account statement statement date : 18 oct 2021
TRANSCRIPT
Guardian
Entry Load: NIL, W.e.f. 01/04/2021 Exit Load : Nil
REP BY U/G : MADHULIKAC/O- VIPUL KUMAR GAUTAMPOST- MALAYPURDIST- JAMUIJAMUIBIHARINDIA, PIN : 811313
Mobile No : 8986724928Email ID : please provide
3rd Holder
Primary Holder
Holder
RESIDENT INDIANRegistered
2nd Holder
No
UTKARSH
::
Please Provide
548287720196 * Folio No. :
: SINGLE : MINOR
: SAVINGS/XXXXXXXX429
: STATE BANK OF INDIA
811002506: : SBIN0009234
: Multiple Broker
: : E066008
Unique Client Code :MFUTIB0011
:
Complied(CVL KRAXXXXXXX76G
* Please quote this folio number for future correspondence / transactions.UMRN : x
Electronic:
Mode of Holding
Date Of Birth Category
Status
Bank Account No
Bank Name
MICR No
Financial Advisor
Sub ARN Code
Pay Mode
IFS Code
Sub Code EUIN
PAN KYC Status/KIN FATCANo
Yes
FrequencySIP RefNo ToDate
SIP Registration Details Step up
FromDate Amount Frequency Amount(`) (`)
499961474 07/06/203107/07/2016 1000 Monthly
Amount Price(`)Tr.Date NAV(`) Balance UnitsLoadTransaction Type Number of Units(`) (`)Cost
UTI Childrens Career Fund (UTI CCF) - Savings Plan - Regular Growth Plan Growth
Opening Balance 7,613.342
1,000.0007/04/2021 Gross Sys. Investment
0.05Stamp Duty @ 0.005 %
999.9507/04/2021 Net Sys. Investment (58/180) 26.9130 37.155 7,650.49726.9130
1,000.0007/05/2021 Gross Sys. Investment
0.05Stamp Duty @ 0.005 %
999.9507/05/2021 Net Sys. Investment (59/180) 27.1132 36.881 7,687.37827.1132
1,000.0007/06/2021 Gross Sys. Investment
0.05Stamp Duty @ 0.005 %
999.9507/06/2021 Net Sys. Investment (60/180) 27.8291 35.932 7,723.31027.8291
1,000.0007/07/2021 Gross Sys. Investment
0.05Stamp Duty @ 0.005 %
999.9507/07/2021 Net Sys. Investment (61/180) 28.2621 35.381 7,758.69128.2621
1,000.0009/08/2021 Gross Sys. Investment
0.05Stamp Duty @ 0.005 %
999.9509/08/2021 Net Sys. Investment (62/180) 28.7962 34.725 7,793.41628.7962
1,000.0007/09/2021 Gross Sys. Investment
0.05Stamp Duty @ 0.005 %
999.9507/09/2021 Net Sys. Investment (63/180) 29.5008 33.896 7,827.31229.5008
1,000.0007/10/2021 Gross Sys. Investment
0.05Stamp Duty @ 0.005 %
999.9507/10/2021 Net Sys. Investment (64/180) 30.0254 33.303 7,860.61530.0254
2,39,146.63Current value
Local UFC Address : UTI Financial Centre; Harshwardhan Arcade, 3rd Floor, Beside Hotel Samrat International, Fraser Road, Patna-800001, Bihar. Tel No: 0612 - 2230886, 2911207;Fax No: 0612-2201576
30.4234 (as on 14 Oct 2021)W.e.f. 2-5-2018,the scheme has a lock in period of 5 years from the date allotment of units or till the child attains age of majority (whichever is earlier).
`NAV `
Account StatementFor the period 01 Apr 2021 to 18 Oct 2021
Statement Date : 18 Oct 2021
of1 2CA : WB99-BRNPM7976G-18-10-2021 09:38:07 / LA: BRNPM7976G-18.10.21-28 Page
Account StatementFor the period 01 Apr 2021 to 18 Oct 2021
Statement Date : 18 Oct 2021
Financial Advisor Multiple Broker XXXXXXX76G
New Scheme- Plan Option
UTKARSH
UTI Childrens Career Fund (UTI CCF) - Savings Plan - Regular Growth Plan Growth (If you wish to invest in different scheme, please strike off here and write below)
Drawn on Bank
*EUIN: 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.
I/we would like to switch
MICR NO
The ARN holder has disclosed to me/us all the commissions (in the form of trial 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.
All units
I/We have understood the contents of the Offer document and addenda issued till date and apply to the Trustee of UTI Mutual Fund as indicated above. I/ We agree to abide by the terms and conditions, rules and regulations of the scheme as on the date of investment. I/ We undertake to confirm that the applicant/unit holder is empowered to invest/ disinvest and the signatories have necessary authorization to invest/disinvest on behalf of applicant/ unit holder. I/We undertake to confirm that this investment has been duly authorized by appropriate authorities in terms of all relevant documents and procedural requirements. I/ We have not received nor been induced by any rebate or gifts, directly or indirectly in making investment. * I/ We confirm than we are Non residents of Indian Nationality/ Origin and that the funds are remitted from abroad through approved banking channels or from my/ our funds from my/ our NRE/ NRO account. I/ We undertake to provide further details of source of funds and any such other relevant document, if called by UTI Mutual Fund. *Appliable to NRIs.
units or (amount in figures)or Partial units
(in words)
Sub Code
from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.
Folio No. 548287720196 PAN
Mode of Holding
I/we would like to redeem
Cheque/DD Number
I/we would like to purchase units of the above mentioned scheme for Amount (in fig)
Redemption :
from above mentioned Scheme to
Purchase / Additional Purchase :
Switch :
`
Bank A/c type (Please tick) CurrentSavings NRO NRE
Plan Growth IDCW Payout
(in words)
SAVINGS/XXXXXXXX429 / STATE BANK OF INDIA / KHADIGRAM / JAMUI / 811313 / ECS - 811002506 / IFS Code : SBIN0009234
SINGLE
units or (amount in figures)`All units or Partial units
EUIN
RM code
: E066008
:
Third Account Holder
Primary Holder
IFSC
KYC Status
NoPlease Provide
2nd Holder
Name
Bank Details
First Account HolderSIGNATURE(S)
:
dated
Second Account Holder
::
:
:
3rd Holder
Guardian Complied(CVL KRA KYC)
:
Sub ARN Code
:
` (in words)
IDCW Reinvestment
Branch
Option
Cheque/DDPaymode UTI SMaRT Form (Max Amount: 1000000.00)
of2 2CA : WB99-BRNPM7976G-18-10-2021 09:38:07 / LA: BRNPM7976G-18.10.21-10 Page
Guardian
For subscriptions received w.e.f. June 4th, 2018, applicable Exit load: Redemption / Switch out within 12
months from the date of allotment – (i) NIL for upto 10% of the allotted Units (ii) 1.00 % for beyond 10% of
the allotted Units.Exit load, if any, will be levied on units redeemed/switched-out , basis the rate prevailing at
the time of allotment of the corresponding units.
C/O- VIPUL KUMAR GAUTAMPOST- MALAYPURDIST- JAMUIJAMUIBIHARINDIA, PIN : 811313
Mobile No : 9431943405Email ID : please provide
Nominee : Santosh Kumar Pandey - 100%
3rd Holder
Primary Holder
Holder
RESIDENT INDIANRegistered
2nd Holder
Complied(CVL KRA
MADHULIKA
::
XXXXXXX76G
548288615012 * Folio No. : Application No : 0017534
: SINGLE : INDIVIDUAL
: SAVINGS/XXXXXXXX429
: STATE BANK OF INDIA
811002506: : SBIN0009234
: Sudhir Kumar Mishra ( ARN-79378 )
: : E066008
Unique Client Code :MFUTIB0066
:
* Please quote this folio number for future correspondence / transactions.
Electronic:
Mode of Holding
Date Of Birth Category
Status
Bank Account No
Bank Name
MICR No
Financial Advisor
Sub ARN Code
Pay Mode
IFS Code
Sub Code EUIN
PAN KYC Status/KIN FATCAYes
Status as on 31-01-2018: NAV Rs. 20.1673, Units 3966.056, Value Rs.79984.640
FrequencySIP RefNo ToDate
SIP Registration Details Step up
FromDate Amount Frequency Amount(`) (`)
494098805 15/06/203015/07/2015 2000 Monthly
Amount
ISIN : INF789F01AF7
Price(`)Tr.Date NAV(`) Balance UnitsLoadTransaction Type Number of Units(`) (`)Cost
UTI Value Opportunities Fund - Regular Plan Reinvestment of IDCW#
Opening Balance 8,687.179
2,000.0015/04/2021 Gross Sys. Investment
0.10Stamp Duty @ 0.005 %
1,999.9015/04/2021 Net Sys. Investment (70/180) 23.8243 83.944 8,771.12323.8243
2,000.0017/05/2021 Gross Sys. Investment
0.10Stamp Duty @ 0.005 %
1,999.9017/05/2021 Net Sys. Investment (71/180) 24.6915 80.995 8,852.11824.6915
2,000.0015/06/2021 Gross Sys. Investment
0.10Stamp Duty @ 0.005 %
1,999.9015/06/2021 Net Sys. Investment (72/180) 26.4138 75.714 8,927.83226.4138
2,000.0015/07/2021 Gross Sys. Investment
0.10Stamp Duty @ 0.005 %
1,999.9015/07/2021 Net Sys. Investment (73/180) 27.2429 73.410 9,001.24227.2429
2,000.0016/08/2021 Gross Sys. Investment
0.10Stamp Duty @ 0.005 %
1,999.9016/08/2021 Net Sys. Investment (74/180) 27.9873 71.457 9,072.69927.9873
2,000.0015/09/2021 Gross Sys. Investment
0.10Stamp Duty @ 0.005 %
1,999.9015/09/2021 Net Sys. Investment (75/180) 29.3035 68.248 9,140.94729.3035
Cost 2,77,271.43Current value
Local UFC Address : UTI Financial Centre; Harshwardhan Arcade, 3rd Floor, Beside Hotel Samrat International, Fraser Road, Patna-800001, Bihar. Tel No: 0612 - 2230886, 2911207;Fax No: 0612-2201576
30.3329 (as on 14 Oct 2021) `NAV ` ` 167,800.00
Account StatementFor the period 01 Apr 2021 to 18 Oct 2021
Statement Date : 18 Oct 2021
of1 2CA : WB99-BRNPM7976G-18-10-2021 09:38:07 / LA: BRNPM7976G-18.10.21-10 Page
Account StatementFor the period 01 Apr 2021 to 18 Oct 2021
Statement Date : 18 Oct 2021
Financial Advisor Sudhir Kumar Mishra ( ARN-79378 )
New Scheme- Plan Option
MADHULIKA
UTI Value Opportunities Fund - Regular Plan Reinvestment of IDCW (If you wish to invest in different scheme, please strike off here and write below)
Drawn on Bank
*EUIN: 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.
I/we would like to switch
MICR NO
The ARN holder has disclosed to me/us all the commissions (in the form of trial 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.
All units
I/We have understood the contents of the Offer document and addenda issued till date and apply to the Trustee of UTI Mutual Fund as indicated above. I/ We agree to abide by the terms and conditions, rules and regulations of the scheme as on the date of investment. I/ We undertake to confirm that the applicant/unit holder is empowered to invest/ disinvest and the signatories have necessary authorization to invest/disinvest on behalf of applicant/ unit holder. I/We undertake to confirm that this investment has been duly authorized by appropriate authorities in terms of all relevant documents and procedural requirements. I/ We have not received nor been induced by any rebate or gifts, directly or indirectly in making investment. * I/ We confirm than we are Non residents of Indian Nationality/ Origin and that the funds are remitted from abroad through approved banking channels or from my/ our funds from my/ our NRE/ NRO account. I/ We undertake to provide further details of source of funds and any such other relevant document, if called by UTI Mutual Fund. *Appliable to NRIs.
units or (amount in figures)or Partial units
(in words)
Sub Code
from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.
Folio No. 548288615012 PAN
Mode of Holding
I/we would like to redeem
Cheque/DD Number
I/we would like to purchase units of the above mentioned scheme for Amount (in fig)
Redemption :
from above mentioned Scheme to
Purchase / Additional Purchase :
Switch :
`
Bank A/c type (Please tick) CurrentSavings NRO NRE
Plan Growth IDCW Payout
(in words)
SAVINGS/XXXXXXXX429 / STATE BANK OF INDIA / KHADIGRAM BRANCH / JAMUI / 811313 / ECS - 811002506 / IFS Code : SBIN0009234
SINGLE
units or (amount in figures)`All units or Partial units
EUIN
RM code
: E066008
:
Third Account Holder
Primary Holder
IFSC
KYC Status
Complied(CVL KRA KYC)XXXXXXX76G
2nd Holder
Name
Bank Details
First Account HolderSIGNATURE(S)
:
dated
Second Account Holder
::
:
:
3rd Holder
Guardian
:
Sub ARN Code
:
` (in words)
IDCW Reinvestment
Branch
Option
# Income Distribution cum Capital Withdrawal
of2 2CA : WB99-BRNPM7976G-18-10-2021 09:38:07 / LA: BRNPM7976G-18.10.21-6 Page
Please update your records with: Email ID
Guardian
For subscriptions received w.e.f. May 17th, 2018, applicable Exit load: Redemption/Switch out within 1 year
from the date of allotment : (i) Upto 10% of the allotted Units - NIL (ii) Beyond 10% of the allotted Units-
1%.Redemption / Switch out after 1 year from the date of allotment – NIL
C/O- VIPUL KUMAR GAUTAMPOST- MALAYPURDIST- JAMUIJAMUIBIHARINDIA, PIN : 811313
Mobile No : 9431943405Email ID : please provide
Nominee : Santosh Kumar Pandey - 100%
3rd Holder
Primary Holder
Holder
RESIDENT INDIANRegistered
2nd Holder
Complied(CVL KRA
MADHULIKA
::
XXXXXXX76G
548305743515 * Folio No. : Application No : 00118821
: SINGLE : INDIVIDUAL
: SAVINGS/XXXXXXXX429
: STATE BANK OF INDIA
811002506: : SBIN0009234
: Sudhir Kumar Mishra ( ARN-79378 )
: : E066008
Unique Client Code :MFUTIB0063
:
* Please quote this folio number for future correspondence / transactions.
Electronic:
Mode of Holding
Date Of Birth Category
Status
Bank Account No
Bank Name
MICR No
Financial Advisor
Sub ARN Code
Pay Mode
IFS Code
Sub Code EUIN
PAN KYC Status/KIN FATCAYes
Amount
ISIN : INF789F01893
Price(`)Tr.Date NAV(`) Balance UnitsLoadTransaction Type Number of Units(`) (`)Cost
UTI Regular Savings Fund - Regular Growth Plan Growth
Opening Balance 0.000
Local UFC Address : UTI Financial Centre; Harshwardhan Arcade, 3rd Floor, Beside Hotel Samrat International, Fraser Road, Patna-800001, Bihar. Tel No: 0612 - 2230886, 2911207;Fax No: 0612-2201576
52.3693 (as on 14 Oct 2021)NAV `
Financial Advisor Sudhir Kumar Mishra ( ARN-79378 )
New Scheme- Plan Option
MADHULIKA
UTI Regular Savings Fund - Regular Growth Plan Growth (If you wish to invest in different scheme, please strike off here and write below)
Drawn on Bank
*EUIN: 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.
I/we would like to switch
MICR NO
The ARN holder has disclosed to me/us all the commissions (in the form of trial 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.
All units
I/We have understood the contents of the Offer document and addenda issued till date and apply to the Trustee of UTI Mutual Fund as indicated above. I/ We agree to abide by the terms and conditions, rules and regulations of the scheme as on the date of investment. I/ We undertake to confirm that the applicant/unit holder is empowered to invest/ disinvest and the signatories have necessary authorization to invest/disinvest on behalf of applicant/ unit holder. I/We undertake to confirm that this investment has been duly authorized by appropriate authorities in terms of all relevant documents and procedural requirements. I/ We have not received nor been induced by any rebate or gifts, directly or indirectly in making investment. * I/ We confirm than we are Non residents of Indian Nationality/ Origin and that the funds are remitted from abroad through approved banking channels or from my/ our funds from my/ our NRE/ NRO account. I/ We undertake to provide further details of source of funds and any such other relevant document, if called by UTI Mutual Fund. *Appliable to NRIs.
units or (amount in figures)or Partial units
(in words)
Sub Code
from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.
Folio No. 548305743515 PAN
Mode of Holding
I/we would like to redeem
Cheque/DD Number
I/we would like to purchase units of the above mentioned scheme for Amount (in fig)
Redemption :
from above mentioned Scheme to
Purchase / Additional Purchase :
Switch :
`
Bank A/c type (Please tick) CurrentSavings NRO NRE
Plan Growth IDCW Payout
(in words)
SAVINGS/XXXXXXXX429 / STATE BANK OF INDIA / JAMUI BRANCH / KHADIGRAM / JAMUI / JAMUI / 811313 / ECS - 811002506 / IFS Code : SBIN0009234
SINGLE
units or (amount in figures)`All units or Partial units
EUIN
RM code
: E066008
:
Third Account Holder
Primary Holder
IFSC
KYC Status
Complied(CVL KRA KYC)XXXXXXX76G
2nd Holder
Name
Bank Details
First Account HolderSIGNATURE(S)
:
dated
Second Account Holder
::
:
:
3rd Holder
Guardian
:
Sub ARN Code
:
` (in words)
IDCW Reinvestment
Branch
Option
Account StatementFor the period 01 Apr 2021 to 18 Oct 2021
Statement Date : 18 Oct 2021
of1 1CA : WB99-BRNPM7976G-18-10-2021 09:38:07 / LA: BRNPM7976G-18.10.21-6 Page
Please update your records with: Email ID
Guardian
For subscriptions received w.e.f. June 4th, 2018, applicable Exit load: Redemption / Switch out within 12
months from the date of allotment – (i) NIL for upto 10% of the allotted Units (ii) 1.00 % for beyond 10% of
the allotted Units.Redemption / Switch out after 12 months from the date of allotment – NIL
C/O- VIPUL KUMAR GAUTAMPOST- MALAYPURDIST- JAMUIJAMUIBIHARINDIA, PIN : 811313
Mobile No : 9431943405Email ID : please provide
Nominee : Santosh Kumar Pandey
3rd Holder
Primary Holder
Holder
RESIDENT INDIANRegistered
2nd Holder
Complied(CVL KRA
MADHULIKA
::
XXXXXXX76G
548305743515 * Folio No. : Application No : 00118821
: SINGLE : INDIVIDUAL
: SAVINGS/XXXXXXXX429
: STATE BANK OF INDIA
811002506: : SBIN0009234
: Sudhir Kumar Mishra ( ARN-79378 )
: : E066008
Unique Client Code :MFUTIB0003
:
* Please quote this folio number for future correspondence / transactions.
Electronic:
Mode of Holding
Date Of Birth Category
Status
Bank Account No
Bank Name
MICR No
Financial Advisor
Sub ARN Code
Pay Mode
IFS Code
Sub Code EUIN
PAN KYC Status/KIN FATCAYes
Status as on 31-01-2018: NAV Rs. 34.5795, Units 781.492, Value Rs.27023.600
Amount
ISIN : INF189A01038
Price(`)Tr.Date NAV(`) Balance UnitsLoadTransaction Type Number of Units(`) (`)Cost
UTI Mastershare Unit Scheme - Regular Plan Payout of IDCW#
Opening Balance 781.492
Cost 37,084.06Current value
Local UFC Address : UTI Financial Centre; Harshwardhan Arcade, 3rd Floor, Beside Hotel Samrat International, Fraser Road, Patna-800001, Bihar. Tel No: 0612 - 2230886, 2911207;Fax No: 0612-2201576
47.4529 (as on 14 Oct 2021) `NAV ` ` 27,693.00 Total IDCW Paid ` 7,652.89
Financial Advisor Sudhir Kumar Mishra ( ARN-79378 )
New Scheme- Plan Option
MADHULIKA
UTI Mastershare Unit Scheme - Regular Plan Payout of IDCW (If you wish to invest in different scheme, please strike off here and write below)
Drawn on Bank
*EUIN: 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.
I/we would like to switch
MICR NO
The ARN holder has disclosed to me/us all the commissions (in the form of trial 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.
All units
I/We have understood the contents of the Offer document and addenda issued till date and apply to the Trustee of UTI Mutual Fund as indicated above. I/ We agree to abide by the terms and conditions, rules and regulations of the scheme as on the date of investment. I/ We undertake to confirm that the applicant/unit holder is empowered to invest/ disinvest and the signatories have necessary authorization to invest/disinvest on behalf of applicant/ unit holder. I/We undertake to confirm that this investment has been duly authorized by appropriate authorities in terms of all relevant documents and procedural requirements. I/ We have not received nor been induced by any rebate or gifts, directly or indirectly in making investment. * I/ We confirm than we are Non residents of Indian Nationality/ Origin and that the funds are remitted from abroad through approved banking channels or from my/ our funds from my/ our NRE/ NRO account. I/ We undertake to provide further details of source of funds and any such other relevant document, if called by UTI Mutual Fund. *Appliable to NRIs.
units or (amount in figures)or Partial units
(in words)
Sub Code
from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.
Folio No. 548305743515 PAN
Mode of Holding
I/we would like to redeem
Cheque/DD Number
I/we would like to purchase units of the above mentioned scheme for Amount (in fig)
Redemption :
from above mentioned Scheme to
Purchase / Additional Purchase :
Switch :
`
Bank A/c type (Please tick) CurrentSavings NRO NRE
Plan Growth IDCW Payout
(in words)
SAVINGS/XXXXXXXX429 / STATE BANK OF INDIA / JAMUI BRANCH / KHADIGRAM / JAMUI / JAMUI / 811313 / ECS - 811002506 / IFS Code : SBIN0009234
SINGLE
units or (amount in figures)`All units or Partial units
EUIN
RM code
: E066008
:
Third Account Holder
Primary Holder
IFSC
KYC Status
Complied(CVL KRA KYC)XXXXXXX76G
2nd Holder
Name
Bank Details
First Account HolderSIGNATURE(S)
:
dated
Second Account Holder
::
:
:
3rd Holder
Guardian
:
Sub ARN Code
:
` (in words)
IDCW Reinvestment
Branch
Option
# Income Distribution cum Capital Withdrawal
Account StatementFor the period 01 Apr 2021 to 18 Oct 2021
Statement Date : 18 Oct 2021
of1 1CA : WB99-BRNPM7976G-18-10-2021 09:38:07 / LA: BRNPM7976G-18.10.21-5 Page
Please update your records with: Email ID
Guardian
C/O- VIPUL KUMAR GAUTAMPOST- MALAYPURDIST- JAMUIJAMUIBIHARINDIA, PIN : 811313
Mobile No : 9431943405Email ID : please provide
Nominee : Santosh Kumar Pandey
3rd Holder
Primary Holder
Holder
RESIDENT INDIANRegistered
2nd Holder
Complied(CVL KRA
MADHULIKA
::
XXXXXXX76G
548305772367 * Folio No. :
: SINGLE : INDIVIDUAL
: SAVINGS/XXXXXXXX429
: STATE BANK OF INDIA
811002506: : SBIN0009234
: Sudhir Kumar Mishra ( ARN-79378 )
: : E066008:
* Please quote this folio number for future correspondence / transactions.
Electronic:
Mode of Holding
Date Of Birth Category
Status
Bank Account No
Bank Name
MICR No
Financial Advisor
Sub ARN Code
Pay Mode
IFS Code
Sub Code EUIN
PAN KYC Status/KIN FATCAYes
Amount
ISIN : INF789F1AQJ4
Price(`)Tr.Date NAV(`) Balance UnitsLoadTransaction Type Number of Units(`) (`)Cost
UTI Regular Saving Fund (Segregated - 17022020) - Regular Growth Plan Growth
Opening Balance 1,341.391
Cost 1,284.65Current value
Local UFC Address : UTI Financial Centre; Harshwardhan Arcade, 3rd Floor, Beside Hotel Samrat International, Fraser Road, Patna-800001, Bihar. Tel No: 0612 - 2230886, 2911207;Fax No: 0612-2201576
* Cost of acquisition is bifurcated post segregation of corresponding units.
0.9577 (as on 14 Oct 2021) `NAV ` ` 1,045.00
Financial Advisor Sudhir Kumar Mishra ( ARN-79378 )
New Scheme- Plan Option
MADHULIKA
UTI Regular Saving Fund (Segregated - 17022020) - Regular Growth Plan Growth (If you wish to invest in different scheme, please strike off here and write below)
Drawn on Bank
*EUIN: 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.
I/we would like to switch
MICR NO
The ARN holder has disclosed to me/us all the commissions (in the form of trial 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.
All units
I/We have understood the contents of the Offer document and addenda issued till date and apply to the Trustee of UTI Mutual Fund as indicated above. I/ We agree to abide by the terms and conditions, rules and regulations of the scheme as on the date of investment. I/ We undertake to confirm that the applicant/unit holder is empowered to invest/ disinvest and the signatories have necessary authorization to invest/disinvest on behalf of applicant/ unit holder. I/We undertake to confirm that this investment has been duly authorized by appropriate authorities in terms of all relevant documents and procedural requirements. I/ We have not received nor been induced by any rebate or gifts, directly or indirectly in making investment. * I/ We confirm than we are Non residents of Indian Nationality/ Origin and that the funds are remitted from abroad through approved banking channels or from my/ our funds from my/ our NRE/ NRO account. I/ We undertake to provide further details of source of funds and any such other relevant document, if called by UTI Mutual Fund. *Appliable to NRIs.
units or (amount in figures)or Partial units
(in words)
Sub Code
from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.
Folio No. 548305772367 PAN
Mode of Holding
I/we would like to redeem
Cheque/DD Number
I/we would like to purchase units of the above mentioned scheme for Amount (in fig)
Redemption :
from above mentioned Scheme to
Purchase / Additional Purchase :
Switch :
`
Bank A/c type (Please tick) CurrentSavings NRO NRE
Plan Growth IDCW Payout
(in words)
SAVINGS/XXXXXXXX429 / STATE BANK OF INDIA / VIAJAMUI / KHADIGRAM / 811313 / ECS - 811002506 / IFS Code : SBIN0009234
SINGLE
units or (amount in figures)`All units or Partial units
EUIN
RM code
: E066008
:
Third Account Holder
Primary Holder
IFSC
KYC Status
Complied(CVL KRA KYC)XXXXXXX76G
2nd Holder
Name
Bank Details
First Account HolderSIGNATURE(S)
:
dated
Second Account Holder
::
:
:
3rd Holder
Guardian
:
Sub ARN Code
:
` (in words)
IDCW Reinvestment
Branch
Option
No commercial transaction including Purchase/Redemption/Switch is allowed under Segregated portfolio.However these units can be traded in the stock exchange in dematerialised (demat) form.
Account StatementFor the period 01 Apr 2021 to 18 Oct 2021
Statement Date : 18 Oct 2021
of1 1CA : WB99-BRNPM7976G-18-10-2021 09:38:07 / LA: BRNPM7976G-18.10.21-11 Page
Please update your records with: Email ID
Guardian
W.e.f. 01-10-2021: Exit Load : NIL
C/O- VIPUL KUMAR GAUTAMPOST- MALAYPURDIST- JAMUIJAMUIBIHARINDIA, PIN : 811313
Mobile No : 9431943405Email ID : please provide
Nominee : Santosh Kumar Pandey - 100%
3rd Holder
Primary Holder
Holder
RESIDENT INDIANRegistered
2nd Holder
Complied(CVL KRA
MADHULIKA
::
XXXXXXX76G
548305772367 * Folio No. :
: SINGLE : INDIVIDUAL
: SAVINGS/XXXXXXXX429
: STATE BANK OF INDIA
811002506: : SBIN0009234
: Sudhir Kumar Mishra ( ARN-79378 )
: : E066008
Unique Client Code :MFUTIB0062
:
* Please quote this folio number for future correspondence / transactions.
Electronic:
Mode of Holding
Date Of Birth Category
Status
Bank Account No
Bank Name
MICR No
Financial Advisor
Sub ARN Code
Pay Mode
IFS Code
Sub Code EUIN
PAN KYC Status/KIN FATCAYes
Amount
ISIN : INF789F01570
Price(`)Tr.Date NAV(`) Balance UnitsLoadTransaction Type Number of Units(`) (`)Cost
UTI Ultra Short Term Fund - Regular Growth Plan Growth
Opening Balance 0.000
Local UFC Address : UTI Financial Centre; Harshwardhan Arcade, 3rd Floor, Beside Hotel Samrat International, Fraser Road, Patna-800001, Bihar. Tel No: 0612 - 2230886, 2911207;Fax No: 0612-2201576
3408.8002 (as on 14 Oct 2021)NAV `
Financial Advisor Sudhir Kumar Mishra ( ARN-79378 )
New Scheme- Plan Option
MADHULIKA
UTI Ultra Short Term Fund - Regular Growth Plan Growth (If you wish to invest in different scheme, please strike off here and write below)
Drawn on Bank
*EUIN: 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.
I/we would like to switch
MICR NO
The ARN holder has disclosed to me/us all the commissions (in the form of trial 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.
All units
I/We have understood the contents of the Offer document and addenda issued till date and apply to the Trustee of UTI Mutual Fund as indicated above. I/ We agree to abide by the terms and conditions, rules and regulations of the scheme as on the date of investment. I/ We undertake to confirm that the applicant/unit holder is empowered to invest/ disinvest and the signatories have necessary authorization to invest/disinvest on behalf of applicant/ unit holder. I/We undertake to confirm that this investment has been duly authorized by appropriate authorities in terms of all relevant documents and procedural requirements. I/ We have not received nor been induced by any rebate or gifts, directly or indirectly in making investment. * I/ We confirm than we are Non residents of Indian Nationality/ Origin and that the funds are remitted from abroad through approved banking channels or from my/ our funds from my/ our NRE/ NRO account. I/ We undertake to provide further details of source of funds and any such other relevant document, if called by UTI Mutual Fund. *Appliable to NRIs.
units or (amount in figures)or Partial units
(in words)
Sub Code
from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.
Folio No. 548305772367 PAN
Mode of Holding
I/we would like to redeem
Cheque/DD Number
I/we would like to purchase units of the above mentioned scheme for Amount (in fig)
Redemption :
from above mentioned Scheme to
Purchase / Additional Purchase :
Switch :
`
Bank A/c type (Please tick) CurrentSavings NRO NRE
Plan Growth IDCW Payout
(in words)
SAVINGS/XXXXXXXX429 / STATE BANK OF INDIA / VIAJAMUI / KHADIGRAM / 811313 / ECS - 811002506 / IFS Code : SBIN0009234
SINGLE
units or (amount in figures)`All units or Partial units
EUIN
RM code
: E066008
:
Third Account Holder
Primary Holder
IFSC
KYC Status
Complied(CVL KRA KYC)XXXXXXX76G
2nd Holder
Name
Bank Details
First Account HolderSIGNATURE(S)
:
dated
Second Account Holder
::
:
:
3rd Holder
Guardian
:
Sub ARN Code
:
` (in words)
IDCW Reinvestment
Branch
Option
Account StatementFor the period 01 Apr 2021 to 18 Oct 2021
Statement Date : 18 Oct 2021
of1 1CA : WB99-BRNPM7976G-18-10-2021 09:38:07 / LA: BRNPM7976G-18.10.21-8 Page
Please update your records with: Email ID
Guardian
For subscriptions received w.e.f. May 17th, 2018, applicable Exit load: Redemption/Switch out within 1 year
from the date of allotment : (i) Upto 10% of the allotted Units - NIL (ii) Beyond 10% of the allotted Units-
1%.Redemption / Switch out after 1 year from the date of allotment – NIL
C/O- VIPUL KUMAR GAUTAMPOST- MALAYPURDIST- JAMUIJAMUIBIHARINDIA, PIN : 811313
Mobile No : 9431943405Email ID : please provide
Nominee : Santosh Kumar Pandey
3rd Holder
Primary Holder
Holder
RESIDENT INDIANRegistered
2nd Holder
Complied(CVL KRA
MADHULIKA
::
XXXXXXX76G
548305772367 * Folio No. :
: SINGLE : INDIVIDUAL
: SAVINGS/XXXXXXXX429
: STATE BANK OF INDIA
811002506: : SBIN0009234
: Sudhir Kumar Mishra ( ARN-79378 )
: : E066008
Unique Client Code :MFUTIB0063
:
* Please quote this folio number for future correspondence / transactions.
Electronic:
Mode of Holding
Date Of Birth Category
Status
Bank Account No
Bank Name
MICR No
Financial Advisor
Sub ARN Code
Pay Mode
IFS Code
Sub Code EUIN
PAN KYC Status/KIN FATCAYes
Amount
ISIN : INF789F01893
Price(`)Tr.Date NAV(`) Balance UnitsLoadTransaction Type Number of Units(`) (`)Cost
UTI Regular Savings Fund - Regular Growth Plan Growth
Merger In 1,341.39151,923.87
Cost 70,247.71Current value
Local UFC Address : UTI Financial Centre; Harshwardhan Arcade, 3rd Floor, Beside Hotel Samrat International, Fraser Road, Patna-800001, Bihar. Tel No: 0612 - 2230886, 2911207;Fax No: 0612-2201576
* Cost of acquisition is bifurcated post segregation of corresponding units.
52.3693 (as on 14 Oct 2021) `NAV ` ` 51,924.00
Financial Advisor Sudhir Kumar Mishra ( ARN-79378 )
New Scheme- Plan Option
MADHULIKA
UTI Regular Savings Fund - Regular Growth Plan Growth (If you wish to invest in different scheme, please strike off here and write below)
Drawn on Bank
*EUIN: 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.
I/we would like to switch
MICR NO
The ARN holder has disclosed to me/us all the commissions (in the form of trial 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.
All units
I/We have understood the contents of the Offer document and addenda issued till date and apply to the Trustee of UTI Mutual Fund as indicated above. I/ We agree to abide by the terms and conditions, rules and regulations of the scheme as on the date of investment. I/ We undertake to confirm that the applicant/unit holder is empowered to invest/ disinvest and the signatories have necessary authorization to invest/disinvest on behalf of applicant/ unit holder. I/We undertake to confirm that this investment has been duly authorized by appropriate authorities in terms of all relevant documents and procedural requirements. I/ We have not received nor been induced by any rebate or gifts, directly or indirectly in making investment. * I/ We confirm than we are Non residents of Indian Nationality/ Origin and that the funds are remitted from abroad through approved banking channels or from my/ our funds from my/ our NRE/ NRO account. I/ We undertake to provide further details of source of funds and any such other relevant document, if called by UTI Mutual Fund. *Appliable to NRIs.
units or (amount in figures)or Partial units
(in words)
Sub Code
from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.
Folio No. 548305772367 PAN
Mode of Holding
I/we would like to redeem
Cheque/DD Number
I/we would like to purchase units of the above mentioned scheme for Amount (in fig)
Redemption :
from above mentioned Scheme to
Purchase / Additional Purchase :
Switch :
`
Bank A/c type (Please tick) CurrentSavings NRO NRE
Plan Growth IDCW Payout
(in words)
SAVINGS/XXXXXXXX429 / STATE BANK OF INDIA / VIAJAMUI / KHADIGRAM / 811313 / ECS - 811002506 / IFS Code : SBIN0009234
SINGLE
units or (amount in figures)`All units or Partial units
EUIN
RM code
: E066008
:
Third Account Holder
Primary Holder
IFSC
KYC Status
Complied(CVL KRA KYC)XXXXXXX76G
2nd Holder
Name
Bank Details
First Account HolderSIGNATURE(S)
:
dated
Second Account Holder
::
:
:
3rd Holder
Guardian
:
Sub ARN Code
:
` (in words)
IDCW Reinvestment
Branch
Option
Account StatementFor the period 01 Apr 2021 to 18 Oct 2021
Statement Date : 18 Oct 2021
of1 1CA : WB99-BRNPM7976G-18-10-2021 09:38:08 / LA: BRNPM7976G-18.10.21-9 Page
Please update your records with: Email ID
Guardian
Entry Load: NIL, W.e.f. 01-08-2017: Exit Load : NIL.
C/O- VIPUL KUMAR GAUTAMPOST- MALAYPURDIST- JAMUIJAMUIBIHARINDIA, PIN : 811313
Mobile No : 9431943405Email ID : please provide
Nominee : Santosh Kumar Pandey
3rd Holder
Primary Holder
Holder
RESIDENT INDIANRegistered
2nd Holder
Complied(CVL KRA
MADHULIKA
::
XXXXXXX76G
548305772367 * Folio No. :
: SINGLE : INDIVIDUAL
: SAVINGS/XXXXXXXX429
: STATE BANK OF INDIA
811002506: : SBIN0009234
: Sudhir Kumar Mishra ( ARN-79378 )
: : E066008
Unique Client Code :MFUTIB0033
:
* Please quote this folio number for future correspondence / transactions.
Electronic:
Mode of Holding
Date Of Birth Category
Status
Bank Account No
Bank Name
MICR No
Financial Advisor
Sub ARN Code
Pay Mode
IFS Code
Sub Code EUIN
PAN KYC Status/KIN FATCAYes
Amount Price(`)Tr.Date NAV(`) Balance UnitsLoadTransaction Type Number of Units(`) (`)Cost
UTI Smart Woman Savings Plan - Regular Growth Plan Growth
Merger Out 0.000
Local UFC Address : UTI Financial Centre; Harshwardhan Arcade, 3rd Floor, Beside Hotel Samrat International, Fraser Road, Patna-800001, Bihar. Tel No: 0612 - 2230886, 2911207;Fax No: 0612-2201576
37.3872 (as on 02 May 2018)NAV `
Unit Balance IDCW / Recovery Payout
CurrentValue (`)
Total Cost(a + b)
NAV Date
(`) *
Scheme
(`) (`)
Summary of schemes held in this folio
Cost ofInvestment
(a)
IDCWReinvestment
(b) (`)
1,380.59UTI Regular Saving Fund (Segregated - 17022020) - Regular Growth Plan 1,380.59 1,341.391 386.050.00 1,284.6514/10/2021
51,923.87UTI Regular Savings Fund - Regular Growth Plan 51,923.87 1,341.391 0.000.00 70,247.7114/10/2021
0.00 2,682.78253,304.46 386.05Total
*IDCW declared & paid on or after 1.1.2008 will only be part of this statement
53,304.46 71,532.36
*Amount recovered has been paid out to you.
Account StatementFor the period 01 Apr 2021 to 18 Oct 2021
Statement Date : 18 Oct 2021
of1 2CA : WB99-BRNPM7976G-18-10-2021 09:38:08 / LA: BRNPM7976G-18.10.21-7 Page
Account StatementFor the period 01 Apr 2021 to 18 Oct 2021
Statement Date : 18 Oct 2021
Financial Advisor Sudhir Kumar Mishra ( ARN-79378 )
New Scheme- Plan Option
MADHULIKA
UTI Smart Woman Savings Plan - Regular Growth Plan Growth (If you wish to invest in different scheme, please strike off here and write below)
Drawn on Bank
*EUIN: 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.
I/we would like to switch
MICR NO
The ARN holder has disclosed to me/us all the commissions (in the form of trial 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.
All units
I/We have understood the contents of the Offer document and addenda issued till date and apply to the Trustee of UTI Mutual Fund as indicated above. I/ We agree to abide by the terms and conditions, rules and regulations of the scheme as on the date of investment. I/ We undertake to confirm that the applicant/unit holder is empowered to invest/ disinvest and the signatories have necessary authorization to invest/disinvest on behalf of applicant/ unit holder. I/We undertake to confirm that this investment has been duly authorized by appropriate authorities in terms of all relevant documents and procedural requirements. I/ We have not received nor been induced by any rebate or gifts, directly or indirectly in making investment. * I/ We confirm than we are Non residents of Indian Nationality/ Origin and that the funds are remitted from abroad through approved banking channels or from my/ our funds from my/ our NRE/ NRO account. I/ We undertake to provide further details of source of funds and any such other relevant document, if called by UTI Mutual Fund. *Appliable to NRIs.
units or (amount in figures)or Partial units
(in words)
Sub Code
from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.
Folio No. 548305772367 PAN
Mode of Holding
I/we would like to redeem
Cheque/DD Number
I/we would like to purchase units of the above mentioned scheme for Amount (in fig)
Redemption :
from above mentioned Scheme to
Purchase / Additional Purchase :
Switch :
`
Bank A/c type (Please tick) CurrentSavings NRO NRE
Plan Growth IDCW Payout
(in words)
SAVINGS/XXXXXXXX429 / STATE BANK OF INDIA / VIAJAMUI / KHADIGRAM / 811313 / ECS - 811002506 / IFS Code : SBIN0009234
SINGLE
units or (amount in figures)`All units or Partial units
EUIN
RM code
: E066008
:
Third Account Holder
Primary Holder
IFSC
KYC Status
Complied(CVL KRA KYC)XXXXXXX76G
2nd Holder
Name
Bank Details
First Account HolderSIGNATURE(S)
:
dated
Second Account Holder
::
:
:
3rd Holder
Guardian
:
Sub ARN Code
:
` (in words)
IDCW Reinvestment
Branch
Option
of2 2CA : WB99-BRNPM7976G-18-10-2021 09:38:08 / LA: BRNPM7976G-18.10.21-5 Page
Guardian
18/04/2032
126
18/04/2017
To : 17/03/2032
Joining Date
54
From : 17/05/2017
C/O- VIPUL KUMAR GAUTAMPOST- MALAYPURDIST- JAMUIJAMUIBIHARINDIA, PIN : 811313
Mobile No : 8986724928Email ID : please provide
Nominee : Santosh Kumar Pandey - 100%
No. of Installments Due
No. of Installments Paid3rd Holder
Primary Holder
Holder
RESIDENT INDIANRegistered
2nd Holder
Complied(CVL KRA
2000.00
360000.00
Contribution Amount
Monthly
(`)*Maturity Date
Target Amount
SIP Registration Details
Due Date
MADHULIKA
Mode of Payment
::
XXXXXXX76G
548308777986
ULIP Registration Details:
* Folio No. : Application No : 215493
: SINGLE : INDIVIDUAL
: SAVINGS/XXXXXXXX429
: STATE BANK OF INDIA
811002506: : SBIN0009234
: Sudhir Kumar Mishra ( ARN-79378 )
:
(`)
: E066008
Unique Client Code :MFUTIB0001
:
* Please quote this folio number for future correspondence / transactions.
Electronic:
Mode of Holding
Date Of Birth Category
Status
Bank Account No
Bank Name
MICR No
Financial Advisor
Sub ARN Code
Pay Mode
IFS Code
Sub Code EUIN
PAN KYC Status/KIN FATCAYes
Annual Premium
Amount net ofPremium (`)
Price(`)Tr.Date NAV(`) Balance UnitsAmount LoadTransaction Type Number of Units(`)(`)
(`)
UTI Unit Linked Insurance Plan - Regular Plan 15 Years Plan - FIXED TERM INSURANCE COVER
Opening Balance 3,753.582
2,000.0019/04/2021 Gross Sys. Investment 2,000.00
0.10Stamp Duty @ 0.005 % 0.10
1,999.9019/04/2021 Net Sys. Investment (49/180) 1,999.90 29.2010 68.487 3,822.06929.2010
2,000.0017/05/2021 Gross Sys. Investment 2,000.00
0.10Stamp Duty @ 0.005 % 0.10
1,999.9017/05/2021 Net Sys. Investment (50/180) 1,999.90 29.5202 67.747 3,889.81629.5202
2,000.0017/06/2021 Gross Sys. Investment (Nav Dt : 21/06/2021) 2,000.00
0.10Stamp Duty @ 0.005 % 0.10
1,999.9017/06/2021 Net Sys. Investment (51/180) 1,999.90 30.4234 65.736 3,955.55230.4234
2,000.0019/07/2021 Gross Sys. Investment 2,000.00
0.10Stamp Duty @ 0.005 % 0.10
1,999.9019/07/2021 Net Sys. Investment (52/180) 1,999.90 30.7482 65.041 4,020.59330.7482
2,000.0017/08/2021 Gross Sys. Investment 2,000.00
0.10Stamp Duty @ 0.005 % 0.10
1,999.9017/08/2021 Net Sys. Investment (53/180) 1,999.90 31.4557 63.578 4,084.17131.4557
2,000.0017/09/2021 Gross Sys. Investment 2,000.00
0.10Stamp Duty @ 0.005 % 0.10
1,999.9017/09/2021 Net Sys. Investment (54/180) 1,999.90 32.6594 61.235 4,145.40632.6594
1,39,492.08Current value
Local UFC Address : UTI Financial Centre; Harshwardhan Arcade, 3rd Floor, Beside Hotel Samrat International, Fraser Road, Patna-800001, Bihar. Tel No: 0612 - 2230886, 2911207;Fax No: 0612-2201576
33.6498 (as on 14 Oct 2021)Investment under this scheme is eligible for deduction u/s 80C of Income Tax Act, 1961 as per applicable provision as provided therein.
`NAV `
Account StatementFor the period 01 Apr 2021 to 18 Oct 2021
Statement Date : 18 Oct 2021
of1 2CA : WB99-BRNPM7976G-18-10-2021 09:38:08 / LA: BRNPM7976G-18.10.21-5 Page
Account StatementFor the period 01 Apr 2021 to 18 Oct 2021
Statement Date : 18 Oct 2021
Financial Advisor Sudhir Kumar Mishra ( ARN-79378 )
New Scheme- Plan Option
MADHULIKA
UTI Unit Linked Insurance Plan - Regular Plan 15 Years Plan - FIXED TERM INSURANCE COVER (If you wish to invest in different scheme, please strike off here and write below)
*EUIN: 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.
Target Amount can be increased upto Rs.15 lakhs by applying afresh subject to fulfillment of eligibility criteria asper the Scheme Information Document.
I/we would like to switch
MICR NO
The ARN holder has disclosed to me/us all the commissions (in the form of trial 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.
All units
I/We have understood the contents of the Offer document and addenda issued till date and apply to the Trustee of UTI Mutual Fund as indicated above. I/ We agree to abide by the terms and conditions, rules and regulations of the scheme as on the date of investment. I/ We undertake to confirm that the applicant/unit holder is empowered to invest/ disinvest and the signatories have necessary authorization to invest/disinvest on behalf of applicant/ unit holder. I/We undertake to confirm that this investment has been duly authorized by appropriate authorities in terms of all relevant documents and procedural requirements. I/ We have not received nor been induced by any rebate or gifts, directly or indirectly in making investment. * I/ We confirm than we are Non residents of Indian Nationality/ Origin and that the funds are remitted from abroad through approved banking channels or from my/ our funds from my/ our NRE/ NRO account. I/ We undertake to provide further details of source of funds and any such other relevant document, if called by UTI Mutual Fund. *Appliable to NRIs.
units or (amount in figures)or Partial units
Sub Code
from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.
Folio No. 548308777986 PAN
Mode of Holding
I/we would like to redeemRedemption :
from above mentioned Scheme to
Switch :
Plan Growth IDCW Payout
(in words)
SAVINGS/XXXXXXXX429 / STATE BANK OF INDIA / KHADIGRAM JAMUI BRANCH / JAMUI / 811313 / ECS - 811002506 / IFS Code : SBIN0009234
SINGLE
units or (amount in figures)`All units or Partial units
EUIN
RM code
: E066008
:
Third Account Holder
Primary Holder
IFSC
KYC Status
Complied(CVL KRA KYC)XXXXXXX76G
2nd Holder
Name
Bank Details
First Account HolderSIGNATURE(S)
:
Second Account Holder
::
:
:
3rd Holder
Guardian
:
Sub ARN Code
:
` (in words)
IDCW ReinvestmentOption
Cheque/DDPaymode UTI SMaRT Form (Max Amount: )
of2 2CA : WB99-BRNPM7976G-18-10-2021 09:38:08 / LA: BRNPM7976G-18.10.21-9 Page
Please update your records with: Email ID
Guardian
C/O- VIPUL KUMAR GAUTAMPOST- MALAYPURDIST- JAMUIJAMUIBIHARINDIA, PIN : 811313
Mobile No : 9431943405Email ID : please provide
Nominee : Santosh Kumar Pandey - 100%
3rd Holder
Primary Holder
Holder
RESIDENT INDIANRegistered
2nd Holder
Complied(CVL KRA
MADHULIKA
::
XXXXXXX76G
548311182006 * Folio No. : Application No : 0028074
: SINGLE : INDIVIDUAL
: SAVINGS/XXXXXXXX429
: STATE BANK OF INDIA
811002506: : SBIN0009234
: Sudhir Kumar Mishra ( ARN-79378 )
: : E066008:
* Please quote this folio number for future correspondence / transactions.
Electronic:
Mode of Holding
Date Of Birth Category
Status
Bank Account No
Bank Name
MICR No
Financial Advisor
Sub ARN Code
Pay Mode
IFS Code
Sub Code EUIN
PAN KYC Status/KIN FATCAYes
Amount
ISIN : INF789F1AQJ4
Price(`)Tr.Date NAV(`) Balance UnitsLoadTransaction Type Number of Units(`) (`)Cost
UTI Regular Saving Fund (Segregated - 17022020) - Regular Growth Plan Growth
Opening Balance 911.180
Cost 872.64Current value
Local UFC Address : UTI Financial Centre; Harshwardhan Arcade, 3rd Floor, Beside Hotel Samrat International, Fraser Road, Patna-800001, Bihar. Tel No: 0612 - 2230886, 2911207;Fax No: 0612-2201576
* Cost of acquisition is bifurcated post segregation of corresponding units.
0.9577 (as on 14 Oct 2021) `NAV ` ` 710.00
Financial Advisor Sudhir Kumar Mishra ( ARN-79378 )
New Scheme- Plan Option
MADHULIKA
UTI Regular Saving Fund (Segregated - 17022020) - Regular Growth Plan Growth (If you wish to invest in different scheme, please strike off here and write below)
Drawn on Bank
*EUIN: 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.
I/we would like to switch
MICR NO
The ARN holder has disclosed to me/us all the commissions (in the form of trial 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.
All units
I/We have understood the contents of the Offer document and addenda issued till date and apply to the Trustee of UTI Mutual Fund as indicated above. I/ We agree to abide by the terms and conditions, rules and regulations of the scheme as on the date of investment. I/ We undertake to confirm that the applicant/unit holder is empowered to invest/ disinvest and the signatories have necessary authorization to invest/disinvest on behalf of applicant/ unit holder. I/We undertake to confirm that this investment has been duly authorized by appropriate authorities in terms of all relevant documents and procedural requirements. I/ We have not received nor been induced by any rebate or gifts, directly or indirectly in making investment. * I/ We confirm than we are Non residents of Indian Nationality/ Origin and that the funds are remitted from abroad through approved banking channels or from my/ our funds from my/ our NRE/ NRO account. I/ We undertake to provide further details of source of funds and any such other relevant document, if called by UTI Mutual Fund. *Appliable to NRIs.
units or (amount in figures)or Partial units
(in words)
Sub Code
from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.
Folio No. 548311182006 PAN
Mode of Holding
I/we would like to redeem
Cheque/DD Number
I/we would like to purchase units of the above mentioned scheme for Amount (in fig)
Redemption :
from above mentioned Scheme to
Purchase / Additional Purchase :
Switch :
`
Bank A/c type (Please tick) CurrentSavings NRO NRE
Plan Growth IDCW Payout
(in words)
SAVINGS/XXXXXXXX429 / STATE BANK OF INDIA / KHADIGRAM JAMUI BRANCH / JAMUI / 811313 / ECS - 811002506 / IFS Code : SBIN0009234
SINGLE
units or (amount in figures)`All units or Partial units
EUIN
RM code
: E066008
:
Third Account Holder
Primary Holder
IFSC
KYC Status
Complied(CVL KRA KYC)XXXXXXX76G
2nd Holder
Name
Bank Details
First Account HolderSIGNATURE(S)
:
dated
Second Account Holder
::
:
:
3rd Holder
Guardian
:
Sub ARN Code
:
` (in words)
IDCW Reinvestment
Branch
Option
No commercial transaction including Purchase/Redemption/Switch is allowed under Segregated portfolio.However these units can be traded in the stock exchange in dematerialised (demat) form.
Account StatementFor the period 01 Apr 2021 to 18 Oct 2021
Statement Date : 18 Oct 2021
of1 1CA : WB99-BRNPM7976G-18-10-2021 09:38:08 / LA: BRNPM7976G-18.10.21-9 Page
Please update your records with: Email ID
Guardian
For subscriptions received w.e.f. May 17th, 2018, applicable Exit load: Redemption/Switch out within 1 year
from the date of allotment : (i) Upto 10% of the allotted Units - NIL (ii) Beyond 10% of the allotted Units-
1%.Redemption / Switch out after 1 year from the date of allotment – NIL
C/O- VIPUL KUMAR GAUTAMPOST- MALAYPURDIST- JAMUIJAMUIBIHARINDIA, PIN : 811313
Mobile No : 9431943405Email ID : please provide
Nominee : Santosh Kumar Pandey - 100%
3rd Holder
Primary Holder
Holder
RESIDENT INDIANRegistered
2nd Holder
Complied(CVL KRA
MADHULIKA
::
XXXXXXX76G
548311182006 * Folio No. : Application No : 0028074
: SINGLE : INDIVIDUAL
: SAVINGS/XXXXXXXX429
: STATE BANK OF INDIA
811002506: : SBIN0009234
: Sudhir Kumar Mishra ( ARN-79378 )
: : E066008
Unique Client Code :MFUTIB0063
:
* Please quote this folio number for future correspondence / transactions.
Electronic:
Mode of Holding
Date Of Birth Category
Status
Bank Account No
Bank Name
MICR No
Financial Advisor
Sub ARN Code
Pay Mode
IFS Code
Sub Code EUIN
PAN KYC Status/KIN FATCAYes
Amount
ISIN : INF789F01893
Price(`)Tr.Date NAV(`) Balance UnitsLoadTransaction Type Number of Units(`) (`)Cost
UTI Regular Savings Fund - Regular Growth Plan Growth
Merger In 911.18035,270.84
Cost 47,717.86Current value
Local UFC Address : UTI Financial Centre; Harshwardhan Arcade, 3rd Floor, Beside Hotel Samrat International, Fraser Road, Patna-800001, Bihar. Tel No: 0612 - 2230886, 2911207;Fax No: 0612-2201576
* Cost of acquisition is bifurcated post segregation of corresponding units.
52.3693 (as on 14 Oct 2021) `NAV ` ` 35,271.00
Financial Advisor Sudhir Kumar Mishra ( ARN-79378 )
New Scheme- Plan Option
MADHULIKA
UTI Regular Savings Fund - Regular Growth Plan Growth (If you wish to invest in different scheme, please strike off here and write below)
Drawn on Bank
*EUIN: 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.
I/we would like to switch
MICR NO
The ARN holder has disclosed to me/us all the commissions (in the form of trial 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.
All units
I/We have understood the contents of the Offer document and addenda issued till date and apply to the Trustee of UTI Mutual Fund as indicated above. I/ We agree to abide by the terms and conditions, rules and regulations of the scheme as on the date of investment. I/ We undertake to confirm that the applicant/unit holder is empowered to invest/ disinvest and the signatories have necessary authorization to invest/disinvest on behalf of applicant/ unit holder. I/We undertake to confirm that this investment has been duly authorized by appropriate authorities in terms of all relevant documents and procedural requirements. I/ We have not received nor been induced by any rebate or gifts, directly or indirectly in making investment. * I/ We confirm than we are Non residents of Indian Nationality/ Origin and that the funds are remitted from abroad through approved banking channels or from my/ our funds from my/ our NRE/ NRO account. I/ We undertake to provide further details of source of funds and any such other relevant document, if called by UTI Mutual Fund. *Appliable to NRIs.
units or (amount in figures)or Partial units
(in words)
Sub Code
from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.
Folio No. 548311182006 PAN
Mode of Holding
I/we would like to redeem
Cheque/DD Number
I/we would like to purchase units of the above mentioned scheme for Amount (in fig)
Redemption :
from above mentioned Scheme to
Purchase / Additional Purchase :
Switch :
`
Bank A/c type (Please tick) CurrentSavings NRO NRE
Plan Growth IDCW Payout
(in words)
SAVINGS/XXXXXXXX429 / STATE BANK OF INDIA / KHADIGRAM JAMUI BRANCH / JAMUI / 811313 / ECS - 811002506 / IFS Code : SBIN0009234
SINGLE
units or (amount in figures)`All units or Partial units
EUIN
RM code
: E066008
:
Third Account Holder
Primary Holder
IFSC
KYC Status
Complied(CVL KRA KYC)XXXXXXX76G
2nd Holder
Name
Bank Details
First Account HolderSIGNATURE(S)
:
dated
Second Account Holder
::
:
:
3rd Holder
Guardian
:
Sub ARN Code
:
` (in words)
IDCW Reinvestment
Branch
Option
Account StatementFor the period 01 Apr 2021 to 18 Oct 2021
Statement Date : 18 Oct 2021
of1 1CA : WB99-BRNPM7976G-18-10-2021 09:38:08 / LA: BRNPM7976G-18.10.21-7 Page
Please update your records with: Email ID
Guardian
Entry Load: NIL, W.e.f. 01-08-2017: Exit Load : NIL.
C/O- VIPUL KUMAR GAUTAMPOST- MALAYPURDIST- JAMUIJAMUIBIHARINDIA, PIN : 811313
Mobile No : 9431943405Email ID : please provide
Nominee : Santosh Kumar Pandey - 100%
3rd Holder
Primary Holder
Holder
RESIDENT INDIANRegistered
2nd Holder
Complied(CVL KRA
MADHULIKA
::
XXXXXXX76G
548311182006 * Folio No. : Application No : 0028074
: SINGLE : INDIVIDUAL
: SAVINGS/XXXXXXXX429
: STATE BANK OF INDIA
811002506: : SBIN0009234
: Sudhir Kumar Mishra ( ARN-79378 )
: : E066008
Unique Client Code :MFUTIB0033
:
* Please quote this folio number for future correspondence / transactions.
Electronic:
Mode of Holding
Date Of Birth Category
Status
Bank Account No
Bank Name
MICR No
Financial Advisor
Sub ARN Code
Pay Mode
IFS Code
Sub Code EUIN
PAN KYC Status/KIN FATCAYes
Amount Price(`)Tr.Date NAV(`) Balance UnitsLoadTransaction Type Number of Units(`) (`)Cost
UTI Smart Woman Savings Plan - Regular Growth Plan Growth
Merger Out 0.000
Local UFC Address : UTI Financial Centre; Harshwardhan Arcade, 3rd Floor, Beside Hotel Samrat International, Fraser Road, Patna-800001, Bihar. Tel No: 0612 - 2230886, 2911207;Fax No: 0612-2201576
37.3872 (as on 02 May 2018)NAV `
Unit Balance IDCW / Recovery Payout
CurrentValue (`)
Total Cost(a + b)
NAV Date
(`) *
Scheme
(`) (`)
Summary of schemes held in this folio
Cost ofInvestment
(a)
IDCWReinvestment
(b) (`)
937.80UTI Regular Saving Fund (Segregated - 17022020) - Regular Growth Plan 937.80 911.180 262.240.00 872.6414/10/2021
35,270.85UTI Regular Savings Fund - Regular Growth Plan 35,270.85 911.180 0.000.00 47,717.8614/10/2021
0.00 1,822.36036,208.65 262.24Total
*IDCW declared & paid on or after 1.1.2008 will only be part of this statement
36,208.65 48,590.50
*Amount recovered has been paid out to you.
Account StatementFor the period 01 Apr 2021 to 18 Oct 2021
Statement Date : 18 Oct 2021
of1 2CA : WB99-BRNPM7976G-18-10-2021 09:38:08 / LA: BRNPM7976G-18.10.21-5 Page
Account StatementFor the period 01 Apr 2021 to 18 Oct 2021
Statement Date : 18 Oct 2021
Financial Advisor Sudhir Kumar Mishra ( ARN-79378 )
New Scheme- Plan Option
MADHULIKA
UTI Smart Woman Savings Plan - Regular Growth Plan Growth (If you wish to invest in different scheme, please strike off here and write below)
Drawn on Bank
*EUIN: 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.
I/we would like to switch
MICR NO
The ARN holder has disclosed to me/us all the commissions (in the form of trial 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.
All units
I/We have understood the contents of the Offer document and addenda issued till date and apply to the Trustee of UTI Mutual Fund as indicated above. I/ We agree to abide by the terms and conditions, rules and regulations of the scheme as on the date of investment. I/ We undertake to confirm that the applicant/unit holder is empowered to invest/ disinvest and the signatories have necessary authorization to invest/disinvest on behalf of applicant/ unit holder. I/We undertake to confirm that this investment has been duly authorized by appropriate authorities in terms of all relevant documents and procedural requirements. I/ We have not received nor been induced by any rebate or gifts, directly or indirectly in making investment. * I/ We confirm than we are Non residents of Indian Nationality/ Origin and that the funds are remitted from abroad through approved banking channels or from my/ our funds from my/ our NRE/ NRO account. I/ We undertake to provide further details of source of funds and any such other relevant document, if called by UTI Mutual Fund. *Appliable to NRIs.
units or (amount in figures)or Partial units
(in words)
Sub Code
from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.
Folio No. 548311182006 PAN
Mode of Holding
I/we would like to redeem
Cheque/DD Number
I/we would like to purchase units of the above mentioned scheme for Amount (in fig)
Redemption :
from above mentioned Scheme to
Purchase / Additional Purchase :
Switch :
`
Bank A/c type (Please tick) CurrentSavings NRO NRE
Plan Growth IDCW Payout
(in words)
SAVINGS/XXXXXXXX429 / STATE BANK OF INDIA / KHADIGRAM JAMUI BRANCH / JAMUI / 811313 / ECS - 811002506 / IFS Code : SBIN0009234
SINGLE
units or (amount in figures)`All units or Partial units
EUIN
RM code
: E066008
:
Third Account Holder
Primary Holder
IFSC
KYC Status
Complied(CVL KRA KYC)XXXXXXX76G
2nd Holder
Name
Bank Details
First Account HolderSIGNATURE(S)
:
dated
Second Account Holder
::
:
:
3rd Holder
Guardian
:
Sub ARN Code
:
` (in words)
IDCW Reinvestment
Branch
Option
of2 2CA : WB99-BRNPM7976G-18-10-2021 09:38:08 / LA: BRNPM7976G-18.10.21-5 Page
Please update your records with: Email ID
Guardian
For subscriptions received w.e.f. June 4th, 2018, applicable Exit load: Redemption / Switch out within 12
months from the date of allotment – (i) NIL for upto 10% of the allotted Units (ii) 1.00 % for beyond 10% of
the allotted Units.Redemption / Switch out after 12 months from the date of allotment – NIL
C/O- VIPUL KUMAR GAUTAMPOST- MALAYPURDIST- JAMUIJAMUIBIHARINDIA, PIN : 811313
Mobile No : 9431943405Email ID : please provide
Nominee : Santosh Kumar Pandey - 100%
3rd Holder
Primary Holder
Holder
RESIDENT INDIANRegistered
2nd Holder
Complied(CVL KRA
MADHULIKA
::
XXXXXXX76G
548311921554 * Folio No. : Application No : 0027777
: SINGLE : INDIVIDUAL
: SAVINGS/XXXXXXXX429
: STATE BANK OF INDIA
811002506: : SBIN0009234
: Sudhir Kumar Mishra ( ARN-79378 )
: : E066008
Unique Client Code :MFUTIB0003
:
* Please quote this folio number for future correspondence / transactions.
Electronic:
Mode of Holding
Date Of Birth Category
Status
Bank Account No
Bank Name
MICR No
Financial Advisor
Sub ARN Code
Pay Mode
IFS Code
Sub Code EUIN
PAN KYC Status/KIN FATCAYes
Status as on 31-01-2018: NAV Rs. 34.5795, Units 705.503, Value Rs.24395.940
Amount
ISIN : INF189A01038
Price(`)Tr.Date NAV(`) Balance UnitsLoadTransaction Type Number of Units(`) (`)Cost
UTI Mastershare Unit Scheme - Regular Plan Payout of IDCW#
Opening Balance 705.503
Cost 33,478.16Current value
Local UFC Address : UTI Financial Centre; Harshwardhan Arcade, 3rd Floor, Beside Hotel Samrat International, Fraser Road, Patna-800001, Bihar. Tel No: 0612 - 2230886, 2911207;Fax No: 0612-2201576
47.4529 (as on 14 Oct 2021) `NAV ` ` 25,000.00 Total IDCW Paid ` 6,908.75
Financial Advisor Sudhir Kumar Mishra ( ARN-79378 )
New Scheme- Plan Option
MADHULIKA
UTI Mastershare Unit Scheme - Regular Plan Payout of IDCW (If you wish to invest in different scheme, please strike off here and write below)
Drawn on Bank
*EUIN: 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.
I/we would like to switch
MICR NO
The ARN holder has disclosed to me/us all the commissions (in the form of trial 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.
All units
I/We have understood the contents of the Offer document and addenda issued till date and apply to the Trustee of UTI Mutual Fund as indicated above. I/ We agree to abide by the terms and conditions, rules and regulations of the scheme as on the date of investment. I/ We undertake to confirm that the applicant/unit holder is empowered to invest/ disinvest and the signatories have necessary authorization to invest/disinvest on behalf of applicant/ unit holder. I/We undertake to confirm that this investment has been duly authorized by appropriate authorities in terms of all relevant documents and procedural requirements. I/ We have not received nor been induced by any rebate or gifts, directly or indirectly in making investment. * I/ We confirm than we are Non residents of Indian Nationality/ Origin and that the funds are remitted from abroad through approved banking channels or from my/ our funds from my/ our NRE/ NRO account. I/ We undertake to provide further details of source of funds and any such other relevant document, if called by UTI Mutual Fund. *Appliable to NRIs.
units or (amount in figures)or Partial units
(in words)
Sub Code
from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.
Folio No. 548311921554 PAN
Mode of Holding
I/we would like to redeem
Cheque/DD Number
I/we would like to purchase units of the above mentioned scheme for Amount (in fig)
Redemption :
from above mentioned Scheme to
Purchase / Additional Purchase :
Switch :
`
Bank A/c type (Please tick) CurrentSavings NRO NRE
Plan Growth IDCW Payout
(in words)
SAVINGS/XXXXXXXX429 / STATE BANK OF INDIA / KHADIGRAM / JAMUI / KHADIGRAM / 811313 / ECS - 811002506 / IFS Code : SBIN0009234
SINGLE
units or (amount in figures)`All units or Partial units
EUIN
RM code
: E066008
:
Third Account Holder
Primary Holder
IFSC
KYC Status
Complied(CVL KRA KYC)XXXXXXX76G
2nd Holder
Name
Bank Details
First Account HolderSIGNATURE(S)
:
dated
Second Account Holder
::
:
:
3rd Holder
Guardian
:
Sub ARN Code
:
` (in words)
IDCW Reinvestment
Branch
Option
# Income Distribution cum Capital Withdrawal
Account StatementFor the period 01 Apr 2021 to 18 Oct 2021
Statement Date : 18 Oct 2021
of1 1CA : WB99-BRNPM7976G-18-10-2021 09:38:08 / LA: BRNPM7976G-18.10.21-5 Page
Guardian
Entry Load - Nil, Exit Load - Nil
C/O- VIPUL KUMAR GAUTAMPOST- MALAYPURDIST- JAMUIJAMUIBIHARINDIA, PIN : 811313
Mobile No : 8538937983Email ID : please provide
Nominee : Santosh Kumar Pandey - 100%
3rd Holder
Primary Holder
Holder
RESIDENT INDIANRegistered
2nd Holder
Complied(CVL KRA
MADHULIKA
::
XXXXXXX76G
548319878423 * Folio No. : Application No : 00311811
: SINGLE : INDIVIDUAL
: SAVINGS/XXXXXXXX429
: STATE BANK OF INDIA
811002506: : SBIN0009234
: Sudhir Kumar Mishra ( ARN-79378 )
: : E066008:
* Please quote this folio number for future correspondence / transactions.
Electronic:
Mode of Holding
Date Of Birth Category
Status
Bank Account No
Bank Name
MICR No
Financial Advisor
Sub ARN Code
Pay Mode
IFS Code
Sub Code EUIN
PAN KYC Status/KIN FATCAYes
FrequencySIP RefNo ToDate
SIP Registration Details Step up
FromDate Amount Frequency Amount(`) (`)
586186683 22/12/209922/07/2018 1000 Monthly
Amount
ISIN : INF789FC11T3
Price(`)Tr.Date NAV(`) Balance UnitsLoadTransaction Type Number of Units(`) (`)Cost
UTI Nifty Next 50 Index Fund - Regular Plan Growth Growth
Opening Balance 3,591.926
1,000.0022/04/2021 Gross Sys. Investment
0.05Stamp Duty @ 0.005 %
999.9522/04/2021 Net Sys. Investment (34/978) 12.1869 82.051 3,673.97712.1869
1,000.0024/05/2021 Gross Sys. Investment
0.05Stamp Duty @ 0.005 %
999.9524/05/2021 Net Sys. Investment (35/978) 13.2910 75.235 3,749.21213.2910
1,000.0022/06/2021 Gross Sys. Investment
0.05Stamp Duty @ 0.005 %
999.9522/06/2021 Net Sys. Investment (36/978) 13.8079 72.419 3,821.63113.8079
1,000.0022/07/2021 Gross Sys. Investment
0.05Stamp Duty @ 0.005 %
999.9522/07/2021 Net Sys. Investment (37/978) 13.9982 71.434 3,893.06513.9982
1,000.0023/08/2021 Gross Sys. Investment
0.05Stamp Duty @ 0.005 %
999.9523/08/2021 Net Sys. Investment (38/978) 13.9529 71.666 3,964.73113.9529
1,000.0022/09/2021 Gross Sys. Investment
0.05Stamp Duty @ 0.005 %
999.9522/09/2021 Net Sys. Investment (39/978) 15.2736 65.469 4,030.20015.2736
Cost 63,875.45Current value
Local UFC Address : UTI Financial Centre; Harshwardhan Arcade, 3rd Floor, Beside Hotel Samrat International, Fraser Road, Patna-800001, Bihar. Tel No: 0612 - 2230886, 2911207;Fax No: 0612-2201576
15.8492 (as on 14 Oct 2021) `NAV ` ` 41,000.00
Account StatementFor the period 01 Apr 2021 to 18 Oct 2021
Statement Date : 18 Oct 2021
of1 2CA : WB99-BRNPM7976G-18-10-2021 09:38:08 / LA: BRNPM7976G-18.10.21-7 Page
Account StatementFor the period 01 Apr 2021 to 18 Oct 2021
Statement Date : 18 Oct 2021
Financial Advisor Sudhir Kumar Mishra ( ARN-79378 )
New Scheme- Plan Option
MADHULIKA
UTI Nifty Next 50 Index Fund - Regular Plan Growth Growth (If you wish to invest in different scheme, please strike off here and write below)
Drawn on Bank
*EUIN: 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.
I/we would like to switch
MICR NO
The ARN holder has disclosed to me/us all the commissions (in the form of trial 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.
All units
I/We have understood the contents of the Offer document and addenda issued till date and apply to the Trustee of UTI Mutual Fund as indicated above. I/ We agree to abide by the terms and conditions, rules and regulations of the scheme as on the date of investment. I/ We undertake to confirm that the applicant/unit holder is empowered to invest/ disinvest and the signatories have necessary authorization to invest/disinvest on behalf of applicant/ unit holder. I/We undertake to confirm that this investment has been duly authorized by appropriate authorities in terms of all relevant documents and procedural requirements. I/ We have not received nor been induced by any rebate or gifts, directly or indirectly in making investment. * I/ We confirm than we are Non residents of Indian Nationality/ Origin and that the funds are remitted from abroad through approved banking channels or from my/ our funds from my/ our NRE/ NRO account. I/ We undertake to provide further details of source of funds and any such other relevant document, if called by UTI Mutual Fund. *Appliable to NRIs.
units or (amount in figures)or Partial units
(in words)
Sub Code
from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.
Folio No. 548319878423 PAN
Mode of Holding
I/we would like to redeem
Cheque/DD Number
I/we would like to purchase units of the above mentioned scheme for Amount (in fig)
Redemption :
from above mentioned Scheme to
Purchase / Additional Purchase :
Switch :
`
Bank A/c type (Please tick) CurrentSavings NRO NRE
Plan Growth IDCW Payout
(in words)
SAVINGS/XXXXXXXX429 / STATE BANK OF INDIA / VIAJAMUI / KHADIGRAM / 811313 / ECS - 811002506 / IFS Code : SBIN0009234
SINGLE
units or (amount in figures)`All units or Partial units
EUIN
RM code
: E066008
:
Third Account Holder
Primary Holder
IFSC
KYC Status
Complied(CVL KRA KYC)XXXXXXX76G
2nd Holder
Name
Bank Details
First Account HolderSIGNATURE(S)
:
dated
Second Account Holder
::
:
:
3rd Holder
Guardian
:
Sub ARN Code
:
` (in words)
IDCW Reinvestment
Branch
Option
Cheque/DDPaymode UTI SMaRT Form (Max Amount: 100000.00)
of2 2CA : WB99-BRNPM7976G-18-10-2021 09:38:08 / LA: BRNPM7976G-18.10.21-5 Page
Guardian
Entry Load: NIL, W.e.f. 25-08-2021 Exit Load : 1.00% if redeemed before 365 days from the date of
investment.No Exit load on or after 365 days from the date of investment.
C/O- VIPUL KUMAR GAUTAMPOST- MALAYPURDIST- JAMUIJAMUIBIHARINDIA, PIN : 811313
Mobile No : 9431943405Email ID : [email protected]
Nominee : Santosh Kumar Pandey - 100%
3rd Holder
Primary Holder
Holder
RESIDENT INDIANRegistered
2nd Holder
Complied(CVL KRA
MADHULIKA
::
XXXXXXX76G
548339166595 * Folio No. : Application No : 0601082
: SINGLE : INDIVIDUAL
: SAVINGS/XXXXXXXX429
: STATE BANK OF INDIA
811002506: : SBIN0009234
: Manoj Kumar Barnwal ( ARN-85162 )
: : E070582:
* Please quote this folio number for future correspondence / transactions.
Electronic:
Mode of Holding
Date Of Birth Category
Status
Bank Account No
Bank Name
MICR No
Financial Advisor
Sub ARN Code
Pay Mode
IFS Code
Sub Code EUIN
PAN KYC Status/KIN FATCAYes
Amount
ISIN : INF789F1AUY5
Price(`)Tr.Date NAV(`) Balance UnitsLoadTransaction Type Number of Units(`) (`)Cost
UTI Focused Equity Fund - Regular Plan Growth Option
45,000.0025/08/2021 Gross Initial Purchase
100.00Transaction Charges
2.24Stamp Duty @ 0.005 %
44,897.76NEW PURCHASE WITH CHEQUE
25/08/2021 Net Initial Purchase 10.0000 4,489.776 4,489.77610.0000
Cost 47,779.30Current value
Local UFC Address : UTI Financial Centre; Harshwardhan Arcade, 3rd Floor, Beside Hotel Samrat International, Fraser Road, Patna-800001, Bihar. Tel No: 0612 - 2230886, 2911207;Fax No: 0612-2201576
10.6418 (as on 14 Oct 2021) `NAV ` ` 45,000.00
Financial Advisor Manoj Kumar Barnwal ( ARN-85162 )
New Scheme- Plan Option
MADHULIKA
UTI Focused Equity Fund - Regular Plan Growth Option (If you wish to invest in different scheme, please strike off here and write below)
Drawn on Bank
*EUIN: 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.
I/we would like to switch
MICR NO
The ARN holder has disclosed to me/us all the commissions (in the form of trial 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.
All units
I/We have understood the contents of the Offer document and addenda issued till date and apply to the Trustee of UTI Mutual Fund as indicated above. I/ We agree to abide by the terms and conditions, rules and regulations of the scheme as on the date of investment. I/ We undertake to confirm that the applicant/unit holder is empowered to invest/ disinvest and the signatories have necessary authorization to invest/disinvest on behalf of applicant/ unit holder. I/We undertake to confirm that this investment has been duly authorized by appropriate authorities in terms of all relevant documents and procedural requirements. I/ We have not received nor been induced by any rebate or gifts, directly or indirectly in making investment. * I/ We confirm than we are Non residents of Indian Nationality/ Origin and that the funds are remitted from abroad through approved banking channels or from my/ our funds from my/ our NRE/ NRO account. I/ We undertake to provide further details of source of funds and any such other relevant document, if called by UTI Mutual Fund. *Appliable to NRIs.
units or (amount in figures)or Partial units
(in words)
Sub Code
from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.
Folio No. 548339166595 PAN
Mode of Holding
I/we would like to redeem
Cheque/DD Number
I/we would like to purchase units of the above mentioned scheme for Amount (in fig)
Redemption :
from above mentioned Scheme to
Purchase / Additional Purchase :
Switch :
`
Bank A/c type (Please tick) CurrentSavings NRO NRE
Plan Growth IDCW Payout
(in words)
SAVINGS/XXXXXXXX429 / STATE BANK OF INDIA / VIAJAMUI / KHADIGRAM / 811313 / ECS - 811002506 / IFS Code : SBIN0009234
SINGLE
units or (amount in figures)`All units or Partial units
EUIN
RM code
: E070582
:
Third Account Holder
Primary Holder
IFSC
KYC Status
Complied(CVL KRA KYC)XXXXXXX76G
2nd Holder
Name
Bank Details
First Account HolderSIGNATURE(S)
:
dated
Second Account Holder
::
:
:
3rd Holder
Guardian
:
Sub ARN Code
:
` (in words)
IDCW Reinvestment
Branch
Option
Cheque/DDPaymode UTI SMaRT Form (Max Amount: 100000.00)
Account StatementFor the period 01 Apr 2021 to 18 Oct 2021
Statement Date : 18 Oct 2021
of1 1CA : WB99-BRNPM7976G-18-10-2021 09:38:08 / LA: BRNPM7976G-18.10.21-5 Page