TRANSACTION FORM

(For Existing Unit Holders only) Please read the instructions overleaf carefully and complete the relevant section legibly in black/dark coloured ink and in BLOCK CAPITALS. Please strike out sections that you intend to leave blank. Distributor/Broker Code Sub-Broker Code
Branch Code For Office Use

ARNUpfront commission shall be paid directly by the investor to the AMFI registered distributor based on the investors' assessment of various factors including the service rendered by the distributor.

1 UNIT HOLDERS DETAILS (MANDATORY)

(See note 1 overleaf)

Middle Name

Folio No.
Third Applicant
Attested PAN Card KYC Acknowledgement Letter

Please note that furnishing of PAN together with an attested copy of PAN Card is mandatory for each unit holder. If the amount you propose to invest is Rs. 50,000 or more, you need to also enclose a KYC Acknowledgement Letter issued by CDSL Ventures Limited for each unit holder. Please refer General Instructions 4 and 5 and Note 1 of Guidance notes overleaf.

2 PURCHASE REQUEST
Scheme Option ( ) Growth OR Dividend Reinvestment OR Dividend Payout Plan Dividend Frequency

(See note 2 overleaf)

Investment Amount

DD Charges (If applicable)

Net Amount (Cheque/DD Amount)

Rs.
Mode of Payment ( ) Instrument No.

A
Cheque or DD or

Rs.
Fund Transfer or

B
Others Drawn on

Rs.
(please specify)

A minus B
Bank City

Dated

D D / M M / Y Y Y Y

Branch

NRI Investors, please indicate source of funds for your investment (Please )

NRE

NRO

FCNR

Others

(please specify)

3 REDEMPTION REQUEST
Scheme Option ( ) Growth OR Dividend OR Plan Dividend Frequency

(See note 3 overleaf)

Amount (Rs.)

No. of Units

OR

All Units ( )

4 SWITCH REQUEST
From Scheme Option ( ) To Scheme Option ( ) Growth OR Dividend Reinvestment OR Dividend Payout OR Growth OR Dividend Plan Dividend Frequency Plan Dividend Frequency OR

(See note 4 overleaf)

Amount (Rs.)

No. of Units

All Units ( )

5 SYSTEMATIC WITHDRAWAL PLAN (SWP) (To be submitted at least 7 days before the 1st due date for withdrawal)
Scheme Option ( ) Growth OR Fixed Amount Dividend OR Fixed No. of Units Plan Dividend Frequency

(See note 5 overleaf)

Withdrawal Preference Withdrawal Instalment Total Withdrawal

Withdrawal From

D D/M M/Y Y Y Y

To

D D/M M/Y Y Y Y

X No. of Instalments

(First Instalment)
Withdrawal Frequency ( ) Monthly OR

(Last Instalment)
Quarterly

6 SYSTEMATIC TRANSFER PLAN (STP) (To be submitted at least 7 days before the 1st due date for transfer)
From Scheme Option ( ) To Scheme Option ( ) Growth OR Dividend Reinvestment OR Dividend Payout Growth OR Dividend Plan Dividend Frequency Plan Dividend Frequency

(See note 6 overleaf)

Transfer Instalment Rs. Total Transfer Rs. Transfer Period From

Min. Rs. 500/-

X No. of Instalments

Transfer Frequency (Please choose either Weekly or Fortnightly or Monthly) ( )

M M/Y Y Y Y

To

M M/Y Y Y Y

(First Instalment)

(Last Instalment)

7 UNIT HOLDER(S) SIGNATURE(S) (To be signed by ALL UNIT HOLDERS if mode of holding is Joint.)
I/We have read and understood the contents of the respective Scheme Information Document, Statement of Additional Information and Key Information Memorandum of Fidelity Mutual Fund. I/We have neither received nor been induced by any rebate or gifts, directly or indirectly in making this transaction. The ARN holder has disclosed to me/us all the commissions (in the form of trail commission or any other mode), payable to him for the different competing schemes of various Mutual Funds from amongst which the Scheme is being recommended to me/us.

Sole/First Unit Holder

Second Unit Holder

Date

Third Unit Holder

GENERAL INSTRUCTIONS
1. This transaction form would help you make purchases in our various schemes, switch or redeem your existing investments or register for our Systematic Withdrawal Plan (SWP) or Systematic Transfer Plan (STP). This form is meant for use by existing Unit holders only. New Applicants would need to fill in the Common Application Form. 2. Please read the respective Scheme Information Document and Statement of Additional Information carefully before investing. 3. Please strike off sections that are not relevant/applicable. Please counter-sign in line with your mode of holding against any corrections made in the Transaction Form. 4. PERMANENT ACCOUNT NUMBER (PAN) : Please note that for all Lumpsum investments, it is mandatory to furnish PAN together with an attested copy of PAN card for all applicants/unit holders. In the absence of this, your application will be rejected. The attestation of the PAN card may be done by a Notary Public or a Gazetted Officer or a Manager of a Bank or a financial advisor under its/his seal and should carry the name and designation of the person attesting it. 5. KNOW YOUR CUSTOMER (KYC) COMPLIANCE : Please note that, for investments of Rs. 50,000 or more, it is mandatory for each unit holder to be KYC-compliant. Applications not fulfilling this requirement would be rejected. If a Unit holder has submitted a KYC application, he will receive a KYC Acknowledgement Letter issued by CDSL Ventures Ltd. (CVL). This letter should be submitted along with a purchase application of Rs. 50,000 or more for every unit holder in a folio. Once such letter has been submitted, we will verify the KYC status with CVL and take on record the current status for each Unit holder in a folio. The KYC status for a Unit holder could be any one of the following: KYC Verified: The KYC checks are completed for the Unit holder. This would indicate that the Unit holder is KYC Compliant KYC Pending: The KYC checks are in progress KYC Failed: The KYC checks have failed on account of some deficiencies in documents submitted at CVL KYC Not Available: The KYC checks are yet to happen for the Unit holder If the KYC status is KYC Verified for all Unit holders in a folio, the status for the Folio will also be KYC Verified and an investor can thereafter invest any amount without attaching the KYC Acknowledgement Letter. PLEASE ALSO NOTE THE FOLLOWING:
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POA Holders need to be KYC-compliant. Guardians to minor applicants need to be KYC-compliant.

If you are not yet KYC-compliant and wish to invest Rs. 50,000 or more as a single purchase, please approach a Point of Service (POS) of CVL to complete the KYC compliance procedure and submit a copy of your KYC Acknowledgement Letter to us. You can find the list of POS on the website of AMFI (www.amfiindia.com) or CVL (www.cvlindia.com). If you are already KYC Compliant but have not yet intimated us about the same, you can attach your KYC Acknowledgement Letter issued by CVL with this Transaction Form and send it to us for updation of your KYC Status in your folio. 6. NON-INDIVIDUAL INVESTORS : Please intimate us of any change in your list of signatories immediately after the change giving us a certified copy of the Board Resolution and List of Authorised Signatories. 7. Please refer the GUIDANCE NOTES below. This should help you fill in the necessary details correctly and completely. 8. Completed Transaction Forms should be submitted to your nearest Investor Service Centre of Fidelity Mutual Fund or CAMS.

GUIDANCE NOTES TO HELP YOU FILL IN THE TRANSACTION FORM

switch all units, please tick against the box provided for the purpose.
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Please furnish the name of the Sole/First Unit Holder and the Folio Number. Please fulfil requirements specified in General Instructions 4 and 5 above (as applicable) for all unit holders. Please specify the scheme details, investment amount and cheque details. Your investment cheque should be drawn in favour of the scheme in which you propose to invest. If you are an NRI Investor please indicate source of funds for investment. Please specify the scheme details and the amount/number of units you wish to redeem. If you wish to redeem all units, tick against the box provided for the purpose. Redemption payout would be made only to the Sole/First unit holder favouring the bank account appearing in our records. If your redemption request specifies both amount and units for redemption, the latter would be processed. Redemption will be processed only for such (part or whole) holdings for which purchase proceeds have been realised. If the balance in the Scheme/Plan/Option after taking into account the redemption is below the minimum redemption size (either in amount or in units whichever is less), the entire balance would be redeemed and paid out. To safeguard investors against fraudulent action on their investments, where a redemption request is received together with a request for Change of Address and/or Change in Bank Details, the AMC may release the payment only after completing necessary additional checks. Please specify the source and target scheme details for the switch. Please specify the amount/number of units you wish to switch. If you wish to

If your switch request specifies both amount and units, the latter would be processed. If the balance in the source Scheme/Plan/Option after taking into account the switch is below the minimum redemption size (either in amount or in units whichever is less), the entire balance in the source scheme would be switched to the target scheme. Please indicate whether you wish to withdraw a fixed amount per period or fixed number of units. If neither is indicated in the form, the instalment will be considered as amount by default. Please also specify the scheme details, the number of instalments, the total withdrawal sought, the withdrawal frequency and the withdrawal period. Minimum Withdrawal Size Rs. 500 or 50 units. Please note that your SWP request would be registered with us within 7 days from the date of lodgement of your SWP Request. Hence, please date your SWP Period From Date at least 7 days after the date of lodgement of your request. You can cancel the SWP request at any time by giving a written request for the same. The cancellation of a registeredSWPrequest would take 15 days. Please specify the scheme details, your transfer instalment amount, the number of instalments, the total amount sought to be transferred, the transfer frequency and the transfer period. Minimum Transfer Size Rs. 500. Please note that your STP request would be registered with us within 7 days from the date of lodgement of your STP Request. Hence, please date your STP Period From Date at least 7 days after the date of lodgement of your request. You can cancel the STP request at any time by giving a written request for the same. The cancellation of a registered STP request would take 15 days.

Note 2 PURCHASE REQUEST

Note 5 SYSTEMATIC WITHDRAWAL REQUEST (SWP)

Note 3 REDEMPTION REQUEST

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Note 6 SYSTEMATIC TRANSFER REQUEST (STP)

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Note 4 SWITCH REQUEST

CONTACT US Phone
E-Mail

1800 2000 400

(toll-free) OR

0124 3915670

(at long distance rates)

Lines open from 9 a.m. to 6 p.m. on all Business Days.

CI01294

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Website

www.fidelity.co.in