

APPLICATION NO.

COMMON APPLICATION FORM FOR EQUITY ORIENTED SCHEMES (Please fill in BLOCK Letters)

ARN & Name of Distributor

Branch Code

(only for SBG)

EUIN*

(Employee Unique Identification Number)

Sub-Broker ARN Code

Reference No.

Sub-Broker Code

TEAR HERE

ACKNOWLEDGEMENT SLIP

APPLICATION NO.

(To be filled in by the First applicant/Authorized Signatory) :

Received from :

Signature,

Date &

Stamp

To be filled in by the Investor

Scheme Name

Bank and Branch Cheque / DD No. & Date

Cheque/ DD Amount (Rs.)

Sponsor : State Bank of India

Investment Manager : SBI Funds Management Pvt. Ltd.

(A Joint Venture between SBI & AMUNDI)

Attachments

All purchases are subject to realisation of cheque / demand draft

Plan (

✓✓

✓)

Regular

Direct

Option (

✓✓

✓)

Growth

Dividend

Dividend Facility(

✓✓

✓)

Reinvestment Payout

Transfer

Declaration for "execution-only" transaction (only where EUIN box is left blank) (Refer Instruction 1 (p))

* 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.

In case the subscription amount is Rs. 10,000/- or more and if your Distributor has opted to receive Transaction Charges, Rs. 150 (for first time mutual fund investor) or Rs. 100/- (for

investor other than first time mutual fund investor) will be deducted from the subscription amount and paid to the distributor. Units will be issued against the balance amount invested.

TRANSACTION CHARGES FOR APPLICATIONS THROUGH DISTRIBUTORS/AGENTS ONLY (SEE NOTE 15)

Upfront commission 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

SIGNATURE(S)

Applicant / Guardian / Authorised Signatory

Applicant / Authorised Signatory

3. JOINT APPLICANT DETAILS

Name

PAN /PEKRN

Second Applicant Third Applicant

Address for Correspondence for NRI Applicants only ( Please (

✓✓

✓) ) Indian by Default Foreign

Correspondence

Address of

1st Applicant

State

Foreign Address

(Mandatory for NRI / FII )

City

Country

City

Zip

KIN

(CKYC Identification No.)

1. FIRST APPLICANT DETAILS

Email ID

Mobile No.

Country Code

TIME STAMP HERE

Telephone (O)

Telephone (R)

Name

(Mr. / Ms. / M/s.)

Name of Guardian

PAN/PEKRN NO.

KIN

Relationship of Guardian

Date of Birth

DMMYY YY

Father

Mother

Legal Guardian

(CKYC Identification No.)

[Please mandatorily enclose the document evidencing the relationship of Minor with Guardian]

(in case of Minor)

2. MODE OF HOLDING

(Please

✓✓

✓ )

Single

Joint

Anyone or Survivor

Name of Bank

(Please provide a copy of CANCELLED cheque leaf)

Account Type (Please ✓)

Savings

Current

NRO

NRE

Branch Name

and Address

Account No.

City

FCNR

Others

9 digit MICR Code

IFS Code

(Enclose KYC Acknowledgement)

(Name should be as per PAN )

(Name should be as

per PAN)

EXISTING FOLIO NO.

NAME



4. BANK ACCOUNT (Pay Out) Details of First Applicant

(Mandatory to attach bank account proof in case the payout bank account is different from the source/investment bank account)



S-1306/19

Qfund.in

Mutual fund India

TEAR HERE

Any communication in connection with this application should be addressed to the Registrar or the Invesment Manager

Registrar:

Computer Age Management Services Pvt. Ltd.,

SEBI Registration No. : INR000002813)

Rayala Towers, 158, Anna Salai,Chennai – 600 002

Email: enq_L@camsonline.com

Website: www.camsonline.com

Investment Manager :

SBI Funds Management Pvt. Ltd.

(A Joint Venture between SBI & AMUNDI)

9th Floor, Crescenzo, C-38 & 39,

G Block, Bandra Kurla Complex,

Bandra (East), Mumbai – 400 051

Tel: 022- 61793511

Email: customer.delight@sbimf.com

Is the applicant(s) Country of Birth / Nationality / Tax Residency other than “India” ?

7. TAX STATUS

(Please

✓✓

✓ )

Please note wherever units are allotted in Demat Mode, Statement of Account will be issued by the Depository concerned.

8. DEMAT ACCOUNT DETAILS (OPTIONAL)

National Securities Depository Limited (NSDL)

Central Depository Services (India) Limited (CDSL)

Depository

Participant Name

DP ID No.

Beneficiary Account No.

Depository

Participant Name

Beneficiary Account No.

If you wish to hold units in Demat mode, please provide below details and enclose Latest Client Master / Demat Account Statement

Please ensure that the sequence of names as mentioned in the application form matches with that of the account held with the Depository Participant.

TOLL FREE NO : 1800 425 5425

Website : www.sbimf.com

Pension and Retirement Fund

Financial Institutions

Public Limited Company

Private Limited Company

Body Corporate

Partnership Firm

FII / FPI

Bank

NGO

LLP

PIO

NPO

[Please specify]

Others

[Please specify]

Resident Individual

Resident Minor (through Guardian)

NRI (Repatriable)

NRI (Non-Repatriable)

NRI– Minor (Repatriable)

NRI – Minor (Non-Repatriable)

Sole-Proprietor

HUF

Government Body

Society

Trust

NPS Trust

Fund of Fund

Gratuity Fund

AOP

BOI

5. FATCA & CRS INFORMATION:

For Individuals / Proprietor (Mandatory). Non-Individual investors should mandatorily fill separate FATCA/CRS & UBO Form (Annexure-1).

If “YES”, please provide the following information (mandatory):

Yes

1.First Applicant (including Minor)

1. Second Applicant

1. Third Applicant

Yes

Scheme Name

One time Investment

Systematic Investment Plan (SIP) (Please submit SIP Enrolment & OTM Form)

Drawn on Bank and Branch

Cheque / D.D. No. & Date

Cheque / DD Amount (Rs.)

Plan (Please ✓ )

Regular

Growth

Dividend

Dividend Facility (Please ✓ )

Reinvestment

Payout

Transfer

Scheme / Plan / Option

In case of Dividend Transfer facility, please mention target scheme along with plan/option.

Direct

1.First Applicant (including Minor)

1. Second Applicant

1. Third Applicant

Place/City of Birth

1. Details

Country of Birth

Country of Tax Residency 1

Tax Payer Ref. ID No^

Identification Type

[TIN or Other, Please specify]

Country of Tax Residency 2

Tax Payer Ref. ID No.2

Identification Type

[TIN or Other, Please specify]

Country of Tax Residency 3

Tax Payer Ref. ID No. 3

Identification Type

[TIN or Other, Please specify]

^ In case Tax Identification Number is not available, kindly provide its functional equivalent. If no TIN is yet available or has not yet been issued, please provide an explanation and attach

this to the form. (Please attach additional sheets if necessary and mention all countries in which applicant is a tax resident & provide relevant details)

Option (Please ✓ )

Nationality

Payment Mode

Cheque

DD (Third Party Declaration Mandatory)

Fund Transfer

RTGS

Frequency





6. INVESTMENT AND PAYMENT DETAILS



Mutual fund India

Place

Date

Applicant / Guardian / Authorised Signatory

Applicant / Authorised Signatory

⊗

(ALL Applicants

must sign)

SIGNATURE(S)

9. OTHER PERSONAL INFORMATION

–

(Please

✓✓

✓ )

First Applicant

1. Second Applicant

1. Third Applicant

Gender

Male

Female Other

Male

Female Other

Father's Name

Male

Female Other

Spouse's Name

Date of Birth

MM Y Y Y Y

Occupation

(Please

✓✓

✓)

Professional Business

Government Service Agriculturist

Private Sector Service Retired

Public Sector Service Housewife

Student Forex Dealer

Doctor

Others

Professional Business

Government Service Agriculturist

Private Sector Service Retired

Public Sector Service Housewife

Student Forex Dealer

Doctor

Others

Professional Business

Government Service Agriculturist

Private Sector Service Retired

Public Sector Service Housewife

Student Forex Dealer

Doctor

Others

Gross Annual Income in Rs.

(Please

✓✓

✓):

Below 1 Lac 1-5 Lacs

5-10 Lacs 10-25 Lacs

25 Lacs - 1 Cr. > 1 Cr.

Below 1 Lac 1-5 Lacs

5-10 Lacs 10-25 Lacs

25 Lacs - 1 Cr. > 1 Cr.

Below 1 Lac 1-5 Lacs

5-10 Lacs 10-25 Lacs

25 Lacs - 1 Cr. > 1 Cr.

OR Networth in Rs.

Networth as of date

Politically Exposed Person [PEP]

Yes

No Related to PEP

Yes

No Related to PEP

Yes

No Related to PEP

Type of address given at KRA

Residential Business Reg. Office

DMMYY YY

DMMY

DMMYY YY

NOTE: Non-Individual investors should mandatorily fill separate FATCA/CRS & UBO Form (Annexure-I) alongwith this form.

For Foreign Exchange / Money Changer Services

Gaming / Gambling / Lottery Services (e.g. Casinos, Betting Syndicates)

Money Lending / Pawning

Is the entity involved / providing any of the following services

12.INSTITUTIONAL INVESTORS ADDITIONAL INFORMATION

Name of Contact Person

Yes

Name of the Nominee

Name of the Guardian

(In case Nominee is Minor)

Relationship with Nominee

Allocation %

(Mandatory if more than one Nominee)

Date of Birth* (Mandatory if Nominee is Minor)

Signature of Nominee/Guardian

(*Mandatory in case of Minor Nominee)

⊗

14. DECLARATION :

I/We confirm that the information provided in this form is true & accurate. I/We have read and understood the contents of all the scheme related documents and I/We hereby confirm and declare

that (i) I/We have not received or been induced by any rebate or gifts, directly or indirectly, in making this investment; (ii) the amount invested/to be invested by me/us in the scheme(s) of SBI Mutual Fund (“the 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; (iii) the money invested by me in the schemes of the Fund do not attract the provisions of Foreign Contribution Regulations Act (“FCRA”); (iv) I/We am/are aware that a U.S.

person (within the definition of the term ‘US Person’ under the US Securities laws) / resident of Canada are not eligible for investments with the Fund and I/We am/are not a U.S. person/resident of Canada; (v) the ARN holder

has disclosed to me/us all the commissions (in the form of trail commission or any other mode), payable to him/her for the different competing schemes of various mutual funds from amongst which a scheme of the Fund is being

recommended to me/us; (vi) * as per the Memorandum and Articles of Association of the Company, Bye laws, Trust Deed or Partnership Deed and resolutions passed by the Company / Firm / Trust, I/We am/are authorised to

enter into the transactions for and on behalf of the Company/Firm/Trust; (vii) ** I/We am/are Non Resident of Indian Nationality/Origin and that funds for the subscriptions have been remitted from abroad through approved banking

channels or from my/our Non Resident External/Ordinary account/FCNR Account; (viii) all information provided in this application form together with its annexures is/are true and correct to the best of my/our knowledge and belief

and I/We shall be liable in case any of the specified information is found to be false or untrue or misleading or misrepresenting; (ix) that we authorize you to disclose, share, remit in any form, mode or manner, all / any of the

information provided by me/ us, including all changes, updates to such information as and when provided by me/ us to the Fund, its Sponsor, AMC, trustees, their employees/RTAs or any Indian or foreign governmental or statutory

or judicial authorities/agencies including but not limited to SEBI, the Financial Intelligence Unit-India, the tax/revenue authorities in India or outside India wherever it is legally required and other such regulatory/investigation

agencies or such other third party, on a need to know basis, without any obligation of advising me/us of the same; (x) I/ We shall keep you forthwith informed in writing about any changes/modification to the information provided

or any other additional information as may be required by you from time to time; (xi) Towards compliance with tax information sharing laws, such as FATCA and CRS: (a) the Fund may be required to seek additional personal,

tax and beneficial owner information and certain certifications and documentation from investors. I/We ensure to advise you within 30 days should there be any change in any information provided; (b) In certain circumstances

(including if the Fund does not receive a valid self-certification from me) the Fund may be obliged to share information on my account with relevant tax authorities; (c) I/We am aware that the Fund may also be required to provide

information to any institutions such as withholding agents for the purpose of ensuring appropriate withholding from the account or any proceeds in relation thereto; (d) as may be required by domestic or overseas regulators/

tax authorities, the Fund may also be constrained to withhold and pay out any sums from my/our account or close or suspend my account(s) and (e) I/We understand that I am / we are required to contact my tax advisor for any

questions about my/our tax residency; (f) I have understood the information requirements of this Form (read along with the FATCA/CRS Instructions) and hereby confirm that the information provided by me/us on this Form including

the taxpayer identification number is true, correct, and complete. I also confirm that I have read and understood the FATCA Terms and Conditions below and hereby accept the same. (xii) If the name given in the Application

is not matching PAN, application may liable to get rejected or further transactions may be liable to get rejected. By using this application I/We agree to issue a cheque in favor of the facility ‘SBI Multi Select’ which will be

invested as per the option selected/ mentioned under clause (5) of the form.

* Applicable to other than Individuals / HUF; ** Applicable to NRIs;

10. NOMINATION : I wish to nominate the following person/s to receive the proceeds in the event of my death. (With effect from 01/04/2011, for individual investors applying with

single holding, Nomination is mandatory. However, in case you do not wish to nominate please sign in point 11)

Nominee 1 Nominee 2

Nominee 3

11. NOMINATION : I do not wish to nominate any person at the time of making the investment.

Signature

DMMYYYY

DMMY

13. GO-GREEN INITIATIVE:

As part of Go-Green initiative, issuance of physical copy of scheme-wise annual reports or abridged summary is limited to those investors whose email id is not available and

who specifically opt to receive it in physical form. Please tick here only if you wish to receive the same in physical mode

India

Mumbai

Bandra West

Khar

versova

Mutual fund Fort

Mutual fund Mumbai

Mutual fund India

Mutual fund Inida

Khar

Mutual fund Worli