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Account Statement Statement Date : 23 Mar 2020

For the period 01 Apr 2019 to 22 Mar 2020


* Folio No. : 599327636153 Application No :
* Please quote this folio number for future correspondence / transactions.

SURESH D Unique Client Code :MFUTIB0032


Date Of Birth : Registered Category : RESIDENT INDIAN
NO 2 35 MALAIMEDU AGRAVARAM
MUKUNDARAYAPURAM Mode of Holding : SINGLE Status : INDIVIDUAL
VELLORE 632405 Bank Account No : savings/XXXXXXXXXXXX037 Pay Mode : Electronic
VELLORE Bank Name : YES BANK LTD
TAMIL NADU
INDIA, PIN : 632405 MICR No : Please Provide IFS Code : YESB0000476

Mobile No : 8148212482
Financial Advisor :
Email ID : rpt3suresh@gmail.com
Sub ARN Code : Sub Code : EUIN :
Nominee : Magizhini - 100%

Holder PAN KYC Status/KIN FATCA


Primary Holder XXXXXXX99C Complied(CVL KRA Yes You can send your request for Account Statement 24x7 with either your Folio no., or PAN or Email ID
2nd Holder (provided PAN and Email ID is registered in the Folio) by logging on to UTI Mutual Fund's website
www.utimf.com. The service is available with a drop down option of "Request for SoA" under the heading
3rd Holder
"Customer Service".
Guardian
Status as on 31-01-2018: NAV Rs. 71.3422, Units 0.000, Value Rs.0.000
UTI Nifty Index Fund-Direct Growth Plan ISIN : INF789F01XA0
Tr.Date Transaction Type Amount (`) NAV(`) Load Price (`) Number of Units Balance Units
(`)

21/11/2019 Zero balance SIP 0.000


ZSIP
16/12/2019 Sys. Investment (1/950) 1,000.00 79.8058 79.8058 12.530 12.530
ISIP
16/12/2019 Sys. Investment Rejection (1/950) 1,000.00 79.8058 79.8058 12.530 0.000
Payment not received from investor bank
15/01/2020 Sys. Investment (2/950) 1,000.00 81.7180 81.7180 12.237 12.237
ISIP
15/01/2020 Sys. Investment Rejection (1/950) 1,000.00 81.7180 81.7180 12.237 0.000
Payment not received from investor bank
W.e.f. 02-05-2016 - Entry load and Exit load : Nil.
NAV ` 57.8611 (as on 20 Mar 2020)
Local UFC Address : UTI Financial Centre, 1st Floor (Backside), SAI RAJYA, No. 14, Officers Line (Anna Salai)
Vellore - 632 001, Tamil Nadu Tel: (0416) 2235357 /5339, Fax: (0416) 2235330

CA : WB99-CWYPS3799C-3/23/2020 7:31:29 PM / LA: CWYPS3799C-23.03.20-1 Page 1 of 2


Account Statement Statement Date : 23 Mar 2020
For the period 01 Apr 2019 to 22 Mar 2020

Folio No. : 599327636153 Sub ARN : PAN KYC Status


Name : SURESH D Code Primary Holder XXXXXXX99C Complied(CVL KRA KYC)

Mode of Holding : SINGLE Sub Code :


2nd Holder
Bank Details savings/XXXXXXXXXXXX037 / YES BANK LTD / GROUND FLOOR 27
: EMPIRE HOTEL / OPP. NANDHANA HOTEL,KAMANHALLI,BANGALORE // NEAR :
EUIN
3rd Holder
Financial Advisor :
BANGALORE / 560084 / IFS Code : YESB0000476
RM code :
Guardian
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

UTI Nifty Index Fund-Direct Growth Plan Balance Units : 0.000


Nature of Transactions : (Please tick & fill up relevant details)
Purchase / Additional Purchase : I/we would like to purchase units of the above mentioned scheme for Amount ` (in fig) (in words)
Cheque/DD Number dated Drawn on Bank
Branch Bank A/c type (Please tick) Savings Current NRO NRE
Switch : I/we would like to switch All units or Partial units units or ` (amount in figures) (in words)
from above mentioned Scheme to Plan Option Growth Dividend Payout Dividend Reinvestment
Redemption : I/we would like to redeem All units or Partial units units or ` (amount in figures)
(in words) from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.

MICR NO IFSC
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.
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.
*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.

SIGNATURE(S)
First Account Holder Second Account Holder Third Account Holder
CA : WB99-CWYPS3799C-3/23/2020 7:31:29 PM / LA: CWYPS3799C-23.03.20-1 Page 2 of 2

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