CANCELLATION OF SYSTEMATIC INVESTMENT PLAN

From:Date: - DD/MM/YYYY
To
Sundaram BNP Paribas Mutual Fund
Dear Sir,
I/We had given an instruction for deduction of Rs. _____________________________________into the
Folio No._______________________

___________________Scheme____________________Plan

__________________Option with SIP Debit Date _____________________through the following mode.

ECS
Post Dated Cheques*
Auto Debit
Investor Bank Account No._________________________ (Mandatory)
I/We wish to Discontinue my Systematic Investment Plan in the above mentioned scheme. I/We request
you to cancel / stop deducting the sip amount registered with you from my/our above account from the
ensuing month________________MM/YYYY
I/We authorize to cancel my/our unused SIP cheque(s) issued for the above mentioned scheme and
send back to my/our address registered in your records.
Kindly forward this instruction to my banker.
Yours truly,
* Signature/s as per Investors Bank Records.
Name

Signature

Sole / First
Holder

Second Holder

Third Holder

Date:

Received from ___________________________________________________________________________an application for cancellation of

SIP under Sundaram BNP Paribas________________________________________________________as per details below.
Growth Option

Rs.

Dividend Reinvestment Rs.

Bonus Option

Rs.

Dividend Payout

Rs.

Signature, Date & Stamp

of receiving office