bankacctSB 000401639888 / ICICI Bank Ltd / Nariman Point / MumbaiEISC-ETRXN-220114012736-V11.11.2Account StatementPage 1 of 2Units are allotted subject to clearance of cheque. ... continued on next page* 1016326622$N$$220114*1016326622Second HolderThird Holder N/AN/AFolio NumberBank Details SB 000401639888 /ICICI Bank Ltd /Nariman Point /MumbaiStatus : IndividualFirst Holder Yogesh Subhash Pote PAN 1 :AMNPP7599L - VerifiedPAN 2 :N/APAN 3 :N/AMode : Single :::::KYC : OKBroker : ARN-61012EUIN : E056851I/We would like to submit following transaction in scheme.AdditionalpurchaseAmount Rs.: Cheque/DD No.: Date :A/c. type: Saving/Current/NRE/NROBank Name : Branch :RedemptionAmount Rs.: orUnits :Switch ToAmount Rs.: orUnits :Scheme : Plan : Option:Sub. Option:SignaturesofAccount holder(s): 1. 2. 3.BIRLA SUN LIFE MUTUAL FUNDYogesh Subhash PoteK-1, ROOM NO. 1BARVENAGAR MUNICIPAL COLONYGHATKOPAR WESTMUMBAI - 400084MaharashtraINDIAEmail : yogesh980173@yahoo.comPhone Off : N.APhone Res : N.AMobile : XXXXXXXX74273Second HolderPAN 1PAN 2PAN 3PAN Guardian: AMNPP7599L - Verified: N/ A: N/ A: N/ ANominee 1Status :Individual NON-TRANSFERABLEMode of Holding :SingleThird HolderGuardian Name :N/A:N/A:N/A:Sunita PoteKYC : OKStatement Date : 22-J an-2014Your Branch :BSL AMC - ThaneFolio Number : 1016326622Nominee 2 :N/ANominee 3 :N/ABAG Birla Sun Life '95 Fund - Growth-Regular Plan - INF209K01BT5NAV as on 21/ 01/ 2014 : 367.12NAV Price Amount Number ofUnitsValueDateTransaction Type BalanceUnitsOpening Balance as on 06/ 12/ 2013 0.00006/12/2013 2,000.00 360.07 5.554Purchase-SIP360.07 5.55407/12/2013Registration of Nominee07/12/2013Address Updated from KRA Data10/12/2013SIP Registered24/12/2013SIP Terminated24/12/2013SIP Registered21/01/2014 1,975.00 367.12 5.380Purchase-SIP - Instalment 1/1021367.12 10.93421/01/2014 25.00Gross Investment Amount: Rs.2000/-; Transaction Charges LeviedEntry Load: NIL, Exit Load-Normal: For redemption/switch-out of units within 365 days from the date of allotment: 1.00% of applicable NAV.Forredemption/switch-out of units after 365 days from the date of allotment: Nil.CSIP w.e.f 11 J an 2012 - Exit load 2% of applicable NAV is payable if units allotted under CSIP are redeemed /switch-out within 1 year from the date of allotment. Exit load 1 % ofapplicable NAV is payable if units allotted under CSIP are redeemed /switch-out after 1 year but upto 3 years from the date of allotment. NIL if units allotted under CSIP areredeemed / switch-out after 3 years from the date of allotment.SB 000401639888 / ICICI Bank Ltd / Nariman Point / Mumbai, IFSC code : ICIC0000004, ECS No. : 400229002Lien UnitsBank Details0.000::Redemption Payout TypeDividend Payout Type::ELECTRONIC PAYMENTN/ACurrent Load Structure :Your Broker/ EUIN: ARN-61012/DHIRAJGOPAL HEGDE/E056851bankacctSB 000401639888 / ICICI Bank Ltd / Nariman Point / MumbaiEISC-ETRXN-220114012736-V11.11.2Account StatementPage 2 of 2Units are allotted subject to clearance of cheque.* 1016326622$N$$220114*1016326622Second HolderThird Holder N/AN/AFolio NumberBank Details SB 000401639888 /ICICI Bank Ltd /Nariman Point /MumbaiStatus : IndividualFirst Holder Yogesh Subhash Pote PAN 1 :AMNPP7599L - VerifiedPAN 2 :N/APAN 3 :N/AMode : Single :::::KYC : OKBroker : ARN-61012EUIN : E056851I/We would like to submit following transaction in scheme.AdditionalpurchaseAmount Rs.: Cheque/DD No.: Date :A/c. type: Saving/Current/NRE/NROBank Name : Branch :RedemptionAmount Rs.: orUnits :Switch ToAmount Rs.: orUnits :Scheme : Plan : Option:Sub. Option:SignaturesofAccount holder(s): 1. 2. 3.BIRLA SUN LIFE MUTUAL FUNDScheme Unit Balance NAV as on NAV Current Value Cost of Investment Dividend EarnedPORTFOLIO SUMMARY10.934 21-J an-2014 367.12 4,014.09 3,975.00 0.00BSL '95 Fund - GrowthTOTAL : 4,014.09 3,975.00 0.00