21
Guardian Entry Load: NIL, W.e.f. 01/04/2021 Exit Load : Nil REP BY U/G : MADHULIKA C/O- VIPUL KUMAR GAUTAM POST- MALAYPUR DIST- JAMUI JAMUI BIHAR INDIA, PIN : 811313 Mobile No : 8986724928 Email ID : please provide 3rd Holder Primary Holder Holder RESIDENT INDIAN Registered 2nd Holder No UTKARSH : : Please Provide 548287720196 * Folio No. : : SINGLE : MINOR : SAVINGS/XXXXXXXX429 : STATE BANK OF INDIA 811002506 : : SBIN0009234 : Multiple Broker : : E066008 Unique Client Code :MFUTIB0011 : Complied(CVL KRA XXXXXXX76G * Please quote this folio number for future correspondence / transactions. UMRN : x Electronic : Mode of Holding Date Of Birth Category Status Bank Account No Bank Name MICR No Financial Advisor Sub ARN Code Pay Mode IFS Code Sub Code EUIN PAN KYC Status/KIN FATCA No Yes Frequency SIP RefNo ToDate SIP Registration Details Step up FromDate Amount Frequency Amount (`) (`) 499961474 07/06/2031 07/07/2016 1000 Monthly Amount Price (`) Tr.Date NAV (`) Balance Units Load Transaction Type Number of Units (`) (`) Cost UTI Childrens Career Fund (UTI CCF) - Savings Plan - Regular Growth Plan Growth Opening Balance 7,613.342 1,000.00 07/04/2021 Gross Sys. Investment 0.05 Stamp Duty @ 0.005 % 999.95 07/04/2021 Net Sys. Investment (58/180) 26.9130 37.155 7,650.497 26.9130 1,000.00 07/05/2021 Gross Sys. Investment 0.05 Stamp Duty @ 0.005 % 999.95 07/05/2021 Net Sys. Investment (59/180) 27.1132 36.881 7,687.378 27.1132 1,000.00 07/06/2021 Gross Sys. Investment 0.05 Stamp Duty @ 0.005 % 999.95 07/06/2021 Net Sys. Investment (60/180) 27.8291 35.932 7,723.310 27.8291 1,000.00 07/07/2021 Gross Sys. Investment 0.05 Stamp Duty @ 0.005 % 999.95 07/07/2021 Net Sys. Investment (61/180) 28.2621 35.381 7,758.691 28.2621 1,000.00 09/08/2021 Gross Sys. Investment 0.05 Stamp Duty @ 0.005 % 999.95 09/08/2021 Net Sys. Investment (62/180) 28.7962 34.725 7,793.416 28.7962 1,000.00 07/09/2021 Gross Sys. Investment 0.05 Stamp Duty @ 0.005 % 999.95 07/09/2021 Net Sys. Investment (63/180) 29.5008 33.896 7,827.312 29.5008 1,000.00 07/10/2021 Gross Sys. Investment 0.05 Stamp Duty @ 0.005 % 999.95 07/10/2021 Net Sys. Investment (64/180) 30.0254 33.303 7,860.615 30.0254 2,39,146.63 Current value Local UFC Address : UTI Financial Centre; Harshwardhan Arcade, 3rd Floor, Beside Hotel Samrat International, Fraser Road, Patna-800001, Bihar. Tel No: 0612 - 2230886, 2911207;Fax No: 0612-2201576 30.4234 (as on 14 Oct 2021) W.e.f. 2-5-2018,the scheme has a lock in period of 5 years from the date allotment of units or till the child attains age of majority (whichever is earlier). ` NAV ` Account Statement For the period 01 Apr 2021 to 18 Oct 2021 Statement Date : 18 Oct 2021 of 1 2 CA : WB99-BRNPM7976G-18-10-2021 09:38:07 / LA: BRNPM7976G-18.10.21-28 Page

Account Statement Statement Date : 18 Oct 2021

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Page 1: Account Statement Statement Date : 18 Oct 2021

Guardian

Entry Load:  NIL, W.e.f. 01/04/2021 Exit Load :  Nil

REP BY U/G : MADHULIKAC/O- VIPUL KUMAR GAUTAMPOST- MALAYPURDIST- JAMUIJAMUIBIHARINDIA, PIN : 811313

Mobile No : 8986724928Email ID : please provide

3rd Holder

Primary Holder

Holder

RESIDENT INDIANRegistered

2nd Holder

No

UTKARSH

::

Please Provide

548287720196 * Folio No. :

: SINGLE : MINOR

: SAVINGS/XXXXXXXX429

: STATE BANK OF INDIA

811002506: : SBIN0009234

: Multiple Broker

: : E066008

Unique Client Code :MFUTIB0011

:

Complied(CVL KRAXXXXXXX76G

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

Electronic:

Mode of Holding

Date Of Birth Category

Status

Bank Account No

Bank Name

MICR No

Financial Advisor

Sub ARN Code

Pay Mode

IFS Code

Sub Code EUIN

PAN KYC Status/KIN FATCANo

Yes

FrequencySIP RefNo ToDate

SIP Registration Details Step up

FromDate Amount Frequency Amount(`) (`)

499961474 07/06/203107/07/2016 1000 Monthly

Amount Price(`)Tr.Date NAV(`) Balance UnitsLoadTransaction Type Number of Units(`) (`)Cost

UTI Childrens Career Fund (UTI CCF) - Savings Plan - Regular Growth Plan Growth

Opening Balance 7,613.342

1,000.0007/04/2021 Gross Sys. Investment

0.05Stamp Duty @ 0.005 %

999.9507/04/2021 Net Sys. Investment (58/180) 26.9130 37.155 7,650.49726.9130

1,000.0007/05/2021 Gross Sys. Investment

0.05Stamp Duty @ 0.005 %

999.9507/05/2021 Net Sys. Investment (59/180) 27.1132 36.881 7,687.37827.1132

1,000.0007/06/2021 Gross Sys. Investment

0.05Stamp Duty @ 0.005 %

999.9507/06/2021 Net Sys. Investment (60/180) 27.8291 35.932 7,723.31027.8291

1,000.0007/07/2021 Gross Sys. Investment

0.05Stamp Duty @ 0.005 %

999.9507/07/2021 Net Sys. Investment (61/180) 28.2621 35.381 7,758.69128.2621

1,000.0009/08/2021 Gross Sys. Investment

0.05Stamp Duty @ 0.005 %

999.9509/08/2021 Net Sys. Investment (62/180) 28.7962 34.725 7,793.41628.7962

1,000.0007/09/2021 Gross Sys. Investment

0.05Stamp Duty @ 0.005 %

999.9507/09/2021 Net Sys. Investment (63/180) 29.5008 33.896 7,827.31229.5008

1,000.0007/10/2021 Gross Sys. Investment

0.05Stamp Duty @ 0.005 %

999.9507/10/2021 Net Sys. Investment (64/180) 30.0254 33.303 7,860.61530.0254

2,39,146.63Current value

Local UFC Address : UTI Financial Centre; Harshwardhan Arcade, 3rd Floor, Beside Hotel Samrat International, Fraser Road, Patna-800001, Bihar. Tel No: 0612 - 2230886, 2911207;Fax No: 0612-2201576

30.4234 (as on 14 Oct 2021)W.e.f. 2-5-2018,the scheme has a lock in period of 5 years from the date allotment of units or till the child attains age of majority (whichever is earlier).

`NAV `

Account StatementFor the period 01 Apr 2021 to 18 Oct 2021

Statement Date : 18 Oct 2021

of1 2CA : WB99-BRNPM7976G-18-10-2021 09:38:07 / LA: BRNPM7976G-18.10.21-28 Page

Page 2: Account Statement Statement Date : 18 Oct 2021

Account StatementFor the period 01 Apr 2021 to 18 Oct 2021

Statement Date : 18 Oct 2021

Financial Advisor Multiple Broker XXXXXXX76G

New Scheme- Plan Option

UTKARSH

UTI Childrens Career Fund (UTI CCF) - Savings Plan - Regular Growth Plan Growth (If you wish to invest in different scheme, please strike off here and write below)

Drawn on Bank

*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.

I/we would like to switch

MICR NO

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.

All units

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.

units or (amount in figures)or Partial units

(in words)

Sub Code

from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.

Folio No. 548287720196 PAN

Mode of Holding

I/we would like to redeem

Cheque/DD Number

I/we would like to purchase units of the above mentioned scheme for Amount (in fig)

Redemption :

from above mentioned Scheme to

Purchase / Additional Purchase :

Switch :

`

Bank A/c type (Please tick) CurrentSavings NRO NRE

Plan Growth IDCW Payout

(in words)

SAVINGS/XXXXXXXX429 / STATE BANK OF INDIA / KHADIGRAM / JAMUI / 811313 / ECS - 811002506 / IFS Code : SBIN0009234

SINGLE

units or (amount in figures)`All units or Partial units

EUIN

RM code

: E066008

:

Third Account Holder

Primary Holder

IFSC

KYC Status

NoPlease Provide

2nd Holder

Name

Bank Details

First Account HolderSIGNATURE(S)

:

dated

Second Account Holder

::

:

:

3rd Holder

Guardian Complied(CVL KRA KYC)

:

Sub ARN Code

:

` (in words)

IDCW Reinvestment

Branch

Option

Cheque/DDPaymode UTI SMaRT Form (Max Amount: 1000000.00)

of2 2CA : WB99-BRNPM7976G-18-10-2021 09:38:07 / LA: BRNPM7976G-18.10.21-10 Page

Page 3: Account Statement Statement Date : 18 Oct 2021

Guardian

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.Exit load, if any, will be levied on units redeemed/switched-out , basis the rate prevailing at

the time of allotment of the corresponding units. 

C/O- VIPUL KUMAR GAUTAMPOST- MALAYPURDIST- JAMUIJAMUIBIHARINDIA, PIN : 811313

Mobile No : 9431943405Email ID : please provide

Nominee : Santosh Kumar Pandey - 100%

3rd Holder

Primary Holder

Holder

RESIDENT INDIANRegistered

2nd Holder

Complied(CVL KRA

MADHULIKA

::

XXXXXXX76G

548288615012 * Folio No. : Application No : 0017534

: SINGLE : INDIVIDUAL

: SAVINGS/XXXXXXXX429

: STATE BANK OF INDIA

811002506: : SBIN0009234

: Sudhir Kumar Mishra ( ARN-79378 )

: : E066008

Unique Client Code :MFUTIB0066

:

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

Electronic:

Mode of Holding

Date Of Birth Category

Status

Bank Account No

Bank Name

MICR No

Financial Advisor

Sub ARN Code

Pay Mode

IFS Code

Sub Code EUIN

PAN KYC Status/KIN FATCAYes

Status as on 31-01-2018: NAV Rs. 20.1673, Units 3966.056, Value Rs.79984.640

FrequencySIP RefNo ToDate

SIP Registration Details Step up

FromDate Amount Frequency Amount(`) (`)

494098805 15/06/203015/07/2015 2000 Monthly

Amount

ISIN : INF789F01AF7

Price(`)Tr.Date NAV(`) Balance UnitsLoadTransaction Type Number of Units(`) (`)Cost

UTI Value Opportunities Fund - Regular Plan Reinvestment of IDCW#

Opening Balance 8,687.179

2,000.0015/04/2021 Gross Sys. Investment

0.10Stamp Duty @ 0.005 %

1,999.9015/04/2021 Net Sys. Investment (70/180) 23.8243 83.944 8,771.12323.8243

2,000.0017/05/2021 Gross Sys. Investment

0.10Stamp Duty @ 0.005 %

1,999.9017/05/2021 Net Sys. Investment (71/180) 24.6915 80.995 8,852.11824.6915

2,000.0015/06/2021 Gross Sys. Investment

0.10Stamp Duty @ 0.005 %

1,999.9015/06/2021 Net Sys. Investment (72/180) 26.4138 75.714 8,927.83226.4138

2,000.0015/07/2021 Gross Sys. Investment

0.10Stamp Duty @ 0.005 %

1,999.9015/07/2021 Net Sys. Investment (73/180) 27.2429 73.410 9,001.24227.2429

2,000.0016/08/2021 Gross Sys. Investment

0.10Stamp Duty @ 0.005 %

1,999.9016/08/2021 Net Sys. Investment (74/180) 27.9873 71.457 9,072.69927.9873

2,000.0015/09/2021 Gross Sys. Investment

0.10Stamp Duty @ 0.005 %

1,999.9015/09/2021 Net Sys. Investment (75/180) 29.3035 68.248 9,140.94729.3035

Cost 2,77,271.43Current value

Local UFC Address : UTI Financial Centre; Harshwardhan Arcade, 3rd Floor, Beside Hotel Samrat International, Fraser Road, Patna-800001, Bihar. Tel No: 0612 - 2230886, 2911207;Fax No: 0612-2201576

30.3329 (as on 14 Oct 2021) `NAV ` ` 167,800.00

Account StatementFor the period 01 Apr 2021 to 18 Oct 2021

Statement Date : 18 Oct 2021

of1 2CA : WB99-BRNPM7976G-18-10-2021 09:38:07 / LA: BRNPM7976G-18.10.21-10 Page

Page 4: Account Statement Statement Date : 18 Oct 2021

Account StatementFor the period 01 Apr 2021 to 18 Oct 2021

Statement Date : 18 Oct 2021

Financial Advisor Sudhir Kumar Mishra ( ARN-79378 )

New Scheme- Plan Option

MADHULIKA

UTI Value Opportunities Fund - Regular Plan Reinvestment of IDCW (If you wish to invest in different scheme, please strike off here and write below)

Drawn on Bank

*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.

I/we would like to switch

MICR NO

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.

All units

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.

units or (amount in figures)or Partial units

(in words)

Sub Code

from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.

Folio No. 548288615012 PAN

Mode of Holding

I/we would like to redeem

Cheque/DD Number

I/we would like to purchase units of the above mentioned scheme for Amount (in fig)

Redemption :

from above mentioned Scheme to

Purchase / Additional Purchase :

Switch :

`

Bank A/c type (Please tick) CurrentSavings NRO NRE

Plan Growth IDCW Payout

(in words)

SAVINGS/XXXXXXXX429 / STATE BANK OF INDIA / KHADIGRAM BRANCH / JAMUI / 811313 / ECS - 811002506 / IFS Code : SBIN0009234

SINGLE

units or (amount in figures)`All units or Partial units

EUIN

RM code

: E066008

:

Third Account Holder

Primary Holder

IFSC

KYC Status

Complied(CVL KRA KYC)XXXXXXX76G

2nd Holder

Name

Bank Details

First Account HolderSIGNATURE(S)

:

dated

Second Account Holder

::

:

:

3rd Holder

Guardian

:

Sub ARN Code

:

` (in words)

IDCW Reinvestment

Branch

Option

# Income Distribution cum Capital Withdrawal

of2 2CA : WB99-BRNPM7976G-18-10-2021 09:38:07 / LA: BRNPM7976G-18.10.21-6 Page

Page 5: Account Statement Statement Date : 18 Oct 2021

Please update your records with: Email ID

Guardian

For subscriptions received w.e.f. May 17th, 2018, applicable Exit load: Redemption/Switch out within 1 year

from the date of allotment : (i) Upto 10% of the allotted Units - NIL (ii) Beyond 10% of the allotted Units-

1%.Redemption / Switch out after 1 year from the date of allotment – NIL

C/O- VIPUL KUMAR GAUTAMPOST- MALAYPURDIST- JAMUIJAMUIBIHARINDIA, PIN : 811313

Mobile No : 9431943405Email ID : please provide

Nominee : Santosh Kumar Pandey - 100%

3rd Holder

Primary Holder

Holder

RESIDENT INDIANRegistered

2nd Holder

Complied(CVL KRA

MADHULIKA

::

XXXXXXX76G

548305743515 * Folio No. : Application No : 00118821

: SINGLE : INDIVIDUAL

: SAVINGS/XXXXXXXX429

: STATE BANK OF INDIA

811002506: : SBIN0009234

: Sudhir Kumar Mishra ( ARN-79378 )

: : E066008

Unique Client Code :MFUTIB0063

:

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

Electronic:

Mode of Holding

Date Of Birth Category

Status

Bank Account No

Bank Name

MICR No

Financial Advisor

Sub ARN Code

Pay Mode

IFS Code

Sub Code EUIN

PAN KYC Status/KIN FATCAYes

Amount

ISIN : INF789F01893

Price(`)Tr.Date NAV(`) Balance UnitsLoadTransaction Type Number of Units(`) (`)Cost

UTI Regular Savings Fund - Regular Growth Plan Growth

Opening Balance 0.000

Local UFC Address : UTI Financial Centre; Harshwardhan Arcade, 3rd Floor, Beside Hotel Samrat International, Fraser Road, Patna-800001, Bihar. Tel No: 0612 - 2230886, 2911207;Fax No: 0612-2201576

52.3693 (as on 14 Oct 2021)NAV `

Financial Advisor Sudhir Kumar Mishra ( ARN-79378 )

New Scheme- Plan Option

MADHULIKA

UTI Regular Savings Fund - Regular Growth Plan Growth (If you wish to invest in different scheme, please strike off here and write below)

Drawn on Bank

*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.

I/we would like to switch

MICR NO

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.

All units

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.

units or (amount in figures)or Partial units

(in words)

Sub Code

from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.

Folio No. 548305743515 PAN

Mode of Holding

I/we would like to redeem

Cheque/DD Number

I/we would like to purchase units of the above mentioned scheme for Amount (in fig)

Redemption :

from above mentioned Scheme to

Purchase / Additional Purchase :

Switch :

`

Bank A/c type (Please tick) CurrentSavings NRO NRE

Plan Growth IDCW Payout

(in words)

SAVINGS/XXXXXXXX429 / STATE BANK OF INDIA / JAMUI BRANCH / KHADIGRAM / JAMUI / JAMUI / 811313 / ECS - 811002506 / IFS Code : SBIN0009234

SINGLE

units or (amount in figures)`All units or Partial units

EUIN

RM code

: E066008

:

Third Account Holder

Primary Holder

IFSC

KYC Status

Complied(CVL KRA KYC)XXXXXXX76G

2nd Holder

Name

Bank Details

First Account HolderSIGNATURE(S)

:

dated

Second Account Holder

::

:

:

3rd Holder

Guardian

:

Sub ARN Code

:

` (in words)

IDCW Reinvestment

Branch

Option

Account StatementFor the period 01 Apr 2021 to 18 Oct 2021

Statement Date : 18 Oct 2021

of1 1CA : WB99-BRNPM7976G-18-10-2021 09:38:07 / LA: BRNPM7976G-18.10.21-6 Page

Page 6: Account Statement Statement Date : 18 Oct 2021

Please update your records with: Email ID

Guardian

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

C/O- VIPUL KUMAR GAUTAMPOST- MALAYPURDIST- JAMUIJAMUIBIHARINDIA, PIN : 811313

Mobile No : 9431943405Email ID : please provide

Nominee : Santosh Kumar Pandey

3rd Holder

Primary Holder

Holder

RESIDENT INDIANRegistered

2nd Holder

Complied(CVL KRA

MADHULIKA

::

XXXXXXX76G

548305743515 * Folio No. : Application No : 00118821

: SINGLE : INDIVIDUAL

: SAVINGS/XXXXXXXX429

: STATE BANK OF INDIA

811002506: : SBIN0009234

: Sudhir Kumar Mishra ( ARN-79378 )

: : E066008

Unique Client Code :MFUTIB0003

:

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

Electronic:

Mode of Holding

Date Of Birth Category

Status

Bank Account No

Bank Name

MICR No

Financial Advisor

Sub ARN Code

Pay Mode

IFS Code

Sub Code EUIN

PAN KYC Status/KIN FATCAYes

Status as on 31-01-2018: NAV Rs. 34.5795, Units 781.492, Value Rs.27023.600

Amount

ISIN : INF189A01038

Price(`)Tr.Date NAV(`) Balance UnitsLoadTransaction Type Number of Units(`) (`)Cost

UTI Mastershare Unit Scheme - Regular Plan Payout of IDCW#

Opening Balance 781.492

Cost 37,084.06Current value

Local UFC Address : UTI Financial Centre; Harshwardhan Arcade, 3rd Floor, Beside Hotel Samrat International, Fraser Road, Patna-800001, Bihar. Tel No: 0612 - 2230886, 2911207;Fax No: 0612-2201576

47.4529 (as on 14 Oct 2021) `NAV ` ` 27,693.00 Total IDCW Paid ` 7,652.89

Financial Advisor Sudhir Kumar Mishra ( ARN-79378 )

New Scheme- Plan Option

MADHULIKA

UTI Mastershare Unit Scheme - Regular Plan Payout of IDCW (If you wish to invest in different scheme, please strike off here and write below)

Drawn on Bank

*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.

I/we would like to switch

MICR NO

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.

All units

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.

units or (amount in figures)or Partial units

(in words)

Sub Code

from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.

Folio No. 548305743515 PAN

Mode of Holding

I/we would like to redeem

Cheque/DD Number

I/we would like to purchase units of the above mentioned scheme for Amount (in fig)

Redemption :

from above mentioned Scheme to

Purchase / Additional Purchase :

Switch :

`

Bank A/c type (Please tick) CurrentSavings NRO NRE

Plan Growth IDCW Payout

(in words)

SAVINGS/XXXXXXXX429 / STATE BANK OF INDIA / JAMUI BRANCH / KHADIGRAM / JAMUI / JAMUI / 811313 / ECS - 811002506 / IFS Code : SBIN0009234

SINGLE

units or (amount in figures)`All units or Partial units

EUIN

RM code

: E066008

:

Third Account Holder

Primary Holder

IFSC

KYC Status

Complied(CVL KRA KYC)XXXXXXX76G

2nd Holder

Name

Bank Details

First Account HolderSIGNATURE(S)

:

dated

Second Account Holder

::

:

:

3rd Holder

Guardian

:

Sub ARN Code

:

` (in words)

IDCW Reinvestment

Branch

Option

# Income Distribution cum Capital Withdrawal

Account StatementFor the period 01 Apr 2021 to 18 Oct 2021

Statement Date : 18 Oct 2021

of1 1CA : WB99-BRNPM7976G-18-10-2021 09:38:07 / LA: BRNPM7976G-18.10.21-5 Page

Page 7: Account Statement Statement Date : 18 Oct 2021

Please update your records with: Email ID

Guardian

C/O- VIPUL KUMAR GAUTAMPOST- MALAYPURDIST- JAMUIJAMUIBIHARINDIA, PIN : 811313

Mobile No : 9431943405Email ID : please provide

Nominee : Santosh Kumar Pandey

3rd Holder

Primary Holder

Holder

RESIDENT INDIANRegistered

2nd Holder

Complied(CVL KRA

MADHULIKA

::

XXXXXXX76G

548305772367 * Folio No. :

: SINGLE : INDIVIDUAL

: SAVINGS/XXXXXXXX429

: STATE BANK OF INDIA

811002506: : SBIN0009234

: Sudhir Kumar Mishra ( ARN-79378 )

: : E066008:

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

Electronic:

Mode of Holding

Date Of Birth Category

Status

Bank Account No

Bank Name

MICR No

Financial Advisor

Sub ARN Code

Pay Mode

IFS Code

Sub Code EUIN

PAN KYC Status/KIN FATCAYes

Amount

ISIN : INF789F1AQJ4

Price(`)Tr.Date NAV(`) Balance UnitsLoadTransaction Type Number of Units(`) (`)Cost

UTI Regular Saving Fund (Segregated - 17022020) - Regular Growth Plan Growth

Opening Balance 1,341.391

Cost 1,284.65Current value

Local UFC Address : UTI Financial Centre; Harshwardhan Arcade, 3rd Floor, Beside Hotel Samrat International, Fraser Road, Patna-800001, Bihar. Tel No: 0612 - 2230886, 2911207;Fax No: 0612-2201576

* Cost of acquisition is bifurcated post segregation of corresponding units.

0.9577 (as on 14 Oct 2021) `NAV ` ` 1,045.00

Financial Advisor Sudhir Kumar Mishra ( ARN-79378 )

New Scheme- Plan Option

MADHULIKA

UTI Regular Saving Fund (Segregated - 17022020) - Regular Growth Plan Growth (If you wish to invest in different scheme, please strike off here and write below)

Drawn on Bank

*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.

I/we would like to switch

MICR NO

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.

All units

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.

units or (amount in figures)or Partial units

(in words)

Sub Code

from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.

Folio No. 548305772367 PAN

Mode of Holding

I/we would like to redeem

Cheque/DD Number

I/we would like to purchase units of the above mentioned scheme for Amount (in fig)

Redemption :

from above mentioned Scheme to

Purchase / Additional Purchase :

Switch :

`

Bank A/c type (Please tick) CurrentSavings NRO NRE

Plan Growth IDCW Payout

(in words)

SAVINGS/XXXXXXXX429 / STATE BANK OF INDIA / VIAJAMUI / KHADIGRAM / 811313 / ECS - 811002506 / IFS Code : SBIN0009234

SINGLE

units or (amount in figures)`All units or Partial units

EUIN

RM code

: E066008

:

Third Account Holder

Primary Holder

IFSC

KYC Status

Complied(CVL KRA KYC)XXXXXXX76G

2nd Holder

Name

Bank Details

First Account HolderSIGNATURE(S)

:

dated

Second Account Holder

::

:

:

3rd Holder

Guardian

:

Sub ARN Code

:

` (in words)

IDCW Reinvestment

Branch

Option

No commercial transaction including Purchase/Redemption/Switch is allowed under Segregated portfolio.However these units can be traded in the stock exchange in dematerialised (demat) form.

Account StatementFor the period 01 Apr 2021 to 18 Oct 2021

Statement Date : 18 Oct 2021

of1 1CA : WB99-BRNPM7976G-18-10-2021 09:38:07 / LA: BRNPM7976G-18.10.21-11 Page

Page 8: Account Statement Statement Date : 18 Oct 2021

Please update your records with: Email ID

Guardian

W.e.f. 01-10-2021: Exit Load : NIL

C/O- VIPUL KUMAR GAUTAMPOST- MALAYPURDIST- JAMUIJAMUIBIHARINDIA, PIN : 811313

Mobile No : 9431943405Email ID : please provide

Nominee : Santosh Kumar Pandey - 100%

3rd Holder

Primary Holder

Holder

RESIDENT INDIANRegistered

2nd Holder

Complied(CVL KRA

MADHULIKA

::

XXXXXXX76G

548305772367 * Folio No. :

: SINGLE : INDIVIDUAL

: SAVINGS/XXXXXXXX429

: STATE BANK OF INDIA

811002506: : SBIN0009234

: Sudhir Kumar Mishra ( ARN-79378 )

: : E066008

Unique Client Code :MFUTIB0062

:

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

Electronic:

Mode of Holding

Date Of Birth Category

Status

Bank Account No

Bank Name

MICR No

Financial Advisor

Sub ARN Code

Pay Mode

IFS Code

Sub Code EUIN

PAN KYC Status/KIN FATCAYes

Amount

ISIN : INF789F01570

Price(`)Tr.Date NAV(`) Balance UnitsLoadTransaction Type Number of Units(`) (`)Cost

UTI Ultra Short Term Fund - Regular Growth Plan Growth

Opening Balance 0.000

Local UFC Address : UTI Financial Centre; Harshwardhan Arcade, 3rd Floor, Beside Hotel Samrat International, Fraser Road, Patna-800001, Bihar. Tel No: 0612 - 2230886, 2911207;Fax No: 0612-2201576

3408.8002 (as on 14 Oct 2021)NAV `

Financial Advisor Sudhir Kumar Mishra ( ARN-79378 )

New Scheme- Plan Option

MADHULIKA

UTI Ultra Short Term Fund - Regular Growth Plan Growth (If you wish to invest in different scheme, please strike off here and write below)

Drawn on Bank

*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.

I/we would like to switch

MICR NO

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.

All units

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.

units or (amount in figures)or Partial units

(in words)

Sub Code

from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.

Folio No. 548305772367 PAN

Mode of Holding

I/we would like to redeem

Cheque/DD Number

I/we would like to purchase units of the above mentioned scheme for Amount (in fig)

Redemption :

from above mentioned Scheme to

Purchase / Additional Purchase :

Switch :

`

Bank A/c type (Please tick) CurrentSavings NRO NRE

Plan Growth IDCW Payout

(in words)

SAVINGS/XXXXXXXX429 / STATE BANK OF INDIA / VIAJAMUI / KHADIGRAM / 811313 / ECS - 811002506 / IFS Code : SBIN0009234

SINGLE

units or (amount in figures)`All units or Partial units

EUIN

RM code

: E066008

:

Third Account Holder

Primary Holder

IFSC

KYC Status

Complied(CVL KRA KYC)XXXXXXX76G

2nd Holder

Name

Bank Details

First Account HolderSIGNATURE(S)

:

dated

Second Account Holder

::

:

:

3rd Holder

Guardian

:

Sub ARN Code

:

` (in words)

IDCW Reinvestment

Branch

Option

Account StatementFor the period 01 Apr 2021 to 18 Oct 2021

Statement Date : 18 Oct 2021

of1 1CA : WB99-BRNPM7976G-18-10-2021 09:38:07 / LA: BRNPM7976G-18.10.21-8 Page

Page 9: Account Statement Statement Date : 18 Oct 2021

Please update your records with: Email ID

Guardian

For subscriptions received w.e.f. May 17th, 2018, applicable Exit load: Redemption/Switch out within 1 year

from the date of allotment : (i) Upto 10% of the allotted Units - NIL (ii) Beyond 10% of the allotted Units-

1%.Redemption / Switch out after 1 year from the date of allotment – NIL

C/O- VIPUL KUMAR GAUTAMPOST- MALAYPURDIST- JAMUIJAMUIBIHARINDIA, PIN : 811313

Mobile No : 9431943405Email ID : please provide

Nominee : Santosh Kumar Pandey

3rd Holder

Primary Holder

Holder

RESIDENT INDIANRegistered

2nd Holder

Complied(CVL KRA

MADHULIKA

::

XXXXXXX76G

548305772367 * Folio No. :

: SINGLE : INDIVIDUAL

: SAVINGS/XXXXXXXX429

: STATE BANK OF INDIA

811002506: : SBIN0009234

: Sudhir Kumar Mishra ( ARN-79378 )

: : E066008

Unique Client Code :MFUTIB0063

:

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

Electronic:

Mode of Holding

Date Of Birth Category

Status

Bank Account No

Bank Name

MICR No

Financial Advisor

Sub ARN Code

Pay Mode

IFS Code

Sub Code EUIN

PAN KYC Status/KIN FATCAYes

Amount

ISIN : INF789F01893

Price(`)Tr.Date NAV(`) Balance UnitsLoadTransaction Type Number of Units(`) (`)Cost

UTI Regular Savings Fund - Regular Growth Plan Growth

Merger In 1,341.39151,923.87

Cost 70,247.71Current value

Local UFC Address : UTI Financial Centre; Harshwardhan Arcade, 3rd Floor, Beside Hotel Samrat International, Fraser Road, Patna-800001, Bihar. Tel No: 0612 - 2230886, 2911207;Fax No: 0612-2201576

* Cost of acquisition is bifurcated post segregation of corresponding units.

52.3693 (as on 14 Oct 2021) `NAV ` ` 51,924.00

Financial Advisor Sudhir Kumar Mishra ( ARN-79378 )

New Scheme- Plan Option

MADHULIKA

UTI Regular Savings Fund - Regular Growth Plan Growth (If you wish to invest in different scheme, please strike off here and write below)

Drawn on Bank

*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.

I/we would like to switch

MICR NO

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.

All units

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.

units or (amount in figures)or Partial units

(in words)

Sub Code

from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.

Folio No. 548305772367 PAN

Mode of Holding

I/we would like to redeem

Cheque/DD Number

I/we would like to purchase units of the above mentioned scheme for Amount (in fig)

Redemption :

from above mentioned Scheme to

Purchase / Additional Purchase :

Switch :

`

Bank A/c type (Please tick) CurrentSavings NRO NRE

Plan Growth IDCW Payout

(in words)

SAVINGS/XXXXXXXX429 / STATE BANK OF INDIA / VIAJAMUI / KHADIGRAM / 811313 / ECS - 811002506 / IFS Code : SBIN0009234

SINGLE

units or (amount in figures)`All units or Partial units

EUIN

RM code

: E066008

:

Third Account Holder

Primary Holder

IFSC

KYC Status

Complied(CVL KRA KYC)XXXXXXX76G

2nd Holder

Name

Bank Details

First Account HolderSIGNATURE(S)

:

dated

Second Account Holder

::

:

:

3rd Holder

Guardian

:

Sub ARN Code

:

` (in words)

IDCW Reinvestment

Branch

Option

Account StatementFor the period 01 Apr 2021 to 18 Oct 2021

Statement Date : 18 Oct 2021

of1 1CA : WB99-BRNPM7976G-18-10-2021 09:38:08 / LA: BRNPM7976G-18.10.21-9 Page

Page 10: Account Statement Statement Date : 18 Oct 2021

Please update your records with: Email ID

Guardian

Entry Load:  NIL, W.e.f. 01-08-2017: Exit Load : NIL.

C/O- VIPUL KUMAR GAUTAMPOST- MALAYPURDIST- JAMUIJAMUIBIHARINDIA, PIN : 811313

Mobile No : 9431943405Email ID : please provide

Nominee : Santosh Kumar Pandey

3rd Holder

Primary Holder

Holder

RESIDENT INDIANRegistered

2nd Holder

Complied(CVL KRA

MADHULIKA

::

XXXXXXX76G

548305772367 * Folio No. :

: SINGLE : INDIVIDUAL

: SAVINGS/XXXXXXXX429

: STATE BANK OF INDIA

811002506: : SBIN0009234

: Sudhir Kumar Mishra ( ARN-79378 )

: : E066008

Unique Client Code :MFUTIB0033

:

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

Electronic:

Mode of Holding

Date Of Birth Category

Status

Bank Account No

Bank Name

MICR No

Financial Advisor

Sub ARN Code

Pay Mode

IFS Code

Sub Code EUIN

PAN KYC Status/KIN FATCAYes

Amount Price(`)Tr.Date NAV(`) Balance UnitsLoadTransaction Type Number of Units(`) (`)Cost

UTI Smart Woman Savings Plan - Regular Growth Plan Growth

Merger Out 0.000

Local UFC Address : UTI Financial Centre; Harshwardhan Arcade, 3rd Floor, Beside Hotel Samrat International, Fraser Road, Patna-800001, Bihar. Tel No: 0612 - 2230886, 2911207;Fax No: 0612-2201576

37.3872 (as on 02 May 2018)NAV `

Unit Balance IDCW / Recovery Payout

CurrentValue (`)

Total Cost(a + b)

NAV Date

(`) *

Scheme

(`) (`)

Summary of schemes held in this folio

Cost ofInvestment

(a)

IDCWReinvestment

(b) (`)

1,380.59UTI Regular Saving Fund (Segregated - 17022020) - Regular Growth Plan 1,380.59 1,341.391 386.050.00 1,284.6514/10/2021

51,923.87UTI Regular Savings Fund - Regular Growth Plan 51,923.87 1,341.391 0.000.00 70,247.7114/10/2021

0.00 2,682.78253,304.46 386.05Total

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

53,304.46 71,532.36

*Amount recovered has been paid out to you.

Account StatementFor the period 01 Apr 2021 to 18 Oct 2021

Statement Date : 18 Oct 2021

of1 2CA : WB99-BRNPM7976G-18-10-2021 09:38:08 / LA: BRNPM7976G-18.10.21-7 Page

Page 11: Account Statement Statement Date : 18 Oct 2021

Account StatementFor the period 01 Apr 2021 to 18 Oct 2021

Statement Date : 18 Oct 2021

Financial Advisor Sudhir Kumar Mishra ( ARN-79378 )

New Scheme- Plan Option

MADHULIKA

UTI Smart Woman Savings Plan - Regular Growth Plan Growth (If you wish to invest in different scheme, please strike off here and write below)

Drawn on Bank

*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.

I/we would like to switch

MICR NO

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.

All units

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.

units or (amount in figures)or Partial units

(in words)

Sub Code

from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.

Folio No. 548305772367 PAN

Mode of Holding

I/we would like to redeem

Cheque/DD Number

I/we would like to purchase units of the above mentioned scheme for Amount (in fig)

Redemption :

from above mentioned Scheme to

Purchase / Additional Purchase :

Switch :

`

Bank A/c type (Please tick) CurrentSavings NRO NRE

Plan Growth IDCW Payout

(in words)

SAVINGS/XXXXXXXX429 / STATE BANK OF INDIA / VIAJAMUI / KHADIGRAM / 811313 / ECS - 811002506 / IFS Code : SBIN0009234

SINGLE

units or (amount in figures)`All units or Partial units

EUIN

RM code

: E066008

:

Third Account Holder

Primary Holder

IFSC

KYC Status

Complied(CVL KRA KYC)XXXXXXX76G

2nd Holder

Name

Bank Details

First Account HolderSIGNATURE(S)

:

dated

Second Account Holder

::

:

:

3rd Holder

Guardian

:

Sub ARN Code

:

` (in words)

IDCW Reinvestment

Branch

Option

of2 2CA : WB99-BRNPM7976G-18-10-2021 09:38:08 / LA: BRNPM7976G-18.10.21-5 Page

Page 12: Account Statement Statement Date : 18 Oct 2021

Guardian

18/04/2032

126

18/04/2017

To : 17/03/2032

Joining Date

54

From : 17/05/2017

C/O- VIPUL KUMAR GAUTAMPOST- MALAYPURDIST- JAMUIJAMUIBIHARINDIA, PIN : 811313

Mobile No : 8986724928Email ID : please provide

Nominee : Santosh Kumar Pandey - 100%

No. of Installments Due

No. of Installments Paid3rd Holder

Primary Holder

Holder

RESIDENT INDIANRegistered

2nd Holder

Complied(CVL KRA

2000.00

360000.00

Contribution Amount

Monthly

(`)*Maturity Date

Target Amount

SIP Registration Details

Due Date

MADHULIKA

Mode of Payment

::

XXXXXXX76G

548308777986

ULIP Registration Details:

* Folio No. : Application No : 215493

: SINGLE : INDIVIDUAL

: SAVINGS/XXXXXXXX429

: STATE BANK OF INDIA

811002506: : SBIN0009234

: Sudhir Kumar Mishra ( ARN-79378 )

:

(`)

: E066008

Unique Client Code :MFUTIB0001

:

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

Electronic:

Mode of Holding

Date Of Birth Category

Status

Bank Account No

Bank Name

MICR No

Financial Advisor

Sub ARN Code

Pay Mode

IFS Code

Sub Code EUIN

PAN KYC Status/KIN FATCAYes

Annual Premium

Amount net ofPremium (`)

Price(`)Tr.Date NAV(`) Balance UnitsAmount LoadTransaction Type Number of Units(`)(`)

(`)

UTI Unit Linked Insurance Plan - Regular Plan 15 Years Plan - FIXED TERM INSURANCE COVER

Opening Balance 3,753.582

2,000.0019/04/2021 Gross Sys. Investment 2,000.00

0.10Stamp Duty @ 0.005 % 0.10

1,999.9019/04/2021 Net Sys. Investment (49/180) 1,999.90 29.2010 68.487 3,822.06929.2010

2,000.0017/05/2021 Gross Sys. Investment 2,000.00

0.10Stamp Duty @ 0.005 % 0.10

1,999.9017/05/2021 Net Sys. Investment (50/180) 1,999.90 29.5202 67.747 3,889.81629.5202

2,000.0017/06/2021 Gross Sys. Investment (Nav Dt : 21/06/2021) 2,000.00

0.10Stamp Duty @ 0.005 % 0.10

1,999.9017/06/2021 Net Sys. Investment (51/180) 1,999.90 30.4234 65.736 3,955.55230.4234

2,000.0019/07/2021 Gross Sys. Investment 2,000.00

0.10Stamp Duty @ 0.005 % 0.10

1,999.9019/07/2021 Net Sys. Investment (52/180) 1,999.90 30.7482 65.041 4,020.59330.7482

2,000.0017/08/2021 Gross Sys. Investment 2,000.00

0.10Stamp Duty @ 0.005 % 0.10

1,999.9017/08/2021 Net Sys. Investment (53/180) 1,999.90 31.4557 63.578 4,084.17131.4557

2,000.0017/09/2021 Gross Sys. Investment 2,000.00

0.10Stamp Duty @ 0.005 % 0.10

1,999.9017/09/2021 Net Sys. Investment (54/180) 1,999.90 32.6594 61.235 4,145.40632.6594

1,39,492.08Current value

Local UFC Address : UTI Financial Centre; Harshwardhan Arcade, 3rd Floor, Beside Hotel Samrat International, Fraser Road, Patna-800001, Bihar. Tel No: 0612 - 2230886, 2911207;Fax No: 0612-2201576

33.6498 (as on 14 Oct 2021)Investment under this scheme is eligible for deduction u/s 80C of Income Tax Act, 1961 as per applicable provision as provided therein.

`NAV `

Account StatementFor the period 01 Apr 2021 to 18 Oct 2021

Statement Date : 18 Oct 2021

of1 2CA : WB99-BRNPM7976G-18-10-2021 09:38:08 / LA: BRNPM7976G-18.10.21-5 Page

Page 13: Account Statement Statement Date : 18 Oct 2021

Account StatementFor the period 01 Apr 2021 to 18 Oct 2021

Statement Date : 18 Oct 2021

Financial Advisor Sudhir Kumar Mishra ( ARN-79378 )

New Scheme- Plan Option

MADHULIKA

UTI Unit Linked Insurance Plan - Regular Plan 15 Years Plan - FIXED TERM INSURANCE COVER (If you wish to invest in different scheme, please strike off here and write below)

*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.

Target Amount can be increased upto Rs.15 lakhs by applying afresh subject to fulfillment of eligibility criteria asper the Scheme Information Document.

I/we would like to switch

MICR NO

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.

All units

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.

units or (amount in figures)or Partial units

Sub Code

from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.

Folio No. 548308777986 PAN

Mode of Holding

I/we would like to redeemRedemption :

from above mentioned Scheme to

Switch :

Plan Growth IDCW Payout

(in words)

SAVINGS/XXXXXXXX429 / STATE BANK OF INDIA / KHADIGRAM JAMUI BRANCH / JAMUI / 811313 / ECS - 811002506 / IFS Code : SBIN0009234

SINGLE

units or (amount in figures)`All units or Partial units

EUIN

RM code

: E066008

:

Third Account Holder

Primary Holder

IFSC

KYC Status

Complied(CVL KRA KYC)XXXXXXX76G

2nd Holder

Name

Bank Details

First Account HolderSIGNATURE(S)

:

Second Account Holder

::

:

:

3rd Holder

Guardian

:

Sub ARN Code

:

` (in words)

IDCW ReinvestmentOption

Cheque/DDPaymode UTI SMaRT Form (Max Amount: )

of2 2CA : WB99-BRNPM7976G-18-10-2021 09:38:08 / LA: BRNPM7976G-18.10.21-9 Page

Page 14: Account Statement Statement Date : 18 Oct 2021

Please update your records with: Email ID

Guardian

C/O- VIPUL KUMAR GAUTAMPOST- MALAYPURDIST- JAMUIJAMUIBIHARINDIA, PIN : 811313

Mobile No : 9431943405Email ID : please provide

Nominee : Santosh Kumar Pandey - 100%

3rd Holder

Primary Holder

Holder

RESIDENT INDIANRegistered

2nd Holder

Complied(CVL KRA

MADHULIKA

::

XXXXXXX76G

548311182006 * Folio No. : Application No : 0028074

: SINGLE : INDIVIDUAL

: SAVINGS/XXXXXXXX429

: STATE BANK OF INDIA

811002506: : SBIN0009234

: Sudhir Kumar Mishra ( ARN-79378 )

: : E066008:

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

Electronic:

Mode of Holding

Date Of Birth Category

Status

Bank Account No

Bank Name

MICR No

Financial Advisor

Sub ARN Code

Pay Mode

IFS Code

Sub Code EUIN

PAN KYC Status/KIN FATCAYes

Amount

ISIN : INF789F1AQJ4

Price(`)Tr.Date NAV(`) Balance UnitsLoadTransaction Type Number of Units(`) (`)Cost

UTI Regular Saving Fund (Segregated - 17022020) - Regular Growth Plan Growth

Opening Balance 911.180

Cost 872.64Current value

Local UFC Address : UTI Financial Centre; Harshwardhan Arcade, 3rd Floor, Beside Hotel Samrat International, Fraser Road, Patna-800001, Bihar. Tel No: 0612 - 2230886, 2911207;Fax No: 0612-2201576

* Cost of acquisition is bifurcated post segregation of corresponding units.

0.9577 (as on 14 Oct 2021) `NAV ` ` 710.00

Financial Advisor Sudhir Kumar Mishra ( ARN-79378 )

New Scheme- Plan Option

MADHULIKA

UTI Regular Saving Fund (Segregated - 17022020) - Regular Growth Plan Growth (If you wish to invest in different scheme, please strike off here and write below)

Drawn on Bank

*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.

I/we would like to switch

MICR NO

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.

All units

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.

units or (amount in figures)or Partial units

(in words)

Sub Code

from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.

Folio No. 548311182006 PAN

Mode of Holding

I/we would like to redeem

Cheque/DD Number

I/we would like to purchase units of the above mentioned scheme for Amount (in fig)

Redemption :

from above mentioned Scheme to

Purchase / Additional Purchase :

Switch :

`

Bank A/c type (Please tick) CurrentSavings NRO NRE

Plan Growth IDCW Payout

(in words)

SAVINGS/XXXXXXXX429 / STATE BANK OF INDIA / KHADIGRAM JAMUI BRANCH / JAMUI / 811313 / ECS - 811002506 / IFS Code : SBIN0009234

SINGLE

units or (amount in figures)`All units or Partial units

EUIN

RM code

: E066008

:

Third Account Holder

Primary Holder

IFSC

KYC Status

Complied(CVL KRA KYC)XXXXXXX76G

2nd Holder

Name

Bank Details

First Account HolderSIGNATURE(S)

:

dated

Second Account Holder

::

:

:

3rd Holder

Guardian

:

Sub ARN Code

:

` (in words)

IDCW Reinvestment

Branch

Option

No commercial transaction including Purchase/Redemption/Switch is allowed under Segregated portfolio.However these units can be traded in the stock exchange in dematerialised (demat) form.

Account StatementFor the period 01 Apr 2021 to 18 Oct 2021

Statement Date : 18 Oct 2021

of1 1CA : WB99-BRNPM7976G-18-10-2021 09:38:08 / LA: BRNPM7976G-18.10.21-9 Page

Page 15: Account Statement Statement Date : 18 Oct 2021

Please update your records with: Email ID

Guardian

For subscriptions received w.e.f. May 17th, 2018, applicable Exit load: Redemption/Switch out within 1 year

from the date of allotment : (i) Upto 10% of the allotted Units - NIL (ii) Beyond 10% of the allotted Units-

1%.Redemption / Switch out after 1 year from the date of allotment – NIL

C/O- VIPUL KUMAR GAUTAMPOST- MALAYPURDIST- JAMUIJAMUIBIHARINDIA, PIN : 811313

Mobile No : 9431943405Email ID : please provide

Nominee : Santosh Kumar Pandey - 100%

3rd Holder

Primary Holder

Holder

RESIDENT INDIANRegistered

2nd Holder

Complied(CVL KRA

MADHULIKA

::

XXXXXXX76G

548311182006 * Folio No. : Application No : 0028074

: SINGLE : INDIVIDUAL

: SAVINGS/XXXXXXXX429

: STATE BANK OF INDIA

811002506: : SBIN0009234

: Sudhir Kumar Mishra ( ARN-79378 )

: : E066008

Unique Client Code :MFUTIB0063

:

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

Electronic:

Mode of Holding

Date Of Birth Category

Status

Bank Account No

Bank Name

MICR No

Financial Advisor

Sub ARN Code

Pay Mode

IFS Code

Sub Code EUIN

PAN KYC Status/KIN FATCAYes

Amount

ISIN : INF789F01893

Price(`)Tr.Date NAV(`) Balance UnitsLoadTransaction Type Number of Units(`) (`)Cost

UTI Regular Savings Fund - Regular Growth Plan Growth

Merger In 911.18035,270.84

Cost 47,717.86Current value

Local UFC Address : UTI Financial Centre; Harshwardhan Arcade, 3rd Floor, Beside Hotel Samrat International, Fraser Road, Patna-800001, Bihar. Tel No: 0612 - 2230886, 2911207;Fax No: 0612-2201576

* Cost of acquisition is bifurcated post segregation of corresponding units.

52.3693 (as on 14 Oct 2021) `NAV ` ` 35,271.00

Financial Advisor Sudhir Kumar Mishra ( ARN-79378 )

New Scheme- Plan Option

MADHULIKA

UTI Regular Savings Fund - Regular Growth Plan Growth (If you wish to invest in different scheme, please strike off here and write below)

Drawn on Bank

*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.

I/we would like to switch

MICR NO

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.

All units

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.

units or (amount in figures)or Partial units

(in words)

Sub Code

from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.

Folio No. 548311182006 PAN

Mode of Holding

I/we would like to redeem

Cheque/DD Number

I/we would like to purchase units of the above mentioned scheme for Amount (in fig)

Redemption :

from above mentioned Scheme to

Purchase / Additional Purchase :

Switch :

`

Bank A/c type (Please tick) CurrentSavings NRO NRE

Plan Growth IDCW Payout

(in words)

SAVINGS/XXXXXXXX429 / STATE BANK OF INDIA / KHADIGRAM JAMUI BRANCH / JAMUI / 811313 / ECS - 811002506 / IFS Code : SBIN0009234

SINGLE

units or (amount in figures)`All units or Partial units

EUIN

RM code

: E066008

:

Third Account Holder

Primary Holder

IFSC

KYC Status

Complied(CVL KRA KYC)XXXXXXX76G

2nd Holder

Name

Bank Details

First Account HolderSIGNATURE(S)

:

dated

Second Account Holder

::

:

:

3rd Holder

Guardian

:

Sub ARN Code

:

` (in words)

IDCW Reinvestment

Branch

Option

Account StatementFor the period 01 Apr 2021 to 18 Oct 2021

Statement Date : 18 Oct 2021

of1 1CA : WB99-BRNPM7976G-18-10-2021 09:38:08 / LA: BRNPM7976G-18.10.21-7 Page

Page 16: Account Statement Statement Date : 18 Oct 2021

Please update your records with: Email ID

Guardian

Entry Load:  NIL, W.e.f. 01-08-2017: Exit Load : NIL.

C/O- VIPUL KUMAR GAUTAMPOST- MALAYPURDIST- JAMUIJAMUIBIHARINDIA, PIN : 811313

Mobile No : 9431943405Email ID : please provide

Nominee : Santosh Kumar Pandey - 100%

3rd Holder

Primary Holder

Holder

RESIDENT INDIANRegistered

2nd Holder

Complied(CVL KRA

MADHULIKA

::

XXXXXXX76G

548311182006 * Folio No. : Application No : 0028074

: SINGLE : INDIVIDUAL

: SAVINGS/XXXXXXXX429

: STATE BANK OF INDIA

811002506: : SBIN0009234

: Sudhir Kumar Mishra ( ARN-79378 )

: : E066008

Unique Client Code :MFUTIB0033

:

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

Electronic:

Mode of Holding

Date Of Birth Category

Status

Bank Account No

Bank Name

MICR No

Financial Advisor

Sub ARN Code

Pay Mode

IFS Code

Sub Code EUIN

PAN KYC Status/KIN FATCAYes

Amount Price(`)Tr.Date NAV(`) Balance UnitsLoadTransaction Type Number of Units(`) (`)Cost

UTI Smart Woman Savings Plan - Regular Growth Plan Growth

Merger Out 0.000

Local UFC Address : UTI Financial Centre; Harshwardhan Arcade, 3rd Floor, Beside Hotel Samrat International, Fraser Road, Patna-800001, Bihar. Tel No: 0612 - 2230886, 2911207;Fax No: 0612-2201576

37.3872 (as on 02 May 2018)NAV `

Unit Balance IDCW / Recovery Payout

CurrentValue (`)

Total Cost(a + b)

NAV Date

(`) *

Scheme

(`) (`)

Summary of schemes held in this folio

Cost ofInvestment

(a)

IDCWReinvestment

(b) (`)

937.80UTI Regular Saving Fund (Segregated - 17022020) - Regular Growth Plan 937.80 911.180 262.240.00 872.6414/10/2021

35,270.85UTI Regular Savings Fund - Regular Growth Plan 35,270.85 911.180 0.000.00 47,717.8614/10/2021

0.00 1,822.36036,208.65 262.24Total

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

36,208.65 48,590.50

*Amount recovered has been paid out to you.

Account StatementFor the period 01 Apr 2021 to 18 Oct 2021

Statement Date : 18 Oct 2021

of1 2CA : WB99-BRNPM7976G-18-10-2021 09:38:08 / LA: BRNPM7976G-18.10.21-5 Page

Page 17: Account Statement Statement Date : 18 Oct 2021

Account StatementFor the period 01 Apr 2021 to 18 Oct 2021

Statement Date : 18 Oct 2021

Financial Advisor Sudhir Kumar Mishra ( ARN-79378 )

New Scheme- Plan Option

MADHULIKA

UTI Smart Woman Savings Plan - Regular Growth Plan Growth (If you wish to invest in different scheme, please strike off here and write below)

Drawn on Bank

*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.

I/we would like to switch

MICR NO

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.

All units

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.

units or (amount in figures)or Partial units

(in words)

Sub Code

from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.

Folio No. 548311182006 PAN

Mode of Holding

I/we would like to redeem

Cheque/DD Number

I/we would like to purchase units of the above mentioned scheme for Amount (in fig)

Redemption :

from above mentioned Scheme to

Purchase / Additional Purchase :

Switch :

`

Bank A/c type (Please tick) CurrentSavings NRO NRE

Plan Growth IDCW Payout

(in words)

SAVINGS/XXXXXXXX429 / STATE BANK OF INDIA / KHADIGRAM JAMUI BRANCH / JAMUI / 811313 / ECS - 811002506 / IFS Code : SBIN0009234

SINGLE

units or (amount in figures)`All units or Partial units

EUIN

RM code

: E066008

:

Third Account Holder

Primary Holder

IFSC

KYC Status

Complied(CVL KRA KYC)XXXXXXX76G

2nd Holder

Name

Bank Details

First Account HolderSIGNATURE(S)

:

dated

Second Account Holder

::

:

:

3rd Holder

Guardian

:

Sub ARN Code

:

` (in words)

IDCW Reinvestment

Branch

Option

of2 2CA : WB99-BRNPM7976G-18-10-2021 09:38:08 / LA: BRNPM7976G-18.10.21-5 Page

Page 18: Account Statement Statement Date : 18 Oct 2021

Please update your records with: Email ID

Guardian

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

C/O- VIPUL KUMAR GAUTAMPOST- MALAYPURDIST- JAMUIJAMUIBIHARINDIA, PIN : 811313

Mobile No : 9431943405Email ID : please provide

Nominee : Santosh Kumar Pandey - 100%

3rd Holder

Primary Holder

Holder

RESIDENT INDIANRegistered

2nd Holder

Complied(CVL KRA

MADHULIKA

::

XXXXXXX76G

548311921554 * Folio No. : Application No : 0027777

: SINGLE : INDIVIDUAL

: SAVINGS/XXXXXXXX429

: STATE BANK OF INDIA

811002506: : SBIN0009234

: Sudhir Kumar Mishra ( ARN-79378 )

: : E066008

Unique Client Code :MFUTIB0003

:

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

Electronic:

Mode of Holding

Date Of Birth Category

Status

Bank Account No

Bank Name

MICR No

Financial Advisor

Sub ARN Code

Pay Mode

IFS Code

Sub Code EUIN

PAN KYC Status/KIN FATCAYes

Status as on 31-01-2018: NAV Rs. 34.5795, Units 705.503, Value Rs.24395.940

Amount

ISIN : INF189A01038

Price(`)Tr.Date NAV(`) Balance UnitsLoadTransaction Type Number of Units(`) (`)Cost

UTI Mastershare Unit Scheme - Regular Plan Payout of IDCW#

Opening Balance 705.503

Cost 33,478.16Current value

Local UFC Address : UTI Financial Centre; Harshwardhan Arcade, 3rd Floor, Beside Hotel Samrat International, Fraser Road, Patna-800001, Bihar. Tel No: 0612 - 2230886, 2911207;Fax No: 0612-2201576

47.4529 (as on 14 Oct 2021) `NAV ` ` 25,000.00 Total IDCW Paid ` 6,908.75

Financial Advisor Sudhir Kumar Mishra ( ARN-79378 )

New Scheme- Plan Option

MADHULIKA

UTI Mastershare Unit Scheme - Regular Plan Payout of IDCW (If you wish to invest in different scheme, please strike off here and write below)

Drawn on Bank

*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.

I/we would like to switch

MICR NO

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.

All units

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.

units or (amount in figures)or Partial units

(in words)

Sub Code

from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.

Folio No. 548311921554 PAN

Mode of Holding

I/we would like to redeem

Cheque/DD Number

I/we would like to purchase units of the above mentioned scheme for Amount (in fig)

Redemption :

from above mentioned Scheme to

Purchase / Additional Purchase :

Switch :

`

Bank A/c type (Please tick) CurrentSavings NRO NRE

Plan Growth IDCW Payout

(in words)

SAVINGS/XXXXXXXX429 / STATE BANK OF INDIA / KHADIGRAM / JAMUI / KHADIGRAM / 811313 / ECS - 811002506 / IFS Code : SBIN0009234

SINGLE

units or (amount in figures)`All units or Partial units

EUIN

RM code

: E066008

:

Third Account Holder

Primary Holder

IFSC

KYC Status

Complied(CVL KRA KYC)XXXXXXX76G

2nd Holder

Name

Bank Details

First Account HolderSIGNATURE(S)

:

dated

Second Account Holder

::

:

:

3rd Holder

Guardian

:

Sub ARN Code

:

` (in words)

IDCW Reinvestment

Branch

Option

# Income Distribution cum Capital Withdrawal

Account StatementFor the period 01 Apr 2021 to 18 Oct 2021

Statement Date : 18 Oct 2021

of1 1CA : WB99-BRNPM7976G-18-10-2021 09:38:08 / LA: BRNPM7976G-18.10.21-5 Page

Page 19: Account Statement Statement Date : 18 Oct 2021

Guardian

Entry Load - Nil, Exit Load - Nil

C/O- VIPUL KUMAR GAUTAMPOST- MALAYPURDIST- JAMUIJAMUIBIHARINDIA, PIN : 811313

Mobile No : 8538937983Email ID : please provide

Nominee : Santosh Kumar Pandey - 100%

3rd Holder

Primary Holder

Holder

RESIDENT INDIANRegistered

2nd Holder

Complied(CVL KRA

MADHULIKA

::

XXXXXXX76G

548319878423 * Folio No. : Application No : 00311811

: SINGLE : INDIVIDUAL

: SAVINGS/XXXXXXXX429

: STATE BANK OF INDIA

811002506: : SBIN0009234

: Sudhir Kumar Mishra ( ARN-79378 )

: : E066008:

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

Electronic:

Mode of Holding

Date Of Birth Category

Status

Bank Account No

Bank Name

MICR No

Financial Advisor

Sub ARN Code

Pay Mode

IFS Code

Sub Code EUIN

PAN KYC Status/KIN FATCAYes

FrequencySIP RefNo ToDate

SIP Registration Details Step up

FromDate Amount Frequency Amount(`) (`)

586186683 22/12/209922/07/2018 1000 Monthly

Amount

ISIN : INF789FC11T3

Price(`)Tr.Date NAV(`) Balance UnitsLoadTransaction Type Number of Units(`) (`)Cost

UTI Nifty Next 50 Index Fund - Regular Plan Growth Growth

Opening Balance 3,591.926

1,000.0022/04/2021 Gross Sys. Investment

0.05Stamp Duty @ 0.005 %

999.9522/04/2021 Net Sys. Investment (34/978) 12.1869 82.051 3,673.97712.1869

1,000.0024/05/2021 Gross Sys. Investment

0.05Stamp Duty @ 0.005 %

999.9524/05/2021 Net Sys. Investment (35/978) 13.2910 75.235 3,749.21213.2910

1,000.0022/06/2021 Gross Sys. Investment

0.05Stamp Duty @ 0.005 %

999.9522/06/2021 Net Sys. Investment (36/978) 13.8079 72.419 3,821.63113.8079

1,000.0022/07/2021 Gross Sys. Investment

0.05Stamp Duty @ 0.005 %

999.9522/07/2021 Net Sys. Investment (37/978) 13.9982 71.434 3,893.06513.9982

1,000.0023/08/2021 Gross Sys. Investment

0.05Stamp Duty @ 0.005 %

999.9523/08/2021 Net Sys. Investment (38/978) 13.9529 71.666 3,964.73113.9529

1,000.0022/09/2021 Gross Sys. Investment

0.05Stamp Duty @ 0.005 %

999.9522/09/2021 Net Sys. Investment (39/978) 15.2736 65.469 4,030.20015.2736

Cost 63,875.45Current value

Local UFC Address : UTI Financial Centre; Harshwardhan Arcade, 3rd Floor, Beside Hotel Samrat International, Fraser Road, Patna-800001, Bihar. Tel No: 0612 - 2230886, 2911207;Fax No: 0612-2201576

15.8492 (as on 14 Oct 2021) `NAV ` ` 41,000.00

Account StatementFor the period 01 Apr 2021 to 18 Oct 2021

Statement Date : 18 Oct 2021

of1 2CA : WB99-BRNPM7976G-18-10-2021 09:38:08 / LA: BRNPM7976G-18.10.21-7 Page

Page 20: Account Statement Statement Date : 18 Oct 2021

Account StatementFor the period 01 Apr 2021 to 18 Oct 2021

Statement Date : 18 Oct 2021

Financial Advisor Sudhir Kumar Mishra ( ARN-79378 )

New Scheme- Plan Option

MADHULIKA

UTI Nifty Next 50 Index Fund - Regular Plan Growth Growth (If you wish to invest in different scheme, please strike off here and write below)

Drawn on Bank

*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.

I/we would like to switch

MICR NO

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.

All units

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.

units or (amount in figures)or Partial units

(in words)

Sub Code

from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.

Folio No. 548319878423 PAN

Mode of Holding

I/we would like to redeem

Cheque/DD Number

I/we would like to purchase units of the above mentioned scheme for Amount (in fig)

Redemption :

from above mentioned Scheme to

Purchase / Additional Purchase :

Switch :

`

Bank A/c type (Please tick) CurrentSavings NRO NRE

Plan Growth IDCW Payout

(in words)

SAVINGS/XXXXXXXX429 / STATE BANK OF INDIA / VIAJAMUI / KHADIGRAM / 811313 / ECS - 811002506 / IFS Code : SBIN0009234

SINGLE

units or (amount in figures)`All units or Partial units

EUIN

RM code

: E066008

:

Third Account Holder

Primary Holder

IFSC

KYC Status

Complied(CVL KRA KYC)XXXXXXX76G

2nd Holder

Name

Bank Details

First Account HolderSIGNATURE(S)

:

dated

Second Account Holder

::

:

:

3rd Holder

Guardian

:

Sub ARN Code

:

` (in words)

IDCW Reinvestment

Branch

Option

Cheque/DDPaymode UTI SMaRT Form (Max Amount: 100000.00)

of2 2CA : WB99-BRNPM7976G-18-10-2021 09:38:08 / LA: BRNPM7976G-18.10.21-5 Page

Page 21: Account Statement Statement Date : 18 Oct 2021

Guardian

Entry Load:   NIL, W.e.f. 25-08-2021 Exit Load :   1.00% if redeemed before 365 days from the date of

investment.No Exit load on or after 365 days from the date of investment.

C/O- VIPUL KUMAR GAUTAMPOST- MALAYPURDIST- JAMUIJAMUIBIHARINDIA, PIN : 811313

Mobile No : 9431943405Email ID : [email protected]

Nominee : Santosh Kumar Pandey - 100%

3rd Holder

Primary Holder

Holder

RESIDENT INDIANRegistered

2nd Holder

Complied(CVL KRA

MADHULIKA

::

XXXXXXX76G

548339166595 * Folio No. : Application No : 0601082

: SINGLE : INDIVIDUAL

: SAVINGS/XXXXXXXX429

: STATE BANK OF INDIA

811002506: : SBIN0009234

: Manoj Kumar Barnwal ( ARN-85162 )

: : E070582:

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

Electronic:

Mode of Holding

Date Of Birth Category

Status

Bank Account No

Bank Name

MICR No

Financial Advisor

Sub ARN Code

Pay Mode

IFS Code

Sub Code EUIN

PAN KYC Status/KIN FATCAYes

Amount

ISIN : INF789F1AUY5

Price(`)Tr.Date NAV(`) Balance UnitsLoadTransaction Type Number of Units(`) (`)Cost

UTI Focused Equity Fund - Regular Plan Growth Option

45,000.0025/08/2021 Gross Initial Purchase

100.00Transaction Charges

2.24Stamp Duty @ 0.005 %

44,897.76NEW PURCHASE WITH CHEQUE

25/08/2021 Net Initial Purchase 10.0000 4,489.776 4,489.77610.0000

Cost 47,779.30Current value

Local UFC Address : UTI Financial Centre; Harshwardhan Arcade, 3rd Floor, Beside Hotel Samrat International, Fraser Road, Patna-800001, Bihar. Tel No: 0612 - 2230886, 2911207;Fax No: 0612-2201576

10.6418 (as on 14 Oct 2021) `NAV ` ` 45,000.00

Financial Advisor Manoj Kumar Barnwal ( ARN-85162 )

New Scheme- Plan Option

MADHULIKA

UTI Focused Equity Fund - Regular Plan Growth Option (If you wish to invest in different scheme, please strike off here and write below)

Drawn on Bank

*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.

I/we would like to switch

MICR NO

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.

All units

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.

units or (amount in figures)or Partial units

(in words)

Sub Code

from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.

Folio No. 548339166595 PAN

Mode of Holding

I/we would like to redeem

Cheque/DD Number

I/we would like to purchase units of the above mentioned scheme for Amount (in fig)

Redemption :

from above mentioned Scheme to

Purchase / Additional Purchase :

Switch :

`

Bank A/c type (Please tick) CurrentSavings NRO NRE

Plan Growth IDCW Payout

(in words)

SAVINGS/XXXXXXXX429 / STATE BANK OF INDIA / VIAJAMUI / KHADIGRAM / 811313 / ECS - 811002506 / IFS Code : SBIN0009234

SINGLE

units or (amount in figures)`All units or Partial units

EUIN

RM code

: E070582

:

Third Account Holder

Primary Holder

IFSC

KYC Status

Complied(CVL KRA KYC)XXXXXXX76G

2nd Holder

Name

Bank Details

First Account HolderSIGNATURE(S)

:

dated

Second Account Holder

::

:

:

3rd Holder

Guardian

:

Sub ARN Code

:

` (in words)

IDCW Reinvestment

Branch

Option

Cheque/DDPaymode UTI SMaRT Form (Max Amount: 100000.00)

Account StatementFor the period 01 Apr 2021 to 18 Oct 2021

Statement Date : 18 Oct 2021

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