Stamp & Signature

Folio No. Investor Name

Scheme Name

Plan

SIP Period From D D M M Y Y

D D M M Y Y

Option

Perpetual SIP

ACKNOWLEDGMENT SLIP

(To be filled by the investor)

Application No.

Sub-Distributor ARN/RIA#

Distributor ARN / RIA#

EUIN

Internal Sub-Broker/Employee Code

Distributor Name

ARN

UNIT HOLDER INFORMATION

Mr. Ms. M/s

First Holder

Second Holder

Third Holder

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.

Email ID

Existing Folio Number

First / Sole Applicant / Guardian / Authorised Signatory

Second Applicant

Third Applicant

This is to confirm that the declaration/instruction has been carefully read, understood. I/We have understood that I/we are authorized to cancel/amend this mandate by appropriately communicating the cancellation/amendment request to the User

entity or the bank where I have authorized the debit and express my willingness and authorize to make payments through participation in NACH/ECS/Direct Debit/Standing Instructions. I/We hereby confirm adherence to the terms of NACH/ECS

(Debits)/Direct Debits /Standing Instructions. Authorization to Bank: This is to inform that I/We have registered for ECS / NACH (Debit Clearing) / Direct Debit / Standing instructions facility and that my/our payment towards my/our investment in Motilal

Oswal Mutual Fund shall be made from my/our bank account with your Bank. I/We authorize the representatives Motilal Oswal Mutual Fund carrying this mandate form to get it verified and executed.

(Please attach a cancelled cheque/cheque copy)

DECLARATION AND SIGNATURE

(To be signed by ALL UNIT HOLDERS if mode of holding is ‘joint’)

(To be signed by all holders if mode of operation of Bank Account is ‘Joint’)

Mobile No.

#By mentioning RIA code, I/We authorize you to share with the SEBI Registered Investment Advisor the details of my/our transactions in the scheme(s) of Motilal Oswal Mutual Fund.

Name

F I R S T

M I D D L E

L A S T

ARN/RIA : 101460

EUIN: E025513

Application No.

NACH/ ECS/ Direct Debit Mandate Form

SYSTEMATIC INVESTMENT PLAN DETAILS

*Default

[Applicable for Lumpsum Additional Purchases as well as SIP Registrations]

NACH/ ECS/ Direct Debit Mandate Form

Period

From

D M M Y Y

Until cancelled

3 1 2 2 01

1. 2. 3.

Signature Primary account holder Signature of account holder Signature of account holder

UMRN

For Official Use

Date

D D M M YY YY

9 9

with Bank

Name of customer bank

IFSC

Or MICR

Tick (ü)

Create

Modify

Cancel

I/We hereby authorize

Motilal Oswal Mutual Fund

To Debit (to tick ü)

SB CA CC SB-NRE SB-NRO Other

Bank a/c number

Sponsor Bank Code

For Official Use

Utility Code

For Official Use

an amount of Rupees

Reference 2

Email ID

Reference 1

Mob. No.

FREQUENCY

As & when presented

DEBIT TYPE

Fixed Amount

Mthly Qtly H.Yrly Yrly

Maximum Amount

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

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 instruction 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

Scheme Names

SIP Frequency and Date

SIP Month / Year/

Perpetual

Motilal Oswal MOSt Focused 25 Fund

Plan: Regular Direct*

Option: Growth* Div Payout Div Reinvestment

Weekly

Fortnightly

Monthly

Quarterly

Motilal Oswal MOSt Focused Midcap 30 Fund

Plan:

Option: Growth* Div Payout Div Reinvestment

Regular Direct*

Weekly

Fortnightly

Monthly

Quarterly

Motilal Oswal MOSt Focused Multicap 35 Fund

Plan:

Option: Growth* Div Payout Div Reinvestment

Regular Direct*

Weekly

Fortnightly

Monthly

Quarterly

Motilal Oswal MOSt Focused Long Term Fund

Plan:

Option: Growth* Div Payout

Regular Direct*

Weekly

Fortnightly

Monthly

Quarterly

Option: Growth* Div Payout

Div Reinvestment*

Motilal Oswal MOSt Focused Dynamic Equity Fund

Plan: Regular Direct*

Weekly

Fortnightly

Monthly

Quarterly

Motilal Oswal MOSt Ultra Short Term Bond Fund

Plan: Regular Direct*

Option: Growth* Div Payout Div Reinvestment

Weekly

Fortnightly

Monthly

Quarterly

st th th st th

(1 , 7 , 14 , 21 , 28 )

1 -14

th st

7 -21

th th

14 -28

th*

st th th st th

(1 , 7 , 14 , 21 , 28 )

1 -14

th st

7 -21

th th

14 -28

st th th st th

(1 , 7 , 14 , 21 , 28 )

1 -14

th st

7 -21

th th

14 -28

st th th st th

(1 , 7 , 14 , 21 , 28 )

1 -14

th st

7 -21

th th

14 -28

st th th st th

(1 , 7 , 14 , 21 , 28 )

1 -14

th st

7 -21

th th

14 -28

M M Y Y Y Y

to or

Perpetual SIP

M M Y Y Y Y

Perpetual SIP

M M Y Y Y Y

Perpetual SIP

M M Y Y Y Y

Perpetual SIP

M M Y Y Y Y

Perpetual SIP

M M Y Y Y Y

Perpetual SIP

Quarterly Annually*

SIP Amount Min.

` 1000/- (Weekly/Fortnightly/

Monthly) & ` 2000/- (Qtrly)

st th th st th

(1 , 7 , 14 , 21 , 28 )

1 -14

th st

7 -21

th th

14 -28

th*

QFUND.IN

INSTRUCTIONS TO FILL THE NACH / ECS / SI MANDATE

1. UMRN Code, Sponsor Code, and Utility Code are for official use only. Please do not write anything in these boxes/spaces. c)Please mention the maximum amount that can be debited using this mandate. The amount needs to be mentioned both in words as

2. The following information has to be mandatorily filled in the Mandates. In case any of these fields are not filled, the mandate is liable well as numbers.

for rejection.

d)Please mention your Mobile Number and Email Id on the mandate form.

a)Please tick the Appropriate Account Type and furnish the Bank Account Number from which the SIP installment/s is/are to be

e)Please provide the Start and End date for the period which the Mandate should be active. If you do not wish to provide an End date, please tick the

debited.

check box for ‘Until Cancelled’.

b)Please mention the Bank Name, 11 Digit IFSC code, 9 Digit MICR Code of your Bank in the appropriate boxes provided for the

3. SIGNATURES

purpose. The MICR code is the number appearing next to the cheque number on the MICR band at the bottom of the cheque.In the

The mandate needs to be signed by all the account holders in line with the mode of holding recorded with the investor’s bank. The Account holder’s

absence of these information, Mandate registration is liable to be rejected. names have to be mentioned as per their mode of holding in Account.

TERMS AND CONDITIONS FOR ECS (Debit Clearing)

1. The cities/ banks/ branches in the list may be modified /updated / changed / removed at any time in future entirely at the discretion of Trichy, Trivandrum, Tumkur, Udaipur, Udipi, Varanasi, Vijaywada, Vizag

Motilal Oswal Mutual Fund without assigning any reasons or prior notice. If any city / bank/ branch is removed, SIP instructions for

List of Banks for SIP Direct Debit Facility:-

investors in such city/bank/branch via (ECS) (Debit Clearing) Direct Debit route will be discontinued without prior notice.

Allahabad Bank, Axis Bank, Bank of Baroda, Bank of India, Citi Bank, Corporation Bank, Federal Bank, ICICI Bank, IDBI Bank, IndusInd Bank, Kotak

2. List of Cities for SIP Auto Debit Facility via ECS (Debit Clearing):-

Mahindra Bank, Punjab National Bank, South Indian Bank, State Bank of India, State Bank of Patiala, UCO Bank, Union Bank of India, United Bank of

Agra, Ahmedabad, Allahabad, Amritsar, Anand, Asansol, Aurangabad, Bangalore, Bardhaman, Baroda, Belgaum, Bhavnagar, India

Bhilwara, Bhopal, Bhubaneshwar, Bijapur, Bikaner, Calicut, Chandigarh, Chennai, Cochin, Coimbatore, Cuttack, Davangere, 3. Applications for SIP Auto Debit (ECS/ Direct Debit) Facility would be accepted only if the bank branch participates in local MICR/ECS clearing.

Dehradun, Delhi, Dhanbad, Durgapur, Erode, Gadag, Gangtok, Goa, Gorakhpur, Gulbarga, Guwahati, Gwalior, Haldia, Hasan, H u b l i , 4. In case the investor’s bank chooses to cross verify the auto debit mandate with him/ her as the bank’s customer, investor would need to promptly act on the

Hyderabad, Imphal, Indore, Jabalpur, Jaipur, Jalandhar, Jammu, Jamnagar, Jamshedpur, Jodhpur, Kakinada, Kanpur, Kolhapur, same.AMC / Service Provider will not be liable for any transaction failures due to rejection of the transaction by investor’s bank/ branch or its refusal to

Kolkata, Kota, Lucknow,Ludhiana, Madurai, Mandya, Mangalore, Mumbai, Mysore, Nagpur, Nasik, Nellore, Patna, Pondicherry, Pune, register the SIP mandate or any charges that may be levied by the Bank/ Branch on investor / applicant.

Raichur, Raipur, Rajkot, Ranchi, Salem, Shillong, Shimla, Shimoga, Sholapur, Siliguri, Surat, Tirunelveli, Tirupati, Tiruppur, Trichur,

1. The Mandate will be registered under the best suited mode i.e. NACH or ECS or SI at the discretion of its appointed payment declaration in the prescribed format signed by employee and employer is also required along with the application form

Aggregator through whom the mandate will be registered for the SIP debit facility. c) Custodian on behalf of an FII or a Client provided KYC is completed for the investor and custodian. Additional declaration in the prescribed format

2. Unit holder(s) need to provide along with the mandate form an original cancelled cheque (or a copy) with name and account number signed by Custodian and FII/ Client is also required along with the application form .

pre-printed of the bank account to be registered for registration of the mandate failing which registration may not be accepted. The 4. Please not that in the event of a minor mismatch between the bank account number mentioned in the application from and as appearing in the cheque

Unit holder(s) cheque/ bank account details are subject to third party verification. leaf submitted, bank account number would be updated based on the cancelled cheque leaf provided the name(s) of the investor/applicant appears

3. Where the cancelled cheque or a copy of the cheque does not mention the bank account holder’s name(s), Investor should provide in the cheque leaf.

self-attested bank pass book copy / bank statement / bank letter to substantiate that the first unit holder is one of the joint holder of 5. AUTHORISATION BY BANK ACCOUNT HOLDER(S)

the bank account. In case of a mismatch, it will be deemed to be a 3rd party payment and rejected exceptu n d e r t h e f o l l o w i n g a) Please indicate the name of the bank & branch, bank account number.

exceptional circumstances. b) If the mode of operation of bank account is joint, all bank account holders would need to sign at the place marked.

a) Payment by parents / grand-parents / related person on behalf of a minor in consideration of natural love and affection or as gift 6. Applications incomplete in any respect are liable to be rejected. AMC/ Service Provider shall have absolute discretion to reject any such Application

provided the purchase value is less than or equal to ` 50,000/- and KYC is completed for the registered Guardian and the person forms.

making the payment. However, single subscription value shall not exceed above ` 50,000/- (including investment through each 7. AMC or other service providers shall not be responsible and liable for any damages / compensation for any loss, damage etc. The investor assumes

regular purchase or single SIP instalment). However, this restriction will not to be applicable for payment made by a guardian the entire risk of using this facility and takes full responsibility.

whose name is registered in the records of Mutual Fund in that folio. Additional declaration in the prescribed format signed by 8. DECLARATION & SIGNATURES

the guardian and parents/grand -parents/ related person is also required along with the application form. This section need to be signed by the applicant(s) / unit holder(s) at the places marked as per the mode of holding recorded with us (i.e. “Single”, “

b) Payment by an Employer on behalf of employee under Systematic Investment plans through, Payroll deductions provided KYC Anyone or Survivor” or “Joint”).

is completed for the employee who is the beneficiary investor and the employer who is making the payment. Additional

SYSTEMATIC INVESTMENT PLAN DETAILS

Please submit to brance in Bandra,

Mumbai or email QFund