COMMON NOMINEE REGISTRATION / CANCELLATION FORM

Date: _____/______/_________

Time Stamp 1:

Time Stamp 2:

Signature

___________________________ ___________________________ ____________________________

Applicant 2

Applicant 3

Applicant

___________________________________________________________________________________________________

RECEIVING PART : Time Stamp 3:

NAME-

FOLIO-

NCT TYPE-

Mutual Fund

Folio Number’s

Investor Name 1

Investor Name 2

Investor Name 3

Mode of Holding: SINGLE JOINTLY ANYONE OR SURVIVOR

Registration Of Nominee

Nominee Name 1

Address

Allocation: % DOB (In case of Minor) :

Nominee Name 2

Address

Allocation: % DOB (In case of Minor) :

Nominee Name 3

Address

Allocation: % DOB (In case of Minor) :

Cancellation Of Nominee

Nominee 1

Nominee 2

Nominee 3

https://QFund.in Mutual Fund India

Mutual Fund India