Common Form For Non-Financial Transactions: Please Fi LL in The Information Below Legibly in English and in CAPITALS
Common Form For Non-Financial Transactions: Please Fi LL in The Information Below Legibly in English and in CAPITALS
Common Form For Non-Financial Transactions: Please Fi LL in The Information Below Legibly in English and in CAPITALS
For Existing Unitholder(s) holding units in physical mode, please read documentation required and
Terms and Conditions overleaf.
IMPORTANT: Please strike off the section(s) that is (are) not used by you to prevent any unauthorized use. Date: D D M M Y Y Y Y
Name Mr Ms M/s
Note: PAN card copy to be self attested and verified by AMC / distributor/ banker with seal of the branch, name, designation, employee code and sign of the person attesting.
Scheme Name
Plan / Option
New IDCW Sub Option IDCW Payout IDCW Reinvestment
F. CONSOLIDATION OF FOLIOS
I / We wish to consolidate all my / our investments under specified folios into one folio. Folios to be consolidated i.e. source folios are given below :
Investor Name
Folio Number/s
PAN and KYC Updations Change of Contact Details Change in Mode of Holding Change of IDCWOption
PoA Registration Consolidation of Folios Nomination Details ISC Stamp, Signature & Date
1st Nominee 2nd Nominee 3rd Nominee
Name of Nominee*
PAN* of the Nominee
Date of Birth of Nominee** D D / M M / Y Y Y Y D D / M M / Y Y Y Y D D / M M / Y Y Y Y
Allocation %* to each Nominee
(Aggregate should be 100%]
Name of the Guardian**
Guardian’s Relationship with
Nominee** Mother Father Legal Guardian Mother Father Legal Guardian Mother Father Legal Guardian
Birth Certificate Passport Birth Certificate Passport Birth Certificate Passport
Proof of Relationship$
School Leaving Certificate Others School Leaving Certificate Others School Leaving Certificate Others
PAN of Guardian**
SIGNATURE(S) [to be signed by all unit holders including joint holders, irrespective of mode of holding for section A and B]
Name and Signature(s) Sole/First Applicant Second Applicant Third Applicant
Name of Applicant
Signature of Applicant(s) X X X
I. DECLARATION & SIGNATURES (To be signed as per the Existing Mode of Holding)
Having read and understood the contents of the Scheme Information Document, Key Information Document,Statement of Additional Information and Addenda of the Scheme(s)
issued till date, I / We hereby apply to the Trustees of HSBC Mutual Fund for units of the relevant Scheme and agree to abide by the terms, conditions, rules and regulations of the
Scheme and the above mentioned documents of HSBC Mutual Fund. I / We hereby authorise HSBC Mutual Fund, the AMC and its Agents to disclose my / our details including
investment details to my / our bank(s) / HSBC Mutual Fund's Bank(s) and / or Distributor / Broker / Investment Advisor and to verify my / our bank details provided by me / us,
or to disclose to such other service providers as deemed necessary for conduct of business.
I / We confirm that the details provided by me / us are true and correct. I / We hereby declare that the amount being invested by me/us in the Scheme(s) is through legitimate
sources and is not held or designed for the purpose of contravention of any Act, Rules, Regulations or any other applicable laws or Notifications issued by any governmental or
statutory authority from time to time. I / We acknowledge that the AMC has not considered my / our tax position in particular and that I / we should seek tax advice on the specific
tax implications arising out of my / our participation in the Scheme. I / We have understood the details of the Scheme and I / We have not received nor been induced by any rebate
or gifts, directly or indirectly,in making this investment. I / We confirm that 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 confirm that I am / We are not United States person(s) under the laws of United States or resident(s) of Canada. Incase of change to this status, I / We shall notify the AMC,
in which event the AMC reserves the right to redeem my / our investments in the Scheme(s).
We confirm that we have not issued any bearer shares or share warrants. We also confirm that we will inform the AMC if bearer shares or share warrants are issued subsequently.
X X X
Sole / First Applicant / Guardian / PoA Second Applicant / PoA Third Applicant / PoA
Date : D D M M Y Y Y Y Place :
CALL US AT
Please visit our website www.assetmanagement.hsbc.co.in for an updated list of Official Points of Acceptance of HSBC Mutual Fund.
Please visit www.camsonline.com for an updated list of Official Points of Acceptance of our Registrar / Transfer Agent : Computer Age Management System.
TOLL FREE NUMBERS
Description Investor related queries Distributor related queries Online related queries Investor (Dialing from abroad)
Toll Free Number 1800-4190-200 / 1800-200-2434 1800-419-9800 1800-4190-200 / 1800-200-2434 +91 44 39923900
Nov. '22