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.

Distributors ARN/ RIA Code

EUIN

Sub-Brokers CodeSub-Brokers ARN

Declaration for"Execution-only" transactions (only where EUIN box is left blank)

By mentioning RIA code, I/We authorize you to share with the Investment Adviser the details of my/our transactions in the scheme(s) of Kotak Mahindra Mutual Fund.

One Time Mandate Registration Form/ Debit Mandate Form NACH/ ECS/ Direct Debit

UMRN

I/We hereby authorize

Sponsor Bank Code

Utility Code

Date

Bank a/c number

to debit (tick P)

with Bank

IFSC or MICR

an amount of Rupees

FREQUENCY

Mthly Qylt H-Yrly Yrly As & when presented

Reference 1

Reference 2

Phone No.

Email ID

DEBIT TYPE

Fixed Amount

Maximum Amount

f f i

c e u s e

For Office Use For Office Use

Kotak Mutual Fund

SB CA CC SB-NRE SB-NRO

Other

Folio Number

Application Number

Systematic Investment Plan Form

(Debit Mandate Form NACH/ ECS/ Direct Debit)

Signature Primary Account holder

1. 2. 3.

Name as in Bank records Name as in Bank records

Signature of Account holder Signature of Account holder

Name as in Bank records

This is to confirm that the declaration has been carefully read, understood& made by me/us. I am authorizing the user entity/corporate to debit my account, based on the instructions as agreed

and signed by me. I have understood that I am authorized to cancel/amend this mandate by appropriately communicating the cancellation/amendment request to the user entity/corporate or the

bank where I have authorized the debit.

I Agree for the debit of mandate processing charges by the bank whom I am authorizing to debit my accounts as per latest schedule of charges of the bank.

From

PERIOD

Until Cancelled

3 1 1

2 2

0 9 9

TICK ( )

CREATE

MODIFY

CANCEL

INVESTORS INFORMATION

FOLIO NO.

Application No.

(For New Investors, pls. attach the application form)

Sole/ First Applicant Second Applicant Third Applicant

Name of Applicant Name of Applicant Name of Applicant

Date of Birth Date of Birth Date of Birth

CKYC No. CKYC No. CKYC No.

E-mail E-mail E-mail

PAN PAN PAN

To be signed by All Applicants if mode of operation is Joint. (As in Bank Records)

S o l e / F i r s t Ac c o u n t H o l d e r S e co n d A c c o un t H o l d er T h i rd A c c o u n t Ho l d e r

SIGNATURE(S)

Declaration and Signature

I/We have read and understood the contents of the SAI/ SID of the above referred Scheme(s) of Kotak Mahindra Mutual Fund. I/We hereby apply for allotment / purchase of Units in the Scheme(s) indicated as above and agree to abide by the terms

and conditions applicable there to. I/We hereby declare that I /We authorized to make this investment in the above mentioned Scheme(s) and that the amount invested in the Scheme(s) is through legitimate sources only and is not designed for the

purpose of any contravention or evasion of any Act, Rules, Regulations, Notifications or Directions of the provisions of Income Tax Act, Anti Money Laundering Act, Anti Corruption Act or any other applicable laws enacted by the Government of

India from time to time. I/We hereby authorize Kotak Mahindra Mutual Fund, its investment Manager and its agents to disclose details of my investment to my / our Investment Advisor and / or banks. I/We have neither received nor been induced by

any rebate or gifts, directly, in making this investment. I/We also declare that the ARN Holder has disclosed all commission (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.

SIGNATURE(S)

(To be signed by

All Applicants)

Sole / First Applicant

Second Applicant Third Applicant

TRANSACTION CHARGES for Applications routed through distributor/agents only (Kindly refer Transaction Charges under the heading Checklist for details)

Registration of SIP + OTM Registration Registration of MICRO SIP Renewal of SIP

Change in Bank details

REQUEST FOR:

Registration of SIP (for existing OTM)

SIP BOOSTER (Optional) (Please refer instructions overleaf)

Frequency (Please ) Half Yearly Yearly

Fixed Booster Amount (Rs.)

Variable Booster Amount (%)

(Minimum Rs. 500 and in

multiples of Rs. 500 thereof)

(Minimum 10% and in

multiples of 5% thereof)

3000

20%

1000

15%

500

10% Any other percentage

Any other amount Rs.

I would like to opt for Systematic Investment Plan

Scheme

Plan

Option

Growth Dividend :

Payout Re-investment

Dividend : Frequency

Monthly Quarterly

Investment Frequency (Please )

SIP Period:

From

M M / Y Y Y Y

Default Date

(December 2099)

Dated

D D / M M / Y Y Y Y

First SIP vide Cheque No.

SIP Amount ( ) Rs.

20000 10000 5000 1000

Any other amount Rs.

SIP Booster Cap Amount Rs.

Booster CAP Amount: Investor has an option to freeze the SIP Booster amount once it reaches a fixed predefined amount. The fixed pre-defined amount should be same

as the maximum amount mentioned by the investor in the NACH Debit Mandate Form. In case of difference between the CAP Amount & the maximum amount

mentioned in NACH Debit Mandate Form, then amount which is lower of the two shall be considered as the default amount of SIP CAP Amount.

SIP Date:

(Please mentioned any date of the month between 1st to 31st)

QFUND.IN

KOTAK MAHINDRA MUTUAL FUND

6th Floor, Kotak Infinity, Building No. 21, Infinity Park, Off. Western Express Highway,

Gen.A.K. Vaidya Marg, Malad (E), Mumbai - 400 097.

TERMS AND CONDITIONS

Please ensure that:

 If you are an existing investor, you have quoted your Account No. with Kotak Mahindra Mutual

Fund on the Systematic Investment Form.

 If you are a new investor, your Application Number is quoted on the Systematic Investment Form.

Checklist

 Scheme (Plan)  Option in which you wish to do your systematic investments is clearly indicated in

the Systematic Investment Form.

 The SIP Amount, the Frequency, your preferred Date and Period are clearly indicated.

 There is a minimum gap of 28 days between the date of submission and first auto debit date.

Monthly or Quarterly

Any date from 1st to 31st of a given month/ quarter. In case the chosen date is not available /non-business day, the SIP transaction will be processed on the immediate

next Business Day.

Frequency

Choice of Date

Rs. 1000/- (Rs. 500 incase of Kotak Standard Multicap Fund and Kotak Equity Arbitrage Fund; Rs. 500 & in multiples of Rs. 500 in case of Kotak Tax Saver).

Minimum Investment

6 (All SIP installments should be for the same amount); 10 (incase of SIP amount being Rs. 500)

Minimum Installments

First Auto Debit shall be processed on the chosen date/ default date. However, there has to be a minimum gap of 28 days between the date of submission and First

Auto Debit Date.

First Auto Debit & Subsequent SIPs

Schemes where SIPs are allowed All open-ended schemes except Kotak Mahindra Liquid scheme

Syste m a t i c Invest m e n t s - Snapshot

General Instructions

1. Please refer the Key Information Memorandum and Offer Document/ SAI/ SID

of the respective scheme(s) for Applicable NAV, Risk Factors, Load Structure and

other information before investing.

2. (i) Existing unitholders need not fill in the Investment Application Form.

However, they must compulsorily mention their Account Number in the

Systematic Investment Form.

(ii) New Applicants need to compulsorily fill in all sections in the Investment

Application Form in addition to Systematic Investment Form. The Application

No. must be compulsorily mentioned in the Systematic Investment Form.

3. Irrespective of the investment amount please furnish your PAN details and

enclose a photocopy of PAN Card for all applications. In case of minor

applicants, please furnish the PAN details and PAN proof of the Guardian.

4. KYC compliant is mandatory, irrespective of the amount of investment.

5. You can opt for Systematic Investment in the Scheme on a monthly/quarterly

basis through post-dated cheques / auto-debit for a pre-defined amount. This

facility is available only on specified dates of the month / quarter. Refer to

Section SIP Auto Debit: Terms & Conditions for location wise dates available

for SIP Auto Debit.

6. (i) First SIP Installment : Your first SIP can be for any day of the month, however

subject to the condition that, there shall be a minimum gap of 28 day between

the first and the second SIP.

(ii) Second & subsequent SIP Installment : Your second and subsequent SIPs are

available only on above specified dated of the month. You can choose only one

of these dates for the purpose of SIP. In case the chosen date turns out to be a

non-working day for the scheme, the SIP will be processed on the immediately

following working day.

7. We would send you an Account Statement confirming your systematic

investment within 10 working days from the date of your first systematic

investment transaction. Confirmation for subsequent Systematic Investments

would be sent to you as CAS (Consolidated Account Statement) on monthly

basis.

8. Incorrect and ambiguous forms will not be accepted and rejection for the same

shall be communicated to the investor.

9. Kotak Mahindra Mutual Fund, its Investment Manager, Registrar and other

service providers will not be liable for any transaction failures due to rejection of

the transaction by your bank/ branch or its refusal to register the SIP mandate.

10. You will not hold Kotak Mahindra Mutual Fund, its Investment Manager,

Registrar and other service providers responsible if the transaction is delayed or

not effected or your bank account is debited in advance or after the specific SIP

date due to various clearing cycles of ECS. Kotak Mahindra Mutual Fund, its

Investment Manager, Registrar and other service providers responsible and

liable for any damages / compensation for any loss, damage, etc. incurred by

you as a result of use of this facility by you.

11. If you have not indicated any of your SIP preference completely in the form, or

incase of any discrepancy, we would presume the same as below :

SIP Frequency : Monthly; SIP Date : 7th; Default end date: December 2099;

Scheme Name : same as mentioned on SIP form, SIP Amount : same as

mentioned on SIP form.

12. TRANSACTION CHARGES

Pursuant to SEBI Circular No. Cir/ IMD/ DF/13/ 2011 dated August 22, 2011,

transaction charge per subscription of Rs. 10,000/- and above be allowed to be

paid to the distributors of the Kotak Mahindra Mutual Fund products. The

transaction charge shall be subject to the following:

1. For existing investors (across mutual funds), the distributor shall be paid Rs.

100/- as transaction charge per subscription of Rs.10,000/- & above.

2. For first time investors, (across Mutual Funds), the distributor shall be paid Rs.

150/- as transaction charge for subscription of Rs.10,000/- & above.

3. The transaction charge shall be deducted by Kotak AMC from the subscription

amount & paid to the distributor (will be subject to statutory levies, as

applicable) & the balance amount shall be invested.

4. In case of Systematic Investment Plan(s), the transaction charge shall be

applicable only if the total commitment through SIPs amounts to Rs.10,000/- &

above. In such cases the transaction charge shall be recovered in first 3/4

successful installments.

Transaction charges shall not be deducted/applicable for:

(a) Transaction other than purchases/subscriptions such as Switch/Systematic

Transfer Plan (STP)/ Dividend Transfer Plan (DTP), etc.

(b) Purchases/Subscriptions made directly with the Fund without any ARN code.

13. One Time Debit Mandate Form can be used for Systematic Purchase as well as

Lump Sum Purchase

SIP Payment through NACH/ ECS/ SI / Auto Debit

Instructions for SIP Payment registered through NACH/ECS/SI/Auto Debit

1. The bank account provided for SIP to be registered through NACH/ECS/SI/Auto

Debit should be participating in NACH and MICR clearing respectively.

2. SIP auto debit is available only on specific dates of the month (For SIP date

details please refer above to Choice of Dates under Systematic Investments 

Snapshot). In case the selected SIP date is a non-business day, then the SIP shall

be processed on the next business day.

3. In case of four consecutive SIP failures, your SIP will be liable for cancellation.

4. The TAT for SIP Debit Mandate Form registration (with or without initial cheque)

will be 28 days. Therefore, there has to be a minimum gap of 28 days between

date of submission of SIP Mandate and subsequent SIP Auto Debit. Incase, the

gap is less than 28 days, the SIP shall be registered from the subsequent SIP

Date.

5. In case of incomplete SIP Debit Mandate Forms or SIP Registration pending due

to technical problems at NPCI/ Bankers end, AMC may seek remediation

process to obtain incomplete details. In such cases registration process may

exceed 30 days and hence may also impact processing of subsequent SIP

instalments.

6. SIP start date shall not be beyond 90 days for Monthly and Quarterly SIPs from

the date of submission of SIP application.

7. The investor will have the right to discontinue SIP at any time he or she so

desires by providing a written request to this effect at least 28 days prior to the

subsequent SIP date. Subsequently investor can also use online login access to

our website assetmanagement.kotak.com to discontinuing any of his existing

SIP registered through online or through offline (Physical) mode.

8. For your SIP registered with ICICI Bank details, please note that we cannot

accept online cease request. A separate written request to discontinue SIP

needs to be submitted to your nearest CAMS/ AMC office at least 28 days prior

to the next SIP Auto Debit date.

9. Incase of discontinuation of SIPs registered through Online Channel Partners

please contact your Online Channel Partner directly.

10. Each time an investor intends to register a fresh SIP, he has to duly fill in a new

SIP Form along with NACH Debit Mandate Form. This form should not be

constructed as One Time Mandate Form (OTM Form).

11. Investors need to ensure that the MICR number of his actual bank branch (and

not At Par MICR Code) is mentioned on the SIP Debit Mandate Form, for

seamless SIP Registration.

12. New Investor: If the investor fails to mention the scheme name in the SIP

Mandate Form, then the Fund reserves the right to register the SIP as per the

scheme name available in the investment application form. Incase multiple

schemes are mentioned in the main application form, the Fund reserves the

right to reject the SIP request.

13. Existing Investor: If the investor fails to mention the scheme name in the SIP

Mandate Form, the Fund reserves the right to register the SIP in the existing

scheme (eligible for SIP) available in the investors folio. Incase multiple schemes

or Equity Linked Savings Scheme (ELSS) are available in the folio, the Fund

reserves the right to reject the SIP request.

14. Incase SIP date is not selected or the date mentioned is not legible or clear or

multiple SIP date are opted, then the SIP will be registered on 7th (default date)

of each Month/Quarter as applicable.

15. If the investor has not mentioned the SIP start month, SIP will start from the next

applicable month, subject to completion of 28 days lead time from the receipt

of SIP request.

16. Incase the SIP End Period is incorrect or not mentioned by the investor in the

SIP form, then December, 2099 shall be considered as default End Period.

17. Maximum Amount: The Maximum Amount in SIP NACH Debit Mandate Form

refers to the maximum SIP debit limit per transaction permitted by the investor

to be debited form his bank account. Each SIP request needs to be

accompanied with new SIP Form and at any given point of time SIP instalment

amount should not exceed Maximum Amount mentioned in the SIP NACH

Mandate Form. In case of SIP Booster, please refer to the specific instructions

mentioned under SIP Booster Facility.

18. For Change of SIP Amount or Change in Bank details or for any Modification

request in your existing SIP, investor is required to submit the following

documents 28 days prior to the next SIP Date

i) A duly filled in new SIP Form with revised details. Please ensure that the

section on SIP NACH Debit Form is also filled in. Do not forget to tick the

relevant column in the Section REQUEST FOR on the SIP Form.

ii) Letter to discontinue the existing SIP.

19. Conversion of PDC facility in to NACH/ECS/SI/Auto Debit Facility: Investor with

existing SIP facility through Post Dated Cheques can also avail of this facility by

submitting the following documents 30 days before the next SIP Debit date.

i) A new SIP Form along with one cancelled cheque.

ii) Letter requesting to cancel the existing SIP through PDCs and for returning all

the remaining PDCs.

20. Extension of SIP needs to be accompanied with cancelled cheque leaf.

21. Mandatory fields in SIP NACH DEBIT MANDATE form as per NPCI:

 Submission Date  Bank Account type to be selected  Bank account number

and Bank name  IFSC and/or MICR Code  Folio number or application number

 Phone number and email id  SIP From date Signatures as per bank records 

Name as per bank records

22. All terms and conditions for SIP, including Exit Load, if any, prevailing at the time

of SIP enrolment by the fund shall be levied in the Scheme.

23. The investor agrees to abide by the terms and conditions of NACH/ECS/SI/Auto

Debit facilities of Reserve Bank of India (RBI)/ NPCI(National Payment

Corporation of India).Investor will not hold Kotak Mutual Fund, Kotak

Mahindra Asset Management Company Limited (the AMC), Kotak Mahindra

Trust Limited (the Trustee), its registrars and other service providers responsible

and/or liable if the transaction is delayed or not effected or the investor bank

account is debited in advance or after the specific SIP date due to various

clearing cycles for NACH/ECS/SI/Auto Debit or any other reason/fault not

attributable to Kotak Mahindra Mutual Fund/the AMC/the Trustee. Kotak

Mutual Fund reserves the right to reject any SIP application without assigning

any reason thereof.

17. SIP Frequency vis-à-vis SIP Booster Frequency :

SIP Frequency

Monthly

Quarterly

SIP Booster Frequency

Half-yearly

Yearly

Half-yearly

Yearly

Details

Increase shall happen after every 6th - SIP instalment

Increase shall happen after every 12th - SIP instalment

Increase shall happen after every 2nd - SIP instalment

Increase shall happen after every 4th - SIP instalment

18. All other terms & conditions applicable for regular SIP will also be applicable to SIP Booster facility.

1 to 12

13 to 24

25 to 36

37 to 48

49 to 60

07-Jan-16

07-Jan-17

07-Jan-18

07-Jan-19

07-Jan-20

07-Dec-16

07-Dec-17

07-Dec-18

07-Dec-19

07-Dec-20

3000

4000

5000

6000

N.A

1000

3000

4000

5000

6000

7000

Monthly SIP

Installment

Amount (Rs)

SIP

Booster

Amount (Rs)

SIP Amount

with

Booster (Rs)

Illustration for Fixed SIP Booster

 SIP Tenure : 07Jan 2015 to 07 Dec 2020  Booster Amount: Rs. 1000/-

 Monthly SIP Installment: Rs. 3000/-  Booster Frequency: Yearly

Installment

No.(s)

From

Date

1 to 12

13 to 24

25 to 36

37 to 48

49 to 60

07-Jan-16

07-Jan-17

07-Jan-18

07-Jan-19

07-Jan-20

07-Dec-16

07-Dec-17

07-Dec-18

07-Dec-19

07-Dec-20

3000

3300

3630

3990

N.A

300

330

363

399

N.A

300

330

360

400

3000

3300

3630

3990

4390

Monthly SIP

Installment

Amount (Rs)

SIP Booster

Amount

(10%) (Rs)

SIP Booster

round off

Amount (Rs)

SIP Amount

with

Booster (Rs)

Illustration for Variable SIP Booster

 SIP Tenure: 07Jan 2015 to 07 Dec 2020  Monthly SIP Installment: Rs. 3000/-

 Booster percentage: 10%  Booster Frequency: Yearly

Installment

No.(s)

From

Date

1. SIP Booster is a facility whereby an investor has the option to increase his SIP Instalment Amount by a fixed amount/ fixed

percentage, at pre-defined interval.

2. SIP Booster facility is available for Existing SIP investors as well New SIP Registrations.

3. SIP Booster Facility can be Fixed SIP Booster Facility or Variable SIP Booster Facility

4. Fixed Booster: SIP Amount can be increased with minimum of Rs. 500 and in multiples of Rs. 500 thereof with yearly and

half yearly option.

5. Variable Booster: SIP amount can be increased by a minimum of 10% and in multiples of 5% thereof with yearly and half

yearly option.

6. Incase, an investor has more than one existing SIP in a single folio in the same scheme, with a single distributor, unless

specifically instructed by the investor, the SIP Booster request shall be considered for the first Registered SIP.

7. Investor /unit holders subscribing for this facility are required to submit the request at least 28 days prior to the next SIP

date. SIP Booster will be applicable from the next effective SIP instalment.

8. For Cancellation of SIP Booster facility, the investor has to submit a written request atleast 28 days prior to the next SIP

booster date. However, the SIP in the respective scheme shall continue with last SIP Booster Instalment amount, till the SIP

End Date as specified in the SIP Registration Form or till receipt of a valid SIP Cease Request. For Cancellation of SIP Booster

facility along-with SIP Cease request, the written request of cancellation of SIP Booster facility should explicitly mention

about SIP Cease as well.

9. Modification of the SIP Booster amount is not possible, alternatively investor will have to cancel the existing facility and

start a new SIP with modified date.

10. SIP Booster will be allowed in MICRO SIP folio subject to condition that total investment including SIP Booster does not

exceed Rs. 50,000 in a rolling 12 month period or financial year i.e April to March, the limit on Micro SIP investments.

11. Maximum Amount in NACH Debit Mandate Form: It is the maximum limit amount per transaction set by investor for his

registered bank A/c to be debited.

12. Booster CAP Amount: Investor has an option to freeze the SIP Booster amount once it reaches a fixed predefined amount.

The fixed pre-defined amount should be same as the maximum amount mentioned by the investor in the NACH Debit

Mandate Form. In case of difference between the CAP Amount & the maximum amount mentioned in NACH Debit

Mandate Form, then amount which is lower of the two shall be considered as the default amount of SIP CAP Amount.

13. Booster Cap Amount has to be mandatorily mentioned for SIP Booster Facility. In case the same is not mentioned then the

maximum amount mentioned in NACH Debit Mandate Form shall be considered for SIP Booster CAP Amount.

14. In case of Variable SIP Booster, the SIP instalment amount will be rounded off to the nearest multiple of Rs. 10

15. If SIP Maximum / Booster CAP Amount is hit before the end of SIP tenure, the SIP Booster will cease and last SIP Booster

instalment amount will remain constant for remaining SIP Tenure.

16. Please see the illustration below to know how to calculate Variable and Fixed SIP Booster amount:

SIP Booster Facility

Registrar : Computer Age Management Services Pvt. Ltd. No 178/10, M G R Salai, Nungambakkam, Chennai - 600 034

Tel. : 044 - 6110 4034

assetmanagement.kotak.com

1800-222-626 or (022) 6115 2100

mutual@kotak.com

Invest with a SIP in the best mutual funds in Mumbai