Non Transferable For the period Since Inception to 07 Apr 2022 Statement Date : 07 Apr 2022

Account / Folio No : 499156571912 To serve you better, we have highlighted your profile / contact details. In case you find
any information /details to be incorrect, please reach us at 1860 266 0111 (Call charges
SURAT PYARI GUPTA apply) at the earliest.
Mode of Holding : SINGLE
PLOT NO 93 94 SANT SURAT SADAN
SHANTI NIKETAN OPP SHRINAGAR COLONY Status : INDIVIDUAL
BEHIND PRELUDE PUBLIC SCHOOL Off. : NA
DAYAL BAGH AGRA - 282005
Mobile : 9766329263
UTTAR PRADESH,INDIA
Resi : NA
Email id : GUPTASANTSARAN@GMAIL.COM
2nd Holder : NA
3rd Holder : NA Name on Debit Card : NA
Note: In case there is any change in your KYC information please update the same by using the prescribed 'KYC Change Request form' and submit the same at the Point of Service of any KYC Registration Agency.

PAN / PEKRN KYC KYC Type FATCA # Open up your world of possibilities with just a
‘Hi’ to us on WhatsApp now!
Primary ABEPG9297L VERIFIED KRA KYC UPDATED
2nd Holder NA NA NA NA Say ‘Hi’ to us on WhatsApp +918433938264
from your registered mobile number.
3rd Holder NA NA NA NA
Don’t forget to add us to your contact list.
Guardian NA NA NA NA
# It is mandatory for all investors (new and existing) to provide information related to FATCA (Foreign Account Tax Compliance Act). These details can be updated online at https://mfs.kfintech.com/mfs/fatcahome.aspx or by submitting a duly
filled and signed application form at any of our Designated Investor Service Centre (DISC) or branch.

NIPPON INDIA LIQUID FUND - GROWTH PLAN - GROWTH OPTION ( LFIGG) ISIN : INF204K01UN9 (NON-DEMAT)
NAV Date Transaction Type Amount (`) Revised Cost* (`) NAV (`) Number of Units Balance Units
05/04/2016 Purchase 25,000.00 3690.1984 6.775 6.775
10/04/2016 Redemption 25,028.92 3694.3060 6.775 0.000
(Directly credited to your Bank account (ICICI BANK-DCB) )
Balance Units : 0.000 Pledge : 0.000, Non-Pledge : 0.000 Current Cost in (`) 0.00 Current value in (`) 0.00 NAV as on 06-Apr-2022 (`) 5168.1569
Load Units : 0.000 Load Free Units : 0.000
Bank Name : ICICI BANK LTD
Bank Account No. : SAV \ XXXXXXXX3797 IFSC : ICIC0000073 MICR No : NOT PROVIDED Mode of Payment : Electronic
Agent/Advisor Code & Name : ARN-0845 / ICICI Securities Limited Sub Broker ARN Code : Sub Broker Code : EUIN : E112144
Nominee registration status : 1 Nominee(s) registered City Type : B30
Entry load - NIL; With effect from October 20, 2019 exit load shall be applicable on graded basis as follows: Upto Day1 @ 0.0070%, Day 2 @ 0.0065%, Day 3 @ 0.0060%, Day 4 @ 0.0055%, Day 5 @ 0.0050%, Day 6 @ 0.0045% and Day 7 onwards 0.0000%.

Registered for Invest Easy : No

*Form 15 : Not Registered
*Details of Form 15 G / H shown above are related to Current Financial Year and in case if the statement is generated since inception, details will be displayed for the Current Financial Year only considering the
date till which statement is extracted.
It is always good to keep your profile details updated with us. Hence, we request you to go through your Statement of Account and review important details such as Name(s), Bank details, PAN, Address etc. In case of any
discrepancy in the details mentioned in the Statement of Account (SOA), we request you to urgently (within 10 days of the receipt of SOA) get in touch with us as per modes / ways mentioned below for necessary correction. Call
us at 1860 266 0111 (Call charges apply) or write to us at customercare@nipponindiaim.in or write to the Registrar at KFintech Pvt. Ltd., Selenium Tower, Plot No. 31 & 32, Financial District, Nanakramguda, Serilingampally
Mandal, Hyderabad 500032. Nippon India Mutual Fund (NIMF) ( mf.nipponindiaim.com), asset manager of NIMF or its Registrars shall NOT be liable for any discrepancy brought to notice thereafter

CA : BB02-80489467-07.04.2022 / LA: 80489467-07.04.22-2 : 524118396 Page 1 OF 2

 Non Transferable For the period Since Inception to 07 Apr 2022 Statement Date : 07 Apr 2022

PLEASE TEAR HERE

Agent/Advisor Code & Name: ARN-0845\ Icici Securities Limited
Account / Folio No : 499156571912
Mode of Holding : SINGLE Sub-Broker ARN Code : Sub Broker Code : EUIN : E112144
Scheme Please Mention the Scheme Name PAN / PEKRN KYC
First Holder SURAT PYARI GUPTA ABEPG9297L VERIFIED
Second Holder NA NA NA
Third Holder NA NA NA
Guardian NA NA
Additional Purchase Request Payment Mode OTBM facility (one time bank mandate) Cheque DD
I / We would like to Purchase additional units in the above mentioned scheme. OTBM / Cheque / DD Net amount (`) | | | | | | | | | | | | | | dated | | | | |
DD Charges (`) | | | | | | Drawn on (bank) | | | | | | | | | | | | | | | | | | | | | | | | | Cheque/DD No | | | | | | | | | |
Branch | | | | | | | | | | | | | | City | | | | | | | | | |
Switch Request
I / We would like to Switch(`) | | | | | | | | | | | | | | | | | | | | | Units from the above mentioned Scheme / Plan to Nippon India
| | | | | | | | | | | | | | | Scheme | | | | | | | | | | | | | | | Plan | | | | | | | | | | | | | | | Option.
Redemption Request
Please redeem (`) (in fig.) | | | | | | | | | | or | | | | | | | | | | Units from the above mentioned Scheme / Plan.

Signature(s) Sole / First Unit holder Second Unit holder Third Unit holder

CA : BB02-80489467-07.04.2022 / LA: 80489467-07.04.22-2 : 524118396 Page 2 OF 2