HDFC Mutual Fund Common Application Form for Equity oriented Schemes

Investors must read the Key Information Memorandum and the instructions before completing this Form. The Application Form should be completed in English and in BLOCK LETTERS only.

... continued overleaf

Application form for Equity, Balanced, MIP and ELSS Schemes

Offer of Units At Applicable NAV

• HDFC Growth Fund • HDFC Equity Fund • HDFC Top 200 Fund • HDFC Capital Builder Fund • HDFC Core & Satellite Fund • HDFC Premier Multi-Cap Fund• HDFC Mid-Cap Opportunities Fund • HDFC Focused Large-Cap Fund • HDFC Infrastructure Fund • HDFC Arbitrage Fund • HDFC Balanced Fund

#• HDFC Prudence Fund • HDFC Long Term Advantage Fund* • HDFC TaxSaver* • HDFC Index Fund • HDFC MF Monthly Income Plan • HDFC Multiple Yield Fund • HDFC Multiple Yield Fund - Plan 2005 • HDFC Gold Fund#(open-ended income scheme. Monthly income is not assured and is subject to availability of distributable surplus) *(open-ended equity linked savings scheme with a lock-in period of 3 years)

ACKNOWLEDGEMENT SLIP (To be flled in by the Investor) [For any queries please contact our nearest Investor Service Centre or call us at our Customer Service Number 180030106767 (Toll Free)]

Date :

Received from Mr. / Ms. / M/s. ________________________________________________________________________________________________

an application for Purchase of Units of the Scheme(s) alongwith Cheque / DD / Payment Instrument as detailed overleaf.

Please Note: All Purchases are subject to realisation of cheques / demand drafts / Payment Instrument.

ISC Stamp & Signature

HDFC MUTUAL FUND Head office : HUL House, 2nd Floor, H.T. Parekh Marg, 165-166, Backbay Reclamation, Churchgate, Mumbai - 400 020.

FOR OFFICE USE ONLY (TIME STAMP)

TRANSACTION CHARGES FOR APPLICATIONS THROUGH DISTRIBUTORS ONLY (Refer Instruction 2 and please tick (P) any one)

I confirm that I am a First time investor across Mutual Funds.

In case the purchase/ subscription amount is Rs. 10,000 or more and your Distributor has opted in 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.Upfront commission shall be paid directly by the investor to the ARN Holder (AMFI registered Distributor) based on the investors’ assessment of various factors including the service rendered by the ARN Holder.

I confirm that I am an existing investor in Mutual Funds.

1. EXISTING UNIT HOLDER INFORMATION (If you have existing folio, please fll in section 1 and proceed to section 6. Refer instruction 3).

NAME OF FIRST / SOLE APPLICANT Mr. Ms. M/s.

The details in our records under the folio number mentioned alongside will apply for this application.Folio No.

(Rs. 150 deductible as Transaction Charge and payable to the Distributor) (Rs. 100 deductible as Transaction Charge and payable to the Distributor)

KEY PARTNER / AGENT INFORMATION (Investors applying under Direct Plan must mention “Direct” in ARN column.) (Refer Instruction 1)

ARN NameARN

ARN-

Sub Agent’s ARN/Bank Branch Code

Employee Unique Identification Number

(EUIN)

Internal Code for Sub-Agent/

Employee

3a. UNIT HOLDER INFORMATION (refer instruction 4) DATE OF BIRTH@ DD MM YYYY

NAME OF FIRST / SOLE APPLICANT (In case of Minor, there shall be no joint holders)

Nationality

Mr. Ms. M/s.

Proof of date of birth@

Attached

Please (P)

KYC# Proof Attached(Mandatory) [Please tick (P)]PAN#

PEKRN#or

Relationship with Minor@ Please (P) Father Mother Court appointed Legal Guardian Proof of relationship with minor@ Please (P) Attached @ Mandatory

Nationality Contact No.Designation

NAME OF GUARDIAN (in case of First / Sole Applicant is a Minor) / NAME OF CONTACT PERSON – DESIGNATION (in case of non-individual Investors)

Mr. Ms.

Proof AttachedKYC# (Mandatory) [Please tick (P)]PAN# PEKRN#or

NAME OF THE THIRD APPLICANT (Third Applicant not allowed in case of minor as first/sole applicant)

KYC# (Mandatory) [Please tick (P)] Proof AttachedNationality

Mr. Ms. M/s.

Resident Individual NRI (Mandatory) P)][Please tick (

# Please attach Proof. If PAN/PEKRN/KYC is already validated please don’t attach any proof. Refer instruction No 16 for PAN/PEKRN and No 18 for KYC.

PAN#

PEKRN#or

MAILING ADDRESS OF FIRST / SOLE APPLICANT (Mandatory) (Refer Instruction 4)

CITY STATE PIN CODE

NAME OF THE SECOND APPLICANT Resident Individual NRI (Second Applicant not allowed in case of minor as first/sole applicant)

Mr. Ms. M/s.

Nationality

(Mandatory) P)][Please tick (

(Mandatory) [Please tick (P)] Proof Attached

KYC# PAN#

PEKRN#or

2.

Resident IndividualHUFMinor through guardianSociety / Club

NRI-Repatriation

AOPBOI

Others __________________________________________

NRI-Non Repatriation

PIOBody Corporate

PartnershipCompany

LLP

TrustFIIs

MODE OF HOLDING

Single

JointAnyone or Survivor

OCCUPATION (of First/Sole Applicant)

ServiceHousewifeAgriculture

Others _______________________ (please specify)

StudentBusinessProprietorship

ProfessionalRetired

STATUS (of First/Sole Applicant) [Please tick (P)] [Please tick (P)] [Please tick (P)]

OCIForeign National Resident in India QFI

(please specify)

EUIN Declaration (only where EUIN box is left blank) (Refer Instruction 1)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.

First/ Sole Applicant/ Guardian Second Applicant Third Applicant

Sign Here Sign Here Sign Here

Sole Proprietorship

- -

S RAJAGOPAL NIL E0780061781

8. DEMAT ACCOUNT DETAILS* - (Optional - refer instruction 13)

NSDL CDSL

DP Name

DP ID

Beneficiary Account No.

*Investor opting to hold units in demat form, may provide a copy of the DP statement enable us to match the demat details as stated in the application form.

^ On providing email-id investors shall receive scheme wise annual report or an abridged summary thereof / account statements / statutory and other documents by email.

OVERSEAS ADDRESS (Mandatory in case of NRIs /FIIs/PIOs/ OCIs / QFIs) (P. O. Box Address may not be suffcient)

eAlerts Mobile eDocs Email^

Telephone : Off. Res. Fax

CONTACT DETAILS OF FIRST / SOLE APPLICANT STD Code

4. BANK ACCOUNT (PAY-OUT) DETAILS OF THE FIRST / SOLE APPLICANT (refer instruction 5)

(Mandatory to attach proof, in case the pay-out bank account is different from the bank account mentioned under Section 9 below.)

(** Refer Instruction 11) (The 9 digit code appears on your cheque next to the cheque number)

Account No. Name of the Bank

Branch Bank City

SAVINGS CURRENT NRE NRO FCNR OTHERS _______________________

(please specify)Account Type [Please tick ( )P

IFSC Code***

For unit holders opting to hold units in demat form, please ensure that the bank account linked with the demat account is mentioned here.

MICR Code**

7. INVESTMENT DETAILS (refer instruction 6 for Scheme details) (Investors applying under Direct Plan must mention “Direct” against the Scheme name.)

SCHEME 1 SCHEME 2 SCHEME 3

Name of the Scheme / Plan

Option / Sub-option

Dividend Payout/Reinvestment option

}Refer Instruction No. 6

3b. POWER OF ATTORNEY (PoA) HOLDER DETAILS

KYC# Proof Attached

Mr. Ms. M/s.Name of PoA

PAN# (Mandatory) [Please tick (P)]

PEKRN#or


Particulars SCHEME 1 SCHEME 2 SCHEME 3

Scheme Name / Plan / Option / Sub-option / Payout Option

Cheque / DD / Payment Instrument No. / Date

Drawn on (Name of Bank and Branch)

Amount in figures (Rs.)


*** Refer Instruction 5C (Mandatory for Credit via NEFT / RTGS) (11 Character code appearing on your cheque leaf. If you do not find this on your cheque leaf, please check for the same with your bank)

6. eSERVICES OPTIONS (SAVE PAPER, SAVE TREES) [Please tick (P)] (refer instruction 12)

HDFCMFOnline

www.hdfcfund.com

& HDFCMFMobile - I/ We would like to register for my/our HDFCMF Personal Identification Number (HPIN) to transact online as per the terms & conditions displayed on website:

Mandatory information to be provided:

a) Email address:

(if the address given herein is different from the email address under section 3(a), the email address herein will be considered during registration for HPIN).

b) Mother’s maiden name:

I/ We have read and understood the terms and conditions and confirm that I/ we shall be bound by them (Terms & Conditions available on our website)

_______________________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________

5. MODE OF PAYMENT OF REDEMPTION / DIVIDEND PROCEEDS VIA DIRECT CREDIT / NEFT / ECS (refer instruction 11)

Unitholders will receive redemption/ dividend proceeds directly into their bank account (as furnished in Section 4) via Direct credit/ NEFT/ECS facility I/We want to receive the redemption / dividend proceeds (if any) by way of a cheque / demand draft instead of direct credit / credit through NEFT system / credit through ECS into my / our bank account

(Please refer Product labeling available on cover page of the KIM / last page of the Application form.)

9. Cheque/ Demand Draft/ Payment Instrument. Please attach a separate Cheque/ Demand Draft/ Payment Instrument for each Scheme. Please write Cheque/ DD/ Payment Instrument in favour of ‘the Specifc Scheme A/c PAN’ or ‘the Specifc Scheme A/c Investor Name’.

PAYMENT DETAILS (refer instruction 8 & 9) The name of the first/ sole applicant must be pre-printed on the cheque. Please write Application Form No. / Folio No. on the reverse of the

Cheque / DD / Payment Instrument No.

Cheque / DD / DatePayment Instrument

Amount of Cheque / DD / Payment Instrument /RTGS in figures (Rs.) (i)

DD charges, if any, in figures (Rs.) (ii)

Total Amount

(i) + (ii)

in figures (Rs.)

in words

Pay-In Bank Account No. (For Cheque Only)

Account Type [Please (P)]

Savings Current

NRE NRO FCNR

Others _________(please Specify)

Savings Current

NRE NRO FCNR


Savings Current

NRE NRO FCNR


Drawn on Bank / Branch Name


Third Party Payment(Please attach ‘Third Party Payment Declaration Form’)

Non-Third Party PaymentPayment Type [Please (P)]

10. NOMINATION (refer instruction 15) (Mandatory for new folios of Individuals where mode of holding is single)

[Please (P) and sign] I/We do not wish to Nominate

First / Sole Applicant Second Applicant Third Applicant

Name and Address of Nominee(s)Date of Birth Name and Address of Guardian Signature of Nominee (Optional)/ Guardian of

Nominee (Mandatory)

Proportion (%) in which theunits will be shared by each

Nominee (should aggregate to 100%)(to be furnished in case the Nominee is a minor)

Nominee 1

Nominee 2

Nominee 3

I/We wish to nominate as under: OR

This section is to be filled in only by investors who opt to hold the Units in non-demat form.

11. DECLARATION & SIGNATURE/S (refer instruction 14)

I/We am/are not prohibited from accessing capital markets under any order/ruling/judgment etc., of any regulation, including SEBI. I/We confirm that my application is in compliance with applicable Indian and foreign laws.

Please (P)

If Yes, (P)

Yes No

Repatriation basis

Non-repatriation basis

DD YYYYMM

I / We hereby confirm and declare as under:-(1) I / We have read and understood the terms and contents of the scheme related documents and hereby apply for

allotment of Units of the Scheme(s) of HDFC Mutual Fund (‘Fund’) indicated above and agree to abide and comply with the terms, conditions, rules and regulations of the relevant Scheme(s).

(2) I/We am/are eligible Investor(s) as per the scheme related documents. I/We am/are authorised to make this investment as per the Constitutive documents/ authorization(s) and that the amount invested in the Scheme(s) is through legitimate sources only and does not involve and is not designed for the purpose of any contravention or evasion of any act, rules, regulations, notifications or directions issued by any regulatory authority in India.

(3) The information given in this application form is true and correct. I /We agree to furnish such other information as may be required by the HDFC Asset Management Company Limited (‘AMC’)/ Fund and undertake to inform the AMC / Fund/Registrars and Transfer Agent (RTA) in writing about any change in the information furnished from time to time.

(4) I/We hereby agree to indemnify the Fund, the AMC, Trustee, RTA and other intermediaries in case of any dispute regarding the eligibility, validity and authorization of my/our transactions and/or the applicant who applied on my /our behalf.

(5) I/We have neither received nor been induced by any rebate or gifts, directly or indirectly, in making this investment. The ARN holder (AMFI registered Distributor) has disclosed to me/us all the commissions (in the form of trail commission or any other mode), payable to him/them for the different competing Schemes of various Mutual Funds from amongst which the Scheme is being recommended to me/us.

(6) I/WE HEREBY CONFIRM THAT I/WE HAVE NOT BEEN OFFERED/ COMMUNICATED ANY INDICATIVE PORTFOLIO AND/ OR ANY INDICATIVE YIELD BY THE FUND/AMC/ ITS DISTRIBUTOR FOR THIS INVESTMENT.

I/We undertake to redeem my/our entire investment before I/We change my/our residency status. I/We shall be fully liable for all consequences (including taxation) arising out of the failure to redeem on account of change in residential status.

Applicable to Foreign Nationals Resident in India only:

Applicable to NRIs/ PIO/OCIs only:

TURN OVERLEAF FOR PRODUCT LABELING

(Please write Application Form No. / Folio No. on thereverse of the Cheque / Demand Draft / Payment Instrument.)

SIGN HERE

First / SoleApplicant /Guardian

SecondApplicant

ThirdApplicant

SIG

NATU

RE(S

)

*Investors should consult their financial advisers if in doubt about whether the product is suitable for them.Note: Risk is represented as: (BLUE) investors understand that their principal will be at low risk (YELLOW) investors understand that their principal will be at medium risk (BROWN) investors understand that their principal will be at high risk

NAME OF SCHEME THIS PRODUCT IS SUITABLE FOR INVESTORS WHO ARE SEEKING*

HDFC Growth Fund • capital appreciation over long term.

Open-ended Growth Scheme • investment predominantly in equity and equity related instruments

• high risk. (BROWN)

HDFC Equity Fund • capital appreciation over long term.

Open-ended Growth Scheme • investment predominantly in equity and equity related instruments of medium to large sized companies


HDFC Top 200 Fund • capital appreciation over long term

Open-ended Growth Scheme • investment in equity and equity linked instruments including equity derivatives primarily drawn from the companies in the S&P BSE 200 Index.


HDFC Capital Builder Fund • capital appreciation over long term.

Open-ended Growth Scheme • investment predominantly in equity and equity related instruments of strong companies.


HDFC Core & Satellite Fund • capital appreciation over long term.

Open-ended Growth Scheme • investment primarily in equity and equity related instruments of companies whose shares are quoting at prices below their true value.


HDFC Premier Multi-Cap Fund • capital appreciation over long term.

Open-ended Growth Scheme • investment predominantly in equity and equity related instruments of Mid Cap and Large Cap 'blue chip' companies.


HDFC Mid-Cap Opportunities Fund • capital appreciation over long term.

Open-ended Equity Scheme • investment predominantly in equity and equity related instruments of Small and Mid Cap companies.


HDFC Focused Large-Cap Fund • capital appreciation over long term.

Open-ended Equity Scheme • investment predominantly in equity and equity related instruments of Large Cap companies


HDFC Infrastructure Fund • capital appreciation over long term.

Open-ended Equity Scheme • investment predominantly in equity and equity related securities of companies engaged in or expected to benefit from the growth and development of infrastructure.


HDFC Arbitrage Fund • income over short term.

Open-ended Equity Fund • income through arbitrage opportunities between cash and derivative market and arbitrage opportunities within the derivative segment

• low risk. (BLUE)

HDFC Index Fund -

Open-ended Index Linked Scheme

Nifty Plan • returns that are commensurate with the performance of the Nifty, subject to tracking errors over long term

• investment in equity securities covered by the Nifty


SENSEX Plan • returns that are commensurate with the performance of the SENSEX, subject to tracking errors over long term

• investment in equity securities covered by the SENSEX


SENSEX Plus Plan • capital appreciation over long term.

• investment in equity securities of 80% to 90% of the net assets of the Plan in companies whose securities are included in SENSEX and between 10% & 20% of the net assets in companies whose securities are not included in the SENSEX.


HDFC Long Term Advantage Fund • capital appreciation over long term.

Open-ended Equity Linked Savings • investment predominantly in equity and equity related instruments.

Scheme with lock-in period of 3 years • high risk. (BROWN)

HDFC TaxSaver • growth of capital over long term.

Open-ended Equity Linked Savings • investment predominantly in equity and equity related instruments.

Scheme with lock-in period of 3 years • high risk. (BROWN)

HDFC Balanced Fund • capital appreciation along with current income over long term.

Open-ended Balanced Scheme • investment predominantly in equity and equity related instruments with balance exposure to debt and money market instruments.


HDFC Prudence Fund • periodic income with capital appreciation and prevention of capital erosion over long term.

Open-ended Balanced Scheme • investment predominantly in equity and equity related instruments with balance exposure to debt and money market instruments.


HDFC MF Monthly Income Plan • regular income over medium to long term.

(Short Term Plan and Long Term Plan) • investment in debt and money market instruments as well as equity and equity related instruments.

Open-ended Income Scheme • medium risk. (YELLOW)

HDFC Multiple Yield Fund • positive returns over medium term with low risk of capital loss over medium term.

Open-ended income Scheme • investment in debt and money market instruments with maturity of 1 year (85%) as well as equity and equity related instruments (15%).

• medium risk. (YELLOW)

HDFC Multiple Yield Fund- Plan 2005 • positive returns over medium term with low risk of capital loss over medium term.

Open-ended income Scheme • investment in debt and money market instruments with maturity of 15 months (85%) as well as equity and equity related instruments (15%).

• medium risk. (YELLOW)

HDFC Gold Fund • capital appreciation over long term.

Open-ended Fund Of Fund Scheme • investment in Units of HDFC Gold Exchange Traded Fund (HGETF). HGETF invests in gold bullion of 0.995 fineness.


PRODUCT LABELING:

To provide investors an easy understanding of the kind of product / scheme they are investing in and its suitability to them, the product labeling for the following schemes is as under:

Investors must read the Key Information Memorandum and the instructions before completing this Form. The Application Form should be completed in English and in BLOCK LETTERS only.


Application form for Equity, Balanced, MIP and ELSS Schemes

Offer of Units At Applicable NAV

• HDFC Growth Fund • HDFC Equity Fund • HDFC Top 200 Fund • HDFC Capital Builder Fund • HDFC Core & Satellite Fund • HDFC Premier Multi-Cap Fund• HDFC Mid-Cap Opportunities Fund • HDFC Focused Large-Cap Fund • HDFC Infrastructure Fund • HDFC Arbitrage Fund • HDFC Balanced Fund

#• HDFC Prudence Fund • HDFC Long Term Advantage Fund* • HDFC TaxSaver* • HDFC Index Fund • HDFC MF Monthly Income Plan • HDFC Multiple Yield Fund • HDFC Multiple Yield Fund - Plan 2005 • HDFC Gold Fund#(open-ended income scheme. Monthly income is not assured and is subject to availability of distributable surplus) *(open-ended equity linked savings scheme with a lock-in period of 3 years)

ACKNOWLEDGEMENT SLIP (To be flled in by the Investor) [For any queries please contact our nearest Investor Service Centre or call us at our Customer Service Number 180030106767 (Toll Free)]

Date :

Received from Mr. / Ms. / M/s. ________________________________________________________________________________________________

an application for Purchase of Units of the Scheme(s) alongwith Cheque / DD / Payment Instrument as detailed overleaf.

Please Note: All Purchases are subject to realisation of cheques / demand drafts / Payment Instrument.

ISC Stamp & Signature

HDFC MUTUAL FUND Head office : HUL House, 2nd Floor, H.T. Parekh Marg, 165-166, Backbay Reclamation, Churchgate, Mumbai - 400 020.

FOR OFFICE USE ONLY (TIME STAMP)

TRANSACTION CHARGES FOR APPLICATIONS THROUGH DISTRIBUTORS ONLY (Refer Instruction 2 and please tick (P) any one)

I confirm that I am a First time investor across Mutual Funds.

In case the purchase/ subscription amount is Rs. 10,000 or more and your Distributor has opted in 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.Upfront commission shall be paid directly by the investor to the ARN Holder (AMFI registered Distributor) based on the investors’ assessment of various factors including the service rendered by the ARN Holder.

I confirm that I am an existing investor in Mutual Funds.

1. EXISTING UNIT HOLDER INFORMATION (If you have existing folio, please fll in section 1 and proceed to section 6. Refer instruction 3).

NAME OF FIRST / SOLE APPLICANT Mr. Ms. M/s.

The details in our records under the folio number mentioned alongside will apply for this application.Folio No.

(Rs. 150 deductible as Transaction Charge and payable to the Distributor) (Rs. 100 deductible as Transaction Charge and payable to the Distributor)

KEY PARTNER / AGENT INFORMATION (Investors applying under Direct Plan must mention “Direct” in ARN column.) (Refer Instruction 1)

ARN NameARN

ARN-

Sub Agent’s ARN/Bank Branch Code

Employee Unique Identification Number

(EUIN)

Internal Code for Sub-Agent/

Employee

3a. UNIT HOLDER INFORMATION (refer instruction 4) DATE OF BIRTH@ DD MM YYYY

NAME OF FIRST / SOLE APPLICANT (In case of Minor, there shall be no joint holders)

Nationality

Mr. Ms. M/s.

Proof of date of birth@

Attached

Please (P)

KYC# Proof Attached(Mandatory) [Please tick (P)]PAN#

PEKRN#or

Relationship with Minor@ Please (P) Father Mother Court appointed Legal Guardian Proof of relationship with minor@ Please (P) Attached @ Mandatory

Nationality Contact No.Designation

NAME OF GUARDIAN (in case of First / Sole Applicant is a Minor) / NAME OF CONTACT PERSON – DESIGNATION (in case of non-individual Investors)

Mr. Ms.

Proof AttachedKYC# (Mandatory) [Please tick (P)]PAN# PEKRN#or

NAME OF THE THIRD APPLICANT (Third Applicant not allowed in case of minor as first/sole applicant)

KYC# (Mandatory) [Please tick (P)] Proof AttachedNationality

Mr. Ms. M/s.

Resident Individual NRI (Mandatory) P)][Please tick (


PAN#

PEKRN#or

MAILING ADDRESS OF FIRST / SOLE APPLICANT (Mandatory) (Refer Instruction 4)

CITY STATE PIN CODE

NAME OF THE SECOND APPLICANT Resident Individual NRI (Second Applicant not allowed in case of minor as first/sole applicant)

Mr. Ms. M/s.

Nationality

(Mandatory) P)][Please tick (

(Mandatory) [Please tick (P)] Proof Attached

KYC# PAN#

PEKRN#or

2.

Resident IndividualHUFMinor through guardianSociety / Club

NRI-Repatriation

AOPBOI

Others __________________________________________

NRI-Non Repatriation

PIOBody Corporate

PartnershipCompany

LLP

TrustFIIs

MODE OF HOLDING

Single

JointAnyone or Survivor

OCCUPATION (of First/Sole Applicant)

ServiceHousewifeAgriculture

Others _______________________ (please specify)

StudentBusinessProprietorship

ProfessionalRetired

STATUS (of First/Sole Applicant) [Please tick (P)] [Please tick (P)] [Please tick (P)]

OCIForeign National Resident in India QFI

(please specify)

EUIN Declaration (only where EUIN box is left blank) (Refer Instruction 1)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.

First/ Sole Applicant/ Guardian Second Applicant Third Applicant

Sign Here Sign Here Sign Here

Sole Proprietorship

- -

1781 S RAJAGOPAL NIL E078006

8. DEMAT ACCOUNT DETAILS* - (Optional - refer instruction 13)

NSDL CDSL

DP Name

DP ID

Beneficiary Account No.

*Investor opting to hold units in demat form, may provide a copy of the DP statement enable us to match the demat details as stated in the application form.

^ On providing email-id investors shall receive scheme wise annual report or an abridged summary thereof / account statements / statutory and other documents by email.

OVERSEAS ADDRESS (Mandatory in case of NRIs /FIIs/PIOs/ OCIs / QFIs) (P. O. Box Address may not be suffcient)

eAlerts Mobile eDocs Email^

Telephone : Off. Res. Fax

CONTACT DETAILS OF FIRST / SOLE APPLICANT STD Code

4. BANK ACCOUNT (PAY-OUT) DETAILS OF THE FIRST / SOLE APPLICANT (refer instruction 5)

(Mandatory to attach proof, in case the pay-out bank account is different from the bank account mentioned under Section 9 below.)

(** Refer Instruction 11) (The 9 digit code appears on your cheque next to the cheque number)

Account No. Name of the Bank

Branch Bank City

SAVINGS CURRENT NRE NRO FCNR OTHERS _______________________

(please specify)Account Type [Please tick ( )P

IFSC Code***

For unit holders opting to hold units in demat form, please ensure that the bank account linked with the demat account is mentioned here.

MICR Code**

7. INVESTMENT DETAILS (refer instruction 6 for Scheme details) (Investors applying under Direct Plan must mention “Direct” against the Scheme name.)


Name of the Scheme / Plan

Option / Sub-option

Dividend Payout/Reinvestment option

}Refer Instruction No. 6

3b. POWER OF ATTORNEY (PoA) HOLDER DETAILS

KYC# Proof Attached

Mr. Ms. M/s.Name of PoA

PAN# (Mandatory) [Please tick (P)]

PEKRN#or


Particulars SCHEME 1 SCHEME 2 SCHEME 3

Scheme Name / Plan / Option / Sub-option / Payout Option

Cheque / DD / Payment Instrument No. / Date

Drawn on (Name of Bank and Branch)

Amount in figures (Rs.)


*** Refer Instruction 5C (Mandatory for Credit via NEFT / RTGS) (11 Character code appearing on your cheque leaf. If you do not find this on your cheque leaf, please check for the same with your bank)

6. eSERVICES OPTIONS (SAVE PAPER, SAVE TREES) [Please tick (P)] (refer instruction 12)

HDFCMFOnline

www.hdfcfund.com

& HDFCMFMobile - I/ We would like to register for my/our HDFCMF Personal Identification Number (HPIN) to transact online as per the terms & conditions displayed on website:

Mandatory information to be provided:

a) Email address:

(if the address given herein is different from the email address under section 3(a), the email address herein will be considered during registration for HPIN).

b) Mother’s maiden name:

I/ We have read and understood the terms and conditions and confirm that I/ we shall be bound by them (Terms & Conditions available on our website)

_______________________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________

5. MODE OF PAYMENT OF REDEMPTION / DIVIDEND PROCEEDS VIA DIRECT CREDIT / NEFT / ECS (refer instruction 11)

Unitholders will receive redemption/ dividend proceeds directly into their bank account (as furnished in Section 4) via Direct credit/ NEFT/ECS facility I/We want to receive the redemption / dividend proceeds (if any) by way of a cheque / demand draft instead of direct credit / credit through NEFT system / credit through ECS into my / our bank account

(Please refer Product labeling available on cover page of the KIM / last page of the Application form.)

9. Cheque/ Demand Draft/ Payment Instrument. Please attach a separate Cheque/ Demand Draft/ Payment Instrument for each Scheme. Please write Cheque/ DD/ Payment Instrument in favour of ‘the Specifc Scheme A/c PAN’ or ‘the Specifc Scheme A/c Investor Name’.

PAYMENT DETAILS (refer instruction 8 & 9) The name of the first/ sole applicant must be pre-printed on the cheque. Please write Application Form No. / Folio No. on the reverse of the

Cheque / DD / Payment Instrument No.

Cheque / DD / DatePayment Instrument

Amount of Cheque / DD / Payment Instrument /RTGS in figures (Rs.) (i)

DD charges, if any, in figures (Rs.) (ii)

Total Amount

(i) + (ii)

in figures (Rs.)

in words

Pay-In Bank Account No. (For Cheque Only)

Account Type [Please (P)]

Savings Current

NRE NRO FCNR


Savings Current

NRE NRO FCNR


Savings Current

NRE NRO FCNR


Drawn on Bank / Branch Name


Third Party Payment(Please attach ‘Third Party Payment Declaration Form’)

Non-Third Party PaymentPayment Type [Please (P)]

10. NOMINATION (refer instruction 15) (Mandatory for new folios of Individuals where mode of holding is single)

[Please (P) and sign] I/We do not wish to Nominate

First / Sole Applicant Second Applicant Third Applicant

Name and Address of Nominee(s)Date of Birth Name and Address of Guardian Signature of Nominee (Optional)/ Guardian of

Nominee (Mandatory)

Proportion (%) in which theunits will be shared by each

Nominee (should aggregate to 100%)(to be furnished in case the Nominee is a minor)

Nominee 1

Nominee 2

Nominee 3

I/We wish to nominate as under: OR

This section is to be filled in only by investors who opt to hold the Units in non-demat form.

11. DECLARATION & SIGNATURE/S (refer instruction 14)

I/We am/are not prohibited from accessing capital markets under any order/ruling/judgment etc., of any regulation, including SEBI. I/We confirm that my application is in compliance with applicable Indian and foreign laws.

Please (P)

If Yes, (P)

Yes No

Repatriation basis

Non-repatriation basis

DD YYYYMM

I / We hereby confirm and declare as under:-(1) I / We have read and understood the terms and contents of the scheme related documents and hereby apply for

allotment of Units of the Scheme(s) of HDFC Mutual Fund (‘Fund’) indicated above and agree to abide and comply with the terms, conditions, rules and regulations of the relevant Scheme(s).

(2) I/We am/are eligible Investor(s) as per the scheme related documents. I/We am/are authorised to make this investment as per the Constitutive documents/ authorization(s) and that the amount invested in the Scheme(s) is through legitimate sources only and does not involve and is not designed for the purpose of any contravention or evasion of any act, rules, regulations, notifications or directions issued by any regulatory authority in India.

(3) The information given in this application form is true and correct. I /We agree to furnish such other information as may be required by the HDFC Asset Management Company Limited (‘AMC’)/ Fund and undertake to inform the AMC / Fund/Registrars and Transfer Agent (RTA) in writing about any change in the information furnished from time to time.

(4) I/We hereby agree to indemnify the Fund, the AMC, Trustee, RTA and other intermediaries in case of any dispute regarding the eligibility, validity and authorization of my/our transactions and/or the applicant who applied on my /our behalf.

(5) I/We have neither received nor been induced by any rebate or gifts, directly or indirectly, in making this investment. The ARN holder (AMFI registered Distributor) has disclosed to me/us all the commissions (in the form of trail commission or any other mode), payable to him/them for the different competing Schemes of various Mutual Funds from amongst which the Scheme is being recommended to me/us.

(6) I/WE HEREBY CONFIRM THAT I/WE HAVE NOT BEEN OFFERED/ COMMUNICATED ANY INDICATIVE PORTFOLIO AND/ OR ANY INDICATIVE YIELD BY THE FUND/AMC/ ITS DISTRIBUTOR FOR THIS INVESTMENT.

I/We undertake to redeem my/our entire investment before I/We change my/our residency status. I/We shall be fully liable for all consequences (including taxation) arising out of the failure to redeem on account of change in residential status.

Applicable to Foreign Nationals Resident in India only:

Applicable to NRIs/ PIO/OCIs only:

TURN OVERLEAF FOR PRODUCT LABELING

(Please write Application Form No. / Folio No. on thereverse of the Cheque / Demand Draft / Payment Instrument.)

SIGN HERE

First / SoleApplicant /Guardian

SecondApplicant

ThirdApplicant

SIG

NATU

RE(S

)

Economy & Finance

HDFC Mutual Fund Common Application Form for Equity oriented Schemes