~~ MVESTOR (WEORMATION SHEET @ranch Code GI Code (nvestor Mame Address (Ge per address proof provided ) Mobile Vo ate Of Cirth Email (0 Place of Girth Mother's Mame PAV Wo @ank O/c Wo @ranch (8 COOE Scheme Mame Amount Wominee Wame & Relationship CHECKLIST Please Mark PAM COPY (Self tested) Clear and legible C ‘py QQ0HOR CORD (Self Ottested) Clear and Legible Copy Photo (To be pasted on KC Form ) (nvestment Application Form doly signed CKYC Form doly signed Cheque In Favour of Scheme Account Statement, (n_case of Direct Transfer @ranch Contact Person Mame Contect Vo (nvestor Signature © Scanned with KEN ScannerNEXT PAGENFO Application Form (For Lumpsum and SIP) Baroda |Past pnitay tierce eink i eer im T(r tot are ghee BNP PARIBAS Ea er sarees Rishometor forthe Shemoe™ Muruat FUND. peor: | "This product ee nd ln aia came ES | et shld a Pa nr ste in cl au weber be poe cit, ‘Spesstontr enya ted clon atseaman ie cone Carsehs a De tae my ty sii ma Sere spn ni sn alee mean eee tnuendoebapeevatercinsc | Selamat Ase hol be ope dln BLOGKLETERS wt Bes ik iy Deter Bote ARH sub-area Cote SubBrokoraRW EUW wexde mAcade® sft conn hl be prey te strc A ered ithaca on eves axeseertf ais snc the eric rene bye itt, “Wet siti ty ei aa a yack a icy eno sp epi dS oe tna Sea cesgroes fay poe els Sp te pared ste ‘il ene Sen adi hy Gary haifa ed pind ‘ec eepe dno Pac Ser lupo nett Vanda aaj ere [ERE ei am eat el ing yo i Tv ae paysleto the Disb conf tam ar exiting ver sous Mtl Fons. 10 dedi os Tarsscton Charge ard payable othe Dib) 4, EXISTING INVESTOR'S FOLIO NUMBER Folio No. ‘Deena ets bab be nee oe a rs 2. APPLICANT'S INFORMATION (Nor-individual investors please fill Uitimate Beneficial Owner (UBO) details and submit with Application Form. SOLE FIRST APPLICANT'S PERSONAL DETAILS (Peso ili ALPHABETS and use ove box fron alphabet lsvng on box Bank Betveen two wore, pears nyourPAN Gard [Me Na ine fone (Pose esinione pe PCa) Seatac rs ooo Set oe) ostn wll x1] i I I "ai a ‘Guardian Details [Ti] (in ase of First Soi Applicant ea Minor) Namo of Contact Parton (incase of nonindvidal investors) Nene Pease mern ae pe PAN Ca ato ANT PERRI 1 eos Noe) | Forivesinont en beta of Mn” [Sh Oreste [_]Seiod Oafet[]Passot oie: | Relterhipwit nr Want) [-]Fate [er Jet pee apt Gamsan icy | | oy [aa Fite roy) |_| I 5 county [st ce Te. oF noes es ny Non Cay Tebaie (G0 GREEN (want mode of Communicator) >- Mobie| El ‘Sits Pe“) [set L1Spaise Toependot Chien [Depencet Paes []oeperd Stings [Gustin Where [Oi reptie rstri ueranttcu (8) le sae whe rian. wa a ete py eaten, pee rest fhe sane sep Insos a ates ge ena so at hay mere and ct i paty State pa communes fr he Fund reas hem ey arin SUS Ths wl so pet ny rand cnsouencs hal cr es poe Fe pay ae Tax Sus ss Nonsedival | hese Clues CTWRI¥an Resinen Tsoi Papraeatp Mar Canpany [TTS (Cut TPemes LLP AGP BIC Nn Fe Onaten 1 Enitiee £7?0/001 CHF 7 Ota Bark |Gniermeroy Jobers (raz Fim a ce) Fe SiC] Cone Sv] at CF! Foe Cen Cai Cran Clie ekecs [Tones Gross Anal leone () [Jéeon tae []tSas [ss Clete C>2élas-1Oce Ch10ue OF Newt oicaly Exposed Person PEF Status: PEP [Jinn RabestoPeP_]etsoate ‘Second Applicant's Dotails ‘Mode ct Wolting (please ¥) [_}sont* [JAnyone cr Savior (Detain cave cf mare than ne appicant and not tekod) ‘Name: [ie [Js (Pease rr Nane os prP\ Car —— |panrPeen YE enteaon Namba i Mesias. LEITITTTTI L I Czeupion CIP Secu Series CP Secs Seie [lor See snide sen Troteiens[}oueuie Sines Jeeal_]oetoce Pana} ane -]0tes GroeAmal hone) CTEeew lac (ste C]éiOlas Ci2siss Ch2stes-1Grae — L]> 1 Cor OR Nataorh€ oily Exposed Person PEF Status: en Pe? em Resestorer CWetteste ‘Third Applicant's Detals aoe Jes san ae pCa Sac pps huuaaenoen ibe ‘Oceapaton [Sect Serie Pb Sct See [_|Gou Seven Howsufe(Suden Pte! Houeut (Eusnss (Fete | Dverce [Feast (Forder [Jones Gesdanet tens @) (Batuile (sixe ([fidlas []025l (piss iCae _ [Cor OR Matare olay expr Paon PEF) Star (lan PeP (ise Rsire? Lleetie 3. POWER OF ATTORNEY (PoA) HOLDER DETAILS (ifthe investments being made by @ Consiuted Attornay,plose furnish the deta of PoA Hl Cre soe Apert Listens rpiart Cte aopcnt B,C, Dis Clot pw TT TT | erc emitter Number I LI Feet cad pel []AYC Conan pr ‘ACKNOWLEDGEMENT SLIP (Tobe fillod in by the Applicant) ‘NREOA RE AREAS LUE FIND Po oe ny hone leat am ect uchae cunts, subtrees, vera ancconices _ Howty2 resins) Mes us lecurstNe | Dae | Dawn ona eoartNe | Amo) ‘Seine Fan Opn © scanned wth OMEN Scanner4. INVESTMENT & PAYMENT DETAILS STU eee ‘Scheme Name: BARODA BNP PARIBAS VALUE FUND Pian] Regus Pen Coiect Pan option [) rom [7] incw Peyext inc Reinvestment este Chee eR [st tk amet ece C)cbewe Wve Orrest 01M ‘Schna Nane BARODA BNP PARIBAS VALUE FUND Pal] gsr Pan Join ?an Ope [cow] 000 Pat JOON Reset eae Ns Chee NNR [Aru ) io Foyer tcos Come vert eros Jou Foyt ee [pox Te ey Pyet Cd Paty Paya as ach Ti Pay Drain Fo) ‘5. DEMAT ACCOUNT DETAILS [Lina See Depo Dept Patcpa Nene regs Seri in at ote. enh ot iy ve et en poe cael Seana ign Dra e ot pkn Fom cP mi te bt op lb rd mae 6. FIRST HOLDER'S BANK ACCOUNT DETAILS (Mandatory) eke eo (a Fave) ‘WeTipe Ci Saiegs CiGimen’ COWRE CONRO CFO ‘em (a Wot) fren Aires, sie ‘ly a Cos LL miorcase =| [TPT TTT) BRN retour Creme} ese code [TTT TTT TTT ita apa en a) Exapltrtng te Acct Ne. [713 £ [7 ln wors| One | Tee | Fre [Sever] Pease atch ep ccane chou] 17. FATCA DETAILS Forindividval Mandatory) _Non Individual investors including MUF should Mandatory il soparte FATCA detail form aed Foeg Ta Law: Fit Sole Applat Geran ‘Sieon Appast Cimicaspem []P08 Fle Couto Nataly Cdan Cisomes Doser Cus ones ‘Crasn Cus Clots aes pe Clresiens CJrepits ofce Ceusoss | Csr! Jeger once Classness | ClResients [Ines ce CT8uess ‘ra youa tax sider (i are you sss or Taxi ay ctercounty ouside nda? (Yer [No fe, pease provide inlermation blu) ‘Counc Resancy “lr Nebo Func Elva rfc Typ Nor Ofer ps spa) TWis etal, pease esse Cl, Cs Oc eas Ck Os Oc tase Ch Os Oe Fear A: Th not where un Hrs ab py des ise TM Ws esos Reson B: NTI Regie (Sets nie ashes eg county tx sans Gert ‘ages Tbe cre) Remon C:cbers ese pel beeen hove 8, NOMINATION - MANDATORY, even ino intention to nominate. Minor & PeA holder cannot nominate and should net fil this section lvwewer enone aver OR] ey com at ie ont wh apc any amine) my mal ns he my ot mad os and deta he ets iin on ‘posi rasa) at her rane itn cae ea ale zoe) my alers wet ets ibn al este cece sey (fare obe su compet ary sed one weol sas feu ma! ae SIGNATURES) own et nd desc he nsten rN / Wa eh ron pss) me atin desis heeds espe tbe Lis nt te ic ely men eve oy deh Trine ane Rebiensip_|_Dae Sei” | oc WF Goan See Nang Nannes2 Nene 3 "incase miner # Pee lca pars of leat sare ea fe anes whl bs ny wou ay Scns malig a c'00 gen ‘$. DECLARATION & SIGNATURES hyn se eae i tp m3 ne eyes ee Waka omer nena Yona id teeta cs ct tye rayne re pea be ey i Se Sei ean neon evan eaRe ea wpa teen pom stesscnpentte nie nh aan at easier vember bree oe ete) apse tama cre eee ‘Sara nh te pasos tec linet th ero cde Sunes os Fas oe] Ne oy cbt hess ce gros tra as ae as ian dee aoe opines ft chee cotton ao rote aa ne da cess fet Iota veo dette ui rang any Pc ann ero ta Mh a en Site sl ayy em so my een Ps pte sefe hoi sae eae ot lob ecg ed fteraeaptsaeee et eP sasar ememeyo hota asset sey ee esate arnt nh en A ar eri eh el Baek ly bt yi on ek Flea cet deers hig yea eee De ba ep gee ey 0 Fah ya yp Fite bot tse ian che meses ceo au mtg en i aoe dr eatasers el Ga ia eerie ea a ee er Sed a wer yr ef ME SEY NE ERO CEE OMUAATED A ROTATE OPCLC MAAN ROGAN VED SY eC A TEOGTRL TTR HS WESTON Iie ee ecm be rs eet eb od an ie rt pe raed nr eye ea Pat At ope Ps) a te mare oe HIE Waa nes pono Sgt ain A es bees nest He amet pase NC Mase aes wha pe ea soon deoses (Reet eceycieeymrae ey ie ata seor tl peace aii be ryt ‘seaplane ete we ele ce er ari Ey: hol oo ete hay Ca ney ca bh ron rg a Soren iy Eten bay FO oso, [ft eae op has eer nc er yee Nesey ori Ss ese tetas pre i ater cn sera n St ets | a oe tel ay ch tes ney va cy ml by SE cn a arco ape nis poets Le teat) Luan] orien ne Dated | sor, Boom Pa ———ae Blak Soon sine an {renew te 808 oats ge Mes >< hens a, he —eewesoustaeersc—| cee a ee wee LO snc ee pictrm eater ica een | Sader es eee © scanned wth OMEN ScannerCENTRAL KYC REGISTRY | Know Your Customer (KYC) Application Form | Individual | Related Person Important instruction ‘Ay Feds marked wah ~ are mandatory els A 18) Tek wherever apoeable 5 (©) Please ithe formin Engish ad in BLOCK tors. 4 1) Pease ithe date in DO-MM.YYYY frat. » |For partcular secon update please tick (7 Inthe box section rumter and stike ofthe) sectors rot equred to be update For office use only Baroda BB PARIBAS, ‘MUTUAL FUND Pave ead secon wise detaledgudenesnstuctons athe er Ustof State 1U.T code as per insian Motor Veh Ac, 168 is aval the end Ust cf we character 1503186 county cndes sara atthe end YC nub fappllcat ie mandatory fr update appcaton, “The ‘OTP basad EKYC’ check box sf be checked fer accounts opened using OTP based EYC innndace te face mede ‘opieston Type’ iNew Upéate —) Deee (Tobe fed by francialinsuton) KYC Number | (aandatary for KYC update request) ‘Account Type" Nomal |_| Minor | Aathaar OTP based E-XYC (in nan ace ta face mode) 4. PERSONAL DETAILS" DETAILS OF RELATED PERSON (Piease refer instructions atthe end) [Cladion cfRetted Person ["]Deleon of Rested Person [JUpdain _-RYCNumberofRelte Person Fava’) TL ‘Related Person Type" ‘Guardian cf Minor [ | Assignee |_| Authorized Representative Pre Frat Nae ie Nae LastName ame" ae 2810 I Cc LI Maien one | ct ater spouse Name | Cl Meneame dd ia bate tet Tee] I Gender" 2 MeMale CO FFemaie (1 transgender ‘Marital Status" Married ‘Unmarried | Others: cae Inelnon Cher (303166 Cary Case eset Sus Fest nia Nonescertndan) Fai Naona Person einen ign expan ype" Sena [Pate sector) Pte Seer | covet seco cohen] Pressel) Seftpoyed [Reed] Hove) Sudert eines Not Caegrsos pane CLLTTTTTrT) Fom 0 unshed 2. PROOF OF IDENTITY AND ADDRESS* (Please refer instruction B at the end) |. Cente cory ct OVD cr equivalent e-document of OVD or OVD obtained trcugh dita KYC process needs lobe submited (anyone of he fclowing OVDs) | & Passport Number | I Photo | b-vter io cat I [ [ J privng cence [ [ | DNRECALe Ca CLITT TTT TTT ttt ttt ttt tt) | ENatona Pepdoon Reger eter | | [ [ [ [ [ | F-Proot of Possession of Aadhaar I XXxD l 1. Clee Aatesieaion DEDEDE [ 1 [oti eitcaten todas DXDXDDE [ ess ae [ | | | | [ | fine | | | I | | lines t [cay town age? | I oi I Post Cote Sate UTC || 180 3186 Coury Cote" 3.__ (CURRENT ADDRESS DETAILS (Piease refer instuction B at the end) ‘Same as above mentoned acess (n such cases actress dell as below ned nt be provided) |. Gente copy cf OVD cr equivalent e-docurent of OVD or OVD obainedtraugh dial KYC process ness o be submited (anyone of me fclowing OVDS) 7] 4: Passport Number [ [ Tl e-veteri0 core [ [ Te privng Licence I I } DNREGA Job Cot I I ] E-atanal Population Register Leer I | FProo of Possession ot Aachasr x xD 1. CLekyC Authenation | 10, ofc vettcaton of Aachaar 1. ] Dees Proof of Adress «Document Typ code v. [7] setdecaraton © scanned wth OMEN Scanner1803186 Coury Code™ Tel (Res) \nerety decare that he deta furnished above re tue and coco thebestof my tnowedge and belt and | undertake te intr you ‘of ary changes here, immediately, Icage any of fe abe infermatn Is fount be fake oF unue or misegdng er misrepresenting, fam auare at may be al abl fore ‘nr consent to receng infomation fom Cental KYC Regi though SMSIEmalen the above registred rumberemall adress. CTI 1 E-KYC data received fom UIDAL () Equivaterte-document |_| Video Based KYC Documents Received |_| Cerio Copies: 5 Data receives trom Offline veitication |_| Digital KY Proves z Cnsttution Stam gage [Employee Signature [stitution Stamp © scanned with OMEN Scanner ‘Signature | Thur Impression of Agpcant