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For any enquiries, please contact Investor Service Centre, SCO-28,1st floor,Taneja Towers,District, Shopping Complex,, Ranjit Avenue,

Amritsar143001, Punjab, Phones : 1800 3010 6767 / 1800 419 7676, Email : servicesamritsar@hdfcfund.com

Account Statement

Page 1 of 2

Folio No. : 8859269 / 96

Statement Date : 25-Jun-2016

PAN

Ravi Kumar
Unitholder(UH)

508,GALI KAMBOJ
LAXMANSAR
AMRITSAR - 143001
Punjab , India

: ABBPK1190R

PAN
Validity

KYC
Compliant

Yes

Verified

Email : Not Registered

Nominee
Mode of Holding
Tax Status

: Suman Jindal

: Single
: Individual

Date

NAV

Amount
in INR

SIP Purchases
***Registration of Nominee***
***SIPRegistered - 06/03/2013***
***Address Updated from KRA Data***

234.340

1,000.00

SIP
SIP
SIP
SIP
SIP
SIP
SIP
SIP
SIP
SIP
SIP
SIP
SIP
SIP
SIP
SIP
SIP
SIP
SIP
SIP
SIP
SIP
SIP
SIP
SIP
SIP
SIP
SIP
SIP
SIP
SIP
SIP
SIP
SIP
SIP
SIP
SIP
SIP
SIP

222.936
234.464
228.431
218.272
212.547
219.859
229.568
241.235
255.146
249.516
245.130
263.901
285.993
298.464
355.344
351.356
348.351
381.132
366.543
392.957
401.444
403.086
398.027
408.308
414.273
391.003
381.530
392.288
409.863
369.083
382.499
370.671
368.254
358.401
323.442
333.269
350.700
357.718
374.767

1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00

Transaction Type

Price
in INR

Number of
Units

Balance
Units
0.000

234.340

4.267

4.267

222.936
234.464
228.431
218.272
212.547
219.859
229.568
241.235
255.146
249.516
245.130
263.901
285.993
298.464
355.344
351.356
348.351
381.132
366.543
392.957
401.444
403.086
398.027
408.308
414.273
391.003
381.530
392.288
409.863
369.083
382.499
370.671
368.254
358.401
323.442
333.269
350.700
357.718
374.767

4.486
4.265
4.378
4.581
4.705
4.548
4.356
4.145
3.919
4.008
4.079
3.789
3.497
3.350
2.814
2.846
2.871
2.624
2.728
2.545
2.491
2.481
2.512
2.449
2.414
2.558
2.621
2.549
2.440
2.709
2.614
2.698
2.716
2.790
3.092
3.001
2.851
2.795
2.668

8.753
13.018
17.396
21.977
26.682
31.230
35.586
39.731
43.650
47.658
51.737
55.526
59.023
62.373
65.187
68.033
70.904
73.528
76.256
78.801
81.292
83.773
86.285
88.734
91.148
93.706
96.327
98.876
101.316
104.025
106.639
109.337
112.053
114.843
117.935
120.936
123.787
126.582
129.250

Opening Balance as on 06/03/2013


06/03/2013
07/03/2013
15/03/2013
20/03/2013
10/04/2013
10/05/2013
10/06/2013
10/07/2013
12/08/2013
10/09/2013
10/10/2013
11/11/2013
10/12/2013
10/01/2014
10/02/2014
10/03/2014
10/04/2014
12/05/2014
10/06/2014
10/07/2014
11/08/2014
10/09/2014
10/10/2014
10/11/2014
10/12/2014
12/01/2015
10/02/2015
10/03/2015
10/04/2015
11/05/2015
10/06/2015
10/07/2015
10/08/2015
10/09/2015
12/10/2015
10/11/2015
10/12/2015
11/01/2016
10/02/2016
10/03/2016
11/04/2016
10/05/2016
10/06/2016

Purchases
Purchases
Purchases
Purchases
Purchases
Purchases
Purchases
Purchases
Purchases
Purchases
Purchases
Purchases
Purchases
Purchases
Purchases
Purchases
Purchases
Purchases
Purchases
Purchases
Purchases
Purchases
Purchases
Purchases
Purchases
Purchases
Purchases
Purchases
Purchases
Purchases
Purchases
Purchases
Purchases
Purchases
Purchases
Purchases
Purchases
Purchases
Purchases

Instalment
Instalment
Instalment
Instalment
Instalment
Instalment
Instalment
Instalment
Instalment
Instalment
Instalment
Instalment
Instalment
Instalment
Instalment
Instalment
Instalment
Instalment
Instalment
Instalment
Instalment
Instalment
Instalment
Instalment
Instalment
Instalment
Instalment
Instalment
Instalment
Instalment
Instalment
Instalment
Instalment
Instalment
Instalment
Instalment
Instalment
Instalment
Instalment

2/325
3/325
4/325
5/325
6/325
7/325
8/325
9/325
10/325
11/325
12/325
13/325
14/325
15/325
16/325
17/325
18/325
19/325
20/325
21/325
22/325
23/325
24/325
25/325
26/325
27/325
28/325
29/325
30/325
31/325
32/325
33/325
34/325
35/325
36/325
37/325
38/325
39/325
40/325

continued...

EISC-ETRXN-11.23.1-250616021935-1031

4007 / HDFC TaxSaver - Regular Plan - Growth * - INF179K01BB8 UCC : MFHDFC0022

Page 2 of 2

Account Statement (Folio No. : 8859269 / 96)


Market Value of Balance Units at NAV of 373.468 on 24/06/2016 (INR) :

48,270.74

Dividend reinvested / paid (INR) : 0.00

Available Units to Redeem as of today

17.396

Total Units Under Lien

0.000

Total dividend reinvested / paid (INR)

0.00

Advisor : ARN-43314 / MJR Invest


Bank Account : SB XXXX4062 / Punjab National Bank / Jallianwala Bagh / Amritsar

Redemption Payout Mode : By Mail

* An Open-ended Equity Linked Savings Scheme with a lock-in period of 3 years - Current Load Structure : Entry Load - Not Applicable. Exit Load - Nil. This scheme qualifies for
deduction u/s 80C of the Income-Tax Act, 1961(the """Act"""), subject to the limits and conditions specified in Sec.80C read with Sec.80CCE of the Act. """Only those units which
have completed the lock-in period would be reflected as available units to redeem""". For further details visit www.hdfcfund.com or contact any of our Investor Service Centre.
Service Tax registration number : AAATH1809ASD001. Service Tax registration number : AAATH1809ASD001
Details regarding your Bank account and Email Id maybe masked to ensure security of information.
(#)switch-in will be processed based on the settlement cycle of the switch-out scheme.
This is a computer generated statement and does not require any signature.

Inflows into ELSS schemes for the period from 01-Jan-1900 to 25-Jun-2016
Scheme Name

Amount (INR)

HDFC TaxSaver-Growth

40,000.00

Note :
i) Investments under ELSS schemes are subject to a lock-in period of 3 Years. These Investments are eligible for deduction u/s 80C of the Income Tax Act, 1961(the ''Act''),
subject to the limits and conditions specified in section 80C read with Sec 80CCE of the Act.
ii) The Investments under RGESS schemes are not covered in the above ELSS schemes summary. Please refer to your Demat Account statement for the said details.

Account Summary
Scheme

THANK YOU FOR INVESTING WITH HDFC MUTUAL FUND


Maturity Date

HDFC TaxSaver-Growth

Mode of Investment
Systematic Transactions

Nav Date

NAV

Units

Cost (INR)

Market
Value (INR)

24-Jun-2016

373.468

129.250

40,000.00

48,270.74

Top up
Frequency

Top up
Amount(INR)

Systematic Registrations
From Date

To Date

Frequency

SIP

06-Mar-2013

10-Mar-2040

Monthly

HDFC TaxSaver - Regular Plan - Growth

Installment Advisor
Amount(INR) Code

1,000.00 ARN-43314 NA

NA

EISC-ETRXN-11.23.1-250616021935-1031

Registration
Scheme
Type

continued...

TRANSACTION REQUEST FOR


PURCHASE / SWITCH / REDEMPTION

TIMESTAMP (FOR OFFICE USE ONLY)

(Please use separate transaction slip for each scheme.


For upating your contact details, please submit a separate request)
Folio Number

Name of sole /
First Unit Holder :

8859269 / 96

Scheme / Plan / Option*

Ravi Kumar

(Switch out Scheme


for switch Request)

*Investors applying under Direct Plan must mention Direct against the Scheme name. Default Plan / Option in terms of KIM will apply if the choice of Plan / Option is not indicated.
KEY PARTNER / AGENT INFORMATION (Investors applying under Direct Plan must mention Direct in the ARN column below)

ARN

ARN Name

ARN-43314

MJR Invest

Sub Agents ARN

Bank Branch Code

Internal Code for


Sub-Agent/ Employee

Employee Unique
Identification Number (EUIN)

ARN -

Note: Upfront commission shall be paid directly by the investor to the ARN Holder (AMFI registered Distributor) based on the investors assessment of various factors
including the service rendered by the ARN Holder.
Important: Please strike off any unused portion of this sheet.

ADDITIONAL PURCHASE

(Please write your folio number and name on the reverse of the cheque/DD/Payment Instrument no.)

Payment Mode: (Please tick any one only)


Cheque/DD/Instrument No:

OTM (One Time Bank Mandate)

IF APPLICABLE
MANDATORY FOR OTM

Bank Name:

Cheque

Payment Date/Instrument Date :

DD
/

Funds Transfer

RTGS / NEFT

Amount (Rs.) :

Branch:

City :

Investors desiring to get allotment of units in dematerialized mode instead of physical mode should provide the details in their demat account below:
NSDL

CDSL

DP Name
DP ID
Beneficiary Account No.
Please attach a copy of the DP statement / Client Master Form to enable us to verify the demat account details.
IMPORTANT : Names, mode of holding, PAN details, etc. of the Investor will be verified against the Depository data. Names, mode of holding, PAN details, etc. of the
Investor will be verified against the Depository data. The units w ill be credited to the beneficiary (dem at) account only after successful verification w ith
the depository records and realization of paym ent.

SWITCH REQUEST (Please tick any one only)

All Free Units

Amount (in Rs.) :

No. of units :

To Scheme / Plan / Option ^ :


REDEMPTION - Subject to Lock-in Period, if any
All Free Units

No. of units :

(Please tick only one of the below options.)


(in words)

Amount (in Rs.)

IFSC Code :
(If not provided earlier for electronic payment)
Note : If a redemption request is submitted alongwith a request for changing the bank account details, the redemption will be processed into the registered /default bank
account in the aforesaid scheme/folio and the request for changing the bank account details will not be processed.
For investors who have registered for Multiple Bank Accounts facility# in the above folio:
The redemption should be processed into the following bank account as per the payout mechanism indicated by me/us (This bank account has already been registered in the folio):

Name of the Bank :

Branch :

Account No.:

Account Type:

Bank City :

#Important

Note: If the bank account mentioned above is diffrent from those already registered in your folio OR if the bank account details are not filled above,the redemption will be
processed into the "Default" bank account registered for the aforesaid folio .HDFC Mutual Fund or HDFC Asset Management Company Ltd. will not be liable for any loss arising to the
unitholder(s) due to the credit of redemption proceeds into any of the bank accounts registered with us for the aforesaid folio. If the balance in my/our account does not cover the amount /
units of the redemption request, I/we authorise you to send the entire such (lesser) balance to me/us.
DECLARATION :I/We am/are not prohibited from accessing capital markets under any order/ruling/judgment etc., of any regulation, including SEBI. I/We confirm that my
application is in compliance with applicable Indian and foreign laws. I / We hereby confirm and declare as under:1) I/We have read, understood and hereby agree to comply with the terms and conditions of the scheme related documents and apply for allotment of Units of the Scheme(s) of HDFC Mutual Fund (Fund) indicated
above.
2) I/We am/are eligible Investor(s) as per the scheme related documents and am/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.
3) The information given in / with this application form is true and correct and further agree to furnish such other further/additional information as may be required by the HDFC Asset Management Company Limited (AMC)/
Fund and undertake to inform the AMC / Fund/Registrars and Transfer Agent (RTA) in writing about any change in the information furnished from time to time.
4) That in the event, the above information and/or any part of it is/are found to be false/ untrue/ misleading, I/We will be liable for the consequences arising therefrom.
5) 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 Mutual 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 authorities/agencies including but not limited to Financial Intelligence Unit-India (FIU-IND) etc without any intimation/advice to me/us.
6) 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.
7) The ARN holder (AMFI registered Distributor) 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.
8) 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.

Please (

Yes

No

If Yes, (

Repatriation basis

Non-repatriation basis

Declaration for Purchase/Switch transaction 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.
TO BE SIGNED BY ALL UNIT HOLDERS IF MODE OF HOLDING IS JOINT. ALTERATIONS, IF ANY, SHOULD BE COUNTERSIGNED.

Sole/ First Unit holder/ Guardian/ POA

Second Unit holder

Third Unit holder

EISC-ETRXN-11.23.1-250616021935-1031

Applicable to 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 residential status.
Applicable to NRIs/PIO/OCIs only:I/We confirm that my application is in compliance with applicable Indian and foreign laws.

Signature(s)

This transaction request is not valid for HDFC Gold Exchange Traded Fund

Redeem

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