NIBL Sahabhagita Fund

M/s NIBL Ace Capital Ltd.

Kathmandu, Nepal.

Distribution Center: ……………………. Date: …………………...

Subject: Amendment in SIP Registration

Dear Sir/Madam;

With reference to above subject, I/we would like to amend the following details of my/our SIP registration of
NIBL Sahabhagita Fund;

BOID:

Amendments
Amendment
Previous Record Amendment
Section:
SIP Due Date

Unlimited Installments Unlimited Installments

Model of SIPs
Limited Term Limited Term

Monthly Quarterly Monthly Quarterly

SIP Interval
Semi- Annually Annually Semi- Annually Annually

In Figure: NPR. In Figure: NPR.

SIP Installment
Amount In Words: In Words:

Post-dated Cheques Others Post-dated Cheques Others

Standing Instruction with Bank: Standing Instruction with Bank:

Payment Mode Bank/Branch Name: Bank/Branch Name:

……………………………………. …………………………………….
Account Number: Account Number:

……………………………………. …………………………………….

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Applicant's Signature