7/28/2019 Rel Transaction Slip 3

1/2

N a me o f S e co n d A p p l ic an t

N a me o f T h i rd A p p l i ca n t

PAN No .[ A re y ou K Y C C om p li a nt P le as e ( ) Ye s o r N o ]

PAN No .[ A re y ou K Y C C om p li a nt P le as e ( ) Ye s o r N o ]

N a me o f G u ar di a n ( I n c a se o f M i n or ) PAN No .[ A re y ou K Y C C om p li a nt P le as e ( ) Ye s o r N o ]

B a n k A c co u nt N o :Bank Name:

B ra n ch & A d dr e ss :

Ci ty P I N * 9 D i gi t M IC R N o .

a nM d a t o r y

S B C A N R E N R OA/c Type

IFSC/NEFT Cod e P ayab le City:

F C N R

stS o l e / 1 a p p l ic a n t /G u a r di a n / A u t h o ri s e d S i g n a to r y nd2 a p pl i ca n t rd3 a p pl i ca n tSIGNATURE/S

A P P N o. :

R e l i an c e C a p i ta l A s s e t M a n a ge m e nt L i m i t e d

A R e l ia n c e C a p it a l C o mp a n y

T R A N S A C T I O N S L I PR A N S A C T I O N S L I PD I ST R IB U TO R / B R OK E R I N FO R MA TI O NISTRIBUTOR / BROKER INFORMATION

Name & B roker Code / A RN Sub Broker / S ub Agent Code

P l e as e u s e s e p a ra t e t ra n s ac t i o n s l i p fo r e a c h s c h e me . T h i s Fo r m i s f or u s e o f E x i s ti n g I n ve s t or s o n ly . To b e f i l l ed i n C A P IT A L L ETT E R S

A C K N OW L E DG E M E N T SL I P ( To b e f i l le d b y t h e i n v e s to r )CKNOWLED GEMENT SLIP ( To be f illed by the investo r)

N am e o f F ir s t / S o l e a p pl i ca nt PAN No .[ A re y ou K Y C C om p li a nt P le as e ( ) Ye s o r N o ]

I n ve s t or D e t ai l snvestor Details

A d d i t io n a l P u r c ha s edditio nal Purchase

C ha ng e o f B an k D et ai ls ( P le as e a tt a ch O l d & N e w B a nk P r o of a s p e r A d de n du m N o . 6 4 )hange o f B ank D etails

Foli o/Ac c ount No:

C he qu e/ D D N o. D D C ha rg e R s. C he qu e/ D D N et A mo un t R s.

B a nk N am e : Branch:

Ci ty

E - m a i l

I n ve s to r s p r ov i d in g E m ai l I d w ou l d m an d a to r i ly r e c ei v e o n ly E - S t at e me n t o f A c co u n ts i n l i e u o f p h ys i ca l S t at e me n t o f A c co u n ts .

E m a i l C o mm u n i ca t i o nmail Co mmunicatio nI N B L O C K L E T T E R S

P A N & K Y C U p d at i o n ( P le a s e T i c k ) P h o to c o py ( i e s) o f P A N C a r d( s ) S u b mi t e d h e r ew i t h P h o to c o py ( i e s) o f K Y C l e t te r ( s ) e n c l os e d h e r ew i t h

R eceived f rom Mr./Mrs.

A d d it i o n al P u r c ha s e R e de m p ti o n S w i tc h C h a ng e o f A d d re s s C h a ng e o f B a n k A c co u n t P A N & K Y C U p d at i o n E m a i l C o mm u n i ca t i on

Foli o/Ac c ount No:

A mo u nt : R s o r U n it s : A l l U n i tsor

From Scheme P lan Option

To Scheme P lan Option

S witchw itch

Redem ptionedemptio n

C h an ge o f A d dr e ss (W it h e ffe ct fr om Fe bu ra r y 1 , 2 00 8, C ha ng e o f a dd re ss r eq ue st h as t o b e s ub mi tt ed a t P OS o f C V L u s i ng K YC D et a il s C ha ng es Fo rm , I f y ou a re K Y C c om pl ia n t)hange o f A ddress (

Scheme P lan Option

A mo u nt : R s o r U n it s : A l l U n i tsor

S t a t e

Add2

District

Add1

Te l . N o . ST D Co d e O ffi c e Re s i d e n c e M o b i l eFaxP I N *

C i t y

Scheme P lan Option

C h eq u e/ D D D a te

U p fr o n t c o m m i ss i o n s h a l l b e p a i d d i r e ct l y b y t h e i n v es t o r t o t h e A M F Ir e g i s te r e d D i s t r i bu t o r s b a s e d o n t h e i n v e s to r s ' a s s e s s me n t o f v a r io u s

fac tors inc luding the servic e rendered by the distributor

I/We would li ke to i nve st i n Re li ance _____________________________subj e ct to te rms of the State me nt of Ad di ti onal Informati on (SAI) and Sche me Informati on Docume nt (SID) andsubsequent amendments thereto. I/We have read, understood (before filling application form) and is/are bound to the details of the SAI and SID including details relating to various servicesi nclud ing b ut not li mite d to ATM/ De bi t C ard . I/We hav e not re cei v ed nor b e en i nduced b y any re bate or gi fts, d i rectlyor i ndi rectly, i n making thi s i nv estment. I accep t and agree to b e b ound b ythe said Terms and Conditions including those excluding/ limiting the Reliance Capital Asset Managements Limited (RCAM) liability. I understand that the RCAM may, at its absolute discretion,d i sconti nue any of the serv i ce s comp lete ly or p arti ally wi thout any p rior notice to me . I agre e RCAM can d e bi t from my foli o for the serv ice charges as ap p li cab le from ti me to ti me . The ARNholderhas disclosed to me/us allthe commissions (in the form of trail commission or any other mode), payable to him forthe different competing Schemes ofvarious Mutual Funds from amongstwhich the Scheme is being recommended to me/us. I hereby declare that the above information is given by the undersigned and particulars givenby me/us are correct and complete.Applicablefor N RI Inve stors: I confi rm that I am re sid e nt of Indi a. I/We confi rm that I am/We are N on- Resi de nt of Indi an N ationali ty/Ori gin and I/We he re by confi rm that the fund s for subscrip ti on 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 purchasesmade under this folio will also be from funds received from abroad throughapproved banking channels or fromfunds in my/ our NRE/FCNR Account.

Disclaimer

7/28/2019 Rel Transaction Slip 3

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1 1 t h f l o o r & 1 2 t h f l o o r, O n e I n d i a b ul l s C e n tr e , To w e r 1 , J u pi t e r M i l l s C om p o un d ,8 4 1 , S e n a p a t i B a p a t M a r g , E l p h i n s t o n e R o a d , M um b a i - 4 0 0 0 1 3 .

To l l f r e e : 1 8 0 0 - 3 0 0 - 1 1 1 1 1 | w w w. r e l i a n c e m u t u a l . c o m

A C K N O W L E D G M E NT S L I P ( To b e f i ll e d i n b y t h e A p pl i c a nt )

INSTRUCTIONS

1 . P le a se re ad th e S c he m e I n fo r ma t io n D oc u me n t ( S ID ) a n d S t at em e nt o fA d d i ti o n a l I n fo r m at i o n ( S A I) c a r e fu l ly b e fo r e i n ve s t i ng / s w i tc h i n g to o t h e rschemes for risk f actors & terms ap p licab le toSchemes / P lans.

2 . F or a d di t io n al p ur c ha s e, t h e c h eq ue / D e ma n d D ra ft s h ou l d b e d ra wn i nf avour of the name of the scheme (e.g. R eliance Eq uity Fund )and crossed A/cP ayee and p ayab le locally at the p lace of the ISC, where the ap p lication isbe ing s ub mi tte d. Out st at ion c he qu e / DD wi ll no t be a cce pte d.

PAYME NT BY CASH IS NOT PE RMITT E D .

3 . I n c a se o f m u lt i pl e h ol d er s , th e d i vi d en d ( wh e re a p pl i ca b le ) & r e de m pt i onamount, will b e p aid to the f irstunits hold er.

4 . BANK D E T AILS:

A s p e r t h e S E BI g u i de l i n e s, i t i s m a n da t or y f or i n v es t or s t o m e n ti o n t h e i r b a n ka c c ou n t d e t a i l s i n t h e a p p l i ca t i o n f o r m . I n t h e a b s e nc e o f t h e b a n k d e t a i l s t h ea pp li ca ti on fo rm w il l b e r ej ec te d. W he re ve r p os si bl e / a va il ab il it y o fe l e c tr o n i c cr e d i t s e r v i ce , R M F w i l l g i v e i ns t r u ct i o n t o t h e i nv e s to r s b an k f ord i re c t / e l ec t ro n ic c re d it f or d i vi d en d / r e de m pt i on p ay m en t s a n d s u chinstructions will b e ad eq uate d ischarge of R MF toward s the said p ayment. Inc a s e t he c r e d i t i s n o t a f fe c t e d by t h e u n i th o l de r s b a n ke r f or a n y r e a so n R M Fr e s e r ve s th e ri g h t t o m a ke t he pa y me n t b y a ch e q ue / D D , i n c a se i t i s no tp o s si b l e t o m a ke t he p ay m e n t t h r ou g h e l e c tr o n i c c r e d i t. I f t h e e l e c tr o n i ccred it is d elayed or not af fected or cred ited to a wrong account, on account ofi n c o mp l e te o r i n c o rr e c t i n fo r m at i o n , R M F w i l l n o t b e h e l d r e s p o n si b l e. P l ea s ep r ov i d e t he M I C R C od e / I FS C c o d e on t h e r i g ht b o tt o m o f y o u r C h e q u e fo r u sto help you in f uture for ECS/NEFT cred it of d ivid end and red emp tionp ayout.

5 . D I RE C T C RE DI T O F R ED EM P TI O N / D I VI D EN D P RO C EE D S / R EF U ND - I FANY R M F w i ll e n de av ou r t o p r ov i de p a ym e nt o f D i vi d en d / R ed e mp t io n /Re fund(Ifany) through EC S ,NEFT, C he que , De mand Draft or Di re ct C redi t i ntoi nv e stors bank account whe re ve r possi ble .

6 . Perm a nentAc c o unt Num ber (PAN)

As p er SEB I circular numb er MR D/DoP/Cir- 0 5/2 0 0 7 d ated Ap ril 2 7 , 2 00 7 ,P AN shall b e the sole id entif ication numb er f or all p articip ants transacting int h e s e c u r i ti e s m a r k e t, i r r e s p e c t iv e o f t h e a m o u n t o f t r an s a c ti o n w. e . f. J u ly 2 ,2007.

A c c or d i ng l y, i t i s m a nd a to r y f or i n v es t o r s t o p r ov i d e t he i r P A N al o n gw i t h aself attested cop y of P AN card .

I f t h e i n ve s t me n t i s b e i n g m ad e o n b e h al f o f a m i n o r, t h e P AN o f t h e m i n or o rfa t he r o r m o th e r o r t h e g ua r di a n, w h o r e pr e se n ts t h e m in o r, s h ou l d beprovided.

Ap p lications received without P AN/PAN card cop ywill b e rejected .

Note: P ursuantto SEB I letterd ated J une 1 9 , 2 0 0 9 ad d ressed to AMFI, and inc o m pl i a n ce w i t h A M F I G u i de l i n e s d a te d J u ly 1 4 , 2 0 0 9 , i n v e s tm e n t i n M i c roS c h e me s s uc h a s Sy s te m a ti c I nv e s t me n t P l a n ( S I P) w h e r e a g gr e ga t e o fi n s ta l l me n t s i n a ro l l i ng 12 mo n t hs pe r i o d o r i n a fi n a n ci a l y e a r i . e . A p r i l t oM a r c h d o e s n o t e x c ee d R s 5 0 , 00 0 p e r y e ar p e r i n v es t o r ( h e r e i na ft e r r e fe r r e da s " Mi c ro S I P" ) , wi l l b e e xe m pt ed f r om t h e r eq ui r em e nt o f P er m an e ntA c c ou n t N u m b e r ( P A N ) w i t h e f fe c t f r om A u g u st 0 1 , 2 0 0 9.

I n ve s to r s m ay p le as e n o te t h at t h is t ra n sa c ti o n s l ip i s n o t a p pl i ca b le f orinv estm ents in Mic ro SIP.

7 . P re ve nt io n o f M o ne y L a un de ri ng & K no w Yo ur Cu st om er ( K Y C) : W. e. f 0 1s tF e b 2 0 0 8 i t i s m a n da t or y f or a l l a p pl i c a ti o n s f or s u b sc r i p ti o n o f v a lu e o fR s.5 0 , 0 0 0/- above to q uote the KYC Compliance Status of each ap p licant( g u a rd i a n i n c a s e o f m i n o r) i n t h e a p p l i ca t i on f or s u b sc r i p ti o n a nd a t ta c h p r o ofo f K YC Co mp li an ce v iz . K YC A ck no wl ed ge me nt L et te r ( or t he e rs tw hi leMutualFund

I d e nt i f i ca t i o n N u m be r * ( M I N) A l l ot m e n t L e t te r ) . T h e K Y C S t a tu s w i l l b evalid ated with the record s of the Central Agency b ef ore allotting the units.

R eliance Mutual Fund will not b e held resp onsib le and /or liab le f or

r e j e c ti o n o f K Y C F or m , i f a n y, by t h e C e nt r a l A g e nc y . A p p li c a ti o n s f or

sub scrip tions of V alue of R s. 5 0 , 0 0 0 /- and ab ove without a valid KYC

I f t h e S c h e me n a m e o n t h e a p pl i c a ti o n f or m a n d o n t h e c h e qu e i s d i f fe r e n t,

t h e n t h e u ni t s w i l l b e a l lo t e d a s p e r t h e S ch e m e n am e m e nt i o n ed i n t h eap p licationf orm.

c o m pl i a n ce m a y b e r e j e c te d . P r ov i d e d fu r t h e r, w h e r e i t i s n o t p o s si b l e t o

v e r i fy t h e K YC C o mp l i a nc e s ta t u s o f t h e i nv e s to r a t t h e t im e o f a l l ot m e n t

o f u n i t s, t h e T ru s te e / AM C s h a l l v e r i fy t h e K YC c o m pl i a n ce s t at u s of t h e

i n v es t o r w i t h in a re a so n a bl e t i m e a f te r t h e a l l ot m e n t o f u n i t s. I n t h e

e v e n t o f n o n c o m pl i a n ce o f K Y C r e q u ir e m e nt s , th e Tr u s te e / AM C r e s e r ve s

t h e r i gh t t o f r ee z e t he fo l i o o f t h e i nv e s to r ( s) a n d af fe c t m a n da t o r y

r e d e mp t i o n o f u n i t h o l di n g s o f t h e i n v es t or s a t t h e a p pl i c a bl e N A V, s u b j e ct

t o p a ym e n t o f e x i t l o a d, if a n y. A l l i n v es t or s (b o t h i n d i vi d u al a nd no n -

i n d i v id u a l) c a n a p p ly f or K Y C c o m pl i a n ce . H o we v e r, a p p li c a ti o n s s ho u l d

n o t e t h a t m i n or s c a n no t a p p ly f or K Y C c o m pl i a n ce a n d a n y i n v es t m e nt i n

the name of minors should b e through a Guard ian, who should be KYC

c o m pl i a n t fo r t h e p u r po s e o f i n v es t i n g w i t h a Mu t u al F un d . A l s o

a p p li c a nt s / u n i t h o l de r s i n te n d i ng , to a p p ly f or u n i t s cu r r e nt l y h o l di n g

u n i t s a n d o pe r a ti n g t h e i r M u tu a l F un d f ol i o s t h r ou g h a P o we r o f A t to r n e y

( Po A ) m u st e n su r e th a t t h e is s ue o f P oA a n d th e h ol d er o f t h e Po A m u st

m e n t io n t h e i r K Y C c o m pl i a n ce s ta t us a t t h e t i m e o f i n v es t m en t , i f s u c h

investment(s) are ab ove the p rescrib ed threshold limit.P oA hold ers are not

p e rm i tt e d to a p pl y fo r K Y C c o mp l ia n ce o n b e ha l f o f t h e i ss u er o f t h e Po A ,

Sep arate p roced ures are p rescrib ed for change in name, ad d ress, and other

KYC related d etails, should the ap p licant d esire to change such

i n fo r m a ti o n , P O S w i l l e x te n d t h e s e r v i c e s o f e f fe c t i ng s u c h c h a ng e s . *

V alid only where investors who have alread y ob tained the erstwhile

M u tu a l F un d I de n t i fi c a ti o n N u m be r ( M I N ) b y s u b mi t t in g t h e PA N c o py a s

t h e p r o of o f i d e n ti t y. Fo r d e t ai l s o n P r ev e n ti o n o f M o n ey L a u nd e r i ng &

K n o w Yo u r C us t om e r p l e as e r e fe r t o S A I a n d S I D .

8 . C o mm u n i ca t i on f or t h e i n ve s t or s .

I f t h e i n ve s t or ( s ) h a s /h a ve p r o vi d e d h is / t h ei r e m a i l a d d re s s i n t h e

a p pl i ca t io n fo r m o r a ny s u bs e qu e nt c om m un i ca t io n i n a ny o f t h e fo l io

b e l on g i n g t o t h e i n ve s t or ( s ) , R M F / A s s e t M a n ag e m en t C om p a ny r e s e r ve s

t h e r i gh t t o u s e E le c t r on i c M ai l ( e m a il ) a s a de fa u l t m o d e t o s e n d v a r io u s

c o m mu n i ca t i o n w h i c h i n c l ud e a c c ou n t s t a te m e n t s f o r t r a ns a c t i on s d o n e

b y the investor(s).

T h e i n v es t or ( s ) m a y r e q u es t fo r a p h ys i c al a c c ou n t s t a te m e n t b y w r i t in g o r

c a l li n g R MF ' s I nv e s to r S e r v i ce C en t e r/ R e g is t ra r & Tr a ns fe r A g e nt . I n c a s e

o f s p e ci f i c r eq u e st r e c e i ve d fr o m t h e i nv e s to r ( s) , R M F s h a ll e n d ea v or t o

p r ov i d e t h e a c co u n t s t a te m e n t t o t h e i n ve s t or ( s ) w i t h in 5 w o r ki n g d a ys

f ro m t h e r e ce i pt o f s u ch r e qu e st . R M F s h al l c o mp ly w i th S E BI C i rc u la r N o .

IMD/CIR /12 /8 0 0 8 3/2 0 0 6 d ates Novemb er 2 0 , 2 0 0 6 with resp ect to

d i s pa t c h o f t h e a c c ou n t s t a te m e n t.

9 . T h e F un d ma y c l os e an i n ve s to r s a cc ou n t a n d t h e u n it s wi l l b e re d ee m ed

at ap p licab le NAV, if the b alance falls b elow the minium p rescrib ed limits

a s p er S A I a n d SI D o r i f t h e Pl a n fa i ls t o f ul f il l S E BI R eq u la t io n s vi z ., E a ch

S c h e me / P l a n s h o ul d h av e a m i ni m u m o f 2 0 i nv e s to r s a nd n o s i n g le

i n v es t or s h o ul d a c c ou n t f or m o r e t h a n 2 5 % o f t h e c o r p us of s u c h S c h e me

/ P l an A l l f ur t h er c o mm u ni c at i on i n c o nn e ct i on w i th t h es e u n i ts s h o ul d b e

ad d ressed to the R egistrar, q uoting scheme name and Folio / Account

N u m be r a t t h e f o l lo w i ng a d d r e s s .

K a r v y C o mp u te r s h ar e P vt . L t d. , Mu n i c ip a l N o 1 - 9 /1 3 / C, P lo t N o . 1 3 &

1 3 C , S u r ve y N o . 74 & 7 5 , M ad h a pu r V i l la g e , S er l i n ga m p al l y M a n da l &

Municip ality, R .R . District, H yd erabad , And hra P rad esh 5 0 0 0 8 1 .

Tel - 040-44338100 Fax: 040-23394828 Website:

www.reliancemutual.com,

E- mail: customer_care@reliancemutual.com,

Call: Toll f ree 1 8 0 0 - 3 00 - 1 1 1 1 1 or 3 0 3 0 1 1 11

* P re f ix t h e S TD c o de of y o ur c i ty, i f y o u a r e c a ll i ng f ro m a Mo bi l e P ho n e.

* I f y ou a re ca ll in g fr om a MT NL or B SN L p ho ne li ne s,P lease dial 0 2 2 - 3 0 30 1 1 1 1

Ver.1.0

/01/10/09