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REDEMPTION REQUEST ARN - 0155

Date : Folio No.: Sub Broker Code:

AMC :

Investor Name :

I wish to redeem : Units OR Rs.:

Rupees (in words) :

From Scheme : Option :

Bank Details :

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. : Dated :
Scheme :
Option :
Amount :
Units : Signature, Date & Stamp
of Receiving Office

Fundz Network
www.njfundz.com

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