Date of Birth

Enclosed (please ) KYC Proof

Enclosed (please

)

KYC Proof

Enclosed (please ) KYC Proof

Enclosed (please

)

KYC Proof

PAN/KRN & KIN (Mandatory)

PAN/KRN (10 Digit No.)

KIN (14 Digit No.)

Application Form for Lumpsum / SIP / Folio Creation

Please read instructions before ﬁlling the Form

Application No :

Acknowledgement Slip (To be ﬁlled by the Applicant)

Signature, Stamp & Date

Received from

Date

Mr. / Ms. / M/s.

Towards Subscription under below Schemes

Invesco India Scheme Name

Amount ( ) Cheque/DD No.

Key Partner / Agent Information

Sub-Broker ARN Code

Distributor / Broker ARN

Registered Investment Advisor Code

ARN -

Employee Unique Identiﬁ cation No. (EUIN)

(Of Individual ARN holder or Of employee /

Relationship Manager / Sales Person of the Distributor)

Internal Sub-Broker/Employee Code

ARN -

PAN/KRN (Refer Instruction no. 3), Date of birth is mandatory in case of Minor, additionally refer Instruction no. 2, KYC & Networth (Refer Instruction no. 13 ),

KIN: KYC Identiﬁcation Number from Central KYC Registry

I/We hereby conﬁ rm 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. (Refer Instruction no.1(vii)).

Transaction Charges (Please tick any one of the below. For details refer KIM)

Upfront commission, if any, shall be paid directly by the investor to the AMFI registered distributors based on

the investors’ assessment of various factors, including the service rendered by the distributor.

Sign Here

Sole/First Applicant/Guardian

Sign Here

Second Applicant

Sign Here

Third Applicant

I am a ﬁ rst time investor in Mutual Funds / I am an existing investor in Mutual Funds

(Default)

• Country of Birth / Citizenship / Nationality or Tax Residency, other than India, for any

applicant? ( ):

Yes

No (Mandatory to

ll FATCA / CRS declaration.

ll separate FATCA / CRS declarations.

ll separate FATCA / CRS & UBO declarations.

2. KYC Details Mandatory

( )

Gross Annual

Income

First/Sole

Private Service Public Sector / Govt. Service Business Professional Housewife

Retired Student Forex Dealer Agriculturist Others _____________________________ (Please specify)

Occupation

Details

Second

Private Service Public Sector / Govt. Service Business Professional Housewife

Retired Student Forex Dealer Agriculturist Others _____________________________ (Please specify)

Third

Private Service Public Sector / Govt. Service Business Professional Housewife

Retired Student Forex Dealer Agriculturist Others _____________________________ (Please specify)

First/Sole

Politically Exposed Person Related to Politically Exposed Person Not Applicable

Others

(For

individuals)

Second

Politically Exposed Person Related to Politically Exposed Person Not Applicable

Third

Politically Exposed Person Related to Politically Exposed Person Not Applicable

s the entity involved in any of the following services

(i) Foreign Exchange/Money Changer Services

Yes No (ii) Gaming/Gambling/Lottery/Casino Services/Betting Syndicates Yes No (iii) Money Lending/Pawning Yes No

Others (For Non-individuals)

First/Sole Below 1 Lac 1-5 Lacs (Default) 5-10 Lacs

10-25 Lacs 25 Lacs - 1 Crore > 1 Crore

Net-worth as on

in `

(Not older than 1 year) (Mandatory for Non-individuals)

Existing Unitholder : Pl. ﬁll in Folio Number below and then proceed to section 2.

New Unitholder

Folio Number

Name of Sole /

First Unitholder

Mailing Address: (Address should be as per CKYC records, refer Instruction no. 13(ii))

Overseas Address:

(Mandatory in case of NRI / FII / FPI applicant)

City ytiCNIP State/Province

Mode of Holding

(Only for non-demat mode) ( ) Single Joint Anyone or Survivor (Default)

Mobile

E-mail

Country PINState

Tel. No.

(Residence)

Tel. No.

(Ofﬁce)

Individual Minor Minor-NRI Repatriable Minor-NRI Non-Repatriable

HUF NRI Repatriable

NRI Non-Repatriable

Partnership

LLP Listed Co. Unlisted Co. Body Corporate

Society/Club Trust FII FPI

AOP Co. U/S 25/8 of Companies Act Others_________________

Status ( )

In case of Non-Proﬁt Entity

(please )

(if Sole / First applicant is a Minor) Contact Person (in case of Non-individual Investors only)

Guardian/

Contact Person

Relation Father Mother Court appointed Guardian

(If the investment is being made by a Constituted Attorney, please furnish the details of POA Holder)

POA Holder

First/Sole

Mr. / Ms. / M/s.

City of Birth

Second

No joint holder where minor is ﬁrst holder

Third

No joint holder where minor is ﬁrst holder

1. Applicant’s Details Name (as per PAN)

Second

Below 1 Lac 1-5 Lacs (Default) 5-10 Lacs

10-25 Lacs 25 Lacs - 1 Crore > 1 Crore

Net-worth as on

in `

(Not older than 1 year)

Third Below 1 Lac 1-5 Lacs (Default) 5-10 Lacs

10-25 Lacs 25 Lacs - 1 Crore > 1 Crore

Net-worth as on

in `

(Not older than 1 year)

Country of Birth

City of Birth Country of Birth

D D M

Y Y Y Y

D D M

Y Y Y Y

D D M

Y Y Y Y

D D M

Y Y Y Y

D D M M Y Y Y Y

Rs.

Qfund.in Mutual Fund

Mutual Fund India

Mutual Fund Mumbai

Mutual Fund

GET IN TOUCH

Invesco Mutual Fund

2101-A, A Wing, 21st Floor, Marathon Futurex, N. M. Joshi Marg,

Lower Parel, Mumbai - 400 013.

T +91 22 67310000 F +91 22 23019422

call : 1800-209-0007 > sms ‘Invest’ to 56677 > Invest Online www.invescomutualfund.com

Applicable in case of Third Party Payment: Minor Client Employee Distributor

Payment on behalf of (

)

4. For SIP / Micro SIP for Post Dated Cheques

Refer instruction no. 6

SIP Micro SIP

)mrof etadnam muc noitartsiger PIS evitcepser llﬁ esaelp )HCAN/SCE/tibeD tceriD( tibeD-otuA hguorht PIS roF(

SIP through Post Dated Cheques (Use CTS (Cheque Truncation System) Cheques only)

Y Y Y Y M MY Y Y Y M M

PAN / KRN

Enclosed ( )

KYC Proof

Third

Applicant /

POA

Sole / First

Applicant /

Guardian /

POA

8. Declaration & Signature(s)

Second

Applicant /

POA

Date

Place

D D M M Y Y Y Y

( ) Yes No If NRI ( ) Repatriation basis Non-Repatriation basis

Please provide a cancelled cheque leaf of the same bank account as mentioned above. We will credit the redemption/dividend proceeds directly into investors’ account through electronic means if the details provided by the investors

are sufﬁcient for the same. Mentioning your IFSC will help us transfer the amount to your bank account faster. To receive cheque payout, (

)

If you have provided multiple bank registration form ( ) .

Unit holders who have opted to hold Units in dematerialised form must provide Bank Account details linked with the Demat account, as mentioned under section 4. In case of discrepancy, bank details as per depository

records will be ﬁnal.

6. Bank Account Details (Mandatory As Per SEBI Guidelines)

A/c. Type (

) Current Savings NRE NRO FCNR SNRR Others ____________

Bank A/c. No.

Bank Name

City

Refer instruction no. 4

MICR Code

(9 digit No. next to your Cheque No.)

(11 digit character code appearing on cheque leaf)

Branch

Address

DP ID #

( ) NSDL CDSL

I N

vorp eb dluohs woleb denoitnem sa c/A tameD eht htiw deknil tnuoccA knaB eht fo sliated ehT .)LSDC fo esac ni elbacilppa toN #( ided under section 5.

Beneﬁciary Account No.

DP Name

5. Demat Account Details

Optional, Refer instruction no. 11

7. Nomination Details (

Mandatory for investors who opt to hold units in non-demat form. )

Refer Instruction no. 10

% Share

Relationship Nominee PAN

Name

Guardian’s Relation (with the minor)

PAN of Guardian

Name of Guardian

(If Nominee is Minor)

Address

Date of Birth (for minor)

Nominee 1

D D M M Y Y Y Y

Nominee 2

D D M M Y Y Y Y

Nominee 3

D D M M Y Y Y Y

I do not intend to nominate ( the box , in case you do not wish to nominate)

Name of the person making payment

Frequency (

) Monthly (Default) or Quarterly

SIP Date ( )

(Default)

Applicable in case of Third Party Payment: Payment on behalf of ( ) Minor Client Employee Distributor (Refer instruction no. 6).

PAN/KRN

Name of the person making payment Enclosed ( )

KYC Proof

Payment Details (For Cash, refer instruction no. 7)

Investment Amt. (Rs)

Net Amt. (Rs) Cheque/DD No./UMRN

Mode of Payment ( ) Cheque DD Funds Transfer Cash NACH

Account Type ( ) Current Savings NRE NRO FCNR SNRR Others

Net of DD Charges

The Trustees, Invesco Mutual Fund

Having read and understood the contents of the Statement of Additional Information

/ Scheme Information Document(s) of the scheme, I / We hereby apply to the Trustees

of Invesco Mutual Fund for units of the Scheme / Option as indicated above and agree

to abide by the terms, conditions, rules and regulations of the Scheme. I / We have

understood the details of the Scheme and I / We have not received nor have been

induced by any rebate or gifts, directly or indirectly, in making this investment. I/We

do not have any existing Micro Investments which together with the current Micro

Investment application will result in aggregate investments exceeding Rs. 50,000/- in

a year (applicable

to Micro Investment investors only). The Distributor 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 hereby authorise

Invesco Mutual Fund, its Investment Manager and its Agents to disclose details of

my / our investment to my / our bank(s) / Invesco Mutual Fund’s Bank(s) and / or

Distributor / Broker/ Investment Advisor and to verify my/ our bank details provided

by me / us. I / We hereby declare that the particulars given above are correct.

If the transaction is delayed or not effected at all for reasons of incomplete or

incorrect inf

ormation, I/We would not hold Invesco Asset Management (India) Pvt.

Ltd. (Investment Manager to Invesco Mutual Fund), their appointed service providers

or representatives responsible. I / We will also inform Invesco Asset Management

(India) Pvt. Ltd., about any changes in my/ our bank account. I / We hereby declare

that the amount being invested by me / us in the Scheme of Invesco Mutual Fund

is derived through legitimate sources and is not held or designed for the purpose

of contravention of any Act, Rules, Regulations or any statute or legislation or any

other applicable laws or any Notiﬁcations, Directions issued by any governmental

or statutory authority from time to time.

I / We conﬁrm that I / We are not United States person(s) under the laws of

United

States or residents(s) of Canada as deﬁned under the applicable laws of Canada.

Applicable to KRN holders : I, the ﬁrst / sole holder hereby declare that I do not hold

a Permanent Account Number and hold only a single ‘PAN exempt KRN’ issued by

KRA and that my existing investment in schemes of Invesco Mutual Fund together

with current application will not result in aggregate investments exceeding Rs.

50,000/ - in a rolling 12 months period or in a ﬁnancial year i.e. April to March.

Applicable to NRIs only : I / We conﬁrm that I am / we are Non-Residents of Indian

Nationality /Origin and that the funds are remitted from abroad through approved

banking channels or from my /our NRE / NRO / FCNR/ SNRR Account. I / We conﬁrm

that the details provided by me / us are

true and correct.

3. Investment Details

(Cheque / DD should be drawn in favour of the Scheme. Investors applying under direct plan must mention “Direct” in the box provided below.)

Invesco India Scheme Name Plan Option

Branch

Bank Name A/c. No.

Period

From

Cheque

Nos. From

Drawn

on Bank

NEFT/RTGS/

IFSC Code

Mention Date of your choice

DD Charges (Rs.)

Mutual Funds

Mutual Fund

Mutual fund India

Mumbai

Bandra West