Professional Documents
Culture Documents
App. No. DISTRIBUTOR / BROKER / SCSB INFORMATION To ensure to treate the application as DIRECT please do not leave the boxes below blank and read the instructions mentioned in 1(b)]
Name and AMFI Reg. No. Sub Agents Name and AMFI Reg. No. Bank Serial No. CAMS Serial No.
ARNUpfront 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.
1. EXISTING UNITHOLDER INFORMATION (Please ll in your Folio No., Name, PAN & Bank Account details in Section 2 & 3, and then proceed to Section 5)
Folio No. Unitholders Name The details in our records under the Folio No. mentioned above will only be considered for this application.
(See Instruction 2bi) on page 25 & bii) on page 26) Enclosed (9)
Third Applicant Guardian** PoA Holder ** If the Sole / First Applicant is a Minor then state Guardians PAN Number
eThis is a 9 Digit No. next to your Cheque No. MICR Code e IFSC code will be mentioned on your cheque RTGS / IFSC Code NEFT / IFSC Code leaf, else please contact your bank branch. All Redemptions / Dividend Payouts will be payable to the First Applicant at the City and Bank Account details mentioned above. DIRECT CREDIT FACILITY RTGS / NEFT Cheque Payouts : I / We want to receive redemption / dividend proceed by cheque / demand draft. Default mode of payout will be RTGS / NEFT if IFSC code is provided (See instruction 3d on page 26. Please 9 and indicate your preference)
4. APPLICANTS INFORMATION
Name of Sole / First Applicant (First / Middle / Last Name) Date of Birth*
D D
Title
M M
Mr.
Y Y
Ms.
Y Y
M/s
Minor
Others
* Required for First holder / Mandatory for Minor Title Mr. Ms. M/s
D D D D D D
Name of Guardian (in case of Minor) OR Contact Person (in case of Non-individual Investors) Relationship Name of Second Applicant Name of Third Applicant Father Title Title Mr. Mr. Mother Ms. Ms. Legal Guardian M/s M/s Others Others
Others
/ / /
M M M
M M M
/ / /
Y Y Y
Y Y Y
Y Y Y
Y Y Y
Mode of Holding (please 9) Single Joint# Address for Correspondence (P.O. Box Address is not suf cient)
Anyone or Survivor
EMail If you wish to receive all communication from us via e-mail, please 9 here
Kindly ensure that the e-mail address and telephone numbers mentioned above are those of the First Unitholder. These details shall be used for all communications. Service Professional Business Housewife Retired Student Agriculture Others_________________________ Occupation (please 9) Status of Sole/First Applicant (please 9) Individual (IND) HUF (HUF) Company (CO) FIIs (FII) NRI-Repatriation (NRI) NRI-Non Repatriation (NRI) Bank (BANK) Proprietorship Trust (TRUST) Society/Club (SOCTY) Partnership (OTH) Body Corporate (CO) On behalf of Minor (MINOR) Others (OTH) __________ (please specify) Firm (OTH) Status of Second Applicant (please 9) Individual (IND) NRI-Repatriation (NRI) NRI-Non Repatriation (NRI) On behalf of Minor (MINOR) Others (OTH) __________ (please specify) Status of Third Applicant (please 9) Individual (IND) NRI-Repatriation (NRI) NRI-Non Repatriation (NRI) On behalf of Minor (MINOR) Others (OTH) __________ (please specify) Overseas Address (Required for NRIs/FIIs applicants in addition to mailing address) (P.O. Box Address is not suf cient)
DEBIT MANDATE
I/We
(Royal Bank of Scotland N.V. Account Holders Only) - All applications with Debit Mandate to be submitted to (Royal Bank of Scotland N.V. Collection Centres Only
(Name of the account holder)
authorise Royal Bank of Scotland N. V. to debit my/our A/c. No. A/c. Type (please 9) Savings Current NRE NRO Rs. (words)
FCNR
App. No.
ISC Stamp, Date & Signature
dated A/c. No. All purchases are subject to realisation of Cheques / DD.
M A N D A T O R Y
5. INVESTMENT & PAYMENT DETAILS Separate Cheque / DD / Fund Transfer instruction required for investment in each Scheme / Plan / Option Plan Regular* Institutional Scheme Name BNP Paribas
Option (please 9) Investment Amount Mode of Payment Drawn on Bank Branch A/c. No. Rs. Growth* Dividend Reinvest Dividend Mode (please 9) Payout ~ Daily**** Dividend Half Yearly Dividend Cheque / DD No. DD charges, if any Weekly*** Dividend Fortnightly Dividend Monthly Dividend** Annual Dividend Dated Rs.
D D
(MANDATORY)
Institutional Plus
Quarterly Dividend
/
M M
/
Y Y Y Y
* Default Plan / Option if not ticked, except in BNP Paribas Flexi Debt Fund. For BNP Paribas Flexi Debt Fund, unless speci ed otherwise, the default Plan & Option shall be BNP Paribas Flexi
Debt Fund - Regular Plan - Growth Option. ** Default Dividend Option if not ticked, except in BNP Paribas Flexi Debt Fund and BNP Paribas Bond Fund where the default Dividend Option is Quarterly Dividend Option & Annual Dividend Option respectively. *** With compulsory Dividend Re-investment except in case of BNP Paribas Money Plus Fund.**** With compulsory Dividend Re-investment Default Dividend Mode except in case of BNP Paribas Money Plus Fund - Weekly Dividend Option. Cheques / DD to be drawn in favour of the Scheme / Plan applied for.
Having read and understood the instruction for Nomination, I / We hereby nominate the person(s) more particularly described hereunder in respect of the Units under the Folio held by me/us in the event of my death Particulars Nominee 1 Nominee 2 Nominee 3 Name Address
Relationship with Applicant MENTIO Date of Birth in case Nominee is minor # Percentage of Allocation/Share # Please indicate the percentage of allocation / share for each of the nominees in whole numbers only without any decimals making a total of 100 per cent. If the percentage allocation is not mentioned or is left blank then the AMC shall apply the default option of equal distribution among the multiple designated Nominees. Signature of Nominee
T NOMINA
Not Mandatory
Not Mandatory
Not Mandatory
PoA holder cannot nominate and should not ll this section. If Nominee is a Minor, details of the Guardian required : Name and Address of the Guardian
City State Guardians relationship with the Minor Nominee Name of PoA Holder Title Mr. Ms. M/s
Pin Code
Not Mandatory
Signature of Guardian
8. POWER OF ATTORNEY (PoA) HOLDER DETAILS (If the investment is being made by a Constituted Attorney please furnish the details of PoA Holder)
Others
Signature of (PoA) Holder
PAN
Enclosed* ( 9)
Dated
D D
/
M M
/
Y Y Y Y
SIGNATURE(S)
BNP Paribas Asset Management India Private Limited BNP Paribas House, 1 North Avenue, Maker Maxity, Bandra Kurla Complex, Bandra (East), Mumbai - 400 051. Tel.: 91-22 3370 4242 Web : www.bnpparibasmf.in
For any further queries / correspondence, please contact : Computer Age Management Services Pvt. Ltd. UNIT : BNP Paribas Mutual Fund 148 Old Mahabalipuram Road (OMR), Next to Hotel Fortune, Okkiyam, Thuraipakkam, Chennai - 600 097 Tel : 044 - 3040 7065 z email : enq_m@camsonline.com
DISTRIBUTOR / BROKER INFORMATION [To ensure to treate the application as "DIRECT" please do not leave the boxes below blank and kindly read the instructions mentioned in 1(b)]
ARN-
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.
1. EXISTING UNITHOLDER INFORMATION (Please ll in your Folio No., Name, PAN & Bank Account details in Section 2 & 3, and then proceed to Section 5)
Folio No. Unitholders Name The details in our records under the Folio No. mentioned above will only be considered for this application.
4. APPLICANT'S INFORMATION
Name of Sole / First Applicant (First / Middle / Last Name) Date of Birth*
D D
Title
M M
Mr.
Y Y
Ms.
Y Y
M/s
Minor
Others
* Required for First holder / Mandatory for Minor Title Mr. Ms. M/s
D D D D
Name of Guardian (in case of Minor) OR Contact Person (in case of Non-individual Investors) Relationship Name of Second Applicant Name of Third Applicant Father Title Title Mr. Mr. Mother Ms. Ms. Legal Guardian M/s M/s Others Others
Others
/ / /
M M
M M
/ / /
Y Y
Y Y
Y Y
Y Y
Mode of Holding (please 9) Single Joint# Address for Correspondence (P.O. Box Address is not suf cient)
Anyone or Survivor
EMail If you wish to receive all communication from us via e-mail, please 9 here
Kindly ensure that the e-mail address and telephone numbers mentioned above are those of the First Unitholder. These details shall be used for all communications. Occupation (please 9) Service Professional Business Housewife Retired Student Agriculture Others_________________________ Status of Sole/First Applicant (please 9) Individual (IND) HUF (HUF) Company (CO) FIIs (FII) NRI-Repatriation (NRI) NRI-Non Repatriation (NRI) Bank (BANK) Proprietorship Firm (OTH) Trust (TRUST) Society/Club (SOCTY) Partnership (OTH) Body Corporate (CO) On behalf of Minor (MINOR) Others (OTH) __________ (please specify) Status of Second Applicant (please 9) Individual (IND) NRI-Repatriation (NRI) NRI-Non Repatriation (NRI) On behalf of Minor (MINOR) Others (OTH) __________ (please specify) Status of Third Applicant (please 9) Individual (IND) NRI-Repatriation (NRI) NRI-Non Repatriation (NRI) On behalf of Minor (MINOR) Others (OTH) __________ (please specify) Overseas Address (Required for NRIs/FIIs applicants in addition to mailing address) (P.O. Box Address is not suf cient)
SIP AUTO DEBIT (ECS) FACILITY FORM [Registration cum Mandate Form for ECS (Debit Clearing)] (Please read Terms & Conditions) ECS DEBIT BANK ACCOUNT DETAILS (MANDATORY)
I / We hereby authorise the authorised service provider of BNP Paribas Asset Management India Private Ltd. (Investment Manager to BNP Paribas Mutual Fund), to debit my / our following bank account by ECS (Debit Clearing) for collection of SIP payments (From the second SIP instalment). Name of the Account Holder (as in Bank Records) Branch City Name of the Bank Account No. Account Type Savings Current Cash Credit NRE NRO 9 Digit MICR Code SIP Auto Debit Date DD SIP Installment Amount
e (Please enter the 9 digit number that appears after your cheque number)
MM YY
MM
YY
To DD
Mandatory Enclosure MM YY
Frequency
This is to inform you that I/We have registered with an authorised service provider of BNP Paribas Asset Management India Private Ltd. (Investment Manager to BNP Paribas Mutual Fund), for collection of SIP First Account Holder payments. Such payments will be made from the above mentioned account and be routed to you directly or through the ECS mechanism. The authority shall continue to be in force with immediate effect till the period indicated above or until I/We revoke it by instructions delivered to the Bank in writing. I/We authorise the bank to honour all such instructions. I/We further authorise the representative of TechProcess Second Account Holder Solutions Ltd. to get this mandate veri ed and registered with you. I hereby authorise the bank to debit veri cation charges (if any) to my account for veri cation of this mandate. Third Account Holder Account Number Bankers Attestation (For Bank use only) : Certi ed that the signature of account holder and the details of Bank Signature of Authorised Of cial from Bank (Bank Stamp and Date) account and its MICR code are correct as per our records.
App. No.
ISC Stamp, Date & Signature
To A/c. No. Quarterly basis. All purchases are subject to realisation of Cheques.
City Pin Code eThis is a 9 Digit No. next to your Cheque No. MICR Code RTGS / IFSC Code NEFT / IFSC Code e IFSC code will be mentioned on your cheque leaf, else please contact your bank branch. All Redemptions / Dividend Payouts will be payable to the First Applicant at the City and Bank Account details mentioned above. DIRECT CREDIT FACILITY (See instruction 3d on page 26. Please 9 and indicate your preference) Cheque Payouts : I / We want to receive redemption / dividend proceed by cheque / demand draft. RTGS / NEFT. Default mode of payout will be RTGS / NEFT if IFSC code is provided
M A N D A T O R Y
Date of Birth
5. SIP INVESTMENT DETAILS Separate Cheque required for investment in each Scheme / Plan / Option
Scheme Name Option (please 9)
(MANDATORY)
Institutional Institutional Plus Dividend Mode (please 9) Quarterly Dividend Reinvest Payout Regular*
BNP Paribas
Growth* Dividend Daily**** Dividend Half Yearly Dividend Weekly*** Dividend Fortnightly Dividend
Frequency (Please 9 any one only) Weekly SIP Monthly# SIP Quarterly# SIP (Calendar Quarter i.e., January, April, July and October) # ECS facility available 7th of the month 15th of the month 25th of the month SIP Date Weekly SIP : 1st, 7th, 15th and 25th Monthly and Quarterly SIP (Please 9 any one only) : 1st of the month Enrolment Period From DD OR To DD Till instruction to discontinue the SIP is submitted MM YY No. of Weeks / Months / Quarters MM YY * Default Plan / Option if not ticked, except in BNP Paribas Flexi Debt Fund. For BNP Paribas Flexi Debt Fund, unless speci ed otherwise, the default Plan & Option shall be BNP Paribas Flexi Debt Fund - Regular Plan - Growth
Option. ** Default Dividend Option if not ticked, except in BNP Paribas Flexi Debt Fund and BNP Paribas Bond Fund where the default Dividend Option is Quarterly Dividend Option & Annual Dividend Option respectively. *** With compulsory Dividend Re-investment except in case of BNP Paribas Money Plus Fund.**** With compulsory Dividend Re-investment Default Dividend Mode except in case of BNP Paribas Money Plus Fund - Weekly Dividend Option.
Each SIP Amount Rs. Total Amount Rs. No. of Instalments Drawn City Branch on Bank SIP THROUGH AUTO-DEBIT (ECS) - Please ll up SIP Auto Debit (ECS) Facility Form Second and Subsequent instalment Cheque Details : Total Cheques Cheque No. From To Drawn Branch City on Bank
To DD
MM
YYYY
A/c. No.
Having read and understood the instruction for Nomination, I / We hereby nominate the person(s) more particularly described hereunder in respect of the Units under the Folio held by me/us in the event of my death Particulars Nominee 1 Nominee 2 Nominee 3 Name Address
Relationship with Applicant Date of Birth in case Nominee is minor # Percentage of Allocation/Share
MENTIO
INATE TO NOM
# Please indicate the percentage of allocation / share for each of the nominees in whole numbers only without any decimals making a total of 100 per cent. If the percentage allocation is not mentioned or is left blank then the AMC shall apply the default option of equal distribution among the multiple designated Nominees. Signature of Nominee Not Mandatory Not Mandatory Not Mandatory PoA holder cannot nominate and should not ll this section. If Nominee is a Minor, details of the Guardian required : Name and Address of the Guardian
City Guardians relationship with the Minor Nominee Name of PoA PAN
Pin Code
State
Not Mandatory
Signature of Guardian
9. POWER OF ATTORNEY (PoA) HOLDER DETAILS (If the investment is being made by a Constituted Attorney please furnish the details of PoA Holder)
Title Mr. Ms. M/s Others
Enclosed* (9)
Dated
D D
SIGNATURE(S)
BNP Paribas Asset Management India Private Limited BNP Paribas House, 1 North Avenue, Maker Maxity, Bandra Kurla Complex, Bandra (East), Mumbai - 400 051. Tel.: 91-22 3370 4242 Web : www.bnpparibasmf.in
For any further queries / correspondence, please contact : Computer Age Management Services Pvt. Ltd. UNIT : BNP Paribas Mutual Fund 148 Old Mahabalipuram Road (OMR), Next to Hotel Fortune, Okkiyam, Thuraipakkam, Chennai - 600 097 Tel : 044 - 3040 7065 z email : enq_m@camsonline.com