LIC MF Common Application Form Final with Cash

7. CONTACT DETAILS OF SOLE/FIRST APPLICANT (Mobile No. and Email Id. Refer Instruction No. 11)

Email Id (Please Specify) Mobile No.

Tel no (Resi) ( STD Code) (Off) ( STD Code)

ARN / RIA Code Sub-broker Code Sub-broker ARN Code Employee Unique

Identication Number (EUIN)

Time Stamp No

For ofce use only

SIGN HERE

First/ Sole Applicant/ Guardian

SIGN HERE

Second Applicant

SIGN HERE

Third Applicant

TRANSACTION CHARGES FOR APPLICANTS THROUGH ARN HOLDER ONLY [Refer Instruction 4]

I conrm that I am a First time investor across Mutual Funds. I conrm that I am an existing investor in Mutual Funds.

(Rs. 150 deductible as Transaction Charge and payable to the Distributor) (Rs. 100 deductible as Transaction Charge and payable to the Distributor

In case the purchase/ subscription amount is Rs. 10,000 or more and your Distributor has opted in to receive Transaction Charges, the same are deductible as applicable

from the purchase/ subscription amount and payable to the Distributor. Units will be issued against the balance amount invested. Upfront commission shall be paid directly

by the investor to the ARN Holder (AMFI registered Distributor) based on the investors’ assessment of various factors including the service rendered by the ARN Holder.

1. EXISTING UNIT HOLDER INFORMATION (If you have existing folio, with PAN & KYC validation please ll in section 1 and proceed to section 4.)

Folio No.

The details in our records under the folio number mentioned alongside will apply for this application

2. APPLICANT(S) DETAILS (In case of Minor, there shall be no joint holders) (Mandatory information – If left blank the application is liable to be rejected.)

First Applicant‘s Name/Minor Name FIRST MIDDLE LAST

KYC :

Declaration for “execution-only” transaction (only where EUIN box is left blank) (Refer Instruction No. 3)

“I / We hereby conrm 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.” (please tick (√)) and sign)

Application No.

KEY PARTNER / ARN HOLDER INFORMATION (Investors applying under Direct Plan must mention “Direct” in ARN Code column.) (Refer Instruction 2 & 3)

Investors must read the Key Information Memorandum, the instructions and product labeling on

cover page before completing this Form. The Application Form should be completed in English and in

BLOCK LETTERS only.

5. MODE OF HOLDING [Please tick (√)]

Joint Single Anyone or Survivor (Default option is Joint)

6. MAILING ADDRESS OF FIRST / SOLE APPLICANT (MANDATORY) (Refer Instruction 11)

Landmark City State Pincode Country

COMMON APPLICATION FORM

Received an application for purchase of units of LIC MF

(Scheme Name with option)

from Mr/Mrs/M/s. alongwith

(Name of the investor)

Cheque/Draft No./Payment Instrument No. Dated Bank

Branch Drawn on For `

Bank Charges (in cases of Draft) of ` Date

Please Note : All purchases are subject to realisation of Cheque / Demand Draft / Payment Instrument.

ACKNOWLEDGEMENT SLIP

Time Stamp No.

ISC Signature, Stamp & Date

(TO BE FILLED IN BY THE INVESTOR)

APP. No

D D M M Y Y Y Y

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

Second Applicant ‘s Name FIRST MIDDLE LAST

KYC :

Third Applicant ‘s Name FIRST MIDDLE LAST

KYC :

First Applicant PAN :

CKYC No.:

DOB (

mandatory)

Second Applicant PAN :

CKYC No.:

DOB (

mandatory)

Third Applicant PAN :

CKYC No.:

DOB (

mandatory)

NAME OF GUARDIAN (in case of First / Sole Applicant is a Minor) / NAME OF CONTACT PERSON – DESIGNATION (in case of non-individual Investors )

FIRST MIDDLE LAST

PAN:

KYC CKYC No.:

Father

Mother Court Appointed Legal Guardian

DOB (

mandatory)

Relationship with minor Please

( √)

3. TAX STATUS (Please tick √)

Resident Individual FIIs NRI-NRO HUF Club/Society PIO Body Corporate Minor Government Body Bank

Trust NRI-NRE FI Sole Proprietor Partnership Firm QFI FPI Others Company LLP

4. KYC Details (Mandatory) Occupation Please tick (√)

FIRST APPLICANT/

GUARDIAN (in case of minor)

Private Sector

Student

Public Sector

Forex Dealer

Government Service Business Professional Agriculturist

Others ..................................................................(please specify)

Retired Housewife

SECOND APPLICANT

Private Sector

Student

Public Sector

Forex Dealer

Government Service Business Professional Agriculturist

Others ..................................................................(please specify)

Retired Housewife

THIRD APPLICANT

Private Sector

Student

Public Sector

Forex Dealer

Government Service Business Professional Agriculturist

Others ..................................................................(please specify)

Retired Housewife

D D M M Y Y Y Y

(Not older than 1 year)

GROSS ANNUAL INCOME [Please tick (√)]

FIRST APPLICANT

GUARDIAN (in case of minor)

Below 1 Lac 1-5 Lacs 5-10 Lacs 10-25 Lacs > 25 Lacs - 1 Crore > 1 Crore

Net worth (Mandatory for Non-Individual Rs. as on

SECOND APPLICANT

Below 1 lac 1-5 Lacs 5-10 Lacs 10-25 Lacs > 25 Lacs - 1 Crore > 1 Crore OR Net Worth

THIRD APPLICANT

Below 1 lac 1-5 Lacs 5-10 Lacs 10-25 Lacs > 25 Lacs - 1 Crore > 1 Crore OR Net Worth

For Individual For Non-Individual Investors (Companies, Trust, Partnership etc.)

I am Politically Exposed Person

(Also applicable for authorized signatories/

Promoters/Karta/Trustee/Whole time Directors)

please mention)

I am Related to Politically Exposed Person

Not Applicable

Is the company a Listed Company or Subsidiary of Listed Company or Controlled by a

Listed Company (If No please attach mandatory Ultimate Benecial Ownership (UBO) Declaration)

Foreign Exchange / Money Changer Services

Gaming / Gambling / Lottery / Casino Services

Money Lending / Pawning

None of the above

Yes No

QFund.in Mutual Fund India

Mutual Fund

India

Mutual Fund

India

Mutual Funds

LIC MF Common Application Form Final with Cash

SIGN HERE

First Applicant/ Guardian

SIGN HERE

Second Applicant

SIGN HERE

Third Applicant

Call Toll Free Number 1800-258-5678

Email : service@licmf.com

Website : www.licmf.com

For any queries please contact our nearest Investor Service Centre or

15. DECLARATION & SIGNATURE/S

a) Having read & understand the contents of the Scheme Information Document of the Scheme & reinvestment scheme. I/We hereby apply for units of the scheme & agree to abide by the terms, conditions,

rules & regulations governing the scheme. I /We hereby declare that the amount invested in the scheme is through ligitimate sources only & does not involve & is not designed for the purpose of the

contravention of any Act, Rules, Regulations, Notifications or Directions of the provisions of the Income Tax Act, Anti Money laundering Laws, Anti Corruption Laws or any other applicable laws enacted by

the Govt. of India from time to time. I /We have understood the details of the scheme & I /We have nor recieved nor have been induced by any rebate or gifts, directly or indirectly in making this investment. I

/We confirm that the funds invested in the Scheme, legally belong to me / us, In the event "Know Tour Customer" process is not completed by me / us to the satisfaction of the AMC. I /We hereby authorised

the AMC, to redeem the funds invested in the Scheme, in favour of the applicant at the applicable NAV prevalling on the date of such redemption & undertaking such other action with such funds that may

be required by the Law. b) for NRIs: I /We confirm that I am/ we are Non Resident of Indian Nationality / Origin & that I /we have remitted funds from abroad through approved banking channels or from

funds in my/our Non-Resident External / Non-Resident Ordinary. I/We confirm that details provided by me/us are true & correct. c) The ARN holder has disclosed to me/us all the commissions (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. d) I/We have read &

understood the SEBI Circular no. MRD/DoP/Cir 05/2007 dt. April 27, 2007 & SEBI Circular No. 35/ MEM-COR/18/07-08 dt. June 26, 2007 regarding mandatory requirement of PAN. I/We confirm that I/we are

holding valid PAN card / have applied for PAN. e) The ARN holder has disclosed to me/us all the commission (In the form of trail commission or any other mode), payable to him for the different competing

Scheme of various Mutual Fund from amongst which the Scheme is being recommended to me /us.

FOR INVESTMENT BY CASH : I have not invested in LIC Mutual Fund more than Rs. 50.000/- in cash including the current investment during the current nancial year.

Date :

Place :

13. NOMINATION DETAILS (Refer Instruction No. 16)

I/We wish to nominate

I/We DO NOT wish to nominate (sign here) 1st Applicant Signature (Mandatory)

Nominee Name and Address Guardian Name (in case of Minor) Allocation % Nominee / Guardian Signature

Nominee 1

Nominee 2

Nominee 3

100%

14. POA (Power of Attorney) REGISTRATION DETAILS (Refer Instruction overleaf)

Name of the POA holder Attached KYC Letter (Mandatory)

PAN of the PoA holder Notarized copy of PoA

8. Overseas address (Overseas address is mandatory for NRI / FII applicants in addition to mailing address in India)

Landmark City State Pincode Country

10. FATCA Detail (For Individuals & HUF (Mandatory) Non Individual investors should mandatorily ll separate FATCA details form

Do you have any non-Indian Country (ies) of Birth / Citizenship / Nationality and Tax Residency? Yes No Please tick as applicable and if yes, provide the below mentioned information Imandatory).

Sole/First Applicant/Guardian Yes No 2nd Applicant Yes No 3rd Applicant Yes No or POA Yes No

Country of Birth Country of Birth Country of Birth

County of Citizenship/ Nationality Country of Citizenship/

Nationality

Country of Citizenship/

Nationality

Are you e US Specied Person?

Yes No

please provide Tax Payer Id.

Are you a US Specied Person?

Yes No

please provide Tax Payer Id.

Are you a US Specied

Person?

Yes No

please provide Tax Payer Id.

Country of Tax Residency*

(other than India)

Taxpayer Identication No. Country of Tax Residency*

(other than India)

Taxpayer Identication No. Country of Tax Residency*

(other than India)

Taxpayer Identication No.

1 1 1

2 2 2

* Please indicate all countries in which you are a resident for tax purpose and associated Tax Payer Indentication number. In case of association with POA, the POA holder should ll form to provide the above details mandatorily.

9. DEMAT ACCOUNT DETAILS* - (Optional - refer instruction 14)

NSDL CDSL

DP NAME

DP ID

Beneciary Account No

11. BANK ACCOUNT DETAILS OF THE FIRST APPLICANT

(refer instruction 8) As per SEBI Regulations it is mandatory for investors to provide their bank account details

Account No. Name of the Bank

Type of A/c

Current

NRE

NRO

FCNR

Others

Please specify

Branch Bank City

IFSC code** MICR no

Refer Instruction 8.3 (Mandatory to attach proof, in case the pay-out bank account is different from

the bank account where the investment is made) For unit holders opting to hold units in demat form,

please ensure that the bank account is mentioned here. (**Mandatory to credit via NEFT/RTGS)

12. INVESTMENT DETAILS [Please tick (√)] (Refer Instruction No. 2, 3 & 10) (If this section is left blank, only folio will be created)

Separate cheque/demand draft must be Issued for each Investment, drawn in favour of respective scheme name. Please write appropriate scheme name as well as the Plan / Option / Sub Option.

* Cheque / DD Favouring Scheme

Name / Cash (refer Instruction 2 & 3)

LIC MF

Plan / Option Amount

Invested

(Rs.)

Cheque/DD No./UTR No.

(in case of NEFT/RTGS)

TSL No. (in case of CASH)

Bank and Branch and Account Number

(for Cheque / DD)

For Cash

Deposited in Bank

Branch Code

*All purchases are subject to relaization of fund (Refer to Instruction No. 10) Account Type (Please tick (√)) SB Current NRE NRO FCNR Others (Please Specify) _____

Mutual Fund

India

Mutual Fund Bandra

Mutual Fund

India

Mutual Fund

Mumbai

Mutual Funds India

Mumbai, India

LIC MF Common Application Form Final with Cash

1. Please read Key Information Memorandum, terms of the Scheme Information Documents) of the respective Scheme(s) and Statement of Additional Information carefully

before lling the Application Form. Investors should apprise themselves of the prevailing Load structure on the date of submitting the Application Form. Investors are deemed

to have accepted the terms subject to which these offers are being made and bind themselves to the terms upon signing the Application Form and tendering payment New

investors wishing to make SIP investment will need to complete and submit both the Application Form and the SIP Enrolment For m (for Post Dated Cheques or for Auto Debit/

Standing Instruction as applicable).The Application Form should be completed in ENGLISH and in BLOCK LETTERS only. Please tick in the appropriate box for relevant

options wherever applicable. Please do not overwrite. For any correction / changes (if any) made, the sole / all applicants are requested to authenticate the same by canceling

and re-writing the correct details and counter-signing the same. Applications complete in all respects, may be submitted at the designated Ofcial Points of Acceptance of LIC

Mutual Fund. Investors must write the Application Form number / Folio number on the reverse of the cheques and bank drafts accompanying the Application Form.

Applications incomplete in any respect are liable to be rejected.

Please note that if no Plan is ticked / indicated in the Application form, the units will, by default be allotted under the Growth Plan of the Scheme. Similarly, Dividend

Reinvestment Option of the Dividend Plan shall be the default sub-options.

2. Direct Investments: Investors applying under Direct Plan must mention "Direct" in ARN column. In case Distributor code is mentioned in the application form, but "Direct

Plan" is indicated against the Scheme name, the Distributor code will be ignored and the application will be processed under Direct Plan. In case of valid application received

without indicating "Direct Plan" against the Scheme / Plan name and without any Distributor Code mentioned on the form, the application will be processed under

"Direct Plan".

Cash

Pursuant to SEBI Circular No. CIR/IMD/DF/ 21/2012 dated September 13, 2012 read with SEBI Circular No. CIR/IMD/DF/10/2014 dated May 22, 2014 the Fund will

accept subscription applications with payment mode as ‘Cash’ (“Cash Investments”) at all Branch Ofces of LIC Mutual Fund and Registrar & Transfer Agent (Karvy)

which are designated as Point of Acceptance (POA) for schemes of LIC Mutual Fund to the extent of Rs.50,000 per investor, per nancial year as follows:

1. Only resident individuals, sole proprietorships and minors (through natural parent/legal guardians), who are KYC compliant (with or without PAN), have a bank

account and who submit applications in physical mode at all Branch Ofces of LIC Mutual Fund and Registrar & Transfer Agent (Karvy) which are designated as Point

of Acceptance (POA) can avail this facility.

2. Currently, the Fund has made arrangements with Corporation Bank (“the Bank”) to collect Cash from the investors of the Fund at designated branches of the Bank.

For an updated list of the POAs / the designated bank branches accepting Cash Investments, investors may contact any of our POAs or visit the website www.licmf.com

3. Procedure to undertake Cash Investments:

a . Deposit slips for making Cash Investments may be obtained from ISCs which accept Cash Investment applications. The deposit slip must be lled with the scheme

name and the amount of cash to be deposited. The deposit slip will be veried by the ISC ofcials.

b. Investors must then deposit the cash along with the veried deposit slip at any of the nearest designated branches of the Bank accepting cash under this facility.

c. Acknowledged copy of the deposit slip received from the Bank along with the Scheme application form / transaction slip must be submitted at the same ISC (i.e.

from where the deposit slip was obtained) for time stamping. Investors must mention their name and folio number/ application number on the reverse of the Bank-

acknowledged deposit slip. The pay-out bank account details are also required to be specied in the application form by the investors.

4. If the amount of subscription (together with the investments already made through cash in the same nancial year) exceeds Rs.50,000/-, the application will be

rejected.

5. Payment of proceeds towards redemptions, dividend, etc. with respect to Cash Investments shall be made only through the pay-out bank account mentioned in the

application form or as registered in the folio (as applicable) as Bank mandate.

6. Acceptance of Cash Investments will be subject to compliance with applicable laws pertaining to prevention of money laundering.

7. Application for Cash Investment not satisfying the above conditions may be rejected.

For details on procedure and conditions for making ‘Cash Investments’, refer section ‘How to Apply’ appearing in SAI or contact any our POAs or visit our website

www.licmf.com

3. Investments through distributors

3.1. As per directions of Securities and Exchange Board of India (SEBI), the distributors, agents or any persons employed or engaged or to be employed or engaged in the sale

and/or distribution of mutual fund products are required to have a valid certication from the National Institute of Securities Markets (NISM) by passing the certication

examination. Further, no agents / distributors are entitled to sell units of mutual funds unless the intermediary is register ed with Association of Mutual Funds in India (AMFI).

New cadre distributors: SEBI has introduced a new cadre of distributors such as postal agents; retired government and semi-government ofcials (class HI and above or

equivalent), retired teachers and retired bank ofcers (all such retired persons with at least 10 years of service) and other similar persons (such as Bank correspondents) as

may be notied by AMFI/AMC from time to time. Such New Cadre distributor can sell only 'siniple and performing' diversied equity schemes, index funds and xed

maturity

3.2. There is a pre-x of *SD* before the ARN number of such distributors. They also hold an EUIN which must be quoted in the application form. In case your application for

subscription is through such distributor is not for an eligible scheme, it is liable to be rejected.

3.3. Enjployee Unique Identication Number (EUIN): SEBI has made it compulsory for every employee/ relationship manager/ sales person of the distributor of mutual fund

products to quote the EUIN obtained by him/her from AMFI in the Application Form. EUIN, particularly in advisory transactions, would assist in addressing any instance of mis-

sclling even if the employee/relationship manager /sales person later leaves the employment of the distributor.

Individual ARN holders including senior citizens distributing mutual fund products are also required to obtain and quote EUIN in the Application Form. Hence, if your

investments are routed through a distributor please ensure that the EUIN is correctly lled up in the Application Form. However, if your distributor has not given you any advice

pertaining to the investment the EUIN box may be left blank. In this case, you are required to provide a duly signed declaration to this effect, as given in the Form.

3.4.Overseas Distributors: Overseas Distributors are exempt from obtaining NISM certication and AMFI registration. However, such Overseas Distributors are required to

comply with the guidelines/ requirements as may be issued by AMFI /SEBI from time to time and also comply with the laws, rules and regulations of jurisdictions where they

carry out their operatMMS in the capacity of distributors. Further, EUIN will not be applicable for overseas distributors who comply with the requirements as per AMFI

circular CIR/ ARN-14/12-13 dated July 13, 2012.

4. Transaction Charges

4.1. ln accordance with SEBI circular No. Cir/ IMD/ DF/13/ 2011 dated August 22, 2011, as amended from time to time LIC MF Asset Management Limited (“the

AMC)/Mutual Fund wi deduct Transaction Charges from the purchase/ subscription amount received from the investors investing through a valid ARN Holder i.e. AMFI

registered Distributor (provided the Distributor has opted-in to receive the Transaction Charges).

4.1.1. The Distributor may opt to receive transaction charges based on the type of product,

4.1.2. Transaction Charge of Rs. 150 (for a rst time investor across mutual funds) or Rs, 100 (for investor other than rst time mutual fund investor) per purchase /

subscription of Rs. 10,000 and above are deductible from the purchase / subscription amount and payable to the Distributor. T he balance amount shall be invested.

There shall be no transaction charge on subscription below Rs. 10,000/- and on transactions other than purchases/ subscriptions relating to new inows. However, the

option to charge “transaction charges” is at the discretion of the distributors.

5. Existing Unit holder information

investors already having an account in any of LIC Mutual Fund Schemes should provide their Folio Number & Name of the First Unit Holder in section 1 and proceed to

section 6 & 7. The personal details and Bank Account details as they feature in the existing folio would apply to this investment as well and would prevail over any conicting

information furnished in this form. Unitholder’s name should match with the details in the existing folio number, failing which the application form is liable to be rejected. In

such case, if any other details are lled, the same shall be ignored.

6. Unit holder Information

6.1. Name and address must be written in full, On successful validation of the investor’s PAN for KYC, the address provided in the KYC form will override the address mentioned

in this form. In case the Investor is an NRI/FII/0CI/QFI/FPI, an overseas address must be provided. A local address if available may also be mentioned in the Application

Form.

6.2. Applications under a Power of Attorney or by a limited company or a corporate body or an eligible institution or a registered society or a trust fund must be accompanied by

the original Power of Attorney (or a certied true copy of the same duly notarised). Authorised ofcials should sign the Application Form under their ofcial designation. A list of

specimen signatures of the authorized ofcials, duly certied / attested should also be attached to the Application Form. Unit holders are advised to provide their contact details

like telephone numbers, mobile numbers and email IDs to LIC Mutual Fund in writing.

6.3. All communication and payments shall be made by the Mutual Fund in the name of and favouring the rst/sole applicant. In case of applications made in joint names without

indicating the mode of holding, mode of holding will be deemed as ‘joint’ and processed accordingly,

INSTRUCTIONS

Mutual Fund Investments Are Subject To Market Risks, Read All Scheme Related Documents Carefully.

Mutual fund India

LIC MF Common Application Form Final with Cash

6.5. In case of fresh/ additional purchases, if the name of a particular scheme on the application form/ transaction slip differs with the name on the cheque, then LIC

Mutual Fund Asset Management Ltd. (The AMC) will process the application and allot units at the applicable net asset value, under the scheme which is mentioned on

the application form/ transaction slip duly signed by the investor(s). The AMC reserves the right to call for other additional documents as may be required, for processing

such transactions. The AMC also reserves the right to reject such transactions.

The AMC thereafter shall not be responsible for any loss sufferedby the investor(s) due to the discrepancy in the scheme name mentioned in the application

form/ transaction slip and cheque/ Demand Draft

7. Accounts of Minors: The minor shall only be the rst and the sole holder in an account (folio). There shall not be any joint accounts with minor as the rst or joint holder.

Name of the Parent or Guardian must be mentioned if the investments are being made on behalf of a minor. Guardian in the foli o should either be a natural guardian (i.e. father or

mother, as the case may be) or a court appointed legal guardian. Date of birth of the minor along with photocopy of supporting documents (i.e. Birth certicate, School leaving

certicate / Mark sheet issued by Higher Secondary Board of respective states, ICSE, CBSE etc.. Passport, or any other suitable proof evidencing the date of birth of the minor)

should be provided while opening the folio. In case of a natural guardian, document evidencing the relationship of the Guardi an with the minor, if the same is not available as part

of the documents mentioned above should be submitted. In case of court appointed legal guardian, supporting documentary evidence should be provided. Further, in case of

SIP/STP/SWAP registration requests received on/after April 1, 2011, the Mutual Fund/AMC will register SIP/STP/SWAP in the folio held by a minor only till the date of

the minor attaining majority, even though the instructions may be for a period beyond that date.

For folios where the units are held on behalf of the minor, the account shall be froze n for operation by the guardian on the day the minor attains majority and no transactions

shall be permitted till the documents for changing the status of the account from ’minor’ to ‘major’ as prescribed are received.

8. Bank Details *

8.1. Pay - Out Bank Account Details: An investor at the time of purchase of units must provide the details of his / her pay-out bank account (i.e. account into which

redemption / dividend proceeds are to be paid) in Section 5 in the Application Form.

Multiple Bank Account Registration: The AMC/ Mutual Fund provides a facility to the investors to register multiple bank accounts (currently upto 5 for Individuals and

10 for Non - Individuals) for receiving redemption/ dividend proceeds etc. by providing necessary documents. Investors must specify any one account as the “Default Bank

Account”. The investor, may however, specify any other registered bank account for credit of redemption proceeds at the time of requesting for the redemption. Investors

holding units in non-demat form are requested to avail the facility of registering multiple bank accounts by lling in the ‘Multiple Bank Accounts Registration Form’ available at

our Investor Service Centres (ISCs) or on our website www.licmf.com

8.2. Multiple Bank Account Registration: The AMC/ Mutual Fund provides a facility to the investors to register multiple bank accounts (currently upto 5 for Individuals

and 10 for Non - Individuals) for receiving redemption/ dividend proceeds etc. by providing necessary documents. Investors must specify any one account as the

“Default Bank Account”. The investor, may however, specify any other registered bank account for credit of redemption proceeds at the time of requesting for the

redemption. Investors holding units in non demat form are requested to avail the facility of registering multiple bank accounts by lling in the 'Multiple Bank Accounts

Registration Form' available at our Investor Service Centres (ISCs) or on our website www.licmf.com

8.3. Indian Financial System Code (IFSC): IFSC is a 11 digit number given by some of the banks on the cheques. IFSC will

help to secure transfer of redemption and dividend payouts via the various electronic modes of transfers that are available with the banks.

9. Mode of Payment:

Payment may be made by cheque or bank draft drawn on any bank, which is situated at and is a member of the Bankers’ Clearing House, located at the place where the

application is submitted. No cash, money orders, post-dated cheques [except through Systematic Investment Plan (SIP)] and postal orders will be accepted. Bank charges for

outstation demand drafts will not be borne by the AMC .The AMC will not accept any request for refund of demand draft charges, in such cases.

9.1. NRIs, FIIs, OCIs:

9.1.1. Repatriatlon Basis

9.1.1.1. In the case of NRIs, payment may be made either by inward remittance through normal banking channels or out of funds held in his Non - Resident (External) Rupee

Account (NRE) / Foreign Currency (Non-Resident) Account (FCNR). In case Indian rupee drafts are purchased abroad or from Foreign Currency Accounts or Non-resident

Rupee Accounts an account debit certicate from the Bank issuing the draft conrming the debit shall also be enclosed.

9.1.1.2. FIIs shall pay their subscription either by inward remittance through normal banking channels or out of funds held in Foreign Currency Account or Non -Resident Rupee

Account maintained by the Fll with a designated branch of an authorised dealer.

9.1.2. Non-repatriation Basis

9.1.2.1. ln the case of NRIs/OCIs, payment may be made either by inward remittance through normal banking channels or out of funds held in his NRE / FCNR / Non-Resident

Ordinary Rupee Account (NRO). In case Indian rupee drafts are purchased abroad or from Foreign Currency Accounts or Non-resident Rupee Accounts an account debit

certicate from the Bank issuing the draft conrming the debit shall also be enclosed.

FPI shall pay their subscription either by inward remitance through norma) banking channels or out of funds held in Foreign currency A/c or special Non-Resident

Rupee A/c maintained by the Fll with designated branch of an authorised dealer.

9.2. In order to prevent frauds and misuse of payment instruments, the investors are mandated to make the payment instrument i.e. cheque, demand draft, pay order, etc.

favouring either of the following given below and crossed “Account Payee only”. Investors are urged to follow the order of preference in making the payment instrument

favouring as: ‘the Specic Scheme A/c Permanent Account Number’ or ‘the Specic Scheme A/c First Investor Name’.

10. Thlrd Party Payments :

Investment/subscription made through Third Party Cheque(s) will not be accepted. Third party cheque(s) for this purpose are dened as: (i) Investment made through

instruments issued from an account other than that of the beneciary investor (ii) in case the investment is made from a joint bank account, the rst holder of the mutual fund

folio is not one of the joint holders of the bank account from which payment is made.

10.1. Third party cheque(s) for investment/subscription shall be accepted, only in exceptional circumstances, as detailed below:

10.1.1. Payment by Parents/Grand-Parents/related persons on behalf of a minor in consideration of natural love and affection or as gift for a value not exceeding Rs.50,000/-

(each regular purchase or per SIP installment). However this restriction will not be applicable for payment made by a guardian whose name is registered in the records of

Mutual Fund in that folio.

10.1.2. Payment by Employer on behalf of employee under Systematic Investment Plans through Payroll deductions.

10.1.3. Custodian on behalf of a Foreign Institutional Investor (FII) or a client

The above mentioned exception cases will be processed after carrying out necessary checks and verication of documents attached along with the purchase transaction

slip/application form, as stated below:

10.1.3.1. Determining the identity of the Investor and the person making payment i.e. mandatory Know Your Client (KYC) for Investor and the person making the

payment

10.1.3.2. Obtaining necessary declaration from the Investor/unit holder and the person making the payment. Declaration by the person making the payment should give details

of the bank account from which the payment is made and the relationship with the beneciary-

10.1.3.3. Verifying the source of funds to ensure that funds have come from the drawer’s account only.

10.2. In case of investment/subscriptions made via Pay Order, Demand Draft, Banker’s cheque, RTGS, NEFT, bank transfer, net banking etc. Following additional checks

shall be carried out.

10.2.1. lf the investment/subscription is settled with pre-funded instruments such as Pay Order, Demand Draft, Banker’s cheque, etc.,a Certicate from the Issuing banker must

accompany the purchase application, stating the Account holder’s name and the Account number which has been debited for issue of the instrument. The funds should be

debited from a pre-registered pay in account available in the records of the Mutual fund, or from the account of the rst named unit holder. Additionally, if a pre-funded

instrument issued by the 6ank against cash, it shall not be accepted for investments of Rs.50,000/- or more. Such prefunded instrument issued against cash payment of less

than Rs.50,000/- should be accompanied by a certicate from the banker giving name, address and PAN (if available) of the person who has requested for the demand

draft.

10.2.2. If payment is made by RTGS, NEFT, bank transfer, etc., a copy of the instruction to the bank stating the account number debited must accompany the purchase

application. The account number mentioned on the transfer instruction should be from pay in account available in the records, or from the account of the rst named unit

holder. Investors are requested to note that AMC reserves right to have additional checks of verication for any mode of pay ment received. AMC reserves the right to reject the

transaction in case the payment is received in an account not belonging to the rst unitholder of the mutual fund.

In case of investors with multiple accounts, in order to ensure smooth processing of investor transactions, it is advisable to register all such accounts, as the

investments/subscriptions received from the said multiple accounts shallljefreated as 1st party payments. Refer Third Party Payment Declaration form available in

www.licmf.com or LIC Mutual Fund branch ofces.

10.3. The Mutual Fund shall adopt the following procedures to ascertain whether payments are Third Party Payments and investors are therefore required to comply with the

requirements specied herein below.

Mutual Fund Investments Are Subject To Market Risks, Read All Scheme Related Documents Carefully.

Mutual Fund

LIC MF Common Application Form Final with Cash

10.4.1.Source of funds-if paid by cheque

Identication of third party cheques by the AMC/Mutual Fund/ Registrar & Transfer Agent (R&TA) will be on the basis of matching the name / signature on the investment

cheque with the name/ signature of the rst named applicant available on the application or in our records for the said folio. If the name of the bank account holder is not pre-

printed on the investment cheque or the signature on the said cheque does not match with that of the rst named applicant mentioned on the application / available in our

records for the said folio, then the investor should submit any one of the following documents at the time of investment:

10.4.1.1. a copy# of the bank passbook or a statement of bank account having the name and address of the account holder and account number;

10.4.1.2. a letter* (in original) from the bank on its letterhead certifying that the investor maintains an account with the bank, along with information like bank account

number, bank branch, account type, the MICR code of the branch & IFSC Code (where available).

# Investors should also bring the original documents along with the documents mentioned in (a) above to the ISCs/Ofcial Points of Acceptance of LIC Mutual Fund.

The copy of such documents will be veried with the original documents to the satisfaction of the AMC/ Mutual Fund/R&TA. The original documents will be returned across

the counter to the investor after due verication.

* In respect of (b) above, it should be certied by the bank manager with his / her full signature, name, employee code, ban k seal and contact number. Investors should note

that where the bank account numbers have changed on account of the implementation of core banking system at their banks, any related communication from the bank

towards a change in bank account number should accompany the application form for subscription of units. However, for updation of the changed bank details in the folio, the

investor should follow the change of bank details process.

The Mutual Fund has also provided a facility to the investors to register multiple bank accounts. Investors are requested to avail the facility of registering multiple bank

accounts by tting in the 'Multiple Bank Accounts Registration Form' available at our Investor Service Centres (ISCs) or on our website www.licmf.com.

10.4.2.Source of funds - if funded by pre-funded instruments such as Pay Order, Demand Draft, Banker's cheque etc

Investors should attach any one of the following supporting documents with the purchase application where subscription for units is vide a pre - funded instrument issued by

way of debit to his / her bank account: (i) a Certicate (in original] from the issuing banker duly certied by the employee signing the pre-funded instrument with his / her full

signature, name, employee code, bank seal and contact number, stating the Account holder's name, the Bank Account Number which has been debited for issue of the instrument

(Mandatory] and PAN as per bank records, if available (ii) a copy of the acknowledgement from the bank, wherein the instructions to debit carry the bank account details and

name of the investor as an account holder are available (iii) a copy of the passbook/ bank statement evidencing the debit for issuance of the instrument The account number

mentioned in the above supporting documents should be the same as / one of the registered bank account or the bank details mentioned in the application form.

10.4.3.Source of funds - if paid by RTGS, Bank Account-to-Account Transfer, NEFT, etc.

Investors should attach to the purchase application form, an acknowledged copy of the instruction to the bank also stating the account number debited. The account number

mentioned on the transfer instruction copy should be a registered bank account or the rst named applicant/ investor should be one of the account holders to the bank account

debited for such electronic transfer of funds.

10.4.4. Source of funds - if paid by a pre-funded instrument issued by the Bank against Cash

The AMC/Mutual Fund /R&TA will not accept any purchase applications from investors if accompanied by a pre-funded instrument issued by a bank (such as Pay Order,

Demand Draft, Banker's cheque] against cash for investments of Rs. 50,000 or more. The investor should submit a Certicate (in original] obtained from the bank giving name,

bank account number (Mandatory] and PAN as per the bank records, if available of the person who has requested for the payment inst rument The said Certicate should be

duly certied by the employee signing the pre-funded instrument with his / her full signature, name, employee code, bank seal and contact number. The AMC / Mutual Fund

/R&TA will check that the name mentioned in the Certicate matches with the rst named investor. The account number mention ed in the Certicate should be the same as /

one of the registered bank account or the bank details mentioned in the application form. LIC Mutual Fund/LIC MF AMC reserves the right to seek information

and /or obtain such other additional documents/information from the investors for identifying whether it is a third party payment. In case the Third Party Declaration Form is

not attached and the source of payment is not identied, LIC Mutual Fund / LIC MF AMC retains the sole and absolute discretion to reject / not process such

Application and refund the subscription money to the bank account from which the subscription amount was received and shall not be liable for any such rejection.

11. Communication to investor

If the investor(s) has/have provided his/their email address in the application form or any subsequent communication in any of the folio belonging to the investors], LIC

MF Asset Management reserves the right to use Electronic Mail (email] as a default mode to send various communication which include account statements for

transactions done by the investor(s).

The investor(s) may request for a physical account statement by writing or calling LIC MF Investor Service Center/ Registrar & Transfer Agent In case of specic request

received from the investors], LIC MF shall endeavor to provide the account statement to the investors] within 5 working days from the receipt o f such request.

It is deemed that the Unit holder is aware of all the security risks associated with online communication, including the possibility of third party interception of the documents

sent via email. The Mutual Fund / Registrars are not responsible for email not reaching the investor and for ail consequences thereof. The Investor shall from time to time

intimate the Mutual Fund / its transfer agents about any changes in the email address. In case of a large document, a suitable link would be provi ded and investor can download,

save and print these documents. However, the investor always has a right to demand a physical copy of any or all the service deliverables, and the Fund would arrange to send

the same to the investor.

If the units are held in Demat mode then the statement of holding of the beneciary account holder for units held in Demat will be sent by the respective DPs periodically.

12. Mode of Payment of Redemption / Dividend Proceeds-via Direct Credit / NEFT / RTGS

12.1 Direct Credit: The AMC has entered into arrangements with some banks to facilitate direct credit of redemption and dividend proceeds (if any) into the bank account of

the respective Unit holders maintained with any of these banks. The list of banks is subject to change from time to time. For the list please visit www.licmf.com

12.2. National Electronic Funds Transfer (NEFT]/RTGS

12.2.1. The AMC provides the facility of 'National Electronic Funds Transfer (NEFT) ’ Real Time Gross Settlement (RTGS) offered by Reserve Bank of India(RBl),

which aims to provide credit of redemption and dividend payouts (if any) directly into the bank account of the Unit holder maintained with the banks(participating in the

NEFT System). Unit holders can check the list of banks participating in the NEFT System / RTGS System from the RBI website i.e. www.rbi.org.in or contact any of

our Investor Service Centres.

12.2,2. However, in the event of the name of Unit holder's bank not appearing in the ‘List of Banks participating in NEFT updated on RBI website www.rbi.org.in, from time to

time, the instructions of the Unit holder for remittance of redemption/ dividend (if any) proceeds via NEFT System / RTGS System will be discontinued by LIC Mutual Fund / LIC

MF Asset Management Limited without prior notice to the Unit holder and the payouts of redemption / dividend (if any) proceeds shall be effected by sending

the Unit holder(s) a cheque / demand draft

12.2.3. For more details on NEFT / RTGS or for frequently asked questions^FAQs] on NEFT/RTGS, Unit holders are advised to visit the RBI website www.rbi.org.in.

12.2.4. The facility for payment of dividend proceeds, if any via warrant shall be affected only in case the bank account of an investor is not covered under the Direct

Credit facility, NEFT system or NEFT Regection .

LIC MF Asset Management Limited / LIC Mutual Fund shall not be held liable for any losses/ claims, etc. arising on account of processing the direct credit or credit

via NEFT/RTGS of redemption / dividend proceeds on the basis of Bank Account details as provided by the unit holder in the Application Form. Unit holders are

required to attach the cancelled cheque of the payout bank for verication. (If the same is different from the investment cheque)'

13. Dematerialization

13.1. Investors have an option to hold the Units in de materialized form. Currently, this facility is not available in case of units offered under the Daily / Weekly / Fort

nightly Dividend Option(s) and also for LIC MF Unit Linked Insurance Scheme. Investors desiring to get allotment of units in demat mode must have a beneciary

account with a Depository Participant (DP) of the Depositories i.e. National Securities Depositories Limited (NSDL) / Central Depository Services Limited (CDSL),

13.2. If PAN is not mentioned by applicants, the application is liable to be rejected. Investors may attach a copy of the Client Ma ster Form / DP statement showing active demat

account details for verication.Names, mode of holding, PAN details, etc. of the Investor will be veried against the Depository data. The units will be credited to the beneciary

(demat) account only after successful verication with the depository records and realization of payment In case the demat details mentioned in the application are

incomplete/incorrect or do not match with the depository data, the application shall be treated as invalid for processing und er demat mode and therefore may be considered for

processing in non-demat form i.e. in physical mode if the application is otherwise valid.

13.3. All details such as address, bank details, nomination etc. will be applicable as available in the depositories' records. For effecting any subsequent changes to such

information, Investors should approach their DP. Redemption requests for units held in demat mode must be submitted to DP or through Stock Exchange Platform, as applicable.

Holding / transacting of units held in demat mode shall be in accordance with the procedures / requirements laid down by the Depositories, viz. NSDL/ CDSL in accordance with

the provisions under the Depositories Act, 1996 and the regulations thereunder.

14. Signatures

14.1.

Signature(s) should be in English or in any indian Language, Applications on behalf of minors should be signed by their Guardian, in case of a HUF, the Karta should sign the

Application Form on behalf of the HUF.

14.2. If you are investing through your Constituted Attorney, please ensure that the Power o f Attorney is signed by you and your Constituted Attorney. The signature in the

Application Form then needs to clearly indicate that the signature is on behalf of the applicant by the Constituted Attorney then the form should be accompanied by a notarised

photocopy of the PoA. Alternatively, the original PoA may be submitted, which will be returned after verication. If the PoA is not submitted with the application, the Application

Mutual Fund Investments Are Subject To Market Risks, Read All Scheme Related Documents Carefully.

LIC MF Common Application Form Final with Cash

Form will be rejected.

14.3. Thumb impressions must be attested by a Magistrate or a Notary Public or a Special Executive Magistrate under his/her ofcial seal.

15. Nomination:

15.1. Nomination ensures all rights and/or amount(s) payable in respect of the holdings in Schemes of LIC Mutual Fund would vest in and be transferred to the

nominee upon death of the Unit holder. The nominee receives the units only as agent and trustee for the legal heirs or legatees as the case may be. Investors should opt for the

nomination facility to avoid hassles a»d inconveniences in case of unforeseen events in future.

15.2. Nomination by a unit holder shall be applicable for investments in all schemes in the folio or account

15.3. Every new nomination for a folio/account will overwrite the existing nomination. Nomination will be subject to the provisions of the Scheme Information Document

15.4. Nomination shall be mandatory for new folios/accounts opened by an individual especially with sole holding and no new folios/accounts for Individuals (with sole

holding) would be opened without nomination. However, investors who do not wish to nominate must sign separately conrming their non -intention to nominate. In case

nomination/non-intention to nominate is not provided by Individual (with sole holding), the application is liable to be rejected.

15.5. The nomination can be made only by individuals applying for/ holding units on their own behalf singly or jointly. Karta of Hindu undivided family, holder of Power

of Attorney cannot nominate.

15.6. Nomination shall not be allowed in a folio held on behalf of a minor. In case a folio has joint holders, all joint holders should sign the request for nomination/cancellation

of nomination, even if the mode of holding is not “joint”.

15.7. Minor(s) can be nominated and in that event, the name, address and signature of the guardian of the minor nominee(s) shall be provided by the unitholder. Nomination

can also be in favour of the Central Government, State Government, a local authority, any person designated by virtue of his ofce or a religious or charitable trust

15.8. The Nominee shall not be a trust (other than a religious or charitable trust), society, body corporate, partnership rm, karta of Hindu undivided family or a Power

of Attorney holder. A nonresident Indian can be a Nominee subject to the exchange controls in force, from time to time.

15.9. Nomination in respect of the units stands rescinded upon the transfer of units. TransFer of units in favour of Nominee(s) shall be valid discharge by the AMC against the

legal heirs.

15.10. Cancellation of nomination can be made only by those individuals who hold units on their own behalf singly or jointly and who made the original nomination.

15.11. On cancellation of the nomination, the nomination shall stand rescinded and the AMC shall not be under any obligation to transfer the units in favour of the

Nominee(s).

15.12. Nomination can be made for maximum number of three nominees. In case of multiple nominees, the percentage of allocation/share in favour of each of the nominees

should be indicated against their name and such allocation/share should be in whole numbers without any decimals making a total of 100 percent

15.13. In the event of the Unitholders not indicating the percentage of allocation/share for each of the nominees, LIC Mutual Fund/ LIC MF Asset Management

Limited (AMC), by invoking default option shall settle the claim equally amongst all the nominees.

15.14. In case of investors opting to hold the Units in demat form, the nomination details provided by the investor to the depository participant will be applicable.

16. Permanent Account N umber:

16.1. SEBI has made it mandatory for all applicants (in the case of application in joint names, each of the applicants) to mention his/her permanent account number (PAN)

irrespective of the amount [Except as given below]. Where the applicant is a minor, and does not possess his / her own PAN, he / she shall quote the P AN of his/ her father or

mother or the guardian, as the case may be. However, PAN is not mandatory in the case of Central Governmen t. State Government entities and the ofcials appointed by the

courts e.g. Ofcial liquidator, Court receiver etc (under the category of Government) for transacting in the securities mark et PAN card copy is not required separately if KYC

acknowledgement letter is made available. LIC Mutual Fund reserves the right to ascertain the status of such entities with adequate supporting documents.

Applications not complying with the above requirement may not be accepted/ processed.

16.2. PAN Exempt Investments;

SEBI vide its circular dated July 24,2012 has claried that investments in mutual funds schemes (including investments in SIPs) of upto Rs.50,000 per investor per year across

all schemes of the Fund shall be exempt from the requirement of PAN. Accordingly, individuals (including Joint Holders who are individuals, NRls but not PlOs, Minors} and

Sole proprietary rms who do not possess a PAN (“Eligible Investors”)* are exempt from submission of PAN for investments upt o Rs.50,000 in a rolling 12 month period or in

a nancial year i.e. April to March. However, eligible Investors are required to undergo Know Your Customer (KYC) procedure with any of the SEBI registered KYC Registration

Authorities (KRA). Eligible Investors must quote PAN Exempt KYC Reference Number (PEKRN) issued by the KRA under the KYC acknowledgement letter in the application

form and submit a copy thereof along with the application form. In case the applicant is a minor^PAN /PEKRN details of the C uardian shall be submitted, as applicable. Eligible

Investors (i.e. the First Holder) must not possess a PAN at the time of submission of application form. Eligible investors mu st hold only one PEKRN issued by any one of the

KRAs. If an application for investment together within investments made in a rolling 12 month period or in a nancial year exceeds Rs.50,000, such an application will be

rejected. Fresh / Additional Purchase and Systematic Investment Plans will be covered in the limit of Rs.50,000. Investors may switch their investments to other Schemes.

However, if the amount per switch transaction is Rs.50,000 or more, in accordance with the extant Income Tax rules, investors will be required to furnish a copy of PAN to the

Mutual Fund.

The detailed procedures / requirements for accepting applications shall be as specied by the AMC/Trustee from time to time and their decision in this behalf will be nal and

binding.

* HUFs and other categories are not eligible for such investments.

17. Prevention of Money Laundering

SEBI vide its circular reference number 1SD/CIR/RR/AML/1/06 dated January 18, 2006 and other circulars issued from time to time, mandated that all intermediaries

including Mutual Funds should formulate and implement a proper policy framework as per the guidelines on anti money laundering measures and also to adopt a Know Your

Customer (KYC) policy.

The Investor(s) should ensure that the amount invested in the Scheme is through legitimate sources only and does not involve and is not designated for the purpose of any

contravention or evasion of the provisions of the Income Tax Act, Prevention of Money Laundering Act (PMLA), Prevention of Corruption Ac t and / or any other applicable law

in force and also any laws enacted by the Government of India from time to time or any rules, regulations, notications or directions issued thereunder.

To ensure appropriate identication of the Investor(s) and with a view to monitor transactions for the prevention of money laundering, LIC MF Asset Management

Limited (LIC MF AMC) / LIC Mutual Fund reserves the right to seek information, record investor’s telephonic calls and or obtain and retain documentation for

establishing the identity of the Investor(s), their benecial ownership, proof of residence, source of fun ds, etc. It may re-verify identity and obtain any

incomplete or additional information for this purpose, LIC Mutual Fund, LIC MF AMC, LIC MF Trustee Private Limited (“LIC MF Trustee”) and their Directors, employees

and agents shall not be liable in any manner for any claims arising whatsoever on account of freezing the folios/rejection of any application / allotment of Units or

mandatory redemption of Units due to non compliance with the provisions of the PMLA, SEB1/AMF1 circular (s) and KYC policy and / or where the AMC believes that

transaction is suspicious in nature within the purview of the.j>M&A and SEBI/AMFI circulars) and reporting the same to FIU-IND.

18. Know Your Customer (KYC) Compliance:

18.1. Units held in account statement (non-demat) form

Investors should note that it is mandatory for all purchases/ switches/ registrations for Systematic Investment Plan (SIP)/ Systematic Transfer Plan (STP)/Flex STP/ Flexindex

Plan/ Dividend Transfer Plan (DTP) to quote the KYC Compliance Status of each applicant (guardian in case of minor) in the application and attach proof of KYC Compliance

viz. KYC Acknowledgement Letter. Applicants intending to apply for units through a Power of Attorney (PoA) must ensure that the issuer of the PoA and the holder of the PoA

must mention their KYC Compliance Status and attach proof of KYC Compliance at the time of investment

With effect from January 1,2012, SEBI has introduced a common KYC Application Form for all the SEBI registered intermediarie s. New investors are therefore requested to use

the common KYC Application Form and carry out the KYC process including In-Person Verication (IPV) with any SEBI registered intermediaries including mutual funds. The

KYC Application Forms are also available on our website www.licmf.com. Existing KYC compliant investors of LIC Mutual Fund can continue the practice of

providing KYC Acknowledgement Letter/ Printout of KYC Compliance Status downloaded from CDSL Ventures Ltd. (CVL) website (www.cvlindia.com) using the PAN at the

time of investment Once the investor has done KYC with any SEBI registered intermediary, the investor need not undergo the s ame process again with LIC Mutual

Fund. However, the Mutual Fund reserves the right to carry out fresh KYC of the investor.

18.2. Units held in electronic (demat) form

For units held in demat form, the KYC performed by the Depository Participant of the applicants will be considered as KYC verication done by the Trustee / AMC. In the event

of non compliance of KYC requirements, the Trustee/AMC reserves the right to freeze the folio of the investors) and effect mandatory redemption of unit holdings of the

investors at the applicable NAV, subject to payment of exit load, if any .on our website “www.licmf.com’.

• LIC Mutual Fund / LIC MF Asset Management Limited reserves the right to change/modify the terms and conditions. For the updated terms and conditions, contact

the nearest branch ofces or visit our website www.licmf.com.

Mutual Fund Investments Are Subject To Market Risks, Read All Scheme Related Documents Carefully.

Bandra West

Santacruz

Mutual Fund Worli