OTHER FACILITIES FORM MIRAE ASSET / Mutual Fund ‘Name & Broker Code /ARN ‘Sub Broker / Sub Agent /ARN Code ployee Unlove nuetiog Number {EUIN) IS Dato Time Stamp Reference No. ET Mall your records under te folo number mentioned will apply fo ths spp [Name off Unit Holder: (Ci We wish to receive Account Siatomente/Annual Reports / Gi. Statsments Newsletter Updates or any other we wish orocsive SMS alerts for our Investments inteu of Phy ETAT [Name ofthe Bank: Id and new bank supporting documents) ‘Statuioy Information via Email ‘ore Banking Ale W ‘le Type: Please (7) NREO Curent Savings O NRO ‘Branch Name: ‘Adress: ‘Bank Branch Gy State: Pin: Pag EF coeslag cigs OR IFSC Cage Wn Wt ose oh ant terete Namie) coe Pe alles me us it tty Nomves) 2 Sonar fe Nene) acting ea are Sal FrehchargeNonraer ana hl rate ae 2 tosbon teste sina oe wohl ere, ‘leprae spy schon Pe EEN ot dea Ye sk nde tl pots nd atears mace a a daca by be ANG Maus Fur Tauern repel ol he ls ands sce un epson Please (V7: _FreshNominaion© OR Charge in Neminsals}O> Ne. Nominee(e) Name Date of Birth Name ofthe Guardian Relationship | @%of Se Signature of (incase ot nan) "ireawe a en) Nominee Guardian 2 (@ifthapercantaga ol ahara anak enloned than tha dam willbe sled equal amongat al he dala vorete) ES Folio t be consolidated (Mention all source folios ie. the folios tobe consolidated, hare) v 2 . 5 ‘Target Follo No. for consoldation (etin ths trget fo hero, wherein alfa needs be consolidated) pS ‘Scheme Plan Option: Frequency: Please (7) 0 auaneny in) 1500 instalment /Wansaction Datos: (Peaso “) Diam (Geta ONS ° ‘Amount € (installment /Transation Amount Discontinuation of standing at nucons of nsacton may txe upo one month ‘SIP Auto Debit Bank Name: Pe ‘Nahata cece Se rn anreny aerials ovat Sara vague cn ennai rae ‘estos cnc ee nm a omen ay ee fp ae ew ai Swe a hn Fe ea wine Sore ep ‘Matted tatany cnt chon aan sederenantm ocaeananrsne here eet acetate ee earned Scarpa arss stamens ‘HeeossrenrtSungestr on eae ba rahe te aN estar arn Soe Received Application trom er deta Please (7) Date & Stamp of Collection Centre /ISC (© Mobi ane oma upton © Nomination delais © Caneatiton of SP (© change of bark mando 0 consolation of fle