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REDEMPTION REQUEST

Date : AMC : Investor Name : I wish to redeem : Rupees (in words) : From Scheme : Bank Details : Option : Units OR Rs.: Folio No.: Sub Broker Code:

ARN - 0155

Declaration: Upfront commission be paid directly by the investor to the AMFI registered Distributors based on investors' assessment of various factors like service rendered by the distributor. The ARN holder has disclosed to me/us all the commissions ( in form of trail commission or any other mode.), Payable to him for the different competing schemes of various Mutual Funds from amongst the scheme is being recommended to me/us.

Signatures :

Holder 1

Holder 2

Holder 3

Fundz Network
www.njfundz.com

Acknowledgment Slip Received From : Folio No. Scheme Option Amount Units : : : : :
Signature, Date & Stamp of Receiving Office
Dated :

Fundz Network
www.njfundz.com

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