NJ INDIA INVEST PVT LTD.

ARN-0155

TO,________________

Sub: - Discontinuation of Systematic Investment Plan

Dear Sir / Madam,

I want to stop my sip in _____________________________________fund.

Details are as under.
Folio No:- ______________________
Scheme Name:________________________________ Option: ____________
Inv Name:- _________________________________
SIP Amount: - ___________
Bank Name:-_____________________________________________
Bank A/c No:-_____________________________________________

SIGNATURES :-

___________________ ___________________ __________________

FIRST APPLICANT SECOND APPLICANT THIRD APPLICANT

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ACKNOWLGEMENT SLIP

SUBJECT:- Discontinuation of Systematic Investment Plan

INVESTOR NAME :-_________________________________BROKER
:-_________________________________ CODE:___________
SCHEME NAME:__________________________________
FOLIO NO:____________________________
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( RECEIVER STAMP & SIGN)