Account Statement Statement Date : 17 Apr 2019

* Folio No. : 540290093084 Application No : 0823525

* Please quote this folio number for future correspondence / transactions.

JIBAN KUMAR DALEI Unique Client Code :MFUTIB0066

Date Of Birth : Registered Category : RESIDENT INDIAN
TECNICIAN NINL DUBURI
JAJPUR Mode of Holding : SINGLE Status : INDIVIDUAL
OTHERS Bank Account No : SAVINGS/XXXXXXXX239 Pay Mode : Electronic
PIN : 755026 Bank Name : STATE BANK OF INDIA
Mobile No : 9040153118 MICR No : 755002512 IFS Code : SBIN0005757
Email ID : jibandalei@yahoo.co.in

Nominee : Ramita Dalei - 100%

Financial Advisor : Jitesh Kumar Das ( ARN-33149 )
Sub ARN Code : Sub Code : EUIN : E047611
SIP Registration Details Step up
SIP RefNo FromDate ToDate Amount (`) Frequency Amount (`) Frequency
494874695 15/09/2015 15/08/2025 1000 Monthly

Holder PAN KYC Status/KIN FATCA

Primary Holder XXXXXXX54K Complied(DOTEX) Yes You can send your request for Account Statement 24x7 with either your Folio no., or PAN or Email ID
2nd Holder (provided PAN and Email ID is registered in the Folio) by logging on to UTI Mutual Fund's website
www.utimf.com. The service is available with a drop down option of "Request for SoA" under the heading
3rd Holder
"Customer Service".
Guardian
Status as on 31-01-2018: NAV Rs. 61.1073, Units 573.302, Value Rs.35032.940
UTI Value Opportunities Fund-Regular Growth Plan ISIN : INF789F01AG5
Tr.Date Transaction Type Amount (`) NAV(`) Load Price (`) Number of Units Balance Units
(`)

Opening Balance 775.695

15/02/2019 Sys. Investment (42/120) 1,000.00 56.4471 56.4471 17.716 793.411
15/02/2019 Sys. Investment Rejection (42/120) 1,000.00 56.4471 56.4471 17.716 775.695
Balance Insufficient
15/03/2019 Sys. Investment (43/120) 1,000.00 60.8273 60.8273 16.440 792.135
15/04/2019 Sys. Investment (44/120) 1,000.00 61.8664 61.8664 16.164 808.299
For subscriptions received w.e.f. June 4th, 2018, applicable Exit load: Redemption / Switch out within 12 months from the date of allotment – (i) NIL for upto 10% of the allotted Units (ii) 1.00 % for beyond 10% of the allotted Units.Redemption / Switch out after 12 months
from the date of allotment – NIL
NAV ` 62.3518 (as on 16 Apr 2019) Amount Invested ` 42,000.00 Current value ` 50,398.90
Local UFC Address : UTI Financial Centre; Ground floor, Plot no - 99, Vivekananda lane, Badambadi Kathjodi Main Road, Badambadi, Cuttack-753012. Odisha. Tel: 0671-2315788

Summary of schemes held in this folio

Scheme Amount Dividend Cost Value of Unit Balance NAV Date Current Dividend
Invested Reinvestment Investment Value (`) Payout *(`)
(a) (`) (b) (`) (a + b)(`)
UTI Mid Cap Fund-Regular Growth Plan 22,000.00 0.00 22,000.00 216.229 16/04/2019 21,821.83 0.00

UTI Value Opportunities Fund-Regular Growth Plan 42,000.00 0.00 42,000.00 808.299 16/04/2019 50,398.90 0.00

Total 64,000.00 0.00 64,000.00 1,024.528 72,220.73 0.00

*Dividend declared & paid on or after 1.1.2008 will only be part of this statement

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 Account Statement Statement Date : 17 Apr 2019

Folio No. : 540290093084 Sub ARN : PAN KYC Status

Name : JIBAN KUMAR DALEI Code Primary Holder XXXXXXX54K Complied(DOTEX)

Mode of Holding : SINGLE Sub Code :

2nd Holder
Bank Details : SAVINGS/XXXXXXXX239 / STATE BANK OF INDIA / KALINGA NAGAR /
EUIN : E047611
DUBURI EXPRESS CHOWK / JAJPUR / 755026 / ECS - 755002512 / IFS Code : 3rd Holder
SBIN0005757
Financial Advisor : Jitesh Kumar Das ( ARN-33149 ) RM code :
Guardian
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

UTI Value Opportunities Fund-Regular Growth Plan Balance Units : 808.299

Nature of Transactions : (Please tick & fill up relevant details) Paymode UTI SMaRT Form (Max Amount: 100000.00) Cheque/DD
Purchase / Additional Purchase : I/we would like to purchase units of the above mentioned scheme for Amount ` (in fig) (in words)
Cheque/DD Number dated Drawn on Bank
Branch Bank A/c type (Please tick) Savings Current NRO NRE
Switch : I/we would like to switch All units or Partial units units or ` (amount in figures) (in words)
from above mentioned Scheme to Plan Option Growth Dividend Payout Dividend Reinvestment
Redemption : I/we would like to redeem All units or Partial units units or ` (amount in figures)
(in words) from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.

MICR NO IFSC
I/We have understood the contents of the Offer document and addenda issued till date and apply to the Trustee of UTI Mutual Fund as indicated above. I/ We agree to abide by the terms and conditions, rules and regulations of the scheme as on the date of investment. I/ We undertake to
confirm that the applicant/unit holder is empowered to invest/ disinvest and the signatories have necessary authorization to invest/disinvest on behalf of applicant/ unit holder. I/We undertake to confirm that this investment has been duly authorized by appropriate authorities in terms of all
relevant documents and procedural requirements. I/ We have not received nor been induced by any rebate or gifts, directly or indirectly in making investment. * I/ We confirm than we are Non residents of Indian Nationality/ Origin and that the funds are remitted from abroad through approved
banking channels or from my/ our funds from my/ our NRE/ NRO account. I/ We undertake to provide further details of source of funds and any such other relevant document, if called by UTI Mutual Fund. *Appliable to NRIs.
The ARN holder has disclosed to me/us all the commissions (in the form of trial 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.
*EUIN: I/We hereby confirm that the EUIN box has been intentionally left blank by me/us as this is an "execution-only" transaction without any interaction or advice by the employee/relationship manager/sales person of the above distributor or notwithstanding the
advice of in-appropriateness, if any, provided by the employee/relationship manager/sales person of the distributor and the distributor has not charged any advisory fees on this transaction.

SIGNATURE(S)
First Account Holder Second Account Holder Third Account Holder
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