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New Scheme / Plan / Option
D D M M Y Y Y Y
New SIP End DateNew SIP Amount
`
SIP Modification Application Form APP No.
Reliance Nippon Life Asset Management Limited
(formerly Reliance Capital Asset Management Limited)
A Reliance Capital Company
1. DISTRIBUTOR / BROKER INFORMATION
*Please sign below in case the EUIN is left blank/not provided. 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.
++ I/We, have invested in the Scheme(s) of your Mutual Fund under Direct Plan. I/We hereby give you my/our consent to share/provide the transactions data feed/ portfolio
holdings/ NAV etc. in respect of my/our investments under Direct Plan of all Schemes Managed by you, to the above mentioned Mutual Fund Distributor / SEBI-Registered
Investment Adviser:
ARN- (ARN stamp here) ARN-
Name & Broker Code / ARN Sub Broker / Sub Agent CodeSub Broker / Sub Agent ARN Code *Employee Unique Identification Number
++
RIA Code
Upfront commission shall be paid directly by the investor to the AMFI registered distributor based on the investor's assessment of various factors including the service rendered
by the distributor.
Third Applicant /
Authorised Signatory
First / Sole Applicant / Guardian /
Authorised Signatory
Second Applicant /
Authorised Signatory
SIGN
HERE
Received from Mr./Mrs./Ms. _____________________________________________________ SIP modification request
for SIP registered for ` _________in Folio No. ____________under Reliance ____________________________________
with ______________ frequency and ___________________ Debit Date. Signature, Date & Stamp
Of receiving office
ACKNOWLEDGMENT SLIP (To be filled by the investor)
Name of Sole/1st holder
Name of 2nd holder
Name of 3rd holder
PAN No / PEKRN.
PAN No / PEKRN.
PAN No / PEKRN.
KYC
KYC
KYC
M A N D A T O R YMr./Ms./M/s
Mr./Ms.
Mr./Ms.
2. APPLICANT DETAILS FOLIO NO.
M A N D A T O R Y
M A N D A T O R Y
1. In order to provide flexibility, an investor investing through SIP shall have an
option to modify the selected scheme and / or SIP installment amount and /
or SIP end date, in the scheme wherein the SIP investments are currently
beingmade.
2. Request has to be submitted atleast 10 days prior to the next SIP installment
date(excludingtherequestdateandthe next SIPinstallmentdate).
3. Modify SIP facility shall be available only to investors whose SIP is registered
throughOneTimeBank Mandate / InvestEasy Mandate.
4. Modify SIP request shall be liable for rejection if the modified details do not
INSTRUCTIONS cum TERMS AND CONDITIONS
meet the amount / tenure conditions as per the Scheme Information
Document oftherespectiveschemeortheregisteredmandate.
5. If the investor submits request for Modify SIP details for a SIP registration
where the Reliance STEP-UP facility is already registered, the Reliance STEP
UP facility shall be cancelled immediately upon receipt of Modify SIP details
request.
6. The broker code mentioned on the initial SIP registration request will continue
even after the SIP Modification registration request is given. In case a different
broker code is specified on the SIP Modification registration request then the
samewill not beconsidered.
SIPModificationApplicationForm/29thJune2017/Ver1.0
Scheme / Plan / Option
(Please any one)
Frequency
3. Existing SIP DETAILS
Monthly
Quarterly
Yearly
SIP Amount
(in figures)
`
Bank Name / Account number
One Time Bank Mandate
SIP Debit Date Payment Mode
(Please any one)
2
23
7
28
10 18
(AnyotherDate)
Modification details given
4. SIP Modification Details
New Scheme / Plan / Option
D D M M Y Y Y Y
New SIP End DateNew SIP Amount
`
Third Applicant /
Authorised Signatory
First / Sole Applicant / Guardian /
Authorised Signatory
Second Applicant /
Authorised Signatory
SIGN
HERE
APP No.

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Sip modification-application-form

  • 1. New Scheme / Plan / Option D D M M Y Y Y Y New SIP End DateNew SIP Amount ` SIP Modification Application Form APP No. Reliance Nippon Life Asset Management Limited (formerly Reliance Capital Asset Management Limited) A Reliance Capital Company 1. DISTRIBUTOR / BROKER INFORMATION *Please sign below in case the EUIN is left blank/not provided. 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. ++ I/We, have invested in the Scheme(s) of your Mutual Fund under Direct Plan. I/We hereby give you my/our consent to share/provide the transactions data feed/ portfolio holdings/ NAV etc. in respect of my/our investments under Direct Plan of all Schemes Managed by you, to the above mentioned Mutual Fund Distributor / SEBI-Registered Investment Adviser: ARN- (ARN stamp here) ARN- Name & Broker Code / ARN Sub Broker / Sub Agent CodeSub Broker / Sub Agent ARN Code *Employee Unique Identification Number ++ RIA Code Upfront commission shall be paid directly by the investor to the AMFI registered distributor based on the investor's assessment of various factors including the service rendered by the distributor. Third Applicant / Authorised Signatory First / Sole Applicant / Guardian / Authorised Signatory Second Applicant / Authorised Signatory SIGN HERE Received from Mr./Mrs./Ms. _____________________________________________________ SIP modification request for SIP registered for ` _________in Folio No. ____________under Reliance ____________________________________ with ______________ frequency and ___________________ Debit Date. Signature, Date & Stamp Of receiving office ACKNOWLEDGMENT SLIP (To be filled by the investor) Name of Sole/1st holder Name of 2nd holder Name of 3rd holder PAN No / PEKRN. PAN No / PEKRN. PAN No / PEKRN. KYC KYC KYC M A N D A T O R YMr./Ms./M/s Mr./Ms. Mr./Ms. 2. APPLICANT DETAILS FOLIO NO. M A N D A T O R Y M A N D A T O R Y 1. In order to provide flexibility, an investor investing through SIP shall have an option to modify the selected scheme and / or SIP installment amount and / or SIP end date, in the scheme wherein the SIP investments are currently beingmade. 2. Request has to be submitted atleast 10 days prior to the next SIP installment date(excludingtherequestdateandthe next SIPinstallmentdate). 3. Modify SIP facility shall be available only to investors whose SIP is registered throughOneTimeBank Mandate / InvestEasy Mandate. 4. Modify SIP request shall be liable for rejection if the modified details do not INSTRUCTIONS cum TERMS AND CONDITIONS meet the amount / tenure conditions as per the Scheme Information Document oftherespectiveschemeortheregisteredmandate. 5. If the investor submits request for Modify SIP details for a SIP registration where the Reliance STEP-UP facility is already registered, the Reliance STEP UP facility shall be cancelled immediately upon receipt of Modify SIP details request. 6. The broker code mentioned on the initial SIP registration request will continue even after the SIP Modification registration request is given. In case a different broker code is specified on the SIP Modification registration request then the samewill not beconsidered. SIPModificationApplicationForm/29thJune2017/Ver1.0 Scheme / Plan / Option (Please any one) Frequency 3. Existing SIP DETAILS Monthly Quarterly Yearly SIP Amount (in figures) ` Bank Name / Account number One Time Bank Mandate SIP Debit Date Payment Mode (Please any one) 2 23 7 28 10 18 (AnyotherDate) Modification details given 4. SIP Modification Details New Scheme / Plan / Option D D M M Y Y Y Y New SIP End DateNew SIP Amount ` Third Applicant / Authorised Signatory First / Sole Applicant / Guardian / Authorised Signatory Second Applicant / Authorised Signatory SIGN HERE APP No.