<p>Amount
(words)
(figures)
Received subject to realisation, verification and conditions, an application for purchase of Units as mentioned in the application form.
ACKNOWLEDGMENT SLIP
From
Application No.
Application No.
Cheque no.
Date
Amount
Scheme
Stamp & Signature
TRANSACTION CHARGES FOR APPLICATIONS THROUGH DISTRIBUTORS ONLY (Refer 18) In case the subscription amount is ` 10,000
or more and your Distributor has opted to receive Transaction Charges, the same are deductible as applicable from the purchase/ subscription amount and payable to the Distributor.
Units will be issued against the balance amount invested.
I confirm that I am a first time investor across Mutual Funds.
I confirm that I am an existing investor in Mutual Funds.
Upfront commission shall be paid directly by the investor to the AMFI registered distributor based on the investor's assessment of various factors including the service rendered by the distributor.
First / Sole Applicant /
Guardian
Second Applicant
Third Applicant
Power of Attorney Holder
“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.”
Serial No., Date & Time Stamp
Sub-Distributor ARN
Distributor ARN
EUIN
Sol ID / Internal Sub-Broker
Employee Code
FORM 1 - FOR LUMPSUM / SIP INVESTMENTS
TO BE DETACHED BY KARVY & PRESENTED TO AXIS BANK CMS
to pay for the purchase of
authorise you to debit my/our account no.
I/ We
Name of the account holder(s)
DEBIT MANDATE
Application No.
(For Axis Bank A/c only.) To be processed in CMS software under client code “AXISMF”
Signature of First Account Holder
D
D
M M
Y
Y
Date
3
EXISTING INVESTOR'S FOLIO NUMBER
(If you have an existing folio with KYC validated, please mention here and skip to section 3/4.)