SIPTHROUGHNACHFORM

(PleaseuseseparateTransactionsFormforeachScheme/PlanandTransaction)

Advisor ARN / RIA code Sub-broker/Branch Code

Sub-broker ARN

Representative EUIN

For office use only

Sl No.

MyName

MyFolioNumber

manager/sales person of the distributor/sub broker.

Tickhere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.

Having read and understood the contents of the Statement of Additional Information, Scheme Information Document of the Fund, the Key Information Memorandum and the Addenda issued till date, I/we hereby apply to the Trustees of

Franklin Templeton Mutual Fund for registration of any of the aforesaid facility, and agree to abide by any Act, Rules, Regulations, Notifications, Directions, Guidelines, Orders or instructions issued by any Indian or foreign governmental or

statutory or judicial or regulatory authorities/ agencies and the terms, conditions, rules and regulations of the Fund and the aforesaid facility(ies) as on the date ofthis application. I/We confirm that the funds invested legally belong to me/us and

that 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 laws in force. I/We declare that all the particulars given herein are true, correct and

complete tothe best of my/our knowledge and belief and will promptly inform FTI about any changes thereto. I/ we hereby agree to provide any additional information/ documentation that may be required by FTI. I hereby agree and accept that

the Mutual Funds, their authorised agents, representatives, distributors its sponsor, AMC, trustees, their employees, service providers, representatives ('the Authorised Parties')are not liable or responsible for any losses, costs,damages arising

out of any actions undertaken or as a result of this investment or activities performed by them on the basis of the information provided by me as also due to my not intimating / delay in intimating such changes. I authorize the mutualfund to

EachSIPAmount(minimumRs.500)

SIPDate:

(If left blank 10 will be considered as the default date)

DrawnonBank/Branch

Tick here, if an Open Mandate - Auto Debit Form (ADF) is already registered in the Folio. Please mention in space provided below the Bank Name and Account Number:

AccountNo.

BankName

End Date

OR

SIPPeriod

AccountNo.

 Monthly Quarterly

Tick here if attaching a New Auto Debit Form.

Continue Until Cancelled

FranklinTempletonMutualFund

SB

Bank Name

SponsorBankCode UtilityCode

For Office Use For Office Use

I/Weherebyauthorize

with Bank

Yrly

As & when presented

Reference 1

Reference 2

Phone No.

Email ID

Or

Signature Primary Account holder

• Following fields need to be filled mandatorily:-

1. Date: In format DD/MM/YYYY. If this is left blank, then the date of receipt of Auto Debit Form will be

considered as the default date.

2. Select the appropriate checkbox to create, modify or cancel the mandate

3. Bank A/c Type: Tick the relevant box

4. Fill Bank Account Number

5. Fill name of Destination Bank

6. IFSC / MICR code: Fill respective code

7. Mention amount of mandate

Update Form”. Update option is only for updating the “Debit Amount”

• Investors are required to submit “New Auto Debit / ECS Mandate” registration first and only after successful

registration an existing “Auto Debit Mandate” associated with a SIP can be cancelled.

• Auto Debit Mandate request will be accepted only if the “Bank” mentioned in the request form is listed in the