Advisor ARN / RIA code Sub-broker/Branch Code

Sub-broker ARN

Representative EUIN

For office use only

The upfront commission on investment made by the investor, if any, shall be paid to the ARN Holder (AMFI registered distributor) directly by the investor, based on the investor’s assessment of various factors including service rendered by the ARN Holder.

Applicable only if ARN is mentioned but EUIN box is left blank: “I/We hereby confirm 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.” Applicable only if RIA Code is mentioned: “I / We hereby

give you my/our consent to share/provide the transactions data feed/portfolio holdings/ NAV etc. in respect of my/our investments under Direct Plan of all Schemes managed by you, to the SEBI-Registered Investment Adviser whose code is mentioned herein.”

I am a first time investor in mutual funds (Rs.150 will be deducted).

I am an existing mutual funds investor (Rs.100 will be deducted).

TRANSACTION CHARGES (Refer instructions and tick the appropriate option) Applicable for transactions routed through distributors/agents/brokers who have opted to receive transaction charges.

DECLARATION

Having read and understood the contents of the Statement of Additional Information (SAI) of Franklin Templeton Mutual Fund (FTMF), respective Scheme Information Document (SID); Key Information Memorandum (KIM), the Addenda issued therein till date

(together referred as Scheme Documents) and after evaluating and acknowledging the risk factors, I / we hereby apply to the Franklin Templeton Trustee Services Pvt. Ltd., Trustees to the schemes of FTMF for units of scheme(s) of FTMF as indicated above, and

agree to abide by all applicable laws and the terms and conditions mentioned in the Scheme Documents. Notwithstanding the generality of the aforesaid undertaking, I/We hereby confirm that (i) I /we am/are not a ‘US Person’ and are not applying for Units on behalf

of any ‘US Person’ (ii) the money used for investment is my/our own and from legitimate sources (iii) the tax residency status (FATCA/CRS) and UBO details mentioned above are true and correct and (iv) the ARN holder has disclosed the details of commissions (in

the form of trail commission or any other mode), offered by competing schemes of various mutual funds falling in the category of scheme(s) being recommended to me/us and I / we have not received nor been induced by any rebate or gifts, directly or indirectly in

making this investment and are not in contravention or evasion of any applicable laws. I/ We further agree to hold FTMF, Franklin Resources Inc. its subsidiary and associate entities including their employees, directors and key managerial persons (collectively

referred as Franklin Templeton) harmless against any losses, costs, damages arising out of any actions undertaken or activities performed by them in accordance with the Scheme Documents and for any consequences in case of any of the above particulars being false,

incorrect or incomplete or for the activities performed by them in good faith or on the basis of information provided by me/us as also due to my/ our not intimating / delay in intimating such changes. I/We hereby authorise Franklin Templeton to use, 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 alongwith the details of investment made by me/us, to any of its agents, service providers,

representatives or distributors or any other parties located in India or outside India or any Indian or foreign governmental, statutory, regulatory, administrative or judicial authorities / agencies without any obligation of advising / informing me/us of the same. I/ We

hereby agree to keep the information provided to Franklin Templeton updated and to provide any additional information / documentation that may be required by Franklin Templeton, in connection with this application. I/We hereby provide my/our consent in

accordance with Aadhaar Act, 2016 and regulations made thereunder, for (i) collecting, storing and usage (ii) validating/authenticating and (ii) updating my/our Aadhaar number(s) in accordance with the Aadhaar Act, 2016 (and regulations made thereunder) and

PMLA. I/We hereby provide my consent for sharing/disclosing of my/our Aadhaar number including demographic information with the asset management companies of SEBI registered mutual fund and their Registrar and Transfer Agent (RTA), KRA(s) & Central KYC

Registry for the purpose of updating the same in the folios linked to my/our PAN.

Sole / First Unit Holder

Second Unit Holder Third Unit Holder

Date _____________________________________ Place ____________________________________

My Name (Should match with Aadhaar Card)

PAN/PEKRN (1st Applicant)

MY DETAILS (To be filled in Block Letters. Please provide the following details in full; Please refer instructions)

KYC

Date of Birth

Minor’s

On behalf of Minor

(* Attach Mandatory Documents as per instructions).

Proof attached *

Guardian named is :

Father Mother Court Appointed

Date of Birth

My Guardian’s Name (if minor)/POA/Contact Person

PAN/PEKRN ( POA)Guardian/

KYC

D D

M M

Y Y

JOINT APPLICANTS (IF ANY) DETAILS

2nd Applicant Name ( )Should match with Aadhaar Card

PAN/PEKRN (2nd Applicant)

KYC

3rd Applicant Name ( )Should match with Aadhaar Card

PAN/PEKRN (3rd Applicant)

Single Joint Either or Survivor(s) [Default]

Mode of Operation :

KYC

Sl No.

(DD Charges)

Net Amount

Cheque/DD No.

Bank

Bank A/C No.

GOAL

Options

e.g. Deepa's Marriage

e.g. Home/Car

ACKNOWLEDGEMENT SLIP

Sl. No.

Amount in R

(SIP: per Installment)

Amount in R

(SIP: per Installment)

Amount in R

(SIP: per Installment)

Lumpsum SIP

Growth

Dividend Payout

Dividend Reinvestment

Growth

Dividend Payout

Dividend Reinvestment

Growth

Dividend Payout

Dividend Reinvestment

Growth

Dividend Payout

Dividend Reinvestment

Scheme Name / Plan

Plan: Regular

Direct

Plan: Regular

Direct

Plan: Regular

Direct

Plan: Regular

Direct

QFUND.IN

Yes No Yes No Yes No Yes No

2nd ApplicantSole/ 1st Applicant

Details

Place & Country of Birth

Nationality

DOB

Allocation

100 %

NSDL: DP Name DP ID I N Beneficiary Ac No.

CDSL: DP Name Beneficiary Ac No.

MICR code (9 digit)

City

My Bank Name

Bank A/C No.

IFSC code: (11 digit)

Not Applicable

Is a PEP

1 Applicant

2 Applicant

Partners

Karta

¨ ¨ ¨

1-5 lac

5-10 lac

10-25 lac

25 lac- 1 cr

1 -5 cr

5 - 10 cr

> 10 cr

OR Networth in Rs.

___________

as on

___________

as on

___________

as on

___________

as on

D D M M Y Y D D M M Y Y D D M M Y Y D D M M Y Y

NRI/PIO/OCI

Others (Please specify)

Non Individual

Status details for

Guardian

¨ ¨ ¨ ¨

- - -

Partnership

Trust

Society

HUF

Bank

FI/FII/FPI

_____________ _____________ _____________ _____________

Business

Agriculturist

Student

Guardian

¨ ¨ ¨ ¨

Others (Please specify)

_____________ _____________ _____________ _____________

City

Email ID

(in capital)

Mobile

+91

Tel

Pin Code

c. Business

www. franklintempletonindia.com

Instruction F Enclosures (if applicable)

ADDITIONAL INFORMATION

Applicant

1st

2nd

3rd

G or POA

KIN No. (If KYC done via CKYC)

Date of Birth

#Date of Birth - Mandatory if CKYC ID mentioned.

^ ^ +

G: Guardian; POA: Power Of Attorney If Aadhaar number is not assigned Aadhaar enrollment number and proof to be provided.

Aadhaar No.

Gender

M F

D D

M M

Y Y

D D

M M

Y Y

D D

M M

Y Y

D D

M M

Y Y

Email Id.

Mobile No.

2 Applicant

3 Applicant

G or POA

Details