ADITYA BIRLA SUN LIFE AMC LIMITED

FORM D (For Employees)

Undertaking and Statement of

Holdings in Securities
(to be submitted within 7 working days of appointment as on the date of
appointment and as on the last working day pursuant to termination/resignation)

To,
Compliance Officer,
ADITYA BIRLA SUN LIFE AMC LIMITED.

Name of Employee:
Designation:
Employee No.:
Department Name:
Name of Immediate Relative and Relationship (where applicable):

Sr. Type of Name of Quantity Date of In the name of

No. Security Company Purchase (Self/Immediate
(Equity/MF/B / ABSL Mutual Relative)
onds. etc) Fund Scheme
 I hereby undertake the following:

o That in respect of the above transaction I confirm that I/my immediate

relative shall hold the concerning security for at least 30 calendar days/6
Months (strikeout whichever is not applicable).
o That I/my immediate relative shall not execute a contra trade unless a specific
waiver is granted by the Compliance Officer.
o That I have read and understood the contents of the Code of Conduct
Governing Personal Securities Transaction as applicable to Employees of
Aditya Birla Sun Life AMC Ltd. and I shall comply with the provisions stated
therein.
o That I have made complete and true disclosure in respect of the personal securities
transacted by me/my immediate relative.

_________________________

(Signature)
Date:
Place: