CAF

Collection Center’s Stamp &

Receipt Date and Time

Received from: Mr. / Ms. / M/s___________________________________________________ an application for allotment

Scheme________________________________________ Plan _____________________ Option______________________

vide Cheque No ___________________________Dated ____/____/________ Amount (`) ____________________ Drawn on

Bank and Branch ________________________________________________________________________________________

Application No:

Please note: All purchases are subject to realization of cheques and as per applicable load structure (please refer Scheme Information Document)

ACKNOWLEDGEMENT SLIP

To be filled in by the investor

COMMON APPLICATION FORM

Please read Product Labeling available on the Front Inside Cover Page and instructions before filling this form

(all points marked * are mandatory)

Sponsor: Edelweiss Financial Services Limited | Trustee Company: Edelweiss Trusteeship Company Limited.

Investment Manager: Edelweiss Asset Management Limited. Edelweiss House, Off. C.S.T Road, Kalina, Mumbai - 400 098

DISTRIBUTOR INFORMATION

Sub-Broker Code

Employee Unique

Sub-Broker Code

E-Code

RIA CODE

Name & Distributor Code

*Investors should mention the EUIN of the person who has advised the investor. If left blank, the fund will assume following declaration by the investor “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”.

Upfront commission shall be paid directly by the investor to the AMFI registered Distributors based on the investors’ assessment of various factors including the service rendered by the

distributor. For Direct investments, please mention ‘Direct’ in the column ‘Name & Distributor Code’

SIGNATURE (s)

SOLE / FIRST APPLICANT

SECOND APPLICANT

THIRD APPLICANT

All sections to be filled in English and in BLOCK LETTERS. Use this form If you are making a one time investment. For SIP investment use the separate SIP Form. All columns marked * are mandatory.

MAKE YOUR SELECTION BEFORE FILLING FORM (PLEASE )

INVEST NOW ZERO BALANCE FOLIO

(Refer Instruction No.XII)

TRANSACTION CHARGES (PLEASE ) (Default option Existing Investor)

I am a First Time Investor in Mutual Funds I am an Existing Investor in Mutual Funds

In case the subscription amount is `10,000/- or more and your Distributor has opted to receive Transaction Charges, `150 (for first time mutual fund investor) or `100/- (for investor other

than first time mutual fund investor) will be deducted from the subscription amount and paid to the distributor. Units will be issued against the balance amount invested.

EXISTING UNIT HOLDER INFORMATION / EXISTING ZERO BALANCE FOLIO NO. (If you have existing folio, please fill in section 2 and proceed to section 8.)

FOLIO NO. NAME OF FIRST APPLICANT

MANDATORY* Know Your Customer (KYC)

PAN / PEKRN

1ST APPLICANT/GUARDIAN

CKYC Key Identification Number

( )Refer Instruction no. XVIII

Aadhaar No. (UID No.) (Refer Instruction no. )XIX

YES

(Please submit proof)

YES

(Please submit KYC Application form)

P A N

N U M B E R

DATE OF BIRTH (DOB) DATE OF INCORPORATION (DOI)

GUARDIAN (s) NAME (In case if minor / Parent / Legal Guardian)

RELATIONSHIP WITH MINOR / DESIGNATION

MAILING ADDRESS OF SOLE / 1ST APPLICANT (P.O.BOX alone may not be sufficient) Overseas Investor must provide Indian Address

CONTACT

CITY

STATE

COUNTRY

MOBILE

RESI.

COUNTRY

OFF.

FAX

MANDATORY PROOF OF DATE OF BIRTH FOR MINORS (ANY ONE) & Relationship Proof

BIRTH CERTIFICATE

ADDRESS (Mandatory for NRI/FII applicant*)

MARKSHEET (HSC/ICSE/CBSE) SCHOOL LEAVING CERTIFICATE PASSPORT OTHERS

OVERSEAS APPLICANT DETAILS

ZIP CODE For NRI applicants Indian Overseas

Email ID & Mobile No. are essential to enable us to communicate with you better

E-MAIL COMMUNICATION [Please ]

I/We wish to receive the following document via email in lieu of physical document(s) Account Statement / Newsletter / Annual Report / Other Statutory Information :

YES NO

ARN INTERNAL CODE

IDENTIFICATION NO. (EUIN) ONLY FOR DIRECT INVESTMENT

APPLICATION NO.

(Refer Instruction No.XIII)

APPLICANT INFORMATION TO BE FILLED IN BLOCK LETTERS* APPLICANTS FROM CANADA WILL NOT BE ACCEPTED

NAME OF SOLE /1ST APPLICANT

Mr.

Ms.

M/s.

(Refer Instruction No.II)

QFund.in

Mutual Fund India

CHECKLIST ( Please submit the following documents with your application (where applicable). All documents should be original/true copies certified by a Director/Trustee /Company Secretary /Authorised signatory / Notary Public.)

Documents Individual Companies Societies Partnership Firms Investment through POA Trusts NRI FIIs PIO

Resolution/ Authorisation to invest

List of authorised signatories with specimen signatures      

Memorandum & Articles of Association 

Trust Deed 

Bye-laws 

Partnership Deed 

Overseas Auditor Certificate 

Notarised POA 

Proof of Address    

Copy of PAN Card / PEKRN       

KYC Compliance        

PIO Card    

Foreign Inward Remittance Certificate    

    

Occupation* [Please ]

Business Service Professional Agriculturist Housewife Student

Defence

Bureaucrat

Forex Dealer Unlisted Company Body Corporate Listed Company Others _______________________

Legal Status* [Please ]

Resident Individual FII’s

Society/Club AOP/BOP

NRI/PIO FI HUF

Minor

Partnership Firm

Bank Trust

Company/Body Corporate NPO

Others ________________________

Mandatory for Non-Individual Investor

Is the entity involved/providing any of the following services

YES

[Also attach Ultimate Beneficiary Ownership form]

? For Foreign Exchange / Money Changer Service

YES

? Gaming/Gambling/Lottery Services (e.g. casinos, betting syndicates)

YES

? Money Lending / Pawning

For Individual Investor*

Politically Exposed Person (PEP)

YES NO

Related to PEP

YES NO

Mode of Holding* [Please ]

Single

Joint

Any one or survivor (s) (Default)

NAME OF 2ND APPLICANT

Mr.

Ms.

M/s.

CKYC Key Identification Number

PAN /

PEKRN

GROSS ANNUAL INCOME [Please ]

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

Net-worth in (Mandatory for Non-Individuals) A ________________________ as on ____/____/______ (Not older than 1 year)

Occupation* [Please ]

Business Service Professional Agriculturist Housewife Student

Defence

Bureaucrat

Forex Dealer Unlisted Company Body Corporate Listed Company Others _______________________

Legal Status* [Please ]

Resident Individual FII’s

Society/Club AOP/BOP

NRI/PIO FI HUF

Minor

Partnership Firm

Bank Trust

Company/Body Corporate NPO

Others ________________________

For Individual Investor*

Politically Exposed Person (PEP)

YES NO

Related to PEP

YES NO

GROSS ANNUAL INCOME [Please ]

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

Net-worth in (Mandatory for Non-Individuals) A ________________________ as on ____/____/______ (Not older than 1 year)

Occupation* [Please ]

Business Service Professional Agriculturist Housewife Student

Defence

Bureaucrat

Forex Dealer Unlisted Company Body Corporate Listed Company Others _______________________

Legal Status* [Please ]

Resident Individual FII’s

Society/Club AOP/BOP

NRI/PIO FI HUF

Minor

Partnership Firm

Bank Trust

Company/Body Corporate NPO

Others ________________________

For Individual Investor*

Politically Exposed Person (PEP)

YES NO

Related to PEP

YES NO

Aadhaar No. (UID No.) (Refer Instruction no. )XIX

DOB

GROSS ANNUAL INCOME [Please ]

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

Net-worth in (Mandatory for Non-Individuals) A ________________________ as on ____/____/______ (Not older than 1 year)

(Refer Instruction no. )XVIII

NAME OF 3RD APPLICANT

Mr.

Ms.

M/s.

CKYC Key Identification Number

PAN /

PEKRN

Aadhaar No. (UID No.) (Refer Instruction no. )XIX

DOB

(Refer Instruction no. )XVIII

BANK ACCOUNT DETAILS

Mode of Payment [Please ]

Do you want units in demat Form? [Please ]

Gross Amount (A)

Bank/Branch & City

Account No.

Branch Add.

Bank Name

IFSC CODE MICR CODE

PAYMENT DETAILS

RTGS/NEFT Transfer Letter

Cheque Cheque No.

Date

DD Charges (A) Net Amount (A)

Account Type [Please ]

Current

NRO

NRE

FCNR

FOR LUMPSUM/NEW SIP-INVESTMENT DETAILS* Choice of Scheme/Plan/Option For SIP Investment Auto-Debit Form is mandatory

Scheme/Plan/Option/Facility Edelweiss - Scheme Plan Option/Facility

(Default Plan/Option/Facility will be adapted in case of no information, ambiguity or discrepancy)

Dividend Sweep to Scheme ____________________________________ Plan ________________________ Option ______________________

DEMAT ACCOUNT DETAILS*

Yes No

[Please ensure that the sequence of names as mentioned in the application form matches with that

of the demat A/c. held with the depository participant]. In case unit holders do not provide their demat account details, an account statement shall be sent to them.

NATIONAL SECURITIES DEPOSITORY LTD. (NSDL) CENTRAL DEPOSITORY SERVICES (INDIA) LTD. (CSDL)

NOMINATION DETAILS*

I/We hereby nominate the under mentioned nominee to receive the amounts to my/our credit in event of my/our death. I/We also understand that all payments and settlements made

to such Nominee shall be valid discharge by the AMC/Mutual Fund/Trustee Company.

Name of Nominee Date of Birth

(If Nominee is minor)

Allocation

(%)

Name of Legal Guardian/Parent

(If Nominee is minor)

Relationship

with Nominee

Address of Nominee/

Legal Guardian

Depository Participant (DP) Name :

DP ID NO.:

Beneficiary A/C No.

DECLARATION AND SIGNATURE(S)

Having read and understood the contents of the Scheme Information Document of the Scheme and Statement of Additional Information and subsequent amendments thereto including the section on who

cannot invest, "Prevention of Money Laundering" and "Know Your Customer", I/We hereby apply to the Trustee of Edelweiss Mutual fund for units of the Scheme as indicated above and agree to abide by

the terms and conditions, rules and regulations of the Scheme. I/We further declare, I am / we are authorised to invest the amount & that the amount invested by me/us in the above mentioned Scheme(s)

is derived through legitimate sources and is not held or designed for the purpose of contravention of any acts, rules, regulations or any statute or legislation or any other applicable laws or notifications,

directions issued by the governmental or statutory authority from time to time. It is expressly understood that I/We have the express authority from our constitutional documents to invest in the units of the

Scheme(s) and the AMC/Trustee/Fund would not be responsible if the investment is ultra vires thereto and the investment is contrary to the relevant constitutional documents. I/We agree that in case

my/our investment in the Scheme(s) is equal to or more than 25% of the corpus of the Scheme, then Edelweiss Asset Management Ltd., Investment Manager to the Edelweiss Mutual Fund, has full right to

refund the excess to me/us to bring my/our investment below 25%. I/We have not received nor been induced by any rebate or gifts, directly or indirectly in making this investments. I /We hereby authorise

Edelweiss Mutual Fund, its Investment Manager and its agents to disclose details of my investment to my bank(s) / Edelweiss Mutual Fund's bank(s) and / or Distributor / Broker / Investment Advisor. I/We

hereby authorize you to disclose, share, remit in any form, mode or manner, all/ any of the information provided by me/ us, including all changes, update to such information as and when provided by me/ us

to Edelweiss Mutual Fund/ Edelweiss Asset Management Limited to any Indian or foreign governmental or statutory or judicial authorities/ agencies, the tax/ revenue authority and other investigation

agencies without obligation on advising me/ us of the same. I/We authorise Edelweiss Mutual Fund to reject the application, revert the units credited/redeem units created at applicable NAV, restrain me/us

from making any further investment in any of the Schemes of the fund, recover/debit my/our folios(s) with the penal interest and take any appropriate action against me/us in case the cheque(s)/payment

instrument is/are returned by my/our banker for any reason whatsoever. I/We undertake that these investments are my/our own and acknowledge that AMC reserves the right to call for such other

additional information/documents as required to comply with PMLA/KYC/FATCA norms. I/We hereby, further agree that the Fund can directly credit all the dividend payouts and redemption amount to my

bank details given above. I/We hereby declare that the particulars stated above are correct.

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. I/We further agree that the Fund/AMC can send us all types of SMS relating to the products offered by them.

Applicable to investors who have not opted for nomination facility. I/We hereby confirm that it is my/our informed decision not to avail the nomination facility offered by Edelweiss Mutual Fund.

I / We confirm that I am/We are not resident(s) of Canada under the laws of Canada. In case of change to this status, I / We shall notify the AMC, in which event the AMC reserves the right to redeem

my/our investments in the Scheme(s).

I/We hereby provide my/our consent in accordance with Aadhar Act, 2016 and regulations made there under, for(I) collecting,storing and usage (ii) validating/authenticating and Updating my/our

Aadhar numbers(s) in accordance with the Aadhar Act, 2016(and regulations made there under) and PMLA. I /We hereby provide my/our consent for sharing/disclose of the Aadhar number(s)

including demographic information with the asset management companies of SEBI registered mutual fund and their Registrar and Transfer Agent(RTA) for the purpose of updating the same in my/our

folios with my/our PAN.

Applicable to NRI only: I/We confirm that I am / we are Non Resident of Indian Nationality/Origin and I/We hereby confirm that the funds for subscription have been remitted from abroad through

approved banking channels from funds in my/our Non-Resident External/Ordinary Account/FCNR Account. Please (ü) (Including amount of Additional Purchase Transaction made in future)

Repatriation Non Repatriation

SIGNATURE (s)

SOLE / FIRST APPLICANT

SECOND APPLICANT

THIRD APPLICANT

DATE : ____ /____ /______ PLACE : _____________________

(Refer Instruction No.IV)

(Refer Instruction No.VI)

POWER OF ATTORNEY (POA) If investment is being made by a Constitutional Attorney, please submit notarised copy of POA

POA NAME

Mr.

Ms.

M/s.

FATCA/CRS/KYC ADDITIONAL DETAILS Non Individual Investors should mandatory fill separate FATCA/CRS details form

Sole / First Applicant / Guardian

2nd Applicant

3rd Applicant

POA

Place & Country of Birth : _________ / ___________

#Please indicate all countries, other than India, in which you are a resident for tax purpose, associated Taxpayer Identification Number & it’s Identification type e.g: TIN etc.

Place & Country of Birth : _________ / ___________ Place & Country of Birth : _________ / ___________

Country # Country #Country #

Tax Identification

Number

Tax Identification

Number

Tax Identification

Number

Identification

Types

Identification

Types

Identification

Types

PAN

(Refer Instruction No.XVII)

Mutual Fund India

Public.)

Documents Individual Companies Societies Partnership Firms Investment through POA Trusts NRI FIIs PIO

Resolution/ Authorisation to invest

List of authorised signatories with specimen signatures      

Memorandum & Articles of Association 

Trust Deed 

Bye-laws 

Partnership Deed 

Overseas Auditor Certificate 

Notarised POA 

Proof of Address   



Copy of PAN Card / PEKRN       

KYC Compliance       



PIO Card   



Foreign Inward Remittance Certificate   



