Repurchase / Redemption Request FormTo,NJ IndiaInvest Pvt. Ltd.,8th Floor, B Tower, Udhna Udyog Nagar Sangh Commercial Complex, Central Road No.10. Udhna, Surat-394210, Gujarat, India.

( to filled by the depository participant)

I/We offer the below mentioned Mutual Fund (MF) units for repurchase / redemption and declare that my/our account be debited “All” or the number of MF Units to the extent of my/ our repurchase / redemption request and proceeds be paid to me/us cheque/ bank draft. I/We hereby declare that the below mentioned person(s) are the beneficial owners of the MF Units mentioned.

If all holdings in the Demat account are to be redeemed / repurchased, then “ALL” should be mentioned in the Quantity column.

Participant Authorization

Received the above mentioned MF Units for repurchase/ redemption from

The application form is verified with the details of the beneficial owner’s account and certified that the application form is in order. The account has sufficient balance to accept the repurchase/ redemption request. It is also certified that the beneficial owner’s signatures are verified and found to be in order.

To,NJ IndiaInvest Pvt. Ltd.,8th Floor, B Tower, Udhna Udyog Nagar Sangh Commercial Complex, Central Road No.10. Udhna, Surat-394210, Gujarat, India.

We hereby acknowledge the receipt of repurchase/ redemption request for ___________________ no. of securities of ______________________________

(security details) from _____________________________________ (Name) holding a/c no.

DepositoryParticipant’s Signature

*Date : D D M M Y Y Y Y

RRF Set up Date: D D M M Y Y Y Y Time:

Date: D D M M Y Y Y Y

RRN No.:

*Date : D D M M Y Y Y YRRF No.:

Quantity Lock-in Details

Name of the First/Sole Holder:

Name of the First/Sole Holder:

Account No.:

ISIN:

Name of the security/scheme:

Name of the issuing Company / AMC:

Face Value: ISIN:

Depository Participant ID:

Name of the Second Holder:

Name of the Third Holder:

No. of MF units to be Repurchased/Redeemed (in figures) or /“ALL”:

in words (integers and fractions):

“Amount” ()

Seal

DepositoryParticipant’s Signature Date: D D M M Y Y Y Y

Date: D D M M Y Y Y Y

Seal

Acknowledgement Receipt(Please Tear Here)

Demat Account Number:

First / Sole Holder

Specimen Signature(s)

Name

Second Holder Third Holder

1 2 0 6 4 2 0 0

1 2 0 6 4 2 0 0

1 2 0 6 4 2 0 0

NJ India Invest Private LimitedDP of Central Depository Services (India) Limited

Block No. 901 & 902, 6th Floor, 'B' Tower, Udhna Udyog Nagar Sangh Commercial Complex, Central Road No. 10, Udhna, Surat - 394 210, Gujarat, IndiaBSE - SEBI Registration No: INB011360535 NSE - SEBI Registration No: INB231360539 CSDL - SEBI Registration No: IN-DP-14-2015

Contact No. : 0261 3985500 Email : dpservices@njgroup.in Website : www.njgroup.in