Common Application Form

For Holding Units in Demat Mode

(For Lump Sum and SIP Investments)

Time Stamp
Distributor/Broker Code Sub-Broker ARN Relationship Manager’s Branch Code
Name

ARN-
71685
(ARN stamp here) Sub-Broker Code Mobile
EUIN
E062194
If Employee Unique Identification Number (EUIN) details are not provided, the investor(s) agrees that: I/We hereby confirm that the EUINs box has been intentionally left blank by me/us
as this is an “execution-only” transaction without any interaction or advice by the employee/relationship manager/sales person of the above distributor or notwithstanding the advice
of in-appropriateness, if any, provided by the employee/relationship manager/sales person of the distributor and the distributor has not charged any advisory fees on this transaction.
Signature/s (To be signed by All Applicants) (See note 7)
X (Sole/First Applicant) X (Second Applicant) X (Third Applicant)
Initial commission will be paid by the investor directly to the distributor, based on the service rendered and assessment of any other factors.
Please refer to the guidance notes for assistance and complete all sections in English. For legibility, please use BLOCK LETTERS in black or dark ink.

1. New Applicants’ Personal Details (See note 1)

Sole/1st Applicant+ Date of Birth*
First Name               Middle Name              Last Name D D | M M | Y Y Y Y
Second Applicant^ Date of Birth
First Name               Middle Name              Last Name D D | M M | Y Y Y Y
Third Applicant^ Date of Birth
First Name               Middle Name              Last Name D D | M M | Y Y Y Y
* Compulsary if applicant is minor + If the Sole/First applicant is below 18 years of age, please furnish the details of the Guardian in the ‘GUARDIAN DETAILS’ section. ^ Not applicable if the first applicant is a minor.­­
Guardian Details (Mandatory if Sole/First Applicant is a Minor) / Contact Person Details (for Non-Individuals)
Guardian Name (in case Sole/First Applicant is a minor) Contact Person (in case of Non Individual applicants)
Guardian’s Relationship With Minor* Father Mother Court Appointed Guardian
Proof of Date of Birth and Guardian’s Relationship with Minor* Birth Certificate  Passport  Others (please specify)
Mode of Holding (Please ü) Single Anyone or Survivor Joint (If not indicated and multiple holders are mentioned, will be treated as ‘joint’ by default.)
Status of Sole/First Resident Indian Individual Non-Resident Indian Individual PIO Mutual Fund FI Bank Trust Government Body Defence Establishment
Applicant (Please ü) Company/Body Corporate Partnership Firm LLP HUF AOP/BOI FII Society NGO Others (Please specify)

Correspondence Address (P.O. Box is not sufficient)

City/Town State Pin

Overseas Address (Mandatory for NRIs/PIOs)

City/Town State Country Postal Code

Contact Details
(ISD/STD) (ISD/STD)
Tel. (O) Tel. (R) Mobile

E-mail ID*
* Investors providing E-mail ID would mandatorily receive only E-statements of accounts, annual report and other communication in lieu of physical copy.
2. PAN and KYC Details (See note 2)
First Unit Holder Second Unit Holder Third Unit Holder
Please enclose a copy of KYC acknowledgement letters for all applicants.

3. Bank Details (See note 3)

Please provide the details of the Bank Account that is linked with your Demat Account. If different account details are furnished, we will replace them with the account details that we
receive from your DP.
Account Number Account Type (Please ü)
Savings Current NRE NRO FCNR Others

Bank
Branch City
MICR Code IFSC Code

(9-digit number next to your cheque no.) (The 11 character code on a cheque. If you do not find it, please ask your bank branch for it)
Please enclose an original cancelled cheque leaf of the above bank account if your investment instrument is from a different bank account.

Acknowledgement Slip (To be filled in by the Applicant)

Received from Name of First Applicant/Unitholder an application for

investment in Scheme Plan Option

NSDL DP ID I N NSDL Beneficiary Account Number

DP Name CDSL DP ID & Beneficiary Account Number For Office Use Only
Investment Amount Rs. Investment Cheque Details Cheque No. Dated D D | M M | Y Y Y Y

drawn on Bank Branch City Acknowledgement

Subject to realisation of cheque and furnishing of mandatory information/documents. Please retain this slip till you receive your Account Statement. Stamp & Date
 4. Demat Account Details (Mandatory)
Please indicate the depository with which you hold your Demat Account (ü) NSDL CDSL

NSDL DP ID I N NSDL Beneficiary Account Number DP Name

CDSL DP ID & Beneficiary Account Number

Document Attached (Please ü any one) Client Master List (CML) Transaction cum Holding Statement Delivery Instruction Slip (DIS)

Please ensure the sequence of the applicant names in the application form matches with that of the Demat Account furnished above.

5. Investment & Payment Details (See note 4)

Transaction Charges** Refer Note 4(D)
I am a First Time Investor in Mutual Funds I am an Existing Investor in Mutual Funds
Rs. 150 will be deducted as transaction charges if the lump sum purchase amount Rs. 100 will be deducted as transaction charges if the lump sum purchase amount
OR
or total SIP amount (Number of instalments x instalment amount) is Rs. 10,000 or or total SIP amount (Number of instalments x instalment amount) is Rs. 10,000 or
more. more.
** Will be deducted only if the Purchase/SIP application is submitted through a Distributor who has ‘opted in’ to receive transaction charges.

Investment Details
Investment Type (Please ü) Lumpsum  SIP (Please fill up the 1st SIP cheque details below and also fill and attach the SIP Auto-Debit Form)

Scheme Plan

Option (Please ü) (^ Default option if not selected) Growth^ Bonus (available only in select schemes) Dividend Payout

Dividend Reinvestment  Dividend Frequency

NRI/FII Investors (Refer * in the Declaration section below), please indicate source of funds for your investment (Please ü)  NRE  NRO  FCNR  Others (Please specify)

Payment Details (Please issue cheque favouring scheme name)

Investment Amount (Rs.) A DD Charges (if applicable) (Rs.) B Net Amount*** (Rs.) A minus B

Instrument No. Dated D D | M M | Y Y Y Y Drawn on Bank

Branch City
***Final investment amount will be net amount minus the transaction charges if applicable. Refer Note 4(d).

Reason for Investment (Please ü)

Children’s Education       Children’s Marriage       House       Car       Retirement
6. Your Signature/s (To be signed by All Applicants) (See note 5)
I/We have read and understood the contents of the Scheme Information Document, Statement of Additional Information and Key Information Memorandum of the above Scheme of
L&T Mutual Fund including the sections on “Who cannot invest” and “Important Note on Anti Money Laundering, Know-Your-Customer and Investor Protection”. I/We hereby apply for
allotment/purchase of Units in the Scheme and agree to abide by the terms and conditions applicable thereto. I/We hereby declare that I/We am/are authorised to make this investment
and that the amount invested in the Scheme is through legitimate sources only and does not involve and is not designed for the purpose of any contravention or evasion of any Act,
Rules, Regulations, Notifications or Directions issued by any regulatory authority in India. I/We hereby authorise L&T Mutual Fund, its Investment Manager and its agents to disclose
details of my investment to my bank(s)/L&T Mutual Fund’s bank(s) and/or Distributor/Broker/Investment Adviser. The ARN holder has disclosed to me/us all the commissions (in the form
of trail commission or any other mode), payable to him for the different competing schemes of various Mutual Funds from amongst which the Scheme is being recommended to me/
us. I/We have neither received nor been induced by any rebate or gifts, directly or indirectly, in making this investment. I/We declare that the information given in this application form
is correct, complete and truly stated.
I/We accept and agree to abide by the terms and conditions (as mentioned on www.LNTMF.com) with respect to my/our dealings with L&T Mutual Fund/its Investment Manager through
various channels.
*APPLICABLE FOR NRIs: I/We confirm that I am/we are Non-Resident(s) of Indian Nationality/Origin and that I/We have remitted funds from abroad through approved banking channels
or from funds in my/our NRE/FCNR Account. I/We undertake that all additional purchases made under this folio will also be from funds received from abroad through approved banking
channels or from funds in my/our NRE/FCNR Account.
I/We hereby wish to hold the units of the Scheme in dematerialised mode in accordance with the terms specified in the Combined Scheme Information Document and the guidelines/
procedural requirements as laid by the Depositories from time to time.

X (Sole/First Applicant) X (Second Applicant) X (Third Applicant)

Call: 1800 2000 400 l Email: investor.line@lntmf.co.in l Website: www.LNTMF.com

 General Instructions
1. This form should be used only if you wish to hold your mutual fund units in Demat In case of court appointed legal guardian, supporting documentary evidence should be
mode. Please read the Scheme Information Document carefully before investing. submitted apart from the proof of date of birth.
2. Please furnish all information marked as ‘MANDATORY’. In the absence of any Please enclose a suitable proof for the date of birth of the minor and relationship/status
mandatory information, your application would be rejected. of the guardian as father, mother or legal guardian, without which the application may
be rejected.
3. APPLICATIONS BY MINOR: Applications for minors should be made on their behalf
by their lawful/registered guardians and signed by them. The date of birth of the The minor shall be the first and sole holder of the investment and the mode of holding
minor, the name of the guardian and the relationship with the minor should be filled/ will be captured as ‘Single’ by default. Joint holder details, if any mentioned in the
selected in the relevant space provided. If any relationship other than parents or legal application will be ignored.
guardian is selected, the application may be rejected.

Guidance Notes
Note 1. Personal Details for new Applicants g) In case the application is rejected post banking your payment instrument, we will send
a) Please fill in names of all applicants. The name of the Sole /First Applicant should be the refund instrument with the bank details furnished in the application form.
mentioned in the same manner in which it appears in the Bank Account specified in Note 4. Investment And Payment Details
Section 4.
a) Please fill in the Scheme/Plan-Option in which you wish to invest. Please also indicate
b) In case the applicant is a Corporate or Non-Individual investor, the Contact Person’s the dividend frequency if dividend payout or reinvestment is chosen and the scheme
name should be stated in the space provided. has multiple dividend frequencies.
c) Mode of Holding: Please specify the mode of holding for operating the folio. If there b) Please fill in your investment details in the appropriate section based on your type of
is more than one applicant and the mode of holding is not specified, it would be investment i.e. Lumpsum or SIP.
treated as joint.
c) If you are from a city not serviced by an Investor Service Centre, you may submit a
d) Please indicate the tax status of the sole/1st applicant at the time of investment. Any Demand Draft for the investment amount. Please enter the investment amount, the
change in status during the period of holding units should be informed to us to ensure DD Charges (if applicable) and the net amount. The AMC shall bear the DD Charges
accurate tax treatment of income generated from the same. The abbreviations used in incurred by an applicant for investing in all schemes except debt/fixed income schemes
this section are: launched by the Fund from time to time. The AMC shall, however, not refund any DD
charges to the investor under any circumstances.
u AOP-Association of Persons u BOI-Body of Individuals u FI-Financial Institution
u FII-Foreign Institutional Investor u HUF-Hindu Undivided Family u PIO-Person of d) All details such as address, bank details, nomination etc. will be applicable as available
Indian Origin u NGO-Non Government Organisation in the depositories’ records. For effecting any subsequent changes to such information,
Investors should approach their DP.
e) Please provide complete details of your address. Please do not fill in a P.O. Box address
as the same will not be updated in our records. e) Holding / transacting of units held in demat mode shall be in accordance with
the procedures / requirements laid down by the Depositories, viz. NSDL/ CDSL in
f) If you wish to receive account statements, annual reports and other communication
accordance with the provisions under the Depositories Act, 1996
from us by post instead of e-mail, please indicate your preference by ticking the check-
box provided for this purpose. f) TRANSACTION CHARGES:
g) It is mandatory for NRI investors to state their complete overseas address, In line with the SEBI circular dated August 22, 2011 and September 13, 2012,
otherwise the application will be rejected. for each investment application (purchase) of Rs. 10,000 or more, mutual
funds are permitted to deduct transaction charges as follows:
Note 2. PAN and KYC Details
Furnishing your PAN is a mandatory requirement. In case you have completed the KYC u Rs. 150/- if you are a first-time investor in mutual funds.
requirements with CVL, please attach a copy of your KYC acknowledgement. u Rs. 100/- if you are an existing Investor in mutual funds.
Your KYC status is usually indicated in your Account Statement as follows: Mutual Fund units will be allotted only against the net investment amount-or
a) KYC Verified: The KYC check is completed and you are KYC-compliant. less DD charges and transaction charges as applicable.

b) KYC Pending: Your KYC check is in progress. Transaction charges will be deducted only if your investment is submitted
through a distributor who has ‘opted in’ to receive transaction charges under
c) KYC Failed: Your KYC has failed due to some deficiencies in the forms or documents the product category in which the investment is being made.
you submitted to the KRA.
Transaction charges will NOT be deducted:
d) KYC Not Available: If you have not applied for KYC compliance or if you have
not submitted a copy of your KYC acknowledgement letter to us. If you need more If you invest at designated collection centres or at our website www.LNTMF.com
information, please visit www.LNTMF.com. and do not add a distributor’s ARN.

PLEASE NOTE: All PoA (Power of Attorney) holders and Guardians have to be KYC- If you invest less than Rs. 10,000 through a distributor.
compliant. If you invest via a Switch or STP as there is no additional investment.
Note 3. Bank Account Details If you invest through any stock exchange.
a) Please fill in complete Bank Account Details of the Sole/First Applicant that is linked
g) SIP Investment
with your Demat account. This is a mandatory requirement and applications not
carrying bank account details would be rejected. i. Please select your investment type as SIP and fill in the following details:
b) We offer a direct credit facility to banks that are a part of RBI’s NEFT clearance and – Scheme/Plan/Option
settlement network. If your bank is a part of this network, you can receive dividend – Dividend Frequency
and redemption payments electronically in your account.
– Payment details for the first SIP purchase.
c) Please fill in the MICR and IFSC codes of your bank branch in the space provided and
enclose an original cancelled cheque of your bank account. If there is a minor mismatch ii. The first SIP Instalment can be paid either through a Cheque, a Demand Draft(DD)
between the bank account number submitted by you and the account number on or a Pay Order(PO). In case of payment of first Instalment through DD and PO,
the cheque, we will update the bank account number as appearing on the cheque the Auto Debit Bank details mentioned by you must be attested by the banker in
provided your name appears on it. If your name does not appear on the cheque leaf, Section “Auto-debit Authorisation” in the SIP Investment form
please provide additional documentation like copy of passbook, A/c statement etc. for iii. The first instalment cheque should be dated with the date of submission of the
verification. Application Form.
d) Once your application is processed, while crediting the units to the Demat Account, The second and subsequent Instalment has to be at least 30 days after the date of
details related to mode of holding, bank account (for crediting dividend and the first SIP Instalment.
redemption payments) and correspondence address will be updated in our records
with the details received from the DP. iv. The Auto Debit Authorisation needs to be filled in and signed by the Bank Account
holders in the same order and manner in which the Bank account is held by them.
e) Redemption requests should be submitted either at your DP or through the Stock
Exchange platform provided the schemes are enabled on the platform. For NRI h) The following modes of payment are not valid and applications accompanied by such
investors, redemptions can be placed only through DP. payments may be rejected:

f) For redemptions submitted through the Stock Exchange platform, the payout will u Outstation cheques u Cash/Money Order/Postal Order  u  Post-dated cheques
be made to the depository’s pool account. For redemptions submitted through your (except in case of SIP)
DP, the payout will be made directly to your bank account linked with your Demat i) If you are an NRI Investor please indicate source of funds for your investment. If you
Account. are seeking repatriation of your redemption proceeds, please enclose an Account Debit
Certificate confirming payment from an NRE Account or a Foreign Inward Remittance
Certificate confirming inward remittance of funds for the purpose of investment.
 Guidance Notes (Contd.)
j) L&T Mutual Fund does not accept mutual fund subscriptions with Third Party – Custodian on behalf of an FII or a Client provided KYC is completed for the
payments. The first holder of the mutual fund folio has to be one of the joint holders of Investor and Custodian.
the bank account from which the payment is made. If your cheque does not mention
Additional declaration in the prescribed format is also required along with the
the name(s) of the bank account holders, please provide a self attested copy of your
application form.
bank pass book/bank statement or a letter from your banker confirming that the first
unit holder is one of the joint holders of the bank account. Reason for Investment:
Where a payment is through a DD, a bank certification of bank account details used We help you to record the financial goal you are investing for. You can specify one
for DD issuance in the prescribed format should be attached. goal for a scheme. If you have earlier filled in a reason to save in a particular scheme
in a folio and choose a different reason while filling in this form, we will over-write the
k) In the following circumstances, the payment will not be considered as 3rd party: earlier reason. If you wish to keep your investments separate, you can choose to make
– Payment by Parents/Grand-Parents/Related persons on behalf of a minor (other the investment in a different folio.
than the registered guardian) in consideration of natural love and aff ection or as Note 5. Declaration And Signatures
a gift, provided the purchase value is less than or equal to Rs. 50,000 and KYC
a) All signatures should be in English or any Indian language. Thumb impressions should
is completed for the registered guardian and the person making the payment.
be from the left hand for males and the right hand for females and in all cases be
Additional declaration in the prescribed format signed by the guardian and
attested by a Magistrate, Notary Public or Special Executive Magistrate.
parents/grand-parents/related persons should be submitted. However, if the
purchase/SIP instalment value exceeds Rs. 50,000, the application will be rejected. b) In case of corporates or any non-individual investors, a list of authorised signatories
should be submitted within 7 days of submitting the application form or of any change
– Payment by an employer on behalf of Employee Systematic Investment Plans
in the status of any authorised signatory.
or lump sum/one-time subscription through payroll deductions, provided both
employee and employer are KYC-compliant. Additional declaration in the
prescribed format is also required alongwith the application form.
 SIP Investment Form
For Holding Units in Demat Mode
(Registration-cum-Mandate Form for Auto-debit and ECS)
New applicants also need to submit the
Common Application Form For Holding Units in
Demat Mode along with this form.

Distributor/Broker Code Sub-Broker ANR Relationship Manager’s Branch Code

Name

ARN- (ARN stamp here) Sub-Broker Code Mobile

EUIN
If Employee Unique Identification Number (EUIN) details are not provided, the investor(s) agrees that: “I/We hereby confirm that the EUIN box has been intentionally left
blank by me/us as this is an “execution-only” transaction without any interaction or advice by the employee/relationship manager/sales person of the above distributor or
notwithstanding the advice of in-appropriateness, if any, provided by the employee/relationship manager/sales person of the distributor and the distributor has not charged
any advisory fees on this transaction”..
Initial commission will be paid by the investor directly to the distributor, based on the service rendered and assessment of any other factors.
Please refer to the guidance notes for assistance and complete all sections in English. For legibility, please use BLOCK LETTERS in black or dark ink.

Personal Details (See note 1)

First Name               Middle Name              Last Name
First Unit Holder Folio No.

E-mail ID Mobile
PAN
First Unit Holder Second Unit Holder Third Unit Holder
KYC is mandatory. Please enclose a copy of KYC acknowledgement letters for all applicants.

Investment Details (See note 2)

Scheme Option (ü) Growth^ Bonus (available in select schemes only)

Dividend Payout Dividend Reinvestment
Plan Dividend Frequency

First instalment details

Mode of Payment (Please ü) Cheque  Demand Draft  Pay Order  Instrument No.   Date D D | M M | Y Y Y Y

Drawn on            Bank                             Branch

NRI Investor, please specify account type (ü)     NRE     NRO     FCNR      Others Please specify
Reason for your SIP
Children’s Education      Children’s Marriage     House    Car     Retirement
I/We have read and understood the respective Scheme Information Document, Statement of Additional Information and Key Information Memorandum of L&T Mutual Fund. I/We hereby
declare that I/We do not have any existing Micro SIPs which together with the current application will result in aggregate investments exceeding Rs. 50,000 in a year. I/We have neither received
nor been induced by any rebate or gifts directly or indirectly in making this Systematic Investment. The ARN holder has disclosed to me/us all the commissions (in trail commission or any other),
payable to him for the different competing schemes of Mutual Funds from amongst which the Scheme is being recommended to me/us. I/We hereby declare that the particulars given here are
correct and express my/our willingness to make payments referred above through direct debit/participation in ECS. If the transaction is delayed or not effected at all for reasons of incomplete
or incorrect information, I/We would not hold L&T Mutual Fund, their Investment Manager - L&T Investment Management Limited, or any of their appointed service providers or representatives
responsible. I/We will also inform L&T Investment Management Limited about any changes in my/our bank account. I/We have read and agreed to the terms and conditions mentioned overleaf.
Date D D | M M | Y Y Y Y

X (Sole/First Unit Holder) X (Second Unit Holder) X (Third Unit Holder)

Auto-debit Authorisation (See note 4)

The Manager, I/We authorize L&T Mutual Fund and their authorised service providers to debit my account via ECS/Direct Debit/Standing Instructions.

Name of Bank Branch City

Bank Account Number Account Type Savings Current Cash Credit

(Please ü) NRE NRO
Scheme/Plan Option

SIP Auto-debit Date (Please ü) 1st 5th 10th^ 15th 25th All five dates SIP Instalment Amount Rs. Min. 500

Frequency (Please ü) Monthly^ Quarterly SIP Auto-debit Period Till I instruct discontinuation^ [OR]
From M M | Y Y Y Y To M M | Y Y Y Y

MICR Code (9-digit number next to your cheque no.) ^ Default option if not selected.

I/We hereby declare that the information provided by me/us is accurate. If the transaction is delayed or not carried through courtesy incomplete or incorrect information, I/We would
not hold L&T Mutual Fund or its authorised service providers responsible. Mandate verification charges, if any, may be charged to my/our account.
Name(s) & Signature(s) of Bank Account Holder(s) as in Bank Records

Name of Sole/1st Bank Account Holder Name of 2nd Bank Account Holder Name of 3rd Bank Account Holder

X X Signature of Sole/1st Bank Account Holder X X Signature of 2nd Bank Account Holder X X Signature of 3rd Bank Account Holder

(To be signed by all holders if mode of operation of Bank Account is ‘Joint’)                     Date D D | M M | Y Y Y Y  
Attestation by the Banker Signature and Stamp of the Authorised Official from Bank
(Mandatory, if your First SIP Instalment is through a Demand Draft/Pay Order)
I/We certify that the signature of account holder(s) and the details of bank account are correct as per our records. Bank Stamp & Date

For Office Use

Recorded on D D | M M | Y Y Y Y   Recorded by Credit A/c. No.
We confirm that we have taken the above ECS/Auto-debit instructions on our records.

Stamp of Bank Branch Manager Signature Name

 General Instructions
1. Under this option the units will be allotted based on the applicable Net Asset Value of the (Know Your Customer) compliance are mandatory for investing a lump sum or through a SIP for
respective Scheme and will be credited to investors demat account on weekly basis, upon switching between funds and for setting up a STP (Systematic Transfer Plan). Your KYC status
realization of funds. is usually indicated in your Account Statement as follows:
2. This form is for registration of your Systematic Investments in our records and your payment a) KYC Verified: The KYC check is completed and you are KYC-compliant.
instructions with your Bank. For new applicants, this form should accompany the Common b) KYC Pending: Your KYC check is in progress.
Application Form. c) KYC Failed: Your KYC has failed due to some deficiencies in the forms or documents you
3. Please read the Scheme Information Document(s) carefully before investing. submitted to the KRA.
4. If you may make an error while filling this form, please ensure that all applicants sign against d) KYC Not Available: You have not applied for KYC compliance or you have not submitted a
the correction. copy of your KYC acknowledgement letter to us.
5. The completed SIP investment Form should be submitted to any L&T or CAMS Investor Service PLEASE NOTE: All PoA (Power of Attorney) holders and Guardians have to be KYC-
Centre. compliant.
6. PAN and KYC are mandatory. Please note that a PAN (Permanent Account Number) and KYC 7. If you need more information, please visit www.LNTMF.com

Guidance Notes
Note 1 – Personal Details g) You can also invest in a perennial SIP - i.e. with no expiry date - by ticking the check-box “Till I
Please fill in the name of the sole/first unit holder and the folio number, PAN for all unit holders. instruct discontinuation”.
Please also enclose a copy of KYC acknowledgement letters for all unit holders. h) Please mention the names of all the bank account holders. If the mode of operation of your
Note 2 - Investment Details bank account is ‘joint’, then all the bank account holders should sign at the places marked ‘XX’
in the same sequence and manner in which their signatures appear in the bank account.
a) Please specify the following:
I. Scheme/Plan/Option and Dividend Frequency. i) If the payment advice does not mention the bank account holders’ name/s, then a self-attested
bank pass book copy/bank statement/bank letter to substantiate that the first unit holder is one
II. Your first instalment details. Please note that the cheque for the first instalment should
of the joint holders of the bank account should be provided. Otherwise, it will be treated as a
favour the scheme.
3rd party payment and rejected except under the following exceptional circumstances:
b) Your first instalment can be processed on any date and there has to be a minimum gap of 30
days between the first and second instalment dates. – Payment by parents/grand-parents/related persons on behalf of a minor (other than the
registered guardian) in consideration of natural love and affection or as a gift, provided
c) If you do not specify the SIP period, date or frequency, we will process as follows:
the purchase value is less than or equal to Rs. 50,000 and KYC is completed for the
a. SIP period: Until we receive instructions to discontinue
registered guardian and the person making the payment. Additional declaration in the
b. SIP date: 10th of every month (commencing 30 days after the first SIP instalment date) prescribed format signed by the guardian and parents/grand-parents/related persons
c. SIP frequency: Monthly should be submitted. However, if the purchase/SIP instalment value exceeds Rs. 50,000, the
d) Reason for Investment: We help you to record the financial goal you are investing for. You application will be rejected.
can specify one goal for a scheme. If you have earlier filled in a reason to save in a particular – Payment by an employer on behalf of Employee Systematic Investment Plans or lump sum/
scheme in a folio and choose a different reason while filling in this form, we will over-write one-time subscription through payroll deductions, provided both employee and employer
the earlier reason. If you wish to keep your investments separate, you can choose to make the are KYC-compliant. Additional declaration in the prescribed format is also required
investment in a different folio. alongwith the application form.
Note 3 - Declaration & Unit Holder(s) Signatures – Custodian on behalf of an FII or a Client provided KYC is completed for the Investor and
This section needs to be signed by all unit holder(s) at the places marked ‘X ‘ as per the holding Custodian. Additional declaration in the prescribed format is also required along with the
instruction provided to us (i.e. ‘Single’, ‘Anyone or Survivor’ or ‘Joint’). application form.
Note 4 - Auto-debit Authorisation by Bank Account Holder(s) Note 5 - Transaction Charges
a) Please fill your bank account details for the SIP Auto-debit. The sole/first holder must be one of In line with SEBI circular dated August 22, 2011 and September 13, 2012, for each
the holders in the bank account. investment application (purchase) of Rs. 10,000 or more, mutual funds are permitted to
b) The 9-digit MICR code of your bank branch is a mandatory requirement without which your SIP deduct transaction charges as follows:
application will be rejected. You should find the MICR code next to the cheque number. l Rs. 150/- if the application is received from a First Time Mutual Fund Investor.
c) If you are paying for the first SIP instalment through a DD or a Pay Order, please enclose l Rs. 100/- if the application is received from an investor other than a First Time Mutual
an original cancelled cheque or obtain your banker’s attestation against the Auto-debit Fund Investor i.e. Existing Investor in Mutual Funds.
Authorisation section in this form. If the payment is made by cheque, please ensure it is from Please tick the appropriate option given in the form if you are a first time or existing
the same bank account as the one used for Auto-debit for the subsequent instalments. This investor. If both options are left unselected, we will treat you as a first time or existing
would help us to verify your bank details and let you know of any discrepancy to take corrective investor based on our internal verifications. For SIP investments, transaction charges
action. In case there is a mismatch in the bank account number submitted by you and the will be deducted over four installments.
account number on the cheque, we will update the bank account number appearing on the l Mutual Fund Units will be allotted only against the net investment amount i.e.
cheque, provided your name appears on it. Gross Amount – DD Charges (if any) – Transaction Charges (if applicable).
d) Please specify the SIP instalment amount (Minimum Rs. 1000 and in multiples of Re. 1 l Transaction charges will be deducted only if the investment is submitted through
thereafter, except for L&T Tax Advantage Fund which should be in multiples of Rs. 500), and a Distributor who has ‘opted in’ to receive transaction charges under the product
number of SIP Instalments should be a minimum of six. category in which the investment is being made.
e) Please specify the SIP investment amount i.e. instalment amount multiplied by the number of l Transaction charges will NOT be deducted in the following cases :
instalments. This should be a minimum of Rs. 6,000 for all schemes (except L&T Tax Advantage – Purchase/Subscription submitted by investor at the designated collection
Fund, for which it should be Rs. 3,000). centres or through AMC’s website viz. www.LNTMF.com and which is not
f) Please specify the SIP Frequency (Monthly/Quarterly) and SIP Date i.e. 1st/5th/10th/15th/25th. routed through any distributor.
You can also opt for SIP instalments on all five dates by ticking the appropriate check-box. If – Purchase/Subscription through a distributor for an amount less than Rs. 10,000;
you do, your systematic investments will be processed on each of the five available dates every – Transactions such as Switches, STP i.e. all such transactions wherein there is no
month. additional cash flow at a Mutual Fund level similar to Purchase/Subscription.
– Purchase/Subscriptions through any stock exchange.

Terms and Conditions for Auto-debit Facility

1. Our SIP Auto-debit (ECS/Direct Debit) facility is offered to you using Reserve Bank of India’s this form, please take this into account and indicate the correct SIP Auto-debit commencement
(RBI) Electronic Clearing Service (Debit Clearing Facility) or Standing Instructions (SI) where date. For cancellation of the Auto-debit (ECS/Direct Debit) facility, you need to provide 30 days
applicable. By opting for this facility you agree to abide by the terms and conditions subject to advance notice.
which this facility is offered by RBI. 5. If you are an existing SIP investor with us using the Auto-debit (ECS/Direct Debit) facility, please
2. The SIP Auto-debit (ECS/Direct Debit) facility is offered to investors with bank accounts in any of note the following with respect to this systematic investment that you propose to make in the
the cities/towns where ECS/Direct Debit is available. There are 252 cities/towns as on 20th July, folio: Your proposed SIP investments should be from the same bank account from which your
2012 where this facility is available and for updates to list, please log on to our website www. existing SIP investments are being made. We will not be able to process the SIP if the bank
LNTMF.com. L&T Mutual Fund reserves the right to modify this list without assigning any reason mandate is different from the bank mandate provided for the existing SIP investments.
or prior notice. The cities listed on our website may be modified/removed at any time purely at 6. You will not hold L&T Mutual Fund (‘’The Fund’’)/L&T Investment Management Limited
the discretion of L&T Mutual Fund without providing any reason or prior notice. (‘’AMC’’)/Trustees to the Fund, its Registrars and other service providers responsible if the
transaction is not/incorrectly effected due to incomplete or incorrect instructions from you.
3. Applications for SIP Auto-debit (ECS/Direct Debit) will be processed only if your bank branch
Besides, you will not hold either of the entities listed herein before responsible if the transaction
is part of the MICR/ECS network. In case your bank chooses to cross verify the Auto-debit
is delayed or not effected or your bank account or the bank account of the minor Unit holder is
mandate with you as their customer, you would need to promptly act on the same. L&T Mutual
debited in advance or after the specific SIP date due to various clearing cycles of RBI’s ECS/local
Fund, it’s Investment Manager - L&T Investment Management Limited, its Registrar and other
holidays.
service providers will not be liable for any transaction failures due to rejection of the transaction
by your bank/branch or its refusal to register the SIP mandate or any charges that may be levied 7. The Fund/AMC reserves the right not to re-present any mandate for Auto-debit facility, if the
by your bank/branch on you. registration could not be effected in time for reasons beyond its/their control.
4. There has to be a minimum gap of 30 days between the date of your first SIP (through cheque) 8. The Fund/AMC/Trustees to the Fund, its Registrars and other service providers shall not be
and your second SIP (through Auto-debit). While mentioning the SIP Auto-debit period (from) in responsible and liable for any damages/compensation for any loss, damage, etc. incurred/
suffered by you as a result of use of this facility.

Call: 1800 2000 400 l Email: investor.line@lntmf.co.in l Website: www.LNTMF.com

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