For any enquiries, please contact Investor Service Centre, Tee Kay Corporate Towers, 3rd Floor,S B Shop

Area, Main Road,Bistupur, Jamshedpur-

831001, Bihar, Phones : 1800 3010 6767 / 1800 419 7676, Email : hello@hdfcfund.com

Page 1 of 5
Account Statement (From 01-JAN-1990 To 22-JAN-2024)

Folio No. : 12644481 / 56 Statement Date : 22-Jan-2024

Mode of Holding : Anyone or Survivor

Sonia Juneja Tax Status : Individual

H NO 49 SINDHI REFUGEE COLONY

AGRICO PO- AGRICO
JAMSHEDPUR
Jamshedpur - 831009
Jharkhand , India
Joint 1 : Samir Juneja

Email : Please Provide

Mobile No. : +919934072304

PAN/PEKRN PAN-Aadhar linking CKYC No. KYC FATCA / CRS UBO

1st Unit Holder ADDPJ2266M Successful 10047093661893 Verified Complete Not applicable

2nd Unit Holder ABDPJ9651N Successful 10005593014878 Verified Complete Not applicable

3rd Unit Holder Not applicable Not Applicable Not applicable Not applicable Not applicable Not applicable

Guardian, If any Not applicable Not Applicable Not applicable Not applicable Not applicable Not applicable

POA, If any Not applicable Not Applicable Not applicable Not applicable Not applicable Not applicable

Nominee Details
We would recommend that you nominate, in case the tax status of the first holder is not a Minor.

Account Summary as on 22-JAN-2024 THANK YOU FOR INVESTING WITH HDFC MUTUAL FUND
Maturity Mode of NAV as on Market
Scheme Nav Date NAV Units Cost (INR)
Date Investment 31-Jan-2018 * Value (INR)
HDFC Hybrid Equity Fund- Scheme Merger 19-Jan-2024 101.567 NA 381.283 19,619.36 38,725.77
Growth
HDFC Hybrid Equity Fund- Systematic 19-Jan-2024 101.567 NA 4,871.768 310,000.00 494,810.86
Growth Transactions
Total : 5,253.051 329,619.36 533,536.63

Grand Total : 329,619.36 533,536.63

*This field is applicable only for Equity oriented Schemes

Systematic Registration(s)
Registration Installment Top up Registration Advisor Top up
Scheme From Date To Date Date Frequency
Type Amount(INR) Frequency Date Code Amount(INR)
HDFC Hybrid Equity
SIP Fund - Regular Plan 22-Sep-2017 25-Oct-2036 25 Once A Month 5,000.00 NA 22-Sep-2017 ARN-26898 NA
- Growth

1003 / HDFC Balanced Fund - Regular Plan - Growth * - INF179K01392 UCC : MFHDFC0002
EISC-ETRXN-16.6.0-220124192339(I)-A166020--1119-YN

NAV Amount Price Number of Balance

Date Transaction Type
in INR in INR Units Units
Opening Balance as on 22/09/2017 0.000
22/09/2017 SIP Purchase 141.871 5,000.00 141.8710 35.243 35.243
26/09/2017 ***SIPRegistered - 22/09/2017***
26/09/2017 ***Additional Investor Payout Open Mandate Registration***
12/10/2017
***Open Mandate Acceptance from Bank State Bank of India$**8945***

25/10/2017 SIP Purchase - Instalment 2/230 146.197 5,000.00 146.1970 34.200 69.443
27/11/2017 SIP Purchase - Instalment 3/230 149.503 5,000.00 149.5030 33.444 102.887
26/12/2017 SIP Purchase - Instalment 4/230 151.889 5,000.00 151.8890 32.919 135.806
25/01/2018 SIP Purchase - Instalment 5/230 155.047 5,000.00 155.0470 32.248 168.054
26/02/2018 SIP Purchase - Instalment 6/230 149.755 5,000.00 149.7550 33.388 201.442
26/03/2018 SIP Purchase - Instalment 7/230 145.431 5,000.00 145.4310 34.381 235.823
25/04/2018 SIP Purchase - Instalment 8/230 148.628 5,000.00 148.6280 33.641 269.464
25/05/2018 SIP Purchase - Instalment 9/230 147.102 5,000.00 147.1020 33.990 303.454
01/06/2018 Switch-Out (Merger) - To HDFC Hybrid Equity Fund-Growth 147.069 (44,628.68) 147.0690 (303.454) 0.000

continued...
 Page 2 of 5
Account Statement (Folio No. : 12644481 / 56)
Available Units to Redeem : 0.000
Market Value of Balance Units at NAV of 147.069 on 01/06/2018 (INR) : 0.00 Total Units Under Lien : 0.000
IDCW reinvested / paid (INR) : 0.00 Total IDCW reinvested / paid (INR) : 0.00
Primary Bank Account : SB XXXX8945 / State Bank of India / Refugee Colony / Jamshedpur / Redemption Payout Mode : Electronic
SBIN0006548
Advisor : ARN-26898 / Avtar Singh
EUIN : E044847

* An open-ended Balanced Scheme - Current Load Structure : Entry Load: Not Applicable; Exit Load: In respect of each purchase/switch-in of units from allotment date, Nil exit
load upto 15% of the units ("the limit") redeemed/switched-out; 1% if units in excess of the limit are redeemed /switched-out within 1 year. No Exit Load if units are redeemed
/switched-out after 1 year. Applicable for the subscriptions made w.e.f. 21-Jan-2016. The rate of exit load levied on units redeemed will be the rate prevailing at the time of
allotment of the units. For further details visit www.hdfcfund.com (under Investor Corner) or contact any of our Investor Service Centre. GST Identification Number :
27AAATH1809A1Z9.<SMERG>

4027 / HDFC Hybrid Equity Fund - Regular Plan - Growth* - INF179K01AS4 UCC : MFHDFC0040

NAV Amount Price Number of Balance

Date Transaction Type
in INR in INR Units Units
Opening Balance as on 01/06/2018 0.000
01/06/2018 Switch-In (Merger) - From HDFC Balanced Fund-Growth 51.246 44,628.68 51.2460 870.871 870.871
25/06/2018 SIP Purchase - Instalment 10/230 50.703 5,000.00 50.703 98.613 969.484
25/07/2018 SIP Purchase - Instalment 11/230 51.362 5,000.00 51.362 97.348 1,066.832
27/08/2018 SIP Purchase - Instalment 12/230 53.082 5,000.00 53.082 94.194 1,161.026
25/09/2018 SIP Purchase - Instalment 13/230 50.543 5,000.00 50.543 98.926 1,259.952
25/10/2018 SIP Purchase - Instalment 14/230 48.313 5,000.00 48.313 103.492 1,363.444
26/11/2018 SIP Purchase - Instalment 15/230 50.486 5,000.00 50.486 99.037 1,462.481
26/12/2018 SIP Purchase - Instalment 16/230 50.926 5,000.00 50.926 98.182 1,560.663
25/01/2019 SIP Purchase - Instalment 17/230 50.852 5,000.00 50.852 98.325 1,658.988
25/02/2019 SIP Purchase - Instalment 18/230 50.727 5,000.00 50.727 98.567 1,757.555
25/03/2019 SIP Purchase - Instalment 19/230 53.239 5,000.00 53.239 93.916 1,851.471
25/04/2019 SIP Purchase - Instalment 20/230 53.595 5,000.00 53.595 93.292 1,944.763
27/05/2019 SIP Purchase - Instalment 21/230 55.241 5,000.00 55.241 90.512 2,035.275
25/06/2019 SIP Purchase - Instalment 22/230 54.848 5,000.00 54.848 91.161 2,126.436
25/07/2019 SIP Purchase - Instalment 23/230 53.026 5,000.00 53.026 94.293 2,220.729
26/08/2019 SIP Purchase - Instalment 24/230 51.856 5,000.00 51.856 96.421 2,317.150
25/09/2019 SIP Purchase - Instalment 25/230 53.555 5,000.00 53.555 93.362 2,410.512
25/10/2019 SIP Purchase - Instalment 26/230 53.264 5,000.00 53.264 93.872 2,504.384
25/11/2019 SIP Purchase - Instalment 27/230 54.912 5,000.00 54.912 91.055 2,595.439
26/12/2019 SIP Purchase - Instalment 28/230 54.976 5,000.00 54.976 90.949 2,686.388
27/01/2020 SIP Purchase - Instalment 29/230 55.610 5,000.00 55.610 89.912 2,776.300
25/02/2020 SIP Purchase - Instalment 30/230 54.583 5,000.00 54.583 91.604 2,867.904
25/03/2020 SIP Purchase - Instalment 31/230 40.858 5,000.00 40.858 122.375 2,990.279
27/04/2020 SIP Purchase - Instalment 32/230 44.981 5,000.00 44.981 111.158 3,101.437
27/04/2020 44.981 (5,000.00) 44.981 (111.158) 2,990.279
SIP Purchase(Reversal - Insufficient Balance) - Instalment No 32
26/05/2020 SIP Purchase - Instalment 33/230 43.886 5,000.00 43.886 113.932 3,104.211
25/06/2020 SIP Purchase - Instalment 34/230 48.604 5,000.00 48.604 102.872 3,207.083
Gross SIP Purchase - Instalment 35/230 5,000.00
Less: Stamp Duty 0.25
27/07/2020 Net Purchase 51.346 4,999.75 51.346 97.374 3,304.457
Gross SIP Purchase - Instalment 36/230 5,000.00
Less: Stamp Duty 0.25
25/08/2020 Net Purchase 53.569 4,999.75 53.569 93.333 3,397.790
Gross SIP Purchase - Instalment 37/230 5,000.00
Less: Stamp Duty 0.25
25/09/2020 Net Purchase 51.362 4,999.75 51.362 97.343 3,495.133
EISC-ETRXN-16.6.0-220124192339(I)-A166020--1119-YN

Gross SIP Purchase - Instalment 38/230 5,000.00

Less: Stamp Duty 0.25
26/10/2020 Net Purchase 54.109 4,999.75 54.109 92.401 3,587.534
Gross SIP Purchase - Instalment 39/230 5,000.00
Less: Stamp Duty 0.25
25/11/2020 Net Purchase 58.482 4,999.75 58.482 85.492 3,673.026
14/12/2020 *Redemption - N352201343634975 61.276 (30,000.00) 61.276 (489.588) 3,183.438
Gross SIP Purchase - Instalment 40/230 5,000.00
Less: Stamp Duty 0.25
28/12/2020 Net Purchase 62.093 4,999.75 62.093 80.520 3,263.958
Gross SIP Purchase - Instalment 41/230 5,000.00
Less: Stamp Duty 0.25
25/01/2021 Net Purchase 64.046 4,999.75 64.046 78.065 3,342.023
Gross SIP Purchase - Instalment 42/230 5,000.00
Less: Stamp Duty 0.25
26/02/2021 Net Purchase 67.544 4,999.75 67.544 74.022 3,416.045
Gross SIP Purchase - Instalment 43/230 5,000.00

continued...
 Page 3 of 5
Account Statement (Folio No. : 12644481 / 56)
4027 / HDFC Hybrid Equity Fund - Regular Plan - Growth* - INF179K01AS4 UCC : MFHDFC0040

NAV Amount Price Number of Balance

Date Transaction Type
in INR in INR Units Units

Less: Stamp Duty 0.25

25/03/2021 Net Purchase 66.015 4,999.75 66.015 75.737 3,491.782
Gross SIP Purchase - Instalment 44/230 5,000.00
Less: Stamp Duty 0.25
26/04/2021 Net Purchase 66.944 4,999.75 66.944 74.686 3,566.468
Gross SIP Purchase - Instalment 45/230 5,000.00
Less: Stamp Duty 0.25
25/05/2021 Net Purchase 71.045 4,999.75 71.045 70.374 3,636.842
Gross SIP Purchase - Instalment 46/230 5,000.00
Less: Stamp Duty 0.25
25/06/2021 Net Purchase 73.340 4,999.75 73.340 68.172 3,705.014
Gross SIP Purchase - Instalment 47/230 5,000.00
Less: Stamp Duty 0.25
26/07/2021 Net Purchase 74.713 4,999.75 74.713 66.919 3,771.933
Gross SIP Purchase - Instalment 48/230 5,000.00
Less: Stamp Duty 0.25
25/08/2021 Net Purchase 75.022 4,999.75 75.022 66.644 3,838.577
Gross SIP Purchase - Instalment 49/230 5,000.00
Less: Stamp Duty 0.25
27/09/2021 Net Purchase 79.048 4,999.75 79.048 63.250 3,901.827
Gross SIP Purchase (Reversal) - Instalment No 49 (5,000.00)
Less: Stamp Duty (0.25)
27/09/2021 Net Purchase 79.048 (4,999.75) 79.048 (63.250) 3,838.577
Gross SIP Purchase - Instalment 50/230 5,000.00
Less: Stamp Duty 0.25
25/10/2021 Net Purchase 81.027 4,999.75 81.027 61.705 3,900.282
Gross SIP Purchase (Reversal) - Instalment No 50 (5,000.00)
Less: Stamp Duty (0.25)
25/10/2021 Net Purchase 81.027 (4,999.75) 81.027 (61.705) 3,838.577
Gross SIP Purchase 5,000.00
Less: Stamp Duty 0.25
25/11/2021 Net Purchase 79.475 4,999.75 79.475 62.910 3,901.487
Gross SIP Purchase (Reversal) - Instalment No 51 (5,000.00)
Less: Stamp Duty (0.25)
25/11/2021 Net Purchase 79.475 (4,999.75) 79.475 (62.910) 3,838.577
Gross SIP Purchase - Instalment 52/230 Physical 5,000.00
Less: Stamp Duty 0.25
27/12/2021 Net Purchase 77.964 4,999.75 77.964 64.129 3,902.706
Gross SIP Purchase (Reversal) Physical - Instalment No 52 (5,000.00)
Less: Stamp Duty (0.25)
27/12/2021 Net Purchase 77.964 (4,999.75) 77.964 (64.129) 3,838.577
Gross SIP Purchase - Instalment 53/230 Physical 5,000.00
Less: Stamp Duty 0.25
25/01/2022 Net Purchase 79.507 4,999.75 79.507 62.884 3,901.461
Gross SIP Purchase - Instalment 54/230 Physical 5,000.00
Less: Stamp Duty 0.25
25/02/2022 Net Purchase 77.067 4,999.75 77.067 64.875 3,966.336
Gross SIP Purchase - Instalment 55/230 Physical 5,000.00
Less: Stamp Duty 0.25
25/03/2022 Net Purchase 78.600 4,999.75 78.600 63.610 4,029.946
Gross SIP Purchase - Instalment 56/230 Physical 5,000.00
Less: Stamp Duty 0.25
25/04/2022 Net Purchase 78.755 4,999.75 78.755 63.485 4,093.431
Gross SIP Purchase - Instalment 57/230 Physical 5,000.00
EISC-ETRXN-16.6.0-220124192339(I)-A166020--1119-YN

Less: Stamp Duty 0.25

25/05/2022 Net Purchase 74.986 4,999.75 74.986 66.676 4,160.107
Gross SIP Purchase - Instalment 58/230 Physical 5,000.00
Less: Stamp Duty 0.25
27/06/2022 Net Purchase 74.767 4,999.75 74.767 66.871 4,226.978
Gross SIP Purchase - Instalment 59/230 Physical 5,000.00
Less: Stamp Duty 0.25
25/07/2022 Net Purchase 78.558 4,999.75 78.558 63.644 4,290.622
Gross SIP Purchase - Instalment 60/230 Physical 5,000.00
Less: Stamp Duty 0.25
25/08/2022 Net Purchase 82.020 4,999.75 82.020 60.958 4,351.580
Gross SIP Purchase - Instalment 61/230 Physical 5,000.00
Less: Stamp Duty 0.25
26/09/2022 Net Purchase 80.492 4,999.75 80.492 62.115 4,413.695
Gross SIP Purchase - Instalment 62/230 Physical 5,000.00
Less: Stamp Duty 0.25
25/10/2022 Net Purchase 83.473 4,999.75 83.473 59.897 4,473.592

continued...
 Page 4 of 5
Account Statement (Folio No. : 12644481 / 56)
4027 / HDFC Hybrid Equity Fund - Regular Plan - Growth* - INF179K01AS4 UCC : MFHDFC0040

NAV Amount Price Number of Balance

Date Transaction Type
in INR in INR Units Units

Gross SIP Purchase - Instalment 63/230 Physical 5,000.00

Less: Stamp Duty 0.25
25/11/2022 Net Purchase 86.461 4,999.75 86.461 57.827 4,531.419
Gross SIP Purchase - Instalment 64/230 Physical 5,000.00
Less: Stamp Duty 0.25
26/12/2022 Net Purchase 85.226 4,999.75 85.226 58.665 4,590.084
Gross SIP Purchase - Instalment 65/230 Physical 5,000.00
Less: Stamp Duty 0.25
25/01/2023 Net Purchase 85.120 4,999.75 85.120 58.738 4,648.822
Gross SIP Purchase - Instalment 66/230 Physical 5,000.00
Less: Stamp Duty 0.25
28/02/2023 Net Purchase 83.966 4,999.75 83.966 59.545 4,708.367
Gross SIP Purchase - Instalment 67/230 Physical 5,000.00
Less: Stamp Duty 0.25
29/03/2023 Net Purchase 83.755 4,999.75 83.755 59.695 4,768.062
Gross SIP Purchase - Instalment 68/230 Physical 5,000.00
Less: Stamp Duty 0.25
25/04/2023 Net Purchase 86.406 4,999.75 86.406 57.863 4,825.925
Gross SIP Purchase - Instalment 69/230 Physical 5,000.00
Less: Stamp Duty 0.25
25/05/2023 Net Purchase 88.739 4,999.75 88.739 56.342 4,882.267
Gross SIP Purchase - Instalment 70/230 Physical 5,000.00
Less: Stamp Duty 0.25
27/06/2023 Net Purchase 91.285 4,999.75 91.285 54.771 4,937.038
Gross SIP Purchase - Instalment 71/230 Physical 5,000.00
Less: Stamp Duty 0.25
25/07/2023 Net Purchase 94.636 4,999.75 94.636 52.831 4,989.869
Gross SIP Purchase - Instalment 72/230 Physical 5,000.00
Less: Stamp Duty 0.25
25/08/2023 Net Purchase 93.471 4,999.75 93.471 53.490 5,043.359
Gross SIP Purchase - Instalment 73/230 Physical 5,000.00
Less: Stamp Duty 0.25
26/09/2023 Net Purchase 94.819 4,999.75 94.819 52.729 5,096.088
Gross SIP Purchase - Instalment 74/230 Physical 5,000.00
Less: Stamp Duty 0.25
26/10/2023 Net Purchase 91.971 4,999.75 91.971 54.362 5,150.450
Gross SIP Purchase - Instalment 75/230 Physical 5,000.00
Less: Stamp Duty 0.25
28/11/2023 Net Purchase 94.846 4,999.75 94.846 52.714 5,203.164
Gross SIP Purchase - Instalment 76/230 Physical 5,000.00
Less: Stamp Duty 0.25
26/12/2023 Net Purchase 100.222 4,999.75 100.222 49.887 5,253.051
Available Units to Redeem : 5,253.051
Market Value of Balance Units at NAV of 101.567 on 19/01/2024 (INR) : 533,536.63 Total Units Under Lien : 0.000
IDCW reinvested / paid (INR) : 0.00 Total IDCW reinvested / paid (INR) : 0.00
Primary Bank Account : SB XXXX8945 / State Bank of India / Refugee Colony / Jamshedpur / Redemption Payout Mode : Electronic
SBIN0006548
Advisor : ARN-26898 / Avtar Singh
EUIN : E044847

*Due to change in Scheme Name and the fundamental attributes of HDFC Premier Multi-Cap Fund and merger of HDFC Balanced Fund therein, w.e.f. June 01, 2018 (close of
business hours) , the scheme shall be managed as HDFC Hybrid Equity Fund (erstwhile HDFC Balanced Fund and HDFC Premier Multi-Cap Fund), an open-ended hybrid scheme
investing predominantly in equity and equity related instruments. Current Load Structure : Entry Load: Not Applicable. Exit Load: In respect of each purchase/switch-in of units
EISC-ETRXN-16.6.0-220124192339(I)-A166020--1119-YN

from allotment date, Nil exit load upto 15% of the units ("the limit") redeemed/switched-out; 1% if units in excess of the limit are redeemed/switched-out within 1 year. No Exit
Load if units are redeemed /switched-out after 1 year. The rate of exit load levied on units redeemed will be the rate prevailing at the time of allotment of the units. For further
details visit www.hdfcfund.com (under Investor Corner) or contact any of our Investor Service Centre. GST Identification Number : 27AAATH1809A1Z9

Details regarding your primary Bank account and Email Id maybe masked to ensure security of information.
(#)switch-in will be processed based on the settlement cycle of the switch-out scheme.
This is a computer generated statement and does not require any signature.

Non Financial Transaction(s)

Date Transaction Type
23/09/2017 Address Updated from KRA Data
03/10/2017 Address Updated from KRA Data
03/10/2017 Address Updated from KRA Data - 1st Joint Holder
17/08/2018 Address Updated from KRA Data
04/07/2022 Updation of Date of Birth

continued...
Page 5 of 5
Account Statement (Folio No. : 12644481 / 56)
OTM Registration(s)
Sr. OTM Bank OTM
Bank Name UMRN Frequency From Date To Date Amount (Rs.)
No. Type Account Number Status
As and
1 FOLIO OTM State Bank of India XXXXXXX8945 SBIN0000000014249548 Active When 25-Oct-2017 25-Oct-2036 20,000.00
presented

EISC-ETRXN-16.6.0-220124192339(I)-A166020--1119-YN

continued...
 TRANSACTION REQUEST FOR TIMESTAMP (FOR OFFICE USE ONLY)

PURCHASE / SWITCH / REDEMPTION

(Please use separate transaction slip for each scheme.
For updating your contact details, please submit a separate request)
Folio Number : 12644481 / 56 Scheme / Plan / Option* :
Name of sole / (Switch-out scheme
First Unit Holder : Sonia Juneja for switch request) :
*Default Plan / Option in terms of KIM will apply if the choice of Plan / Option is not indicated.
KEY PARTNER / AGENT INFORMATION
Internal Code for Employee Unique
ARN ARN Name Sub Agent’s ARN Bank Branch Code
Sub-Agent/ Employee Identification Number (EUIN)
ARN-26898 Avtar Singh - (Mobile No. E044847
+919431110323)

Note: Upfront commission shall be paid directly by the investor to the ARN Holder (AMFI registered Distributor) based on the investors’ assessment of various factors including the service rendered by the ARN Holder.
Important: Please strike off any unused portion of this sheet.
ADDITIONAL PURCHASE (Please write your folio number and name on the reverse of the cheque/DD/Payment Instrument no.)
Payment Mode: (Please tick any one only) OTM (One Time Bank Mandate) Cheque DD Funds Transfer RTGS / NEFT
Cheque/DD/Instrument No: IF APPLICABLE Payment Date/Instrument Date : / / Amount (Rs.) :
Bank Name: Branch: City :
MANDATORY FOR OTM
Investors desiring to get allotment of units in dematerialized mode instead of physical mode should provide the details in their demat account below:
NSDL CDSL

DP Name
DP ID
Beneficiary Account No.
Please attach a copy of the DP statement / Client Master Form to enable us to verify the demat account details.
IMPORTANT : Names, mode of holding , PAN details, etc. of the Investor will be verified against the Depository data.The units will be credited to the beneficiary (demat) account only after
successful verification with the depository records and realization of payment.

at - our offices,www.hdfcfund.com,with your distributor,if any

Please check exit load, if applicable. Information available
SWITCH REQUEST (Please tick any one only) All Free Units No. of units : Amount (in Rs.) :
To Scheme / Plan / Option ^ :
^Default Plan / Option in terms of KIM will apply if the choice of Plan / Option is not indicated.

REDEMPTION - Subject to Lock-in Period, if any (Please tick only one of the below options.)
Redeem All Free Units No. of units : Amount (in Rs.) (in words)
IFSC Code : (If not provided earlier for electronic payment)
Note : If a redemption request is submitted alongwith a request for changing the bank account details, the redemption will be processed into the registered /default bank
account in the aforesaid scheme/folio and the request for changing the bank account details will not be processed.
For investors who have registered for Multiple Bank Accounts facility# in the above folio:
The redemption should be processed into the following bank account as per the payout mechanism indicated by me/us (This bank account has already been registered in the folio):
Name of the Bank : Branch :
Account No.: Account Type: Bank City :
This transaction request is not valid for HDFC Gold Exchange Traded Fund,

#
Important Note: If the bank account mentioned above is different from those already registered in your folio OR if the bank account details are not filled above ,the redemption will be
processed into the "Default" bank account registered for the aforesaid folio .HDFC Mutual Fund or HDFC Asset Management Company Ltd. will not be liable for any loss arising to the
unitholder(s) due to the credit of redemption proceeds into any of the bank accounts registered with us for the aforesaid folio. If the balance in my/our account does not cover the amount /
units of the redemption request, I/we authorise you to send the entire such (lesser) balance to me/us.
DECLARATION :I/We am/are not prohibited from accessing capital markets under any order/ruling/judgment etc., of any regulation, including SEBI. I/We confirm that my
application is in compliance with applicable Indian and foreign laws. I / We hereby confirm and declare as under:-
HDFC NIFTY ETF,HDFC SENSEX ETF.

1) I/We have read, understood and hereby agree to comply with the terms and conditions of the scheme related documents and apply for allotment of Units of the Scheme(s) of HDFC Mutual Fund (‘Fund’) indicated above.
2) I/We am/are eligible Investor(s) as per the scheme related documents and am/are authorised to make this investment as per the Constitutive documents/ authorization(s). The amount invested in the Scheme(s) is through
legitimate sources only and is not for the purpose of contravention and/or evasion of any act, rules, regulations, notifications or directions issued by any regulatory authority in India.
3) The information given in / with this application form is true and correct and further agree to furnish such other further/additional information as may be required by the HDFC Asset Management Company Limited (AMC)/ Fund and undertake to
inform the AMC / Fund/Registrars and Transfer Agent (RTA) in writing about any change in the information furnished from time to time.
4) That in the event, the above information and/or any part of it is/are found to be false/ untrue/ misleading, I/We will be liable for the consequences arising therefrom.
5) I/We hereby authorize you to disclose, share, remit in any form/manner/mode the above information and/or any part of it including the changes/updates that may be provided by me/us to the Mutual Fund, its Sponsor/s,
Trustees,Asset Management Company, its employees, agents and third party service providers, SEBI registered intermediaries for single updation/ submission, any Indian or foreign statutory, regulatory, judicial, quasi-
judicial authorities/agencies including but not limited to Financial Intelligence Unit-India (FIU-IND) etc without any intimation/advice to me/us.
6) I/We will indemnify the Fund, AMC, Trustee, RTA and other intermediaries in case of any dispute regarding the eligibility, validity and authorization of my/our transactions.
7) The ARN holder (AMFI registered Distributor) has disclosed to me/us all the commissions (in the form of trail commission or any other mode), payable to him/them for the different competing Schemes of various Mutual
Funds from amongst which the Scheme is being recommended to me/us.
I/WE HEREBY CONFIRM THAT I/WE HAVE NOT BEEN OFFERED/ COMMUNICATED ANY INDICATIVE PORTFOLIO AND/ OR ANY INDICATIVE YIELD BY THE FUND/AMC/ITS DISTRIBUTOR FOR
THIS INVESTMENT.
Applicable to Foreign Nationals Resident in India only :I/We will redeem my/our entire investment/s before I /We change my /our Indian residency status. I/We shall be fully liable for all
consequences (including taxation) arising out of the failure to redeem on account of change in residential status.
Applicable to NRIs/PIO/OCIs only:I/We confirm that my application is in compliance with applicable Indian and foreign laws.
Please ( ) Yes No If Yes, ( ) Repatriation basis Non-repatriation basis
Declaration for Purchase/Switch transaction where EUIN box is left blank
I/We hereby confirm that the EUIN box has been intentionally left blank by me/us as this transaction is executed without any interaction or advice by the employee/relationship
manager/sales person of the above distributor/sub broker or notwithstanding the advice of in-appropriateness, if any, provided by the employee /relationship manager/sales
person of the distributor/sub broker.
TO BE SIGNED BY ALL UNIT HOLDERS IF MODE OF HOLDING IS JOINT. ALTERATIONS, IF ANY, SHOULD BE COUNTERSIGNED.
Signature(s)

EISC-ETRXN-16.6.0-220124192339(I)-A166020--1119-YN

Sole/ First Unit holder/ Guardian/ POA Second Unit holder Third Unit holder
Important alert: Incase there is any change to your KYC information please update the same by using the prescribed "KYC Change Request Form"
and submit the same at the point of sevice of any KYC Registration Agency

FATCA & CRS - SELF CERTIFICATION FOR INDIVIDUALS

(To be filled and signed by folio(s) with Single holders only.In case of folio(s) with joint holders/Entities,separate SUPPLEMENTARY
KNOW YOUR CLIENT (KYC),FATCA & CRS-SELF CERTIFICATION FORM needs to be submitted)
PAN: Name:
Is the applicant/guardian's Country of Birth/Citizenship/Nationality/Tax Residency other than India? Yes No
If yes, then please submit a Supplementary Know Your Client(KYC), FATCA and CRS - Self certification form attached along-with this transaction.
Declaration: I have read and understood the information requirements and the Terms and Conditions mentioned in the SUPPLEMENTARY KNOW
YOUR CLIENT(KYC), FATCA & CRS-SELF CERTIFICATION FORM and hereby confirm that the information provided by me/us on this Form is true,
correct and complete. I hereby agree and confirm to inform HDFC Asset Management Company Limited/HDFC Mutual Fund/Trustees for any
modification to this information promptly. I further agree to abide by the provisions of the Scheme related documents inter alia provisions on
'Foreign Account Tax Compliance Act(FATCA) and Common Reporting Standards(CRS) on Automatic Exchange of Information(AEOI)'. I hereby
authorize you to disclose, share, remit in any form /manner/mode the above information and/or any part of it including the changes/updates that
may be provided by me to the Mutual Fund, its Sponsor/s, Trustees, Asset Management Company , its employees, agents and third party service
providers, SEBI registered intermediaries for single updation/submission, any Indian or foreign statutory, regulatory, judicial, quasi-judicial
authorities/agencies including but not limited to Financial Intelligence Unit-India(FIU-IND) etc without any intimation/advice to me. Sign of Sole Holder