Account Statement Statement Date : 03 Sep 2019

* Folio No. : 507322163706 Application No : 4219395

* Please quote this folio number for future correspondence / transactions.

RITUPARNA BISWAS Unique Client Code :MFUTIB0003

Date Of Birth : Please Provide Category : RESIDENT INDIAN
A B 8/20B DESHBANDHU NAGAR
BAGUIATI Mode of Holding : ANYONE OR SURVIVOR Status : INDIVIDUAL
KOLKATA Bank Account No : SAVINGS/XXXXXXXXXXX800 Pay Mode : Electronic
WEST BENGAL Bank Name : BANDHAN BANK LIMITED
INDIA, PIN : 700059
MICR No : 700750007 IFS Code : BDBL0001294
Mobile No : 9434384435
Email ID : samrat001@gmail.com
Financial Advisor : Gurupada Das ( ARN-107246 )
Joint holder 1 : SAMRAT MONDAL Sub ARN Code : Sub Code : EUIN : E144856

Nominee : Ritodeep Biswas - 100%

Holder PAN KYC Status/KIN FATCA

Primary Holder XXXXXXX32H Complied(KARVY) Yes You can send your request for Account Statement 24x7 with either your Folio no., or PAN or Email ID
2nd Holder XXXXXXX10B Complied(NDML) Yes (provided PAN and Email ID is registered in the Folio) by logging on to UTI Mutual Fund's website
www.utimf.com. The service is available with a drop down option of "Request for SoA" under the heading
3rd Holder
"Customer Service".
Guardian
Status as on 31-01-2018: NAV Rs. 34.5795, Units 0.000, Value Rs.0.000
UTI Mastershare Unit Scheme-Regular Dividend Plan PAYOUT ISIN : INF189A01038
Tr.Date Transaction Type Amount (`) NAV(`) Load Price (`) Number of Units Balance Units
(`)

14/11/2018 Purchase (NAV Dt : 19/11/2018) 200,000.00 30.6762 30.6762 6,519.712 6,519.712

28/08/2019 Gross Redemption 201,419.79 31.1745 0.28 30.8940 6,519.712 0.000
28/08/2019 STT Paid on above (@0.001%) 2.01
28/08/2019 Net Redemption 201,417.78 0.000
Payment Through NEFT
For subscriptions received w.e.f. June 4th, 2018, applicable Exit load: Redemption / Switch out within 12 months from the date of allotment – (i) NIL for upto 10% of the allotted Units (ii) 1.00 % for beyond 10% of the allotted Units.Redemption / Switch out after 12 months
from the date of allotment – NIL
NAV ` 31.2341 (as on 30 Aug 2019)
Local UFC Address : UTI Financial Center; 29 N S Road, 1st Floor, Kolkata - 700 001. Ph no 033-22435947

Folio No. : 507322163706 Sub ARN : PAN KYC Status

Name : RITUPARNA BISWAS Code Primary Holder XXXXXXX32H Complied(KARVY)

Mode of Holding : ANYONE OR SURVIVOR Sub Code :

2nd Holder XXXXXXX10B Complied(NDML)
Bank Details : SAVINGS/XXXXXXXXXXX800 / BANDHAN BANK LIMITED / BAGUIATI /
EUIN : E144856
KOLKATA / 700059 / ECS - 700750007 / IFS Code : BDBL0001294 3rd Holder
Financial Advisor : Gurupada Das ( ARN-107246 ) RM code :
Guardian
Upfront commission shall be paid directly by the investor to the AMFI registered Distributors based on the investors’ assessment of various factors including the service rendered by the distributor

UTI Mastershare Unit Scheme-Regular Dividend Plan PAYOUT Balance Units : 0.000
Nature of Transactions : (Please tick & fill up relevant details)
Purchase / Additional Purchase : I/we would like to purchase units of the above mentioned scheme for Amount ` (in fig) (in words)
Cheque/DD Number dated Drawn on Bank
Branch Bank A/c type (Please tick) Savings Current NRO NRE
Switch : I/we would like to switch All units or Partial units units or ` (amount in figures) (in words)
from above mentioned Scheme to Plan Option Growth Dividend Payout Dividend Reinvestment
Redemption : I/we would like to redeem All units or Partial units units or ` (amount in figures)
(in words) from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.

MICR NO IFSC
I/We have understood the contents of the Offer document and addenda issued till date and apply to the Trustee of UTI Mutual Fund as indicated above. I/ We agree to abide by the terms and conditions, rules and regulations of the scheme as on the date of investment. I/ We undertake to
confirm that the applicant/unit holder is empowered to invest/ disinvest and the signatories have necessary authorization to invest/disinvest on behalf of applicant/ unit holder. I/We undertake to confirm that this investment has been duly authorized by appropriate authorities in terms of all
relevant documents and procedural requirements. I/ We have not received nor been induced by any rebate or gifts, directly or indirectly in making investment. * I/ We confirm than we are Non residents of Indian Nationality/ Origin and that the funds are remitted from abroad through approved
banking channels or from my/ our funds from my/ our NRE/ NRO account. I/ We undertake to provide further details of source of funds and any such other relevant document, if called by UTI Mutual Fund. *Appliable to NRIs.
The ARN holder has disclosed to me/us all the commissions (in the form of trial commission or any other mode), payable to him for the different competing Schemes of various Mutual Funds from amongst which the Scheme is being recommended to me/us.
*EUIN: I/We hereby confirm that the EUIN box has been intentionally left blank by me/us as this is an "execution-only" transaction without any interaction or advice by the employee/relationship manager/sales person of the above distributor or notwithstanding the
advice of in-appropriateness, if any, provided by the employee/relationship manager/sales person of the distributor and the distributor has not charged any advisory fees on this transaction.

SIGNATURE(S)
First Account Holder Second Account Holder Third Account Holder
CA : Hy03-CONF-MAILERDR-9/3/2019 12:32:56 AM / LA: 107246@guru-03.01.19-3 Page 1 of 1