Account Statement

* Folio No. :

516216167007

Application No : 1153810 Date of Birth

Statement Date : 06 Jan 2012 Unique Client Code :MFUTIB0049

RAMESH CHANDRA MISHRA

489 BARI BAMANPURI BAREILLY UTTAR PRADESH PIN : 243001 E-Mail : saur_shan@rediffmail.com

Category of Investor

: 01/07/1960 : Resident Indian

Holding Basis / Status of Investor : Anyone Or Survivor/Individual Bank Details : SAV / BANK OF BARODA / BIHARIPUR / BIHARIPUR / BAREILLY / 243001 Broker Details : SYSTEMATIX SHARES AND STOCKS (I) LTD ( ARN-64917 ) Sub Broker : 40702 PAN Primary Holder 2nd Holder AQUPM3160D Please Provide

KYC Status No No

Joint Holder1 : Ranjani Mishra Nominee1 : Ganima Mishra

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

UTI-INFRASTRUCTURE FUND - GROWTH PLAN

Transaction Date
14/01/2011

ISIN : INF789F01752
Amount ( Rs. )
12,795.00

Transaction Type
Switch In

NAV ( Rs. ) Load ( Rs. )

33.50 0.00

Price (Rs.)
33.50

Number of Units
381.940

Balance Units
381.940

Merged from UTI - IAF - Series I - 516216167007 (1500.000 Units @ NAV of Rs. 8.53)** From FA GP Folio No: 516216167007 W.e.f. 02-09-2009 - Entry load : Nil, Exit load : 1% if redeemed before 1 year from the date of investment. No exit load if redeemed on or after 1 year

NAV as on 05 Jan 2012 Rs. 23.57

Amount Invested : Rs.12,795.00

Current Value Rs. 9,002.33

From 1st January 2011, Know Your Customer (KYC) is compulsory for all categories of investors irrespective of investment amount.

End Of Statement Investor ID No. / Folio No. : Name Mode of Holding Bank Details Broker Details

516216167007
Primary Holder 2nd Holder 3rd Holder

: RAMESH CHANDRA MISHRA : Anyone Or Survivor/Individual : SAV / BANK OF BARODA / BIHARIPUR / BIHARIPUR / BAREILLY / 243001 :

PAN AQUPM3160D Please Provide Sub Broker :

KYC Status No No

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-INFRASTRUCTURE FUND - GROWTH PLAN

Nature of Transactions : (Please tick & fill up relevant details)

ADDITIONAL PURCHASE REQUEST I / We would like to purchase units of the above mentioned scheme for Amount in Rs. ..................... (in words) ............................................................ Cheque/DD Number ..................... dated .................. Drawn on Branch .................................................................................................................. Bank A/c type (Please tick) Savings NRE Current NRO
Local UFC Address: Local Karvy Address:

SWITCHOVER I would like to Switch Rs. ..................... (in words) ............................. .................................................................................................. OR All Units OR No. of Units ............................... From above mentioned to ....................................... Scheme ......................................................... Plan ..................................................
CA : BA66-TH0498-06.01.2012 /

Option

Growth

Dividend Payout

Dividend Re-Invest
Refno-LK16/296314164

UTI Financial Centre; 116-117 Deen Dayal Puram, Bareilly, Uttar Pradesh - 243 005, Tel.: 0581-2303014 ,,KARVY COMPUTERSHARE PRIVATE LIMITED,1ST FLOOR, 165, CIVIL LINES,,OPP.HOTEL BAREILLY PALACE, NEAR RLY STATION ROAD,,BAREILLY - 243001,Tel : 9369918607

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 this investment has been duly authorised 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 investments. * I/We confirm that 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. *Applicable to NRIs. 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

SIGNATURE(S)

First Account Holder

Second Account Holder

Third Account Holder