Account Statement

FOLIO NUMBER : 910172613826 CAN : Statement Date : 10 Jan 2024

SOURAV MAITRA First Holder Second Holder Third Holder Guardian/POA

PAN/PEKRN AOCPM7203D
37/4 Bholanath Nath St Barangr
Family Flag NA
Baranagar M Baranagar N 24 Pgs
Nr Ramakrishna Mission School Email maitrasourav@gmail. NA NA
North 24 Paraganas 700036 com
West Bengal Mobile 7032800450 NA NA
India
Mobile : 7032800450 KIN 20058989299986
Email ID : maitrasourav@gmail.com KYC Status Verified
DOB : 01/12/1977
FATCA/CRS Status Compliant
UBO
Aadhaar Linking Status Linked
Joint Holder 1 :
Joint Holder 2 : First Nominee Second Nominee Third Nominee
DP/CLID : Nominee Name Nominee registration NA NA
status :Opted Out
Form 15G/H : Not Registered
Nominee Relationship NA NA NA
NPO Registration Number : NA
Nominee Percentage (%) NA NA
NPO Status : NA
Name Of Guardian N
POA Registration N
Tax Status INDIVIDUAL IFSC HDFC0000718
Mode of Holding SINGLE Bank A/c No. XXXXXXXXXX0098
Intermediary/RIA/PMRN DIRECT / Bank Name HDFCBANK

Intermediary/RIA/PMRN Code Direct / NA Account Type Savings

Sub ARN / Sub Broker Code NA / NA Payout Mode Electronic
EUIN NA Multiple Bank Reg No

ACCOUNT SUMMARY

Scheme Name NAV Units Investment Paid (Rs) IDCW Market Value (`)
Value(`) Paid (`) Re-invested (`)
Axis Nifty Midcap 50 Index Fund Direct Growth (NMDGG) - : ISIN :
16.0418 178.937 2,500.00 2,870.47
INF846K019H0
Total 2,500.00 0.00 0.00 2,870.47

OTM REGISTRATION SUMMARY

OTM Ref No Bank Name Bank Account Number End Date Maximum Amount Mandate Type OTM status

HDFC7012707230001915 HDFC BANK XXXXXXXXXX0098 31/12/2099 2500.00 KOTM Registered

Axis Nifty
<font size="2" Midcap
color="white" 50 narrow"><b>Axis
face="arial Index Fund Nifty Direct Growth(
Midcap 50 Index Fund Direct NM-DG)
Growth( NM-DG)(Non - Demat)
(Non - Demat)</b></font> ISIN : INF846K019H0 NAV as on 09 Jan 2024 (`) 16.0418

Transaction Type Date NAV NAV Date Stamp Duty STT Amount in Price in Units Balance
(`) (`) (`) Units
Gross Purchase-Channel Partner 05/09/2023 07/09/2023 2,500.00
Stamp Duty 07/09/2023 0.12
Net Purchase-Channel Partner 05/09/2023 13.970700 07/09/2023 2,499.88 13.970700 178.937 178.937

Investment Cost ( `) : 2,500.00 Market Value( `) : 2,870.47 EUIN No. : NA

Locked Units : 0.000 Lien Units : 0.000 Free Units : 178.937
Disclaimer ## Units & NAV allotment is subject credit realization and scrutiny.
EXIT LOAD ##
Axis Nifty Midcap 50 Index Fund Direct Growth( NM-DG)
Entry Load : N/A. Exit Load: 0.25% if redeemed / switched out within 7 days from the date of allotment/ Investment w.e.f., 28/03/2022

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Folio NO. : 910172613826
Name : SOURAV MAITRA Statement Date : 10 Jan 2024

Your Account At A Glance

ACCOUNT SUMMARY

Scheme Name NAV Units Investment Paid (Rs) IDCW Market Value (`)
Value(`) Paid (`) Re-invested (`)
Axis Nifty Midcap 50 Index Fund Direct Growth (NMDGG) - : ISIN :
16.0418 178.937 2,500.00 2,870.47
INF846K019H0
Total 2,500.00 0.00 0.00 2,870.47

## For applicable load structure, refer the SID. For any further information or to report any discrepancy EasyCall™ us on 81086 22211
anytime between 9 am to 6:30 pm from Monday to Saturday or write to us at customerservice@axismf.com
This is a computer generated statement and does not require any signature.

Folio NO. : 910172613826 Name : SOURAV MAITRA CAN :

Tax Status : INDIVIDUAL PAN : AOCPM7203D KYC Status : Verified FATCA status : Compliant
Intermediary/RIA/PMRN : DIRECT / Sub ARN : NA EUIN : NA Mode of holding : SINGLE

Scheme Option Date

ADDITIONAL PURCHASE REQUEST REDEMPTION REQUEST SWITCH REQUEST

I/We would like to purchase Units of the above I/We would like to redeem Units of the above I/We would like to switch Units of the above
mentioned scheme. mentioned scheme. mentioned scheme.
(`) (in figures) (`) (in figures) Units or
(`) (in words) (`) (in words) (`) (in figures)
PAYMENT OPTIONS or Units (`) (in words)
Cheque/ DD RTGS/ NEFT Transfer to (scheme name)
or Entire Units (please tick)
Instrument No. Plan
Please note:if the balance in your folio is less than this
Bank Name Option Growth
redemption request,all units or entire balance shall be IDCW
Branch redeemed. IDCW Reinvest Payout
Bank Account Type
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
I/We have read and understood the contents of the SID/ SAI of the
CA : --10.01.2024 / LA: --

advice by the employee/relationship manager/sales person of the above distributor/sub broker or notwithstanding the advice of
Scheme(s).I/ We have not received nor have been induced by any
in-appropriateness, if any, provided by the employee/relationship manager/sales person of the distributor/sub broker.
rebate or gifts, directly or indirectly in making this investment. The
money invested in the schemes is through legitimate sources and is
not in contravention of any prevailing laws.

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.

Signatures of
First Holder Second Holder Third Holder
Holders
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