributor has opted to receive Transaction Charges, `150 (for first time mutual fund investor) or `100/- (for investor other than
first time mutual fund investor) will be deducted from the subscription amount and paid to the distributor. Units will be issued against the balance amount invested.

EXISTING INVESTOR'S FOLIO NUMBER INVESTMENT TYPE (Please tick any one) MODE OF HOLDING
(If you have an existing folio with KYC validated, (In case of Demat Purchase Mode of Holding should
please mention here and skip to section 5) LUMP SUM SIP WITHOUT CHEQUE
be same as in Demat Account)
LUMP SUM WITH SIP/STP/SWP Single Joint Anyone or Survivor (Default)

UNIT HOLDING OPTION CDSL/ NSDL DP ID NO.: Depository Participant Name:

Physical Mode Beneficiary Please Note: Demat Account Details of First / Sole Applicant
Demat Mode A/C No. (Name should be as per demat account)
(Please Note: Please attach copy of Client Master List.)
1 APPLICANT INFORMATION (Mandatory) TO BE FILLED IN BLOCK LETTERS* APPLICANTS FROM CANADA WILL NOT BE ACCEPTED (Refer Instruction No.II)

NAME OF SOLE /1ST APPLICANT Mr. Ms. M/s.

PAN CKYC No. Date of Birth D D M M Y Y Y Y

Mobile No. Email ID

I/We hereby declare that the email address and the mobile number provided on the application form belongs to (Please tick (? ) any one from the below options) -
Self Spouse Dependent Parents Dependent Children Dependent Siblings Guardian
Please note: In the event that the mobile number or the email id provided herein above does not appear to be that of the unit holder's, then the AMC shall send suitable
communication in this regard to the unit holder.
GUARDIAN DETAILS (In case First / Sole Applicant is minor) / CONTACT PERSON - DESIGNATION / POA HOLDER (In case of Non-Individual Investors)
Mr. Ms. M/s.

Relationship with Minor/Designation

PAN Date of Birth D D M M Y Y Y Y CKYC No.
Address

CITY
STATE COUNTRY PIN

RESI. OFF. FAX

SECOND APPLICANT Mr. Ms. M/s.
Date of Birth D D M M Y Y Y Y

PAN CKYC No. Mobile No.

THIRD APPLICANT Mr. Ms. M/s.

Date of Birth D D M M Y Y Y Y

PAN CKYC No. Mobile No.

ACKNOWLEDGEMENT SLIP
To be filled in by the investor

Application
Received from: Mr. / Ms. / M/s___________________________________________________ an application for allotment No:
Scheme________________________________________ Plan _____________________ Option______________________ Collection Center’s Stamp &
vide Cheque No ___________________________Dated ____/____/________ Amount (`) ____________________ Drawn on Receipt Date and Time
Bank and Branch ________________________________________________________________________________________

Please note: All purchases are subject to realization of cheques and as per applicable load structure (please refer Scheme Information Document)
 TAX STATUS (Applicable for First / Sole Applicant)
Resident Individual FIIs NRI - NRO HUF Club / Society PIO Body Corporate Minor Government Body Trust NRI - NRE
Bank & FI Sole Proprietor Partnership Firm QFI Provident Fund Others ________________________________________
MANDATORY PROOF OF DATE OF BIRTH FOR MINORS (ANY ONE) & Relationship Proof
BIRTH CERTIFICATE MARKSHEET (HSC/ICSE/CBSE) SCHOOL LEAVING CERTIFICATE PASSPORT OTHERS ____________________________
OVERSEAS APPLICANT DETAILS
ADDRESS (Mandatory for NRI/FII applicant*)
Country Zip Code For NRI applicants Indian Overseas

E-MAIL COMMUNICATION [Please ? ]

Default communication mode is through 'email'. If email address is not provided then please 'Opt-in' to receive below documents in physical copy by ticking the option below:
Annual Report Abridged Annual Report Other Statutory Information
2 KYC DETAILS (Mandatory - Refer Instruction No X for details)
OCCUPATION (Please tick ? )
First Applicant Business Service Professional Agriculturist Housewife Student Defence
Bureaucrat Forex Dealer Unlisted Company Body Corporate Listed Company Others________________
Second Applicant Business Service Professional Agriculturist Housewife Student Defence
Bureaucrat Forex Dealer Unlisted Company Body Corporate Listed Company Others________________
Third Applicant Business Service Professional Agriculturist Housewife Student Defence
Bureaucrat Forex Dealer Unlisted Company Body Corporate Listed Company Others________________
GROSS ANNUAL INCOME (Please tick ? )
First Applicant Below 1 Lac 1-5 Lacs 5-10 Lacs 10-25 Lac > 25 Lacs - 1 Crore > 1 Crore
Net worth (Mandatory for Non - Individuals) R as on D D M M Y Y Y Y [Not older than 1 year]

Second Applicant Below 1 Lac 1-5 Lacs 5-10 Lacs 10-25 Lacs > 25 Lacs - 1 Crore > 1 Crore OR Net Worth

Third Applicant Below 1 Lac 1-5 Lacs 5-10 Lacs 10-25 Lacs > 25 Lacs - 1 Crore > 1 Crore OR Net Worth

For Individuals For Non-Individual Investors (Companies, Trust, Partnership etc.)

I am I am Not Is the company a Listed Company or Subsidiary of Listed Company Yes No
Politically Related to Applicable or Controlled by a Listed Company :
Exposed Politically (If No, please attach mandatory UBO Declaration)
Person Exposed Person
Sole/First Applicant Foreign Exchange / Money Charger Services Yes No
Second Applicant Gaming / Gambling / Lottery / Casino Services Yes No
Third Applicant Money Lending / Pawning Yes No

3 FATCA/CRS DETAILS Non Individual Investors should mandatory fill separate FATCA/CRS details form (Refer Instruction No.XVII)

Sole / First Applicant / Guardian 2nd Applicant 3rd Applicant POA

Place & Country of Birth : _________ / ___________ Place & Country of Birth : _________ / ___________ Place & Country of Birth : _________ / ___________
#Please indicate all countries, other than India, in which you are a resident for tax purpose, associated Taxpayer Identification Number & it’s Identification type e.g: TIN etc.
Tax Payer Identification Type Tax Payer Identification Type Tax Payer Identification Type
Country # Country # Country #
Ref ID No [TIN or other, please specify] Ref ID No [TIN or other, please specify] Ref ID No [TIN or other, please specify]
1. 1. 1.
2. 2. 2.
3. 3. 3.

4 BANK ACCOUNT DETAILS (Refer Instruction No.IV)

Account No. Account Type [Please ? ] SB Current NRO NRE FCNR

Bank Name
Branch Add.
Pin IFSC CODE MICR CODE

5 PAYMENT DETAILS
Mode of Payment [Please ] RTGS/NEFT/Fund Transfer Demand Draft Cheque Cheque No. Date

Gross Amount (A) Net Amount (A) DD Charges (A)

Bank Details: Same as above (Please tick ( ) if yes) Different from above (Please tick ( ) if it is different from above and fill in the details below)
Bank/Branch & City
Account No. Account Type [Please ] SB Current NRO NRE FCNR
Please note that the OTM can be selected as mode of payment provided OTM is already registered. In case OTM is not registered please submit the filled in standalone OTM form to make future transaction through OTM.

CHECKLIST Please submit the following documents with your application (where applicable). All documents should be original/true copies certified by a Director/Trustee /Company Secretary /Authorised signatory / Notary Public)
Documents Individual Companies Societies Partnership Firms Investment through POA Trusts NRI FIIs PIO
Resolution/ Authorisation to invest ü ü ü ü ü
List of authorised signatories with specimen signatures ü ü ü ü ü ü
Memorandum & Articles of Association ü
Trust Deed ü
Bye-laws ü
Partnership Deed ü
Overseas Auditor Certificate ü
Notarised POA ü
Proof of Address ü
Copy of PAN Card / PEKRN ü ü ü ü ü üüü
KYC Compliance ü ü ü ü ü üüüü
PIO Card ü
Foreign Inward Remittance Certificate ü ü
Aadhaar ü ü ü ü ü ü
6 POWER OF ATTORNEY (POA) If investment is being made by a Constitutional Attorney, please submit notarised copy of POA

POA NAME Mr. Ms. M/s. PAN

7 FOR LUMPSUM/NEW SIP-INVESTMENT DETAILS* Choice of Scheme/Plan/Option For SIP Investment Auto-Debit Form is mandatory (Refer Instruction No.VI)

Edelweiss - Scheme Plan Option Sub-Option

(Default Plan/Option/Facility will be adapted in case of no information, ambiguity or discrepancy)
IDCW (Transfer) to Scheme Plan Option

8 SYSTEMATIC TRANSACTION REGISTRATION DETAILS

SIP STP SWP
Scheme: Edelweiss - Source Scheme: Scheme:

Plan
Target Scheme:
Option Sub-Option Amount (in figures):
Installment amount (in figures): Amount (in figures): Amount (in words):
Installment amount (in words): Amount (in words):

Frequency: Fortnightly Monthly

Frequency: Daily Weekly Fortnightly
Frequency: Daily Weekly Fortnightly Quarterly
Monthly Quarterly
Monthly Quarterly
Preferred STP date: Please write the debit date as per SID Preferred SWP date: Please write the debit date as per SID
Debit Date:
(For Monthly & Quarterly only) (For Monthly & Quarterly only)
SIP Period: From Date To Date
Or Perpetual: 31/12/2099 STP Period: From Date To Date SWP Period: From Date To Date

9 NOMINATION DETAILS* (Mandatory) [Refer instruction no. IX)

I/We wish to nominate as under:
Sr. Name of Nominee PAN Allocation Relationship Nominee Date Guardian Name Guardian
No. (%) with Investor of Birth (in case of minor) Signature
1. DD/MM/YY
2. DD/MM/YY
3. DD/MM/YY

I/We DO NOT wish to nominate

Declaration for Nomination (to be signed by all unitholders including joint holders, irrespective of more of holding): I / We do 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 issues involved in non-appointment of nominee(s) and further are aware that in case of death of all the account
holders, my / our legal heirs would need to submit all the requisite documents issued by count or such other competent authority, based on the value of the assets held in the mutual fund folio.
Declaration for Investment: Having read and understood the contents of the Scheme Information Document of the Scheme and Statement of Additional Information and subsequent
amendments thereto including the section on who cannot invest, "Prevention of Money Laundering" and "Know Your Customer", I/We hereby apply to the Trustee of Edelweiss Mutual fund for
units of the Scheme as indicated above and agree to abide by the terms and conditions, rules and regulations of the Scheme. I/We further declare, I am / we are authorised to invest the amount &
that the amount invested by me/us in the above mentioned Scheme(s) is derived through legitimate sources and is not held or designed for the purpose of contravention of any acts, rules,
regulations or any statute or legislation or any other applicable laws or notifications, directions issued by the governmental or statutory authority from time to time. It is expressly understood that
I/We have the express authority from our constitutional documents to invest in the units of the Scheme(s) and the AMC/Trustee/Fund would not be responsible if the investment is ultra vires
thereto and the investment is contrary to the relevant constitutional documents. I/We agree that in case my/our investment in the Scheme(s) is equal to or more than 25% of the corpus of the
Scheme, then Edelweiss Asset Management Ltd., Investment Manager to the Edelweiss Mutual Fund, has full right to refund the excess to me/us to bring my/our investment below 25%. I/We have
not received nor been induced by any rebate or gifts, directly or indirectly in making this investments. I /We hereby authorise Edelweiss Mutual Fund, its Investment Manager and its agents to
disclose details of my investment to my bank(s) / Edelweiss Mutual Fund's bank(s) and / or Distributor / Broker / Investment Advisor. I/We hereby authorize you to disclose, share, remit in any form,
mode or manner, all/ any of the information provided by me/ us, including all changes, update to such information as and when provided by me/ us to Edelweiss Mutual Fund/ Edelweiss Asset
Management Limited to any Indian or foreign governmental or statutory or judicial authorities/ agencies, the tax/ revenue authority and other investigation agencies without obligation on advising
me/ us of the same. I/We authorise Edelweiss Mutual Fund to reject the application, revert the units credited/redeem units created at applicable NAV, restrain me/us from making any further
investment in any of the Schemes of the fund, recover/debit my/our folios(s) with the penal interest and take any appropriate action against me/us in case the cheque(s)/payment instrument is/are
returned by my/our banker for any reason whatsoever. I/We undertake that these investments are my/our own and acknowledge that AMC reserves the right to call for such other additional
information/documents as required to comply with PMLA/KYC/FATCA norms. I/We hereby, further agree that the Fund can directly credit all the IDCW payouts and redemption amount to my bank
details given above. I/We hereby declare that the particulars stated above are correct.
I/ We hereby provide my/our consent in accordance with Aadhaar Act, 2016 and regulations made thereunder, for collecting, storing and usage including demographic information,
validating/authenticating and updating my/ our Aadhaar number(s) (if provided as proof of address or proof of identity of investors, provided the investor redact or blackout his Aadhar number while
submitting the applications for investments) in accordance with the Aadhaar Act, 2016 (and regulations made thereunder) and PMLA with asset management companies of SEBI registered mutual
fund (s)and their Registrar and Transfer Agent (RTA) for the purpose of updating the same in my/our folios with my PAN.
The ARN holder has disclosed to me/us all the commissions (in the form of trail commission or any other mode), payable to him for the different competing Schemes of various Mutual Funds from
amongst which the Scheme is being recommended to me/us. I/We further agree that the Fund/AMC can send us all types of SMS relating to the products offered by them.
I / We confirm that I am/We are not resident(s) of Canada under the laws 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).
Applicable to NRI only: I/We confirm that I am / we are Non Resident of Indian Nationality/Origin and I/We hereby confirm that the funds for subscription have been remitted from abroad through
approved banking channels from funds in my/our Non-Resident External/Ordinary Account/FCNR Account. Please (ü ) (Including amount of Additional Purchase Transaction made in future)
Repatriation Non Repatriation
Applicable if resident / citizen of a member state of European Union protected under GDPR
I / We, resident/citizen of a member state of European Union protected under GDPR, acknowledge that I have read and understood the Privacy Statement of Edelweiss and all its subsidiaries
and associates in India and overseas (collectively referred to as Edelweiss Group) setting out the collection, processing, use and disclosure of personal data for the purposes explained therein
and available on www.edelweissfin.com. Please see the tick marks in the relevant boxes below that will apply to me:
1) I provide my express consent to Edelweiss Group for the collection, processing, use and/or disclosure of my personal data / information by it for the purposes set out in its Privacy Statement.
YES NO
2) I wish to receive marketing information from Edelweiss Group (*) YES NO
3) I would like to receive information about the services which may be provided by Edelweiss Group, including (but not limited to) offers, promotions and information about new goods and
services, via (*) Newsletter Email Text message Telephone call Not interested
SIGNATURE (s)

SOLE / FIRST APPLICANT SECOND APPLICANT THIRD APPLICANT

DATE : ____ /____ /______ PLACE : _____________________