Mutual Fund India

Addition of Related Person Deletion of Related Person

5. CONTACT DETAILS

7. REMARKS (If any)

(All communications will be sent on provided Mobile no. / Email-ID) (Please refer instruction F at the end)

6. DETAILS OF RELATED PERSON

(In case of additional related persons, please fill ‘Annexure B1’ ) (please refer instruction G at the end)

(If KYC number and name are provided, below details of section 6 are optional)

Tel. (Off)

FAX

Tel. (Res)

Email ID

Mobile

KYC Number of Related Person (if available*)

Guardian of Minor Assignee

Authorized Representative

Related Person Type*

Name*

PROOF OF IDENTITY [PoI] OF RELATED PERSON* (Please see instruction (H) at the end)

4.3 ADDRESS IN THE JURISDICTION DETAILS WHERE APPLICANT IS RESIDENT OUTSIDE INDIA FOR TAX PURPOSES* (Applicable if section 2 is ticked)

State*

ZIP / Post Code*

ISO 3166 Country Code*

Same as Current / Permanent / Overseas Address details Same as Correspondence / Local Address details

A- Passport Number

B- Voter ID Card

C- PAN Card

D- Driving Licence

E- UID (Aadhaar)

F- NREGA Job Card

Z- Others

(any document notified by the central government)

Identification Number

Passport Expiry Date

Driving Licence Expiry Date

Y Y

Prefix

First Name

Middle Name

Last Name

APPLICANT DECLARATION

9. ATTESTATION / FOR OFFICE USE ONLY

KYC VERIFICATION CARRIED OUT BY INSTITUTION DETAILS

Date : Place :

I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes

therein, immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be held liable

for it.

I hereby consent to receiving information from Central KYC Registry through SMS/Email on the above registered number/email address.

[Signature / Thumb Impression]

Signature / Thumb Impression of Applicant

Documents Received

Certified Copies

Date

Emp. Name

Emp. Code

Emp. Designation

Emp. Branch

Name

Code

[Employee Signature]

[Institution Stamp]

Y Y

4.2 CORRESPONDENCE / LOCAL ADDRESS DETAILS *

(Please see instruction E at the end)

Same as Current / Permanent / Overseas Address details (In case of multiple correspondence / local addresses, please fill ‘Annexure A1’)

State / U.T Code*

Pin / Post Code*

ISO 3166 Country Code*

District*

Line 2

City / Town / Village*

Line 1*

Line 3

Line 2

City / Town / Village*

Line 1*

Line 3

S- Simplified Measures Account - Document Type code

Identification Number

Mutual Fund India

Mumbai

Bandra West

Mutual Fund India

CENTRAL KYC REGISTRY | Instructions / Check list / Guidelines for filling Individual KYC Application Form

General Instructions:

Fields marked with ‘*’ are mandatory fields.

Tick ‘’ wherever applicable.

Self-Certification of documents is mandatory.

Please fill the form in English and in BLOCK Letters.

Please fill all dates in DD-MM-YYYY format.

Wherever state code and country code is to be furnished, the same should be the two-digit code as per Indian Motor Vehicle, 1988 and ISO 3166 country code

respectively list of which is available at the end.

KYC number of applicant is mandatory for updation of KYC details.

For particular section update, please tick () in the box available before the section number and strike off the sections not required to be updated.

In case of ‘Small Account type’ only personal details at section number 1 and 2, photograph, signature and self-certification required.

Clarification / Guidelines on filling ‘Personal Details’ section

Name: Please state the name with Prefix (Mr/Mrs/Ms/Dr/etc.). The name should match the name as mentioned in the Proof of Identity submitted failing which the

application is liable to be rejected.

Either father’s name or spouse’s name is to be mandatorily furnished. In case PAN is not available father’s name is mandatory.

Clarification / Guidelines on filling details if applicant residence for tax purposes in jurisdiction(s) outside India

Tax identification Number (TIN): TIN need not be reported if it has not been issued by the jurisdiction. However, if the said jurisdiction has issued a high integrity

number with an equivalent level of identification (a “Functional equivalent”), the same may be reported. Examples of that type of number for individual include, a social

security/insurance number, citizen/personal identification/services code/number, and resident registration number)

Clarification / Guidelines on filling ‘Proof of Identity [PoI]’ section

If driving license number or passport is provided as proof of identity then expiry date is to be mandatorily furnished.

Mention identification / reference number if ‘Z- Others (any document notified by the central government)’ is ticked.

In case of Simplified Measures Accounts for verifying the identity of the applicant, any one of the following documents can also be submitted and undernoted relevant

code may be mentioned in point 3 (S).

Document Code

Description

Identity card with applicant’s photograph issued by Central/ State Government Departments, Statutory/ Regulatory Authorities, Public Sector

Undertakings, Scheduled Commercial Banks, and Public Financial Institutions.

Letter issued by a gazetted officer, with a duly attested photograph of the person.

Clarification / Guidelines on filling ‘Proof of Address [PoA] - Current / Permanent / Overseas Address details’ section

PoA to be submitted only if the submitted PoI does not have an address or address as per PoI is invalid or not in force.

State / U.T Code and Pin / Post Code will not be mandatory for Overseas addresses.

In case of Simplified Measures Accounts for verifying the address of the applicant, any one of the following documents can also be submitted and undernoted relevant

code may be mentioned in point 4.1.

Document Code

Description

Utility bill which is not more than two months old of any service provider (electricity, telephone, post-paid mobile phone, piped gas, water

bill).

Property or Municipal Tax receipt.

Bank account or Post Office savings bank account statement.

Pension or family pension payment orders (PPOs) issued to retired employees by Government Departments or Public Sector Undertakings, if

they contain the address.

Letter of allotment of accommodation from employer issued by State or Central Government departments, statutory or regulatory bodies,

public sector undertakings, scheduled commercial banks, financial institutions and listed companies. Similarly, leave and license agreements

with such employers allotting official accommodation.

Documents issued by Government departments of foreign jurisdictions and letter issued by Foreign Embassy or Mission in India.

Clarification / Guidelines on filling ‘Proof of Address [PoA] - Correspondence / Local Address details’ section

To be filled only in case the PoA is not the local address or address where the customer is currently residing. No separate PoA is required to be submitted.

In case of multiple correspondence / local addresses, Please fill ‘Annexure A1’

Clarification / Guidelines on filling ‘Contact details’ section

Please mention two- digit country code and 10 digit mobile number (e.g. for Indian mobile number mention 91-9999999999).

Do not add ‘0’ in the beginning of Mobile number.

Clarification / Guidelines on filling ‘Related Person details’ section

Provide KYC number of related person if available.

Clarification / Guidelines on filling ‘Related Person details – Proof of Identity [PoI] of Related Person’ section

Mention identification / reference number if ‘Z- Others (any document notified by the central government)’ is ticked.

List of two – digit state / U.T codes as per Indian Motor Vehicle Act, 1988

State / U.T

Code

Andaman & Nicobar

Andhra Pradesh

Arunachal Pradesh

Assam

Bihar

Chandigarh

Chattisgarh

Dadra and Nagar Haveli

Daman & Diu

Delhi

Goa

Gujarat

Haryana

State / U.T

Code

Himachal Pradesh

Jammu & Kashmir

Jharkhand

Karnataka

Kerala

Lakshadweep

Madhya Pradesh

Maharashtra

Manipur

Meghalaya

Mizoram

Nagaland

Orissa

State / U.T

Code

Pondicherry

Punjab

Rajasthan

Sikkim

Tamil Nadu

Telangana

Tripura

Uttar Pradesh

Uttarakhand

West Bengal

Other

List of ISO 3166 two- digit Country Code

Country

Code

Country

Code

Country

Code

Country

Code

Afghanistan

Dominican Republic

Libya

Saint Pierre and Miquelon

Aland Islands

Ecuador

Liechtenstein

Saint Vincent and the Grenadines

Albania

Egypt

Lithuania

Samoa

Algeria

El Salvador

Luxembourg

San Marino

American Samoa

Equatorial Guinea

Macao

Sao Tome and Principe

Andorra

Eritrea

Macedonia, the former Yugoslav Republic

Saudi Arabia

Angola

Estonia

Madagascar

Senegal

Anguilla

Ethiopia

Malawi

Serbia

Antarctica

Falkland Islands (Malvinas)

Malaysia

Seychelles

Antigua and Barbuda

Faroe Islands

Maldives

Sierra Leone

Argentina

Fiji

Mali

Singapore

Armenia

Finland

Malta

Sint Maarten (Dutch part)

Aruba

France

Marshall Islands

Slovakia

Australia

French Guiana

Martinique

Slovenia

Austria

French Polynesia

Mauritania

Solomon Islands

Azerbaijan

French Southern Territories

Mauritius

Somalia

Bahamas

Gabon

Mayotte

South Africa

Bahrain

Gambia

Mexico

South Georgia and the South Sandwich

Islands

Bangladesh

Georgia

Micronesia, Federated States of

South Sudan

Barbados

Germany

Moldova, Republic of

Spain

Belarus

Ghana

Monaco

Sri Lanka

Belgium

Gibraltar

Mongolia

Sudan

Belize

Greece

Montenegro

Suriname

Benin

Greenland

Montserrat

Svalbard and Jan Mayen

Bermuda

Grenada

Morocco

Swaziland

Bhutan

Guadeloupe

Mozambique

Sweden

Bolivia, Plurinational State of

Guam

Myanmar

Switzerland

Bonaire, Sint Eustatius and Saba

Guatemala

Namibia

Syrian Arab Republic

Bosnia and Herzegovina

Guernsey

Nauru

Taiwan, Province of China

Botswana

Guinea

Nepal

Tajikistan

Bouvet Island

Guinea-Bissau

Netherlands

Tanzania, United Republic of

Brazil

Guyana

New Caledonia

Thailand

British Indian Ocean Territory

Haiti

New Zealand

Timor-Leste

Brunei Darussalam

Heard Island and McDonald Islands

Nicaragua

Togo

Bulgaria

Holy See (Vatican City State)

Niger

Tokelau

Burkina Faso

Honduras

Nigeria

Tonga

Burundi

Hong Kong

Niue

Trinidad and Tobago

Cabo Verde

Hungary

Norfolk Island

Tunisia

Cambodia

Iceland

Northern Mariana Islands

Turkey

Cameroon

India

Norway

Turkmenistan

Canada

Indonesia

Oman

Turks and Caicos Islands

Cayman Islands

Iran, Islamic Republic of

Pakistan

Tuvalu

Central African Republic

Iraq

Palau

Uganda

Chad

Ireland

Palestine, State of

Ukraine

Chile

Isle of Man

Panama

United Arab Emirates

China

Israel

Papua New Guinea

United Kingdom

Christmas Island

Italy

Paraguay

United States

Cocos (Keeling) Islands

Jamaica

Peru

United States Minor Outlying Islands

Colombia

Japan

Philippines

Uruguay

Comoros

Jersey

Pitcairn

Uzbekistan

Congo

Jordan

Poland

Vanuatu

Congo, the Democratic Republic of

the

Kazakhstan

Portugal

Venezuela, Bolivarian Republic of

Cook Islands

Kenya

Puerto Rico

Viet Nam

Costa Rica

Kiribati

Qatar

Virgin Islands, British

Cote d'Ivoire !Côte d'Ivoire

Korea, Democratic People's Republic

Reunion !Réunion

Virgin Islands, U.S.

Croatia

Korea, Republic of

Romania

Wallis and Futuna

Cuba

Kuwait

Russian Federation

Western Sahara

Curacao !Curaçao

Kyrgyzstan

Rwanda

Yemen

Cyprus

Lao People's Democratic Republic

Saint Barthelemy !Saint Barthélemy

Zambia

Czech Republic

Latvia

Saint Helena, Ascension and Tristan da

Cunha

Zimbabwe

Denmark

Lebanon

Saint Kitts and Nevis

Djibouti

Lesotho

Saint Lucia

Dominica

Liberia

Saint Martin (French part)