Application No.
COMMON APPLICATION FORM FOR NEW INVESTORS - FRESH PURCHASE ONLY
(Please fill in BLOCK Letters only) (Please use financial transaction form for additional purchase)
Name & ARN Code / Branch Code Sub-Broker Sub-Broker EUIN* Employee/
(Employee Unique
RIA Code** / PMRN (Only for SBG) ARN Code Code Identification Number) Reference No.
Declaration for “Execution-only” transaction (where the above EUIN box is left blank & no investment advice is solicited) / Registered Investment Advisor (RIA) Transaction:
* 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.
** By mentioning RIA code, I / we authorize you to share with the SEBI Registered Investment Adviser (RIA), the details of my / our transactions in the scheme(s) of SBI Mutual Fund.
SIGNATURE (S)
1st Holder/Authorised Signatory/Guardian 2nd Holder/Authorised Signatory 3rd Holder/Authorised Signatory
SECTION I - INDIVIDUAL INVESTOR / SOLE PROPRIETOR
Investor Details 1 Applicant/Minor
st
2nd Applicant 3rd Applicant
Investor Name
(As per Income Tax)
PAN Number
Date of Birth
(As per Income Tax) DD/MM/YYYY DD/MM/YYYY DD/MM/YYYY
Guardian Details Relationship with Minor Relationship Proof attached
(In case of Minor) Guardian Name
Father Mother Legal Guardian Birth Certificate Passport
(Please fill details
as per Income Tax) Guardian PAN Guardian Date of Birth DD/MM/YYYY Aadhar Card Court Order
Mode of Holding Single Joint Anyone or Survivor(s) (Joint applicants not allowed in case of Minor investment)
CKYC Number (KIN)
Resident Individual Resident Minor Resident Individual PIO Resident Individual PIO
NRI (Repatriable) NRI (Non Repatriable) NRI (Repatriable) NRI (Non Repatriable) NRI (Repatriable) NRI (Non Repatriable)
Tax Status
NRI - Minor NRI - Minor
(Repatriable) (Non Repatriable)
PIO Sole Proprietor (Please attach GST Certificate)
Power of Attorney (POA) Details - If applicable
POA Holder Name
PAN of POA Holder
POA copy attached
SECTION II NON - INDIVIDUAL INVESTOR
Investor Name
(As per Income Tax)
Date of Incorporation DD/MM/YYYY CKYC Number (KIN)
PAN Number (As per Income Tax)
Contact Person Name
Legal Entity Identifier Note: LEI code mandatory if investment value
(LEI Copy to enclosed) LEI No. Validity DD/MM/YYYY is equal to or exceeds `50 crore limit.
Partnership Firm Private Limited Company AOP NPO* Bank & Institutions
HUF Public Limited Company BOI NGO* Gratuity Fund
Tax Status of Entity
LLP Government Body FOF Trust* Body Corporate
FII/FPI Pension & Retirement Fund Society* NPS Trust* Others
*I/We are Non-profit organisation (NPO) Yes No. If yes, please quote registration number of Darpan Portal
*NPO Declaration: We are falling under “Non-Profit organisation (NPO) which has been constituted for religious or charitable purpose referred to in clause (15) of section of 2 of Income-Tax
(Mandatory for Trust Act,1961 (43 of 1961), and is registered as a trust or a society under the Societies Registration Act,1860 (21 of 1860) or any similar State Legislation or Company Registered
& Society) under the section 8 of the Companies Act,2013 (18 of 2013).
If not registered, please register immediately and confirm with the above information to avoid non processing of applications. Failure to get above confirmation or registration with
(Please attach the portal as mandated, wherever applicable will force MF/AMC to register your entity name in the above portal and may report to the relevant authorities as applicable. We are
Darpan Certificate) aware that we may be liable for any fines or consequences as required under the respective statutory requirement and authorise you to deduct such fines/charges under
intimation to us or collect such fines/charges in any other manner as might be applicable.
Is the entity involved/providing any of the following service(s) : YES NO
For foreign exchange/money changer services
Other Details
Money Lending/Pawning
Gaming/Gambling/Lottery services (eg Casinos/betting syndicates)
Networth in Rs.
(Not older than 1 year) Rs. As on DD/MM/YYYY
Mandatory
Note: Non-Individual Investors should mandatorily fill separate FATCA/CRS & UBO Form (Annexure - I) along with this form.
Contd...
SECTION III - CONTACT & BANK DETAILS
Correspondence Address Overseas Address
(Address as per KRA records) (Mandatory for NRI/PIO/FII applicant)
Address for
Communication
City/Town Pin City/Town Zip
State Country State Country
Tel. (Res.) Tel. (Off.) Tel. (Res.) Tel. (Off.)
Bank Name Bank Account No.
Bank Details Branch Name IFSC MICR (9 Digit)
(Please attach Bank
Account proof) Branch Address City Pin code
A/C Type Savings Current NRO NRE FCNR Others ________________________
Contact Details 1st Applicant/Minor 2nd Applicant 3rd Applicant
Mobile Number Country Code - Country Code - Country Code -
Self Dependent Children Self Dependent Children Self Dependent Children
Spouse Dependent Parents Spouse Dependent Parents Spouse Dependent Parents
Given Mobile Number
Pertains to Guardian Dependent Sibling Guardian Dependent Sibling Guardian Dependent Sibling
Custodian POA PMS Custodian POA PMS Custodian POA PMS
Email ID
Self Dependent Children Self Dependent Children Self Dependent Children
Given Email ID Spouse Dependent Parents Spouse Dependent Parents Spouse Dependent Parents
Pertains to
Guardian Dependent Sibling Guardian Dependent Sibling Guardian Dependent Sibling
Custodian POA PMS Custodian POA PMS Custodian POA PMS
SECTION IV - INVESTMENT DETAILS
Lumpsum Investment Systematic Investment Plan (SIP) Lumpsum with SIP Investment
Investment Type (Please Attach SIP & OTM Form) (Please Attach SIP & OTM Form)
Scheme Details Scheme 1 Scheme 2 Scheme 3
(Please provide separate cheque for each Scheme) (Please provide separate cheque for each Scheme) (Please provide separate cheque for each Scheme)
Scheme Name
Plan Regular Direct Regular Direct Regular Direct
Option Growth IDCW (Dividend) Growth IDCW (Dividend) Growth IDCW (Dividend)
Payout Reinvest Payout Reinvest Payout Reinvest
IDCW Facility
(In case you wish to transfer (In case you wish to transfer (In case you wish to transfer
Transfer IDCW amount to other scheme)
Transfer IDCW amount to other scheme)
Transfer IDCW amount to other scheme)
IDCW Transfer To Scheme Name To Scheme Name To Scheme Name
Details
(If selected Plan Option Plan Option Plan Option
IDCW transfer)
IDCW Facility IDCW Frequency IDCW Facility IDCW Frequency IDCW Facility IDCW Frequency
Daily Weekly Daily Weekly Daily Weekly
IDCW Fortnightly Monthly Fortnightly Monthly Fortnightly Monthly
Frequency
Quarterly Annual Quarterly Annual Quarterly Annual
Payment Details Cheque No. / UTR No./ Reference No. Cheque No. / UTR No./ Reference No. Cheque No. / UTR No./ Reference No.
(Cheque in favour of
Scheme Name) Cheque Date DD/MM/YYYY Cheque Date DD/MM/YYYY Cheque Date DD/MM/YYYY
Amount in Rs.
Amount in Words
Bank Name Bank Name Bank Name
Drawn on Branch Name Branch Name Branch Name
Bank A/c No. Bank A/c No. Bank A/c No.
Cheque RTGS/NEFT Cheque RTGS/NEFT Cheque RTGS/NEFT
Payment Mode
Fund Transfer OTM Fund Transfer OTM Fund Transfer OTM
DEMAT Details Depository Participant Name Proof Attached Latest Client Master Demat Account Statement
(Please provide
details ONLY if you National Securities Depository Limited (NSDL) Central Depository Securities (India) Limited (CDSL)
wish to hold units
in / under Demat) DP ID & Beneficiary Account No. Beneficiary Account No.
Note: The sequence of names as mentioned in the MF application form should be as per the sequence of names in Demat account.
Contd...
SECTION V - FATCA & CRS INFORMATION MANDATORY FOR INDIVIDUAL / SOLE PROPRIETOR
Non-Individual Investors should Mandatorily fill separate FATCA/CRS & UBO Form (Annexure - I) along with this form.
FATCA & CRS 1st Applicant 2nd Applicant 3rd Applicant Guardian
Country of Birth
Place/City of Birth
Nationality
Is the applicant(s)
Country of Birth/
Nationality/Tax Yes No Yes No Yes No Yes No
Residency other
than India
If Yes, Please provide following information:
Country of Tax
Residency 1
Identification Type
Tax Payer Ref ID No.
Country of Tax
Residency 2
Identification Type
Tax Payer Ref ID No.
Country of Tax
Residency 3
Identification Type
Tax Payer Ref ID No.
Note: In case Tax Identification Number is not available, kindly provide its functional equivalent. If no TIN is available or has not yet been issued, please provide an
Explanation and attach this to the form. (Please attach additional sheet if necessary and mention all countries in which applicant is a tax resident and provide relevant details)
SECTION VI - OTHER PERSONAL INFORMATION
Other
1st Applicant/Minor 2nd Applicant 3rd Applicant Guardian
Information
Gender Male Female Other Male Female Other Male Female Other Male Female Other
Father's Name
Spouse Name
Private Sector Public Sector Private Sector Public Sector Private Sector Public Sector Private Sector Public Sector
Government Government Government Government
Service Doctor Service Doctor Service Doctor Service Doctor
Business Professional Business Professional Business Professional Business Professional
Occupation Agriculturist Retired Agriculturist Retired Agriculturist Retired Agriculture Retired
Student House Wife Student House Wife Student House Wife Student House Wife
Others (Please Specify) Others (Please Specify) Others (Please Specify) Others (Please Specify)
Below 1 Lac 1-5 Lacs Below 1 Lac 1-5 Lacs Below 1 Lac 1-5 Lacs Below 1 Lac 1-5 Lacs
Gross Income 5-10 Lacs 5-10 Lacs 5-10 Lacs 5-10 Lacs
10-25 Lacs 10-25 Lacs 10-25 Lacs 10-25 Lacs
Range (in Rs.)
25 lacs - 1 Cr 1-5 Cr 25 lacs - 1 Cr 1-5 Cr 25 lacs - 1 Cr 1-5 Cr 25 lacs - 1 Cr 1-5 Cr
OR
5-10 Cr > 10cr 5-10 Cr > 10cr 5-10 Cr > 10cr 5-10 Cr > 10cr
Networth in Rs.
(Not older Rs. Rs. Rs. Rs.
than 1 year)
As on DD/MM/YYYY As on DD/MM/YYYY As on DD/MM/YYYY As on DD/MM/YYYY
Politically Exposed Yes No Yes No Yes No Yes No
Person (PEP) Related to PEP Related to PEP Related to PEP Related to PEP
Type of Address Residential Business Residential Business Residential Business Residential Business
given at KRA
Registered Office Registered Office Registered Office Registered Office
Contd...
ACKNOWLEDGMENT SLIP Application No.:
ARN No.: EUIN No.:
Name of the Investor
Scheme Name:
Investment Details Date: DD/MM/YYYY Amount: Plan: Regular Direct Option: Growth IDCW
Cheque/UTR No.:
Bank & Branch Name: Signature, Date & Stamp
SECTION VII - NOMINATION
Nomination I/We wish to Nominate the following person(s). (ALL THE BELOW FIELDS ARE MANDATORY)
(Applicable for
OR
individual Investors
except Minor) I/We do not wish to Nominate - Nominee OPT Out (Please sign Declaration for No Nomination) #
Nominee
Details Nominee 1 Nominee 2 Nominee 3
Name of the Nominee
PAN of Nominee (Optional)
Allocation% (Total of
allocation% should be 100%)
Relationship of
Nominee with investor
Nominee Date of Birth
(Mandatory if Nominee DD/MM/YYYY DD/MM/YYYY DD/MM/YYYY
is Minor)
Guardian Name
(In case Nominee is
Minor)
Nominee/Guardian
Address
Nominee/Guardian Mobile No. Mobile No. Mobile No.
Contact Details
Email Id Email Id Email Id
Identification Details of
Nominee/Guardian PAN Card Aadhar (last 4 Digits) PAN Card Aadhar (last 4 Digits) PAN Card Aadhar (last 4 Digits)
(in case of Minor)-
Please tick any one Option Passport(NRI/PIO/OCI) Driving Licence Passport(NRI/PIO/OCI) Driving Licence Passport(NRI/PIO/OCI) Driving Licence
Please mention ID Number
Identification Number Identification Number Identification Number
of the opted Option
# Declaration for I/we hereby confirm that I/We do not wish to appoint any nominee(s) for my/our mutual fund units held in my/our folio and understand the issues involved in non-appointment
of nominee(s) and further are aware that in case of death of all the account holder(s), my/our legal heirs would need to submit all the requisite documents issued by court or
No Nomination: other competent authority, based on the values of assets held in my/our mutual fund folio.
*Signature(s)
(All Applicants must Sign)
*If the account holder affixes thumb impression instead of signature, Please use separate nomination form.
I / We want the details of my / our nominee to be printed in the Statement of Account, provided to me / us by the AMC as follows; (please tick, as appropriate)
Name of Nominee(s) with Details and Percentage Nomination without Details and Percentage (Default Option)
All communication related to your investment, scheme-wise annual report or abridged summary will be sent to your registered
Go Green Email ID. However if you wish to receive the above in physical form, please tick below box.
Initiative I wish to receive scheme wise annual report or abridged summary through physical mode.
DECLARATION : I/We confirm that the information provided in this form is true & accurate. I/We have read and understood the contents of all the scheme related documents and I/We hereby confirm and declare
that (i) I/We have not received or been induced by any rebate or gifts, directly or indirectly, in making this investment. (ii) The amount invested/to be invested by me/us in the scheme(s) of SBI Mutual Fund (“the Fund”)
is derived through legitimate sources and is not held or designed for the purpose of contravention of any act, rules, regulations or any statute or legislation or any other applicable laws or any notifications, directions
issued by any governmental or statutory authority from time to time. (iii) The monies invested by me/us in the schemes of the Fund do not attract the provisions of Foreign Contribution Regulations Act (“FCRA”). (iv)
I/We am/are aware that a U.S. person (within the definition of the term ‘US Person’ under the US Securities laws) / resident of Canada are not eligible for investments with the Fund and I/We am/are not a U.S.
person/resident of Canada. (v) The ARN holder has disclosed to me/us all the commissions (in the form of trail commission or any other mode), payable to him/her for the different competing schemes of various
mutual funds from amongst which a scheme of the Fund is being recommended to me/us. (vi) $As per the Memorandum and Articles of Association of the Company, Bye laws, Trust Deed or Partnership Deed and
resolutions passed by the Company / Firm / Trust, I/We am/are authorised to enter into the transactions for and on behalf of the Company/Firm/Trust. (vii) @I/We am/are Non Resident of Indian Nationality/Origin and
that funds for the subscriptions have been remitted from abroad through approved banking channels or from my/our Non Resident External/Ordinary account/ FCNR Account. (viii) I/We do not hold a Permanent
Account Number and hold only a single PAN Exempt KYC Reference No. (PEKRN) issued by KYC Registration Agency and also confirm that the aggregate of lump sum and SIP installments in a rolling 12 months
period or financial year does not exceed Rs. 50,000/- (Rupees Fifty Thousand) per Financial year per AMC (Applicable for “Micro Investments” only). (ix) All information provided in this application form together with
its annexures is/are true and correct to the best of my/our knowledge and belief and I/We shall be liable in case any of the specified information is found to be false or untrue or misleading or misrepresenting. (x) That
we authorize you to disclose, share, remit in any form, mode or manner, all / any of the information provided by me/ us, including all changes, updates to such information as and when provided by me/ us to the Fund,
its Sponsor, AMC, trustees, their employees/RTAs or any Indian or foreign governmental or statutory or judicial authorities/agencies including but not limited to SEBI, the Financial Intelligence Unit-India, the
tax/revenue authorities in India or outside India wherever it is legally required and other such regulatory/investigation agencies or such other third party, on a need to know basis, without any obligation of advising
me/us of the same. (xi) I/We shall keep you forthwith informed in writing about any changes/modification to the information provided or any other additional information as may be required by you from time to time.
(xii) Towards compliance with tax information sharing laws, such as FATCA and CRS: (a) The Fund may be required to seek additional personal, tax and beneficial owner information and certain certifications and
documentation from investors. I/We ensure to advise you within 30 days should there be any change in any information provided. (b) In certain circumstances (including if the Fund does not receive a valid
self-certification from me) the Fund may be obliged to share information on my account with relevant tax authorities. (c) I/We am aware that the Fund may also be required to provide information to any institutions
such as withholding agents for the purpose of ensuring appropriate withholding from the account or any proceeds in relation thereto. (d) As may be required by domestic or overseas regulators/ tax authorities, the
Fund may also be constrained to withhold and pay out any sums from my/ our account or close or suspend my account(s) and (e) I/We understand that I am / we are required to contact my tax advisor for any questions
about my/our tax residency. (f) I have understood the information requirements of this form (read along with the FATCA/CRS instructions) and hereby confirm that the information provided by me/us on these form,
including the tax payer identification number is true, correct and complete. I also confirm that I have read and understood the FATCA Terms and Conditions below and accept the same. (xiii) I/We understand that, a
penalty shall be levied on every inaccurate reportable account as provided under the Income Tax Act, 1961. The MF/AMC has the right to recover this penalty from the unit holder(s) or retain out of any money in its
possession, due to inaccurate information or false self-certifications provided by unit holders. (xiv) If the name/date of birth/date of incorporation given in the Application is not matching with PAN, Application may
liable to get rejected or further transactions may be liable to get rejected. By using this application, I/We agree to issue a cheque in favour of the scheme which will be invested as per the option selected/mentioned
under clause (Section IV) of the form. $Applicable to other than Individuals/HUF; @Applicable to NRI
I/We have read, understood & agree to the terms & conditions mentioned in the SID & KIM of the respective Scheme(s) along with
the above declaration. I/We hereby confirm that the information provided by me/us on this form is true, correct and complete.
Signature(s)
(All Applicants must Sign) 1st Applicant/Guardian/ 2nd Applicant 3rd Applicant
Authorised Signatory - Affix Rubber Stamp Authorised Signatory - Affix Rubber Stamp Authorised Signatory - Affix Rubber Stamp
Date: / / Place:
Any communication in connection with this application should be addressed to the Registrar or the Investment Manager
Investment Manager : Registrar:
SBI Funds Management Ltd. Computer Age Management Services Ltd.,
(A Joint Venture between SBI & AMUNDI) (SEBI Registration No. : INR000002813)
9th Floor, Crescenzo, C-38 & 39,G Block, Bandra Kurla Complex, Rayala Towers, 158, Anna Salai,Chennai - 600 002.
Bandra (East), Mumbai - 400 051. Email: enq_sbimf@camsonline.com • Website: www.camsonline.com