REQUEST FOR CHANGE OF BROKER

TO,
_________________________ Mutual Fund Date :_____/_____/_______

Sir,

I / We wish to change the Distributor/Broker code, request you to update the New Broker details
in my/our folio no/s as given below from EXISTING ARN to ARN-0155 (NJ India Invest Pvt Ltd.)

ARN NO SUB ARN SUB BROKER CODE EUIN

ARN – 0155

My all further /future transactions should be done through the New Broker ARN-0155 (NJ India
Invest Pvt Ltd.)

My Investments Details are as follows.

Folio No Scheme Name OPTION

Thanks and Regards,

___________________ ____________________ ____________________

1st Holder Signature 2nd Holder Signature 3rd Holder Signature

___________________ ____________________ ____________________

1st Holder Name 2nd Holder Name 3rd Holder Name

---------------------------------------------------------------------------------------------------
------------------------- ACKNODLEGDEMENT ----------------------------
-------Acknowledgement Slip (To be Filled in by the Investor)----------------------------
Date :_____/_____/_______. SUB BROKER CODE : __________

INVESTOR NAME : ______________________________________________________

FOLIO NO SCHEME NAME