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Offer of Units of Rs.

10 per unit for cash (subject to applicable load) during the New Fund Offer Period and AN OPEN-ENDED
at NAV based prices upon re-opening
This Key Information Memorandum (KIM) sets forth the information, which a prospective investor ought to know before investing. For
FUND OF FUNDS SCHEME
further details of the Scheme/Plan/Mutual Fund, due diligence certificate by the AMC, Key Personnel, investors' rights & COMPRISING THREE PLANS
services, risk factors, penalties & pending litigations etc. investors should, before investment, refer to the Scheme Information
Document and Statement of Additional Information available free of cost at any of the Investor Service Centres or distributors
or from the website www. fidelity.co.in.
PRESENTED BY
The Scheme/Plan particulars have been prepared in accordance with Securities and Exchange Board of India (Mutual Funds)
Regulations 1996, as amended till date, and filed with Securities and Exchange Board of India (SEBI). The units being offered FIDELITY MUTUAL FUND
for public subscription have not been approved or disapproved by SEBI, nor has SEBI certified the accuracy or adequacy
of this KIM.

New Fund Offer opens on: New Fund Offer closes on: Scheme Re-opens for continuous
January 14, 2009 February 5, 2009 sale and re-purchase on:
March 2, 2009
Name of Mutual Fund: Name of Asset Management Company: Name of Trustee Company:
Fidelity Mutual Fund FIL Fund Management Private Limited FIL Trustee Company Private Limited
Office: 56, 5th Floor, Maker Chambers VI, 220, Nariman Point, Registered Office: 56, 5th Floor, Maker Chambers VI, 220, Registered Office: 56, 5th Floor, Maker Chambers VI, 220,
Mumbai 400 021 Nariman Point, Mumbai 400 021 Nariman Point, Mumbai 400 021

KEY INFORMATION MEMORANDUM AND APPLICATION FORMS


The Scheme offers three plans viz; Plan A, Plan securities having an unexpired maturity upto one
B and Plan C. All the plans of the Scheme are year, call or notice money, certificate of deposit, usance
collectively referred to as 'the Plans' and bills and any other like instruments as specified by
individually, as the context permits, as 'a Plan' Reserve Bank of India from time to time.
(including the options there under).
RISK PROFILE OF THE SCHEME/PLANS
IMPORTANT DEFINITIONS Mutual Fund Units involve investment risks including
Some important definitions from the Scheme the possible loss of principal. Please read the SID
Information Document (SID) have been reproduced carefully for details on risk factors before investment.
below for quick reference. Please refer to the SID for Scheme specific risk factors are summarized below:
complete list of definitions. l Each Plan shall have a minimum of 20 Unit
Equity Scheme(s) Underlying Scheme(s) Holders and no single Unit Holder shall account for
which invests principally in more than 25% of the corpus of the Plan. In case of
equity and equity related non-fulfillment with either of the aforesaid conditions
securities. in a three month time period or the end of the
Debt Scheme(s) Underlying Scheme(s) succeeding calendar quarter, whichever is earlier,
which invests principally in from the close of the NFO of the Plan, the Plan shall
fixed income securities. be wound up by following the guidelines prescribed
by SEBI. The aforesaid conditions should also be
Underlying Scheme(s) Any existing scheme or met in each subsequent calendar quarter thereafter
scheme(s) that may be on an average basis. In case of non-fulfillment with
launched by the Fund or any company or trust or entity within Fidelity the first condition i.e. minimum of 20 investors in the Plan, on an ongoing basis for each calendar
International and/or Fidelity Investments group. quarter as specified by SEBI, the Plan shall be wound up by following the guidelines prescribed
INVESTMENT OBJECTIVE by SEBI. SEBI has further prescribed that if any investor breaches the 25% limit over a quarter,
The investment objectives of each Plan under the Scheme are as follows: a rebalancing period of one month will be allowed to the investor and thereafter the investor who
is in breach of the limit shall be given 15 days notice to redeem his exposure over the 25% limit.
Plan A: To seek to generate reasonable returns by investing predominantly in the Debt Scheme(s)
In the event of failure on part of the said investor to redeem the excess exposure, the excess holding
and around 15% of the net assets of the Plan in the Equity Scheme(s).
will be automatically redeemed by the Fund following the guidelines prescribed by SEBI.
Plan B: To seek to generate reasonable returns by investing predominantly in the Debt Scheme(s)
and around 30% of the net assets of the Plan in the Equity Scheme(s). l Investing in the Plan involves certain risks and considerations associated generally with making
investments in the Underlying Schemes and the AMC's investment decisions to choose the
Plan C: To seek to generate reasonable returns by investing at least 50 % of the net assets of the
Underlying Schemes may not be always profitable. There can be no assurance that the Underlying
Plan in the Debt Scheme(s) balanced with generation of long-term capital growth by investing around
Schemes' will achieve their objectives. The value of the Plan's investments may be affected by
50 % of the net assets of the Plan in the Equity Scheme(s).
factors affecting the performance of the Underlying Schemes, which is linked to factors impacting
ASSET ALLOCATION PATTERN the capital markets such as, but not limited to, price and volume, volatility in the fixed income
Under normal circumstances, it is anticipated that the asset allocation for each Plan shall be as markets, interest rates, currency exchange rates, foreign investment, changes in government
follows: policy, taxation, political, economic or other developments. Consequently, the Net Asset Values of
the Underlying Schemes may fluctuate, and the value of the Plan's Units may go up or down. Past
Plan A performance of mutual funds managing the Underlying Schemes and their sponsors and affiliates
Instruments Indicative Allocation (% of net assets) Risk Profile is not necessarily indicative of future performance of the Underlying Scheme or the options
Maximum Minimum thereunder.
Debt Schemes 100% 70% Medium to Low l The Plans' performance will be affected by the performance of the Underlying Schemes in which
Equity Schemes 30% 0% Medium to High the investments are made.
Money market instruments 30% 0% Low to Medium l The movements in the NAVs of the Underlying Schemes will affect the NAVs of the respective
Plan B options under the Plan. Any change in the investment policies or fundamental attributes of the
respective Underlying Schemes may affect the NAVs of the respective options under the Plan.
Instruments Indicative Allocation (% of net assets) Risk Profile Investments in the Underlying Schemes will carry all the risks associated with such schemes.
Maximum Minimum
l Although, the Plans per se will make investments in their respective Underlying Scheme, such
Debt Schemes 85% 55% Medium to Low Underlying Schemes may use derivatives instruments like stock index futures, interest rate swaps,
Equity Schemes 45% 15% Medium to High forward rate agreements or other derivative instruments. Usage of derivatives will expose the
Money market instruments 30% 0% Low to Medium Underlying Schemes and in turn, the Plans, to risks inherent to such derivatives.
Plan C l As the Plans will be investing in the Underlying Schemes which in turn could be investing in foreign
securities which involve a degree of risk, investors should not invest in the Plans unless they can
Instruments Indicative Allocation (% of net assets) Risk Profile
afford to take the risk of losing their investment.
Maximum Minimum
l Investors will be bearing the expenses of a Plan in addition to the expenses of the relevant
Debt Schemes 70% 30% Medium to Low
Underlying Scheme in which the Plan will make investments.
Equity Schemes 70% 30% Medium to High
l As the investors will incur expenditure at both the Plan level and the Underlying Schemes level
Money market instruments 40% 0% Low to Medium
in to which the Plan invests, the returns that they may obtain may be materially impacted or may
The corpus of the Plans shall be predominantly invested in the Underlying Schemes. However, due at times be lower than the returns that investors directly investing in such Underlying Schemes
to market conditions, the AMC may invest beyond the range set out above. Such deviations shall obtain.
normally be for a short term purpose only, for defensive considerations and the intention being at all
l If the AMC were to charge an Entry/Exit Load and the Underlying Schemes do not waive/exempt
times to protect the interests of the Unit Holders. In the event of deviations, rebalancing will normally
the Entry/Exit Load charged on investments/redemptions, investors will incur loads on two occasions.
be carried out within 30 Business Days.
First, on their investment/redemptions/switches in the options under the relevant Plan and second,
Money Market Instruments on the Plan's investment/redemption/switches in the options under the Underlying Schemes.
Investments by the Plans other than in Underlying Schemes will be made for managing liquidity. The l As the Plan's fact sheets and disclosures of portfolio will be limited to providing the particulars of
preferred instruments will be money market instruments. the Underlying Schemes, investors may not be able to obtain specific details of the investments
Money market instruments include commercial papers, commercial bills, treasury bills, government of the Underlying Schemes.
l As the Scheme would be investing a small portion of their assets into money market instruments NAME OF THE FUND MANAGER
it would involve a moderate credit risk i.e. risk of an issuer's liability to meet the principal payments.
Mr. Sameer Kulkarni
l Money market instruments are also subject to price volatility due to factors such as changes in
interest rates (when interest rates in the market rise, the value of a portfolio of money market NAME OF THE TRUSTEE COMPANY
instruments can be expected to decline), general levels of market liquidity, market perception of FIL Trustee Company Private Limited
credit worthiness of the issuer of such instruments and risks associated with settlement of
transactions and reinvestment of intermediate cash flows. The NAV of a Plan’s Units, to the extent PERFORMANCE OF THE SCHEME/PLANS
that such Plan is invested in money market instruments, will consequently be affected by the This Scheme does not have any performance track record.
aforesaid factors.
l The assets of each Plan shall be predominantly invested in the units of the Underlying Schemes. EXPENSES OF THE SCHEME/PLANS
However, due to market conditions the AMC may, for short term purposes and with a view to protect All expenses incurred during the NFO will be borne by the AMC
the interest of Unit Holders, deviate from the asset allocation range set out in this document subject (i) Load Structure
to limitations prescribed by SEBI from time to time. Unit Holders will not be given any prior intimation During the NFO Period and Ongoing Offer Period the following load structure shall be applicable to
or indication when the composition/asset allocation pattern under a Plan changes within the broad all the Plans.
range set out in this document.
Entry Load: NIL
PLANS AND OPTIONS A switch-in or transfer under STP may also attract the applicable Entry Load, if any, like any Purchase.
The Scheme offers three Plans: Plan A, Plan B and Plan C. Each of the Plans under the Scheme Exit Load:
offers two options-Growth Option and Dividend Option. The Dividend Option offers Dividend Payout For Redemption Load (% of Applicable NAV)
and Dividend Re-investment facilities.
Within 12 months from the date of allotment or purchase 1.00%
APPLICABLE NAV (AFTER THE PLANS OPEN FOR REPURCHASE AND SALE) applying First in First Out basis
The Cut-off time for acceptance of applications under all the Plans is 3 p.m., and the Applicable NAV A switch-out or a withdrawal under SWP or transfer under STP may also attract an Exit Load like any
will be as under: Redemption.
For Purchase/Redemption No Entry/Exit Loads/CDSC will be chargeable in case of: (i) switches made between different options
1. In respect of valid Purchase applications (along with cheques/drafts/other payment instruments)/ of the same Plan or between different Plans within the Scheme; (ii) Units allotted on account of dividend
Redemption applications accepted at a Designated Collection Centre up to 3 p.m. on a Business re-investments; and (iii) Units issued by way of bonus, if any.
Day, the NAV of such day will be applicable. (ii) Recurring expenses (% p.a. of Average Net Assets)
2. In respect of valid Purchase applications (along with cheques/drafts/other payment instruments)/ Maximum Recurring Expenses including Management Fees:
Redemption applications accepted at a Designated Collection Centre after 3 p.m. on a Business As per Regulation 52 (6) in case of a fund of funds scheme, the total expenses of the Scheme including
Day, the NAV of the next Business Day will be applicable. the management fees shall not exceed 0.75% of the daily or weekly average net assets, depending
The above will be applicable only for cheques/drafts/payment instruments payable locally in the city upon whether the NAV of the scheme is calculated on daily or weekly basis.
in which ISC is located. No outstation cheques will be accepted.
WAIVER OF LOAD FOR DIRECT APPLICATIONS
For applications for Purchases along with demand drafts not payable at par at the place where the
application is received, NAV of the day on which the demand draft is credited shall be applicable. As per SEBI Regulations, no Entry Load will be charged for direct applications received by the AMC
i.e. applications including those for fresh purchases or additional purchases or switch-ins in existing
For Switches folios submitted at the Designated collection centres or through websites viz. www.fidelity.co.in or
Valid applications for 'switch-out' shall be treated as applications for Redemption and valid applications www.camsonline.com and which are not routed through any distributor/agent/broker.
for 'switch-in' shall be treated as applications for Purchase, and the provisions of the Cut-off time, Investors should ensure that the field for the distributor/agent/broker code in the application form/
purchase/redemption price, minimum amounts for Purchase/Redemption and the Applicable NAV transaction slip should not be left blank; if the field is left blank; the application will be treated as a
mentioned in the Scheme Information Document as applicable to Purchase and Redemption shall be
direct application. In case of investors who intend to make direct applications but use an application
applied respectively to the 'switch-in' and 'switch-out' applications.
form/a transaction slip wherein the distributor/agent/broker code is pre-printed, the investor should
MINIMUM APPLICATION/BALANCE AMOUNT ensure to strike out the distributor/agent/broker code and/or replace the existing distributor/agent/
Minimum Initial Application Amount Rs. 5,000 per Plan per application broker code with the term "DIRECT" and to countersign these changes so that the application is treated
as a direct application.
Minimum Additional Application Amount Rs. 1,000 per Plan per application
Minimum Amount/No. of Units for Rs. 1,000 or 100 Units in respect of each Plan TAX TREATMENT FOR THE INVESTORS (UNITHOLDERS)
Redemption You are advised to refer to the details in the Statement of Additional Information and also independently
refer to your tax advisor.
Minimum balance Amount/No. of Units Rs. 1,000 or 100 Units in respect of each Plan
DAILY NET ASSET VALUE (NAV) PUBLICATION
DESPATCH OF REPURCHASE (REDEMPTION) REQUEST
The NAVs of the Plans will be calculated by the Fund on all Business Days and details may be obtained
The Mutual Fund will endeavour to despatch the Redemption proceeds within 3 Business Days from
by calling the investor line of the AMC at "1800 2000 400" or 30309800 (at local call rate from your
the acceptance of the Redemption request.
mobile phone prefixing the local city code or non-MTNL/BSNL landline) or
BENCHMARK INDEX 0124 3915655 (at long distance rates). The Fund will publish the NAVs, Purchase Price and
The benchmark details against which the performance of each Plan will be measured are as below: Redemption Price of the Scheme in at least two daily newspapers on all Business Days. The NAVs
Plan A: 85%-CRISIL Composite Bond Fund Index and 15%-BSE 200 Index of the Scheme will also be updated by 10.00 a.m. on the following Business Day on the website of
Plan B: 70%-CRISIL Composite Bond Fund Index and 30%-BSE 200 Index the Fund i.e. www.fidelity.co.in and on the AMFI website i.e. www.amfiindia.com.
Plan C: 50%-CRISIL Composite Bond Fund Index and 50%-BSE 200 Index FOR INVESTOR GRIEVANCES PLEASE CONTACT:
The customized benchmark will be used to have meaningful comparison with performance of Computer Age Management Services Private Limited
the Plans, which would generally be investing in debt and equity schemes. Ground Floor, Rayala Towers, 158, Anna Salai, Chennai-600 002
DIVIDEND POLICY Mr. Vinod Venkateswaran
The Trustee may decide to distribute by way of dividend, the surplus by way of realised profit, dividends Ground Floor, 'Ramaniyam Siddharth',
and interest, net of losses, expenses and taxes, if any, to Unit Holders in the dividend option of a Plan No. 45, North Phase, Thiruvika Industrial Estate,
if such surplus is available and adequate for distribution in the opinion of the Trustee. The frequency Ekkattuthangal, Guindy, Chennai 600 097.
of declaration of dividend under the Plans will be as follows: Tel: 1800 200 0400 Fax: +91-44-66187929 E-mail: investor.line@fidelity.co.in
Plan A and Plan B: Quarterly
Plan C: At the discretion of the Trustees UNIT HOLDERS' INFORMATION
An account statement will be sent by ordinary post/courier/secured encrypted electronic mail to each
The record date(s) for declaration of dividend shall be fixed by the Trustees and announced in advance.
Within one day of the decision by the Trustees regarding dividend distribution, rate and record date, Unit Holder, stating the number of Units purchased, not later than 30 days from close of the NFO period/
AMC shall issue notice to the public communicating the decision including the record date. The record date of acceptance of the valid Transaction Slip for redemption.
date shall be 5 calendar days from the issue of notice. Such notice shall be given in one English daily The Mutual Fund will provide the account statement to the Unit Holders who have not transacted during
newspaper having nationwide circulation as well as in a newspaper published in the language of the the last six months prior to the date of generation of account statements. The account statement shall
region where the head office of the mutual fund is situated. The NAV shall be adjusted to the extent reflect the latest closing balance and value of the Units prior to the date of generation of the account
of dividend distribution and statutory levy, if any, at the close of business hours on record date. statement.
The Trustee's decision with regard to availability and adequacy and rate of distribution shall be final. The Account Statement in such cases may be generated and issued alongwith the Portfolio Statement
The dividend will be due to only those Unit Holders whose names appear in the register of Unit Holders or Annual Report of the Scheme.
in the Dividend option of the Plans on the record dates which will be fixed by the Trustees and
announced in advance. In respect of Unit Holders opting for dividend re-investment facility, the dividend Alternately, soft copy of the account statements shall be mailed to the investors’ e-mail address, instead
will be re-invested at the ex-dividend NAV announced immediately after the record date. No Entry/ of physical statement, if so mandated.
Exit load will be charged on account of Units allotted by way of dividend re-investments. An annual report of the Scheme/Plan will be prepared as at the end of each financial year (March
In respect of Unit holders opting for the dividend payout facility, the AMC shall despatch, the dividend 31) and copies of the report or an abridged summary thereof will be mailed to all Unit Holders. Full
warrants within 30 days of the date of declaration of dividend. portfolio details, in the prescribed format, shall also be disclosed either by publishing it in the
The dividend proceeds under the Plans may be paid by way of direct credit/EFT/SEFT/RTGS/Wired newspapers or by sending to the Unit Holders within one month from the end of each half-year and
Transfer/any other manner through which the investor's bank account specified in the Registrar's it shall also be displayed on the website of the Fund.
records is credited with the dividend proceeds. Date: January 9, 2009.
LIST OF DESIGNATED COLLECTION CENTRES/INVESTOR SERVICE CENTRES
FIL FUND MANAGEMENT PRIVATE LIMITED (FFMPL) - During NFO and Ongoing Offer
Ahmedabad: 301, Raindrops Building, Opp. Cargo Motors, C. G. Road, Ellis Bridge, Ahmedabad-380 006. Bangalore: #205-207, 2nd Floor, Phoenix Towers, 16 & 16/1, Museum Road, Bangalore-560 025. Chennai: Ground Floor, 'Ramaniyam Siddharth', No.45, North Phase, Thiru vi ka Industrial Estate,
Ekattuthangal, Guindy, Chennai-600 097. Kolkata: 408, 4th Floor, Azimganj House, 7 Camac Street, Kolkata-700 017. Mumbai: 51, 5th Floor, Maker Chambers VI, 220, Nariman Point, Mumbai-400 021. New Delhi: 4th Floor, Narain Manzil, 23, Barakhamba Road, New Delhi-110001. Pune: Unit No. 406, 4th
Floor, Nucleus Mall, 1, Church Road, Camp, Pune-411 001. Secunderabad: No. 1-8-304-307, 3rd Floor, Kamala Towers, Pattigadda Street No. 1, (above Mody Ford showroom), Begumpet, Secunderabad-500 003.
Applications from institutional investors will be accepted via facsimile by FFMPL, subject to satisfaction of requirements specified by FFMPL. For further details please call at 1800 2000 400.

COMPUTER AGE MANAGEMENT SERVICES PRIVATE LIMITED (CAMS) - During NFO Only
Ahmedabad : 402-406, 4th Floor - Devpath Building, Off C G Road, Behind Lal Bungalow, Ellis Bridge, Gujarat, Ahmedabad-380 006. Akola : Opp. RLT Science College, Civil Lines, Maharashtra, Akola-444 001. Aurangabad : Office No. 1, 1st Floor, Amodi Complex, Juna Bazar, Maharashtra, Aurangabad-431 001. Bangalore : Trade Centre, 1st Floor, 45, Dikensen
Road, (Next to Manipal Centre), Karnataka, Bangalore-560 042. Bhopal : Plot No.13, Major Shopping Center, Zone-I, M.P.Nagar, Madhya Pradesh, Bhopal-462 011. Bhubaneswar : 101/ 7, Janpath, Unit – III, Orissa, Bhubaneswar-751 001. Chandigarh : SCO 80-81, IIIrd F, Sector 17 C, Punjab, Chandigarh-160 017. Chennai : Ground Floor No.178/10, Kodambakkam
High Road, Opp. Hotel Palmgrove, Nungambakkam, Tamil Nadu, Chennai-600 034. Cochin : 40/9633 D, Veekshanam Road, Near International hotel, Kerala, Cochin-682 035. Coimbatore : Old # 66 New # 86, Lokamanya Street (West), Ground Floor, R.S.Puram, Tamil Nadu, Coimbatore-641 002. Hyderabad : 208, II Floor, Jade Arcade, Paradise Circle, Andhra Pradesh,
Secunderabad-500 003. Indore : 101, Shalimar Corporate Centre, 8-B, South tukogunj, Opp.Greenpark, Madhya Pradesh, Indore-452 001. Jaipur : R-7, Yudhisthir Marg,C-Scheme, Behind Ashok Nagar Police Station, Rajasthan, Jaipur-302 001. Jalandhar : 367/8, Central Town, Opp. Gurudwara Diwan Asthan, Punjab, Jalandhar-144 001. Kolkata : "LORDS Building",
7/1,Lord Sinha Road, Ground Floor, West Bengal, Kolkata-700 071. Lucknow : Off # 4,1st Floor,Centre Court Building, 3/c, 5 - Park Road, Hazratganj, Uttarpradesh, Lucknow-226 001. Ludhiana : U/ GF, Prince Market, Green Field, Near Traffic Lights, Sarabha Nagar Pulli, Pakhowal Road, Punjab, Ludhiana-141 002. Mumbai : Rajabahdur Compound, Ground Floor,
Opp Allahabad Bank, Behind ICICI Bank, 30, Mumbai Samachar Marg, Fort, Maharashtra, Mumbai-400 023. Nasik : Ruturang Bungalow, 2 Godavari Colony, Behind Big Bazar, Near Boys Town School, Off College Road, Maharashtra, Nasik-422 005. New Delhi : 304-305 III Floor, Kanchenjunga Building, 18, Barakhamba Road, Cannaugt Place, New Delhi, New Delhi-
110 001. Pune : Nirmiti Eminence, Off No. 6, I Floor, Opp Abhishek Hotel Mehandale Garage Road, Erandawane, Maharashtra, Pune-411 004. Surat : Office No 2 Ahura -Mazda Complex, First Floor, Sadak Street, Timalyawad, Nanpura, Gujarat, Surat-395 001. Pondicherry : S-8, 100, Jawaharlal Nehru Street, (New Complex, Opp. Indian Coffee House), Pondicherry,
Pondicherry-605 001. Vadodara : 103 Aries Complex, BPC Road, Off R.C. Dutt Road, Alkapuri, Gujarat, Vadodara-390 007. Vapi : 215-216, Heena Arcade, Opp. Tirupati Tower, Near G.I.D.C, Char Rasta, Vapi, Gujarat, Vapi-396 195

COMPUTER AGE MANAGEMENT SERVICES PRIVATE LIMITED (CAMS) - During Ongoing Offer Only
Agartala: Advisor Chowmuhani (Ground Floor), Krishnanagar, Agartala 799 001. Agra: No. 8, II Floor, Maruti Tower, Sanjay Place, Agra 282 002. Ahmedabad: 402-406, 4th Floor-Devpath Building, Off C G Road, Behind Lal Bungalow, Ellis Bridge, Ahmedabad 380 006. Ahmednagar: 203-A, Mutha Chambers, Old Vasant Talkies, Market Yard
Road, Ahmednagar 414 001. Ajmer: Shop No. S-5, Second Floor, Swami Complex, Ajmer 305 001. Akola: Opp. RLT Science College, Civil Lines, Akola 444 001. Aligarh: City Enclave, Opp. Kumar Nursing Home, Ramghat Road, Aligarh 202 001. Allahabad: No. 7 Ist Floor, Bihari Bhawan, 3, S.P. Marg, Civil Lines, Allahabad 211 001. Alwar:
256A, Scheme No. 1, Arya Nagar, Alwar 301 001. Amaravati: 81, Gulsham Tower, 2nd Floor, Near Panchsheel Talkies, Amaravati 444 601. Ambala: Opposite PEER, Bal Bhavan Road, Ambala 134 003. Amritsar: 378-Majithia Complex, 1st Floor, M. M. Malviya Road, Amritsar 143 001. Anand: 101, A.P. Tower, B/H, Sardhar Gunj, Next to
Nathwani Chambers, Anand 388 001. Anantapur: 15-570-33, I Floor, Pallavi Towers, Anantapur 515 001. Angul: Similipada, Angul 759122. Ankleshwar: G-34, Ravi Complex, Valia Char Rasta, G.I.D.C., Ankleshwar- Bharuch 393 002. Asansol: Block – G, 1st Floor, P C Chatterjee Market Complex, Rambandhu Talab P. O. Ushagram, Asansol
713 303. Aurangabad: Office No. 1, 1st Floor, Amodi Complex, Juna Bazar, Aurangabad 431 001. Bagalkot: No. 6, Ground Floor, Pushpak Plaza, TP No. 52, Ward No. 10, Next to Kumatagi Motors, Station Road, Near Basaveshwar Circle, Bagalkot 587 101. Balasore: B C Sen Road, Balasore 756 001. Bangalore: Trade Centre, 1st Floor,
45, Dikensen Road, (Next to Manipal Centre), Bangalore 560 042. Bareilly: F-62-63, Butler Plaza, Civil Lines, Bareilly 243 001. Belgaum: Tanish Tower, CTS No. 192/A, Guruwar Peth, Tilakwadi, Belgaum 590 006. Bellary: No.18A, 1st Floor, Opp. Ganesh Petrol Pump, Parvathi Nagar Main Road, Bellary 583 103. Berhampur: First Floor,
Upstairs of Aaroon Printers, Gandhi Nagar Main Road, Berhampur 760 001. Bhagalpur: Dr. R. P. Road, Khalifabag Chowk, Bhagalpur 812 002. Bhatinda: 2907 GH, GT Road, Near Zila Parishad, Bhatinda 151 001. Bhavnagar: 305-306, Sterling Point, Waghawadi Road, Opp. HDFC Bank, Bhavnagar 364 002. Bhilai: 209, Khichariya Complex,
Opp. IDBI Bank, Nehru Nagar Square, Bhilai 490 020. Bhilwara: C/o Kodwani & Associates, F-20-21, Apsara Complex, Azad Market, Bhilwara 311 001. Bhopal: Plot No.13, Major Shopping Center, Zone-I, M. P. Nagar, Bhopal 462 011. Bhubaneswar: 101/7, Janpath, Unit – III, Bhubaneswar 751 001. Bhuj: Data Solution, Office No. 17, Ist
Floor, Municipal Building, Opp. Hotel Prince, Station Road, Bhuj-Kutch 370 001. Bikaner: 6/7 Yadav Complex, Rani Bazar, Bikaner 334 001. Bilaspur: Beside HDFC Bank, Link Road, Bilaspur 495 001. Bokaro: Mazzanine Floor, F-4, City Centre, Sector 4, Bokaro Steel City, Bokaro 827 004. Burdwan: 399, G. T. Road, Basement of Talk of
the Town, Burdwan 713 101. Calicut: 29/97G, 2nd Floor, Gulf Air Building, Mavoor Road, Arayidathupalam, Calicut 673 016. Chandigarh: SCO 80-81, IIIrd F, Sector 17 C, Chandigarh 160 017. Chennai: Ground Floor No.178/10, Kodambakkam High Road, Opp. Hotel Palmgrove, Nungambakkam, Chennai 600 034. Cochin: 40/9633 D, Veekshanam
Road, Near International Hotel, Cochin 682 035. Coimbatore: Old # 66 New # 86, Lokamanya Street (West), Ground Floor, R. S. Puram, Coimbatore 641 002. Cuttack: Near Indian Overseas Bank, Cantonment Road, Mata Math, Cuttack 753 001. Davenegere: 13, Ist Floor, Akkamahadevi Samaj Complex, Church Road, P. J. Extension,
Davenegere 577 002. Dehradun: 204/121, Nari Shilp Mandir Marg, Old Connaught Place, Dehradun 248 001. Deoghar: S S M Jalan Road, Ground Floor, Opp. Hotel Ashoke, Caster Town, Deoghar 814 112. Dhanbad: Urmila Towers, Room No. 111 (1st Floor), Bank More, Dhanbad 826 001. Dhule: H. No. 1793/A, J.B. Road, Near Tower
Garden, Dhule 424 001. Durgapur: 4/2, Bengal Ambuja Housing Development Ltd., Ground Floor, City Centre, Durgapur 713 216. Erode: 197, Seshaiyer Complex, Agraharam Street, Erode 638 001. Faridhabad: B-49, Ist Floor, Nehru Ground, Behind Anupam Sweet House, NIT, Faridhabad 121 001. Ghaziabad: 113/6 I Floor, Navyug Market,
Ghaziabad 201 001. Goa: No.108, 1st Floor, Gurudutta Bldg, Above Weekender, M. G. Road, Panaji (Goa) 403 001. Gorakhpur: Shop No. 3, Second Floor, The Mall, Cross Road, A.D. Chowk, Bank Road, Gorakhpur 273 001. Gulbarga: Pal Complex, Ist Floor, Opp. City Bus Stop, Super Market, Gulbarga 585 101. Guntur: Door No. 5-38-
44, 5/1 Brodipet, Near Ravi Sankar Hotel, Guntur 522 002. Gurgaon: SCO-17, 3rd Floor, Sector-14, Gurgaon 122 001. Guwahati: A.K. Azad Road, Rehabari, Guwahati 781 008. Gwalior: 1st Floor, Singhal Bhavan, Daji Vitthal Ka Bada, Old High Court Road, Gwalior 474 001. Hazaribag: Municipal Market, Annanda Chowk, Hazaribagh 825
301. Himmatnagar: C-7/8 Upper Level, New Durga Bazar, Near Railway Crossing, Himmatnagar 383 001. Hisar: 12, Opp. Bank of Baroda, Red Square Market, Hisar 125 001. Hosur: Shop No. 8 J D Plaza, Opp. TNEB Office, Royakotta Road, Hosur 635 109. Hubli: 206 & 207, 1st Floor, 'A' Block, Kundagol Complex, Opp. Court, Club Road,
Hubli 580 029. Hyderabad: 208, II Floor, Jade Arcade, Paradise Circle, Secunderabad 500 003. Indore: 101, Shalimar Corporate Centre, 8-B, South Tukogunj, Opp. Greenpark, Indore 452 001. Itarsi: 1st Floor, Shiva Complex, Bharat Talkies Road, Itarsi 461 111. Jabalpur: 975,Chouksey Chambers, Near Gitanjali School, 4th Bridge, Napier
Town, Jabalpur 482 001. Jaipur: R-7, Yudhisthir Marg, C-Scheme, Behind Ashok Nagar Police Station, Jaipur 302 001. Jalandhar: 367/8, Central Town, Opp. Gurudwara Diwan Asthan, Jalandhar 144 001. Jalgaon: Rustomji Infotech Services, 70, Navipeth, Opp. Old Bus Stand, Jalgaon 425 001. Jammu: 660- Gandhi Nagar, Jammu 180
004. Jamnagar: 217/218, Manek Centre, P.N. Marg, Jamnagar 361 001. Jamshedpur: Millennium Tower, "R" Road, Room No. 15 First Floor, Bistupur, Jamshedpur 831 001. Jhansi: Opp. SBI Credit Branch, Babu Lal Kharkana Compound, Gwalior Road, Jhansi 284 001. Jodhpur: 1/5, Nirmal Tower, Ist Chopasani Road, Jodhpur 342 003.
Junagadh: Circle Chowk, Near Choksi Bazar Kaman, Junagadh 362 001. Kadapa: Door No.1-1625, DNR Laxmi Plaza, Opp. Rajiv Marg, Railway Station Road, Yerramukkapalli, Kadapa 516 004. Kakinada: No. 33-1, 44 Sri Sathya Complex, Main Road, Kakinada 533 001. Kalyani: A-1/50, Block-A, Dist. Nadia, Kalyani 741 235. Kannur:
Room No.14/435, Casa Marina Shopping Centre, Talap, Kannur 670 004. Kanpur: I Floor 106 to 108, City Centre Phase II, 63/2, THE MALL, Kanpur 208 001. Karimnagar: HNo. 7-1-257, Upstairs S B H, Mangammathota, Karimnagar 505 001. Karur: # 904, 1st Floor, Jawahar Bazaar, Karur 639 001. Kestopur: AA 101, Prafulla Kanan, Sreeparna
Apartment, Ground Floor, Kestopur 700 101. Kolhapur: AMD Sofex Office No.7, 3rd Floor, Ayodhya Towers, Station Road, Kolhapur 416 001. Kolkata: "LORDS Building", 7/1, Lord Sinha Road, Ground Floor, Kolkata 700 071. Kollam: Kochupilamoodu Junction, Near VLC, Beach Road, Kollam 691 001. Kota: B-33 Kalyan Bhawan, Triangle
Part, Vallabh Nagar, Kota 324 007. Kottayam: Door No. IX/1276, Amboorans Building, Manorama Junction, Kottayam 686 001. Kumbakonam: Jailani Complex, 47, Mutt Street, Kumbakonam 612 001. Kurnool: H. No. 43/8, Upstairs, Uppini Arcade, N R Peta, Kurnool 518 004 . Latur: Kore Complex, 2nd Cross Kapad Line, Near Shegau Patsanstha,
Latur 413 512. Lucknow: Off # 4,1st Floor, Centre Court Building, 3/C, 5-Park Road, Hazratganj, Lucknow 226 001. Ludhiana: U/GF, Prince Market, Green Field, Near Traffic Lights, Sarabha Nagar Pulli, Pakhowal Road, Ludhiana 141 002. Madurai: 86/71A, Tamilsangam Road, Madurai 625 001. Malda: Daxhinapan Abasan, Opp. Lane of
Hotel Kalinga, SM Pally, Malda 732 101. Mangalore: No. G 4 & G 5, Inland Monarch, Opp. Karnataka Bank, Kadri Main Road, Kadri, Mangalore 575 003. Manipal: Academy Annex, First Floor, Opposite Corporation Bank, Upendra Nagar, Manipal 576 104. Margao: Virginkar Chambers, I Floor, Near Kamath Milan Hotel, New Market, Near
Lily Garments, Old Station Road, Margao 403 601. Mathura: 159/160 Vikas Bazar, Mathura 281 001. Meerut: 108 Ist Floor Shivam Plaza, Opposite Eves Cinema, Hapur Road, Meerut 250 002. Mehsana: 1st Floor, Subhadra Complex, Urban Bank Road, Mehsana 384 002. Moga: Ground Floor, Adjoining TATA Indicom Office, Dutt Road,
Moga 142 001. Moradabad: B-612 'Sudhakar', Lajpat Nagar, Moradabad 244 001. Mumbai: Rajabahdur Compound, Ground Floor, Opp. Allahabad Bank, Behind ICICI Bank, 30, Mumbai Samachar Marg, Fort, Mumbai 400 023. Muzzafarpur: Brahman Toli, Durgasthan, Gola Road, Muzzafarpur 842 001. Mysore: No.1, 1st Floor, CH. 26 7th
Main, 5th Cross (Above Trishakthi Medicals), Saraswati Puram, Mysore 570 009. Nagpur: 145 Lendra Park, Behind Indus Ind Bank, New Ramdaspeth, Nagpur 440 010. Nasik: Ruturang Bungalow, 2, Godavari Colony, Behind Big Bazaar, Near Boys Town School, Off College Road, Nasik 422 005. Navsari: Dinesh Vasani & Associates, 103
-Harekrishna Complex, above IDBI Bank, Nr. Vasant Talkies, Chimnabai Road, Navsari 396 445. Nellore: 97/56, I Floor Immadisetty Towers, Ranganayakulapet Road, Santhapet, Nellore 524 001. New Delhi: 304-305 III Floor, Kanchenjunga Building, 18, Barakhamba Road, Cannaugt Place, New Delhi 110 001. Palakkad: 10/688, Sreedevi
Residency, Mettupalayam Street, Palakkad 678 001. Palanpur: Jyotindra Industries Compound, Near Vinayak Party Plot, Deesa Road, Palanpur 385 001. Panipat: 83, Devi Lal Shopping Complex, Opp. ABN AMRO Bank, G. T. Road, Panipat 132 103. Patiala: 35, New Lal Bagh Colony, Patiala 147 001. Patna: Kamlalaye Shobha Plaza, Ground
Floor, Near Ashiana Tower, Exhibition Road, Patna 800 001. Pondicherry: S-8, 100, Jawaharlal Nehru Street (New Complex, Opp. Indian Coffee House), Pondicherry 605 001. Porbandar: II Floor, Harikrupa Towers, Opp. Vodafone Store, M G Road, Porbandar 360 575. Pune: Nirmiti Eminence, Off. No. 6, I Floor, Opp. Abhishek Hotel, Mehandale
Garage Road, Erandawane, Pune 411 004. Raichur: # 12 – 10 – 51/3C, Maram Complex, Besides State Bank of Mysore, Basaveswara Road, Raichur 584 101. Raipur: C-24, Sector 1, Devendra Nagar, Raipur 492 004. Rajahmundry: Cabin 101 D. No. 7-27-4, 1st Floor, Krishna Complex, Baruvari Street, T. Nagar, Rajahmundry 533 101.
Rajkot: Office 207-210, Everest Building, Harihar Chowk, Opp. Shastri Maidan, Limda Chowk, Rajkot 360 001. Ranchi: Near Students' Cottage Pee Pee Compound, Ranchi 834 001. Ratlam: Dafria & Co, 81, Bajaj Khanna, Ratlam 457 001. Ratnagiri: Kohinoor Complex, Near Natya Theatre, Nachane Road, Ratnagiri 415 639. Rohtak: 205,
2nd Floor, Blg. No. 2, Munjal Complex, Delhi Road, Rohtak 124 001. Rourkela: 1st Floor, Mangal Bhawan, Phase II, Power House Road, Rourkela 769 001. Sagar: Opp. Somani Automobiles, Bhagwanganj, Sagar 470 002. Salem: No. 2, I Floor Vivekananda Street, New Fairlands, Salem 636 016. Sambalpur: C/o Raj Tibrewal & Associates,
Opp.Town High School, Sansarak, Sambalpur 768 001. Satara: 117/A/3/22, Shukrawar Peth, Sargam Apartment, Satara 415 002. Satna: 1st Floor, Shri Ram Market, Besides Hotel Pankaj, Birla Road, Satna 485 001. Shimla: I Floor, Opp. Panchayat Bhawan Main Gate Bus Stand, Shimla 171 001. Shimoga: Nethravathi, Near Gutti Nursing
Home, Kuvempu Road, Shimoga 577 201. Siliguri: No. 8, Swamiji Sarani, Ground Floor, Hakimpara, Siliguri 734 001. Solapur: 4, Lokhandwala Tower, 144, Sidheshwar Peth, Near Z. P. Opp. Pangal High School, Solapur 413 001. Sri Ganganagar: 18 L Block, Sri Ganganagar 335 001. Surat: Office No. 2 Ahura -Mazda Complex, First Floor,
Sadak Street, Timalyawad, Nanpura, Surat 395 001. Surendranagar: 2 M I Park, Near Commerce College, Wadhwan City, Surendranagar 363 035. Thiruppur: 1(1), Binny Compound, II Street, Kumaran Road, Thiruppur 641 601. Tirunelveli: 1 Floor, Mano Prema Complex, 182/6, S. N. High Road, Tirunelveli 627 001. Tirupati: Shop No.
14, Boligala Complex,1st Floor, Door No. 18-8-41B, Near Leela Mahal Circle, Tirumala Byepass Road, Tirupati 517 501. Trichur: Adam Bazar, Room No. 49, Ground Floor, Rice Bazar (East), Trichur 680 001. Trichy: No. 8, I Floor, 8th Cross West Extn, Thillainagar, Trichy 620 018. Trivandrum: R. S. Complex, Opposite LIC Building, Pattom
PO, Trivandrum 695 004. Udaipur: 32 Ahinsapuri, Fatehpura Circle, Udaipur 313 004. Vadodara: 103, Aries Complex, BPC Road, Off R.C. Dutt Road, Alkapuri, Vadodara 390 007. Valsad: Ground Floor, Yash Kamal -"B", Near Dreamland Theatre, Tithal Road, Valsad 396 001. Vapi: 215-216, Heena Arcade, Opp. Tirupati Tower, Near G.I.D.C.,
Char Rasta, Vapi 396 195. Varanasi: C 27/249-22A, Vivekanand Nagar Colony, Maldhaiya, Varanasi 221 002. Vashi: Mahaveer Center, Office No. 17, Plot No. 77, Sector 17, Vashi 400 703. Vellore: No. 54, Ist Floor, Pillaiyar Koil Street, Thotta Palayam, Vellore 632 004. Vijayawada: 40-1-68, Rao & Ratnam Complex, Near Chennupati Petrol
Pump, M. G. Road, Labbipet, Vijayawada 520 010. Visakhapatnam: 47/9/17, 1st Floor, 3rd Lane, Dwaraka Nagar, Visakhapatnam 530 016. Warangal: F13, 1st Floor, BVSS Mayuri Complex, Opp. Public Garden, Lashkar Bazaar, Hanamkonda, Warangal 506 001. Yamuna Nagar: 124-B/R Model Town, Yamuna Nagar 135 001.

COLLECTION BANK - During NFO Only


HDFC BANK LIMITED: Agra: Shop No. F3, F3-A, 1st Floor, Friend's Plaza, Sanjay Place, Agra 282 002. Ahmedabad: Astral Building, Next to HDFC House, Opposite Reliance General Insurance Building, Near Mithakhali Six Roads, Navrangpura, Ahmedabad 380 009. Ajmer: AMC No. 13/10 & 14/10, Near Suchma Kendra, Adjacent to Swami
Complex, Ajmer 305 001. Aligarh: 3-316 Ramghat Road, Near Devi Tray Hospital, Aligarh 202 001. Allahabad: 2nd Floor, Above Honda Showroom, 58, Sardar Patel Marg, Civil Lines, Allahabad 211 001. Alwar: Bhagat Singh Circle, Road No. 2, Alwar 301 001. Amravati: C/o Rasik Plaza, Jaistambh Chowk, Morshi Road, Amravati 444 601. Amritsar: 1st Floor,
R. S. Towers, Hall Bazar, Amritsar 143 001. Anand: 1st Floor, Sanket Towers, Opp. Anand Arts College, Grid Road, Anand 388 001. Ankleshwar: Commercial Plot-73/P, GIDC Estate, S A Motors Building, Ankleshwar 395 002. Asansol: CMS Dept, P. C. Chatterjee Market, G. T. Road, Rambhandu Tala, Asansol 713 303. Aurangabad: Shivani Chambers, Manjeet
Nagar, Jalna Road, Opp. Akashwani, Aurangabad 431 001. Balasore: C/o Bharat Motors, F. M. Circle, Balasore 756 001. Bangalore: No. 8/24 Salco Centre, Richmond Road, Bangalore 560 025. Baroda: 5th Floor, Midway Heights, Next to Panchmukhi Hanuman Temple, Lokmanya Tilak Road, Kirti Mandir, Near Kala Ghoda, Raopura Baroda 390 001. Belgaum:
3rd Floor, Khimjibhai Complex, No. 4830/28 A, Opp. District Hospital, Dr. Ambedkar Road, Belgaum 590 002. Bharuch: Near Octroi Naka, Link Road, Bharuch 392 001. Bhavnagar: 1st Floor, Gopi Arcade, Opp. Takhteshwar Post Office, Waghawadi Road, Bhavnagar 364 001. Bhilai: Chauhan Estate, G. E. Road, Supela, Bhilai 490 023. Bhilwara: 2-3-4, S. K. Plaza
Complex, Pur Road, Bhilwara 311 001. Bhopal: Service Branch, 1st Floor, Z-1, Zone 1, M. P. Nagar, Bhopal 462 011. Bhubaneshwar: Junction of Janpath & Gandhi Marg, Hotal Jajati Complex, Kharvelanagar, Unit-III, Master Canteen Square, Bhubaneshwar 751 001. Bhuj: 101 & 102 Sunrise Tower, 11-Vijaynagar Society, Hospital Road, Bhuj 370 001. Bokaro:
B-9 City Centre, Sector IV, Bokaro Steel City, Bokaro 827 004. Burdwan: 45 G. T. Road, Birhata, Burdwan 713 001. Calicut: 3rd Floor, Simax Tower, Kannur Road, Nadakkavu, Calicut 673 013. Chandigarh: SCO 371/372, Sector 35-B, Chandigarh 160 034. Chennai: Mariam Centre, Ground Floor, 751 B, Anna Salai, Chennai 600 002. Cochin: 1st Floor, SL Plaza,
Palarivattom, Cochin 682 025. Coimbatore: 1635 Classic Tower, Trichy Road, Coimbatore 641 018. Cuttack: Bajrakbati Road, Cuttack 753 001. Davangere: No. 621, BHM Enclave, Binny Co. Road, Mandipet, Davangere 577 002. Dehradun: 56, Rajpur Road, Dehradun 248 001. New Delhi: Figops, Ist Floor, Kailash Building, 26, K G Marg, New Delhi 110 001.
Dhanbad: Sri Ram Plaza, 1st Floor, Bank More Dhanbad 826 001. Dhule: Lane No. 6, Mundada Arcade, Parola Road, Dhule 425 001. Durgapur: A 102 & 103, City Centre, Bengal Shristi Complex, Durgapur Road, Durgapur 713 216. Erode: 456, 1st Floor, Lotus Enclave, Brough Road, Erode 638 001. Gandhidham: Plot No. 1, Sector 8, Rabindranath Tagore
Road, Near GPO, Gandhidham 370 201. Gorakhpur: CMS Dept, Prahlad Rai Trade Centre, Ayodhya Crossing, Bank Road, Gorakhpur 273 001. Guntur: 87-90, Main Road, Lakshmipuram, Guntur 522 007. Guwahati: Fancy Bazar Branch -WBO, Mishra Complex, Jail Road, Guwahati 781 001. Gwalior: Block G1, Plot No. 43, Anand Deep Building, City Centre,
Gwalior 474 011. Hosur: No. 24 & 25, Maruthi Nagar, Near Dharga, Sipcot PO, Hosur 635 126. Hubli: T B Revankar Complex, Vivekanand Hospital Road, Hubli 580 029. Hyderabad: 6-1-73, 3rd Floor, Saeed Plaza, Lakadikapaul, Hyderabad 500 004. Indore: 3rd Floor, 9/1A, U.V.House, South Tukonj, Indore 452 001. Jabalpur: 1702, Naiper Town, Model Road,
Jabalpur 482 002. Jaipur: 1st Floor, O-10, Ashok Marg, Ahimsa Circle, C Scheme, Jaipur 302 001. Jalandhar: 911, Near Narinder Cinema, G. T. Road, Jalandhar 144 001. Jalgaon: Plot No. 134/135, DSP Chowk, Facing Mahal Road, Jalgaon 425 001. Jammu: CB 13, Railhead Complex, Gandhi Nagar, Jammu Tawi, Jammu 180 001. Jamnagar: Plot No. 6, Park
Colony, St. Ann's School, Bedi Bunder Road, Jamnagar 361 008. Jamshedpur: C/o Mithila Motors Ltd, Near Ram Mandir, Bistupur, Jamshedpur 831 001. Jhansi: Damroo Cinema Complex, Civil Lines, Jhansi, 284 001. Jodhpur: Plot No. 57/B, 9th Chopasani Road, Jodhpur 342 003. Junagadh: Moti Palace, Ground Floor, Opp Raijinagar, Junagadh 362 001. Kanpur:
Navin Market Branch, 15/46 Civil Lines, Kanpur 280 001. Kolhapur: Gem Stone, Raosaheb Vichare Complex, 517, E Ward, New Shahupuri, Near Central Bus Stand and Parikh Pool, Kolhapur 416 001. Kolkata: Abhilasha II,6, 1st Floor, 6 Royd Street, Kolkata 700 016. Kota: Show Room No. 13-14, Main Jhalawar Road, Kota 324 007. Kottayam: 3rd Floor, Unity
Building, Opp. MDC Centre, K K Road, Kottayam 686 002. Lucknow: Pranay Tower, Darbari Lal Sharma Marg, Beside Pratibha Cinema, Lucknow 226 001. Ludhiana: CMS Dept, 5th Floor, Mall Road, Ludhiana 141 001. Madurai: Nithtya Kalyani Towers, No. 34, Krishnayar Tank Street, No. 8, North Veli Street, Madurai 625 001. Mangalore: M. N. Towers, Kadri,
Mangalore, 575 002. Mathura: CMS Dept, OPS BSA College, Gaushala Road, Mathura 281 001. Meerut: 1st Floor, 381 Western Kutchery Road, Meerut 250 001. Mehsana: Prabhu Complex, Near Raj Kamal Petrol Pump, Abu Highway, Mehsana 384 002. Moradabad: Chaddha Shopping Complex, GMD Road, Moradabad 244 001. Mumbai: Maneckjiwadia Building,
Nanik Motwani Marg, Mumbai 400 023. Muzzafarpur: Above Maruti Showroom, Choti Saria Ganj, Muzzafarpur 842 001. Mysore: Mythiri Arcade, 1st Main, Saraswathipuram, Mysore 570 009. Nadiad: Shoot Out Building, Nadiad Ice Factory Compound, College Road, Nadiad 387 001. Nagpur: 303 & 304 3rd Floor, Wardh Road, 12, Milestone, Near Lokmat Square,,
Nagpur 440 010. Nasik: Archit Centre, 3rd Floor, Chandak Circle Link Road, Opp. Sandeep Hotel, Near Mahamarg Bus Stand, Nasik 422 002. Navsari: Nandini Complex, Ground Floor, Station Road, Sandh Kuva, Navsari 396 445. Nellore: 17/126, G V R Enclave, Trunk Road, Nellore 524 001. Palanpur: Parth Complex, Near Cozy Tower, Opp. Joravar Palace,
Palanpur 385 001. Panipat: 801/4, G. T. Road, Panipat 132 103. Panjim: Swami Vivekanand Road, 301, Milroc Lar Menezes, Opp. Gomantak Maratha Samaz, Panjim 403 001. Patiala: S.C.O. 1150, First Floor, Leela Bhawan, Patiala 147 001. Patna: Rajendra Ram Plaza, Exhibition Road, Patna 800 001. Pondicherry: TS No. 6, 100 Feet Road, Ellaipil aichavady,
Pondicherry 605 005. Pune: Fortune Square, Model Colony, Pune 411 016. Raipur: Chawla Tower, Near Bottle House, Shankar Nagar, Raipur 492 001. Rajahmundry: H. No. 46-17-20, Main Road, Danavaipet, Rajahmundry 533 103. Rajkot: Opp. Alfred High School, 2nd Floor, Panchratna Bldg., Jawahar Road, Rajkot 360 001. Ranchi: Rohini, 1st Floor, 56, Circular
Road, Ranchi 834 001. Ratlam: 90, Station Road, Ratlam 475 001. Rohatak: 401-402, D Park, Model Town, Main Delhi Road, Rohtak 124 001. Rourkela: Bisra Road, Dwivedi Bhawan, Dwivedi Square, Rourkela 769 001. Salem: 5/241-F, Rathna Arcade, Omalur Main Road, Salem 636 004. Sambalpur: Nayapara, Golbazar Chowk, Sambalpur 768 001. Siliguri:
3 No. Ramkrishna Samity Building, Sevoke Road, Pani Tanki More, Siliguri 734 401. Solapur: Sun Plaza, 1st Floor, 8516/11, Murarji Peth, Lucky Chowk, Solapur 413 007. Surat: 7th Floor, Kashi Plaza, Next to Dr. Bipin Desai Children Hospital, Majura Gate, Surat 395 002. Tirupati: H. No. 10-14-575/A3, Mosque Road, V. V. Mahal Road, Tirupati 517 501. Tiruppur:
2nd Floor, 169, Chidambaram Complex, Kumaran Road, Tiruppur 641 604. Trichur: Global Centre, M. G. Road, Trichur 680 004. Trichy: A-10, Lakshmi Arcade, 11th Cross Main Road, Thil ainagar, Trichy 620 018. Trivandrum: Kenton Towers, Vazhuthacaud, Trivandrum 695 014. Udaipur: 358, Post Office Road, Chetak Circle, Adjacent to Chetak Cinema Udaipur
313 001. Valsad: 1st Floor, Ekta Appt, Near R J J High School, Thithal Road, Valsad 396 001. Vapi: 1st Floor, Kanta Trade Centre, Behind Asopalav Hotel, GIDC Char Rasta, Vapi 396 195. Varanasi: D 58/2, Kuber Complex, Rathyatra Crossing, Varanasi 221 010. Vellore: No. 73, Officers Line, Krishna Nagar, Vellore 632 001. Vijayawada: 40-1 -48/2, M. G. Road,
Labbipet, Vijayawada 520 010. Visakhapatnam: 1st Floor, Poduri Castle, Above Raymond Showroom, Dwarka Nagar, Visakhapatnam 530 016. Warangal: No. 1-8-605/1 Nakkalgutta, Hanamkonda, Warangal 506 002.
The Fund's website viz; http://www.fidelity.co.in/wil be an official point of acceptance for accepting transactions in the units of the schemes of the Fund.
Further, CAMS wil be the official point of acceptance for electronic transactions received from specified banks, financial institutions, distribution channels, etc (mobilized on behalf of their clients) with whom the AMC has entered/may enter into specific arrangements for purchase/sale/switch of units.

GUIDANCE NOTES TO HELP YOU COMPLETE THE APPLICATION FORMS


GENERAL INSTRUCTIONS PLEASE ALSO NOTE THAT THE ABOVE IS ALSO APPLICABLE TO THE FOLLOWING:
1. Please read the Scheme Information Document (SID) carefully before investing. u POA Holders purchasing/signing on behalf of an applicant/unitholder.
2. Please furnish all information marked as ‘MANDATORY’. In the absence of any mandatory information, your application would be u Guardians purchasing/signing on behalf of a minor applicant/unitholder.
rejected. In case you are not yet KYC-compliant, please approach a Point of Service (POS) of CDSL Ventures Limited to obtain KYC compliance
3. APPLICATIONS BY MINOR: Applications for minors should be made on their behalf by their lawful/registered guardians and signed and submit a copy of your KYC acknowledgement letter to us.
by them. The name of the Guardian should be filled in the relevant space provided in the Application Form. In the absence of a KYC Acknowledgement Letter, any applications for investments of Rs. 50,000 or more, would be rejected.
4. PERMANENT ACCOUNT NUMBER (PAN): Please note that furnishing of PAN with an attested copy of your PAN Card for each 6. Please strike off sections that are not applicable to you or are left blank.
applicant/unit holder is mandatory [(except Central Government, State Government and the officials appointed by the Courts eg. Official
Liquidator, Court Receiver, etc. (under the category of Government)] for all investments. In the absence of this, your application will NOTES TO HELP YOU FILL UP THE APPLICATION FORM
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 1. EXISTING UNIT HOLDER(S) INFORMATION
advisor under it's/his seal and should carry the name and designation of the person attesting it. a) If you have at any time in the past invested in any scheme of Fidelity Mutual Fund, please furnish the name of the Sole/First Holder
5. KNOW YOUR CUSTOMER (KYC) COMPLIANCE: Please note that for investments of Rs. 50,000 or more, it is mandatory for each and the Folio Number in Section 1.
applicant/unit holder to be KYC-compliant. Please enclose a copy of the KYC Acknowledgement Letter issued by CDSL Ventures Ltd b) Please fulfill requirements on PAN and KYC as specified in General Instructions 4 & 5 above by mentioning the same in Section 3
with your application for investment. and enclosing the documents as indicated there.
GUIDANCE NOTES TO HELP YOU COMPLETE THE APPLICATION FORMS
c) Your personal details and your bank account details as they feature in your existing folio would apply to this investment as well and Please indicate the investment amount the DD charges and the net Cheque/DD amount in the Form.
would prevail over any conflicting information furnished in this Form.
d) SIP INVESTMENT
2. APPLICANTS’ PERSONAL DETAILS i. Please furnish the following details with respect to your systematic investment:
a) Please furnish names of all applicants. The name of the Sole /First Applicant should be mentioned in the same manner in which it
appears in the Bank Account indicated in Section 4. u SIP Instalment Amount (Min. Rs. 500)
u No. of SIP Instalments (Min. 6)
b) Mode of Holding: Please specify the Mode of Holding for operating the Folio. If there are more than one applicants but the mode
of holding is not specified, the same would be treated as Joint. u Total Amount (Min. Rs. 5000)
c) If the first applicant is a minor, the name of the Guardian who will sign the form on behalf of the minor applicant should be filled in The three criteria stated above need to be fulfilled in conjunction. If any of these criteria is /are not fulfilled, the SIP request would
the space provided. In case the applicant is a Corporate or Non-Individual investor, the Contact Person’s name should be stated in be rejected.
the space provided. You now have a choice of registering your SIP with no expiry date. To avail of this please tick the box against “Till you
d) Please fulfill requirements on PAN and KYC as specified in General Instructions 4 & 5 above by mentioning the same in Section 3 instruct Fidelity to discontinue the SIP”. Please strike out the ‘No. of Instalments’ and ‘Total Amount’ Section.
and enclosing the documents as indicated therein. u SIP Frequency (Monthly/Quarterly) & SIP Date (1st/10th/15th/25th)
e) Please indicate the tax status of the sole/1st applicant at the time of investment. Any change in status during the period of holding
units should be given to assist in accurate tax treatment of income arising from such holdings. The abbreviations used in this section ii. The first SIP Instalment has to be compulsorily in the cheque mode.
are: iii. For your second and subsequent SIP Instalments you have to pay through Auto Debit (ECS/Direct Debit) Please fill in the attached
u AOP-Association of Persons u BOI-Body of Individuals u FI-Financial Institution u FII-Foreign Institutional Investor u HUF-Hindu SIP AUTO DEBIT FACILITY FORM.
Undivided Family u PIO-Person of Indian Origin u NGO-Non Government Organisation iv. The first SIP instalment cheque should be dated the date of submission of the Application Form. Please note the following:
f) Please furnish the full postal address of the Sole/First Applicant with PIN/Postal Code and complete contact details. P.O. Box address (a) For SIPs through Auto Debit, the first SIP cheque needs to be from the same bank account from which you wish to effect
is not sufficient. the debits for your future SIP Instalments.
g) If you wish to receive communication from us on e-mail instead of post, you can do so by specifying your preference for the same (b) The second and subsequent SIP Instalments must compulsorily be for one of the available dates (1st/10th/15th/25th) and
and indicating the communication you would like to receive over e-mail. should be on or after 1st April 2009.
h) NRI investors should mandatorily state their complete overseas address in the form; otherwise the application will be (c) The first SIP instalment cheque and the subsequent instalments through Auto Debit should be for the same amount.
rejected.
v. The Auto Debit Authorisation needs to be filled in and signed by the Bank Account holders in the same order and manner in which
3. PAN AND KYC DETAILS the Bank account is held by them.
Please furnish PAN for each applicant/unitholder together with an attested copy of PAN Card. If the amount you propose to invest is Rs. e) The following modes of payment are not valid and applications accompanied by such payments are liable to be rejected:
50,000 or more, you need to also enclose a KYC Acknowledgement letter issued by CDSL Ventures Limited for each applicant/unitholder. u Outstation cheques u Cash/Money Order/Postal Order u Post-dated cheques
In case of a minor, the guardian should provide his/her PAN & KYC details.
f) If you are an NRI Investor please indicate source of funds for your investment. If you are seeking repatriation of your redemption
4. BANK ACCOUNT DETAILS proceeds, please enclose an Account Debit Certificate confirming payment from an NRE Account or a Foreign Inward Remittance
a) Please furnish complete Bank Account Details of the Sole/First Applicant. This is a mandatory requirement and applications not carrying Certificate confirming inward remittance of funds for the purpose of investment.
bank account details would be rejected. 6. NOMINATION DETAILS
b) We offer a Direct Credit Facility with banks which form a part of RBI's NEFT clearance and settlement network. This facility allows As per SEBI regulations, you can assign a maximum of three nominees, to whom the amounts will be payable on death of the sole or all
you to receive your dividend and redemption payments directly into your Bank Account. You would be offered this facility if your Bank Unit Holders as the case may be.
forms a part of this network. To facilitate verification of your bank account details for the purpose, please furnish the following details
in the form: a) The nomination can be made only by individuals applying for/holding units on their own behalf singly or jointly. Non-individuals including
society, trust, body corporate, partnership firm, Karta of HUF, holder of POA cannot nominate.
(a) Clearing Circle in which your Bank/Branch participates.
b) A minor can be nominated and in that event, the name and address of the guardian of the minor nominee shall be provided by the
(b) MICR Code of your Bank/Branch (this is a 9 Digit Number appearing next to the cheque number on the cheque leaf). Unit Holder. Nomination can also be in favour of the Central Government, State Government, a local authority, any person designated
(c) IFSC Code of your Bank/Branch (this is a 11 character, alphanumeric code that you would find on your cheque leaf). If your by virtue of his office or a religious or charitable trust.
cheque leaf does not carry this, please check for the same with your local Bank Branch. c) The Nominee shall not be a trust (other than a religious or charitable trust), society, body corporate, partnership firm, Karta of Hindu
In addition to the above, you are also requested to enclose a cancelled cheque leaf (or copy thereof) where your investment Undivided Family or a Power of Attorney holder. A non-resident Indian can be a Nominee subject to the exchange control regulations
instrument is not from the same bank account as is mentioned in the Form. in force, from time to time.
If you, however, wish to receive cheque payouts instead of Direct Credit, please tick in the box provided for the purpose. d) Nomination in respect of the units stands rescinded upon the transfer of units.
c) If you have not furnished a copy of your cheque leaf, pending verification of your bank details, your redemption/dividend payouts would e) Transfer of units in favour of a Nominee shall be valid discharge by the AMC against the legal heir.
compulsorily be paid in the Cheque mode even if you hold an account with a bank through whom we offer direct credit/NEFT facility. f) The cancellation of nomination can be made only by those individuals who hold units on their own behalf singly or jointly and who made
the original nomination. On cancellation of the nomination, the nomination shall stand rescinded and the asset management company
5. INVESTMENT AND PAYMENT DETAILS shall not be under any obligation to transfer the units in favour of the Nominee.
a) Please indicate the Plan-Option where you wish to invest. Also indicate your choice of dividend payout or reinvestment. Please note g) In the event of the unit holders not indicating the percentage of allocation/share for each of the nominees, the AMC, by invoking default
that, your investment would be made in Plan A if your application form does not indicate your preferred plan. Similarly, if the Option option shall settled the claim equally amongst all the nominees
is not indicated, it will be treated as Growth Option.
7. DECLARATION AND SIGNATURES
b) Please fill in your investment details in the appropriate section based on your type of investment i.e. Section A for Lumpsum Investment
and Section B for SIP. Please use separate forms if you wish to invest both in Lumpsum as also through SIP. a) All signatures should be in English or any Indian language. Thumb impressions should be from the left hand for males and the right
hand for females and in all cases be attested by a Magistrate, Notary Public or Special Executive Magistrate.
c) LUMPSUM INVESTMENT
b) If the application form is signed by a Power of Attorney (PoA) holder, the form should be accompanied by a notarised photocopy of
If you are from a city not serviced by an Investor Service Centre, you may submit a Demand Draft for the investment amount. Please the PoA. Alternatively, the original PoA can be submitted, which will be returned after verification. If the PoA is not received within 30
enter the investment amount, the DD Charges (if applicable) and the net amount. The AMC shall bear the DD Charges incurred by days from the date of the application, the Application Form will be rejected.
you for investing in the scheme, if you are residing in a city, the banking clearing circle of which is different from that of any Collection
Centre (during the NFO) or any Investor Service Centre as designated by the AMC from time to time (during Ongoing Offer). The AMC c) In case of corporates or any non-individual investors, a list of authorised signatories should be submitted within 7 days of submitting
shall, however, not refund any DD charges to the investor under any circumstances. the application form or of any change in the status of any authorised signatory.

CHECKLIST
Please ensure the following: Accompanying documents
You are not a Resident of USA or Canada. Please submit the following documents with your application (where applicable). All documents should be original/
If you are an existing unit holder with us, Folio Number and name of sole/first unit holder is mentioned. true copies certified by a Director/Trustee/Company Secretary/Authorised Signatory.
Name, date-of-birth, address and contact details and tax status of sole/first applicant are given in full.
PAN is furnished for all applicants and a certified copy of PAN Card or attested acknowledged copy of PAN Documents Companies Societies Partnership Investments Trust NRI FIIs
application is attached. Firms through PoA
KYC Acknowledgement Letter is attached to your application form if your investment amount is greater than
Rs. 50,000. If you have not complied with KYC requirements yet, please seek the KYC Forms from our Resolution/Authorisation to invest 3 3 3 3 3
Investor Service Centres, fill in the same and submit it to a Point of Service nearest to you to obtain your
KYC Acknowledgement Letter. List of Authorised Signatories with
Your Bank Account details including the 9 Digit MICR Code are entered completely and correctly. A cancelled Specimen signature(s) 3 3 3 3 3 3
cheque leaf of such account is enclosed if the investment instrument is a demand draft or is from a different
bank account. Memorandum & Articles of Association 3
For Joint Applicants, if any, Mode of Holding, Names, birth-dates are furnished.
Trust Deed 3
Your preferred investment option is indicated
If you are opting for Lumpsum Investment, necessary investment details and following conditions are fulfilled Bye-laws 3
Your investment is not below the Minimum Investment Amount.
Your investment cheque is drawn in favour of Scheme, dated and signed. On the reverse of the cheque, Partnership Deed 3
the name of the Sole/First Applicant and the Application No./Folio No. are written.
If you are investing through SIP all SIP details are furnished and following conditions are fulfilled Overseas Auditors' Certificate 3
SIP Instalment Amount (Min. Rs. 500/-)
Notarised Power of Attorney 3
No. of SIP Instalments (Min. 6 instalments)
Total Amount (Min. Rs.5000/-) Foreign Inward Remittance Certificate,
SIP Frequency (Monthly/Quarterly) & SIP Date (1st/10th/15th/25th) in case payment is made by DD from
Your first SIP Instalment is by a cheque drawn in favour of Scheme, dated and signed. On the reverse NRE/FCNR a/c, where applicable 3
of the cheque, the name of the Sole/First Applicant and the Application No./Folio No. are written.
SIP Auto Debit Period is indicated. Please note that you can also choose to continue your SIP
till you specifically instruct us to discontinue it.
The form is duly signed by all applicants.
Fidelity, Fidelity International and Pyramid Logo are trademarks of FIL Limited. CI01100
NEW FUND OFFER APPLICATION FORM
I N T E R N A T I O N A L
FOR LUMPSUM/SYSTEMATIC INVESTMENTS
App. No.
Please read Guidance Notes carefully. All Sections to be completed
legibly in English in black/dark coloured ink and in BLOCK CAPITALS.
Distributor’s Code Sub-Broker’s Code Branch Code For Official Use

ARN - 59932 ARN-70963


1 EXISTING UNIT HOLDER(S) DETAILS (See Note 1)
If you have, at any time, invested in any scheme of Fidelity Mutual Fund and wish to hold your present investment in the same folio, please furnish the Name of
Sole/First Unitholder & Folio Number below and proceed to Section 3.
Name of Sole/ First Name Middle Name Last Name
1st Holder Folio No.

2 APPLICANTS’ PERSONAL DETAILS (See Note 2)

First Name Middle Name Last Name


Sole/First Applicant Date of Birth D D M M Y Y Y Y

Guardian (in case Sole / First Applicant is a minor) Contact Person (in case of Non Individual applicants)

First Name Middle Name Last Name


Second Applicant Date of Birth D D M M Y Y Y Y

First Name Middle Name Last Name


Third Applicant Date of Birth D D M M Y Y Y Y

MODE OF HOLDING (Please ) Single OR Anyone or Survivor OR Joint

STATUS OF SOLE/FIRST APPLICANT (Please )


Resident Indian Individual Non-Resident Indian Individual PIO Mutual Fund FI Bank Trust Government Body Defence Establishment
Company/Body Corporate Partnership Firm HUF AOP/BOI FII Society NGO Others (please specify)

Address for Correspondence (P.O. Box Address is not sufficient) Overseas Address (Mandatory for NRI/FII Applicants)

City/Town City/Town State


State PIN Country Postal Code
Tel. (Office) (ISD) (STD) Tel. (Res.) (ISD) (STD) Mobile (ISD)
Email ID Fax (ISD) (STD)
I/We would like to receive the following communication over E-mail instead of Post (Please 3) Account Statement Annual Reports

3 PAN AND KYC DETAILS (See Note 3)


Please note that furnishing of PAN together with an attested copy of PAN Card is mandatory for all applicants/unit holders. 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 applicant/unit holder.

PAN First Applicant Second Applicant Third Applicant


Enclosed Attested PAN Card KYC Acknowledgement Letter Attested PAN Card KYC Acknowledgement Letter Attested PAN Card KYC Acknowledgement Letter
(Please 3 )

4 BANK ACCOUNT DETAILS (MANDATORY - if left blank, Application will be rejected) (See Note 4)
Account Type
Account No. (Please 3) Savings Current NRE NRO FCNR Others (please specify)

Bank Name

Branch City (Clearing Circle)

(9 Digit No. next to your (11 Character code appearing on your cheque leaf. If
MICR Code Cheque Number)
IFSC Code FOR PAYOUTS THROUGH NEFT you do not find this on your cheque leaf, please check
for the same with your local Bank Branch)

We can directly credit your dividend/redemption payments into your bank account if your Bank is a part of RBI’s NEFT clearance and settlement network. If
you, however, wish to receive payments by cheque only, please indicate your preference for the same below.
I/We DO NOT wish to receive payments directly into my bank account and instead receive the same by Cheque (Please 3)

ACKNOWLEDGEMENT SLIP
I N T E R N A T I O N A L (To be filled in by the Applicant) App. No.
Received from Name of First Applicant/Unitholder an application for
investment in Fidelity Wealth Builder Fund - Plan ____________ Option
Investment Type (3) Investment/SIP Instalment Investment Cheque/First SIP Cheque Details
Lumpsum Cheque No. dated D D M M Y Y Y Y drawn on For Office Use Only
SIP Rs. Bank Branch City
Acknowledgement Stamp & Date
Subject to realisation of cheque and furnishing of mandatory information/documents. Please retain this slip till you receive your Account Statement.
5 INVESTMENT & PAYMENT DETAILS (Please fill in the Plan, (3) Option and then choose Section A or B below) (See Note 5)

Scheme Fidelity Wealth Builder Fund Plan Please write the Plan of your choice as A, B or C
(if Plan is left blank by the applicant, it will be
Option (Please ) Growth OR Dividend Reinvestment OR Dividend Payout assumed as Plan A being selected)

(A) LUMPSUM INVESTMENT: (B) SIP INVESTMENT:


Instalment Amount (A) SIP Period See Note 5d(i)
Investment Amount Rs. A Till you instruct No. of Instalments (B) Total Amount (C) = (AxB)
Fidelity to OR
Rs. Minimum Rs. 500 Minimum 6 Rs. (Minimum Rs. 5000)
discontinue the SIP
DD Charges (if applicable) Rs. B First SIP Instalment Cheque Details:

Cheque No. Dated D D MM YYYY


Net Amount (Cheque/DD Amount) Rs. A minus B
Drawn on Bank

Branch
Mode of Payment (3) Cheque Demand Draft
Second and Subsequent Instalment Details:
Instrument No. Dated D D MM YYYY
SIP Period From MM YYYY To* M M YYYY * Please fill in the ‘To’ date only if ‘No. of Instalments’ above
have been specified, otherwise leave blank.

Drawn on Bank
SIP Date (Please 3) 1st or 10th or 15th or 25th

Branch SIP Frequency (Please 3) Monthly or Quarterly

PLEASE ALSO FILL UP THE SIP AUTO DEBIT FACILITY FORM.


City See Note 5d(iii)

NRI*/FII Investors, please indicate source of funds for your investment (Please 3) NRE NRO FCNR Others Please specify

6 NOMINATION DETAILS (Please strike out this Section if you do not wish to nominate) (See Note 6)
If you wish to register a single nominee for your investments please fill in the nomination details below. If you wish to register multiple nominees for your investment please strike off the
section below and fill in the multiple Nomination Form which is available on our website www.fidelity.co.in or any Fidelity Investor Service Centre.
*
I/We do hereby nominate the undermentioned Nominee to receive the Units allotted to my/our credit in my folio in the event of my/our death. I/We also understand that all payments and settlements
made to such Nominee and Signature of the Nominee acknowledging receipt thereof, shall be a valid discharge by theAMC/Mutual Fund/Trustees.
Name and Address of Nominee To be furnished in case Nominee is a Minor (strike out if not applicable)
Name Name of Guardian

Address Address of Guardian

Date of Birth (in case Nominee is a minor) D D M M Y Y Y Y


Signature of
Guardian (Mandatory)
X
7 DECLARATION AND SIGNATURES (See Note 7)
I/We have read and understood the contents of the Scheme Information Document of the above Scheme of Fidelity Mutual Fund including the sections on “Who
cannot invest” and “Important Note on Anti Money Laundering, Know-Your-Customer and Investor Protection”. I/We hereby apply for allotment/purchase of Units in
the Scheme and agree to abide by the terms and conditions applicable thereto. I/We hereby declare that I/We am/are authorised to make this investment and that
the amount invested in the Scheme is through legitimate sources only and does not involve and is not designed for the purpose of any contravention or evasion of
any Act, Rules, Regulations, Notifications or Directions issued by any regulatory authority in India. I/We hereby authorise Fidelity Mutual Fund, its Investment
Manager and its agents to disclose details of my investment to my bank(s)/Fidelity Mutual Fund’s bank(s) and/or Distributor/Broker/Investment Adviser. I/We have
neither received nor been induced by any rebate or gifts, directly or indirectly, in making this investment. I/We declare that the information given in this application
form is correct, complete and truly stated.
*APPLICABLE FOR NRIs : I/We confirm that I am/we are Non-Resident(s) of Indian Nationality/Origin and that I/We have remitted funds from abroad through
approved banking channels or from funds in my/our NRE/FCNR Account. I/We undertake that all additional purchases made under this folio will also be from funds
received from abroad through approved banking channels or from funds in my/our NRE/FCNR Account.
Date D D M M Y Y Y Y
SIGNATURE(S) (ALL APPLICANTS must sign here)

X X X
Sole/First Applicant Second Applicant Third Applicant
If the investment is being made by a Constituted Attorney please furnish Name and PAN of Power of Attorney Holder (POA) in respect of each applicant below :
Name POA Holder for Applicant 1 POA Holder for Applicant 2 POA Holder for Applicant 3

PAN

CONTACT US

Phone 1800 2000 600 (toll-free) OR 0124 3915659 (at long distance rates)
Lines open from 9 a.m. to 6 p.m. on all Business Days.
graphics

E-Mail investor.line@fidelity.co.in Website


alok

www.fidelity.co.in
SIP AUTO DEBIT FACILITY FORM In case of new applicants this Form needs to
accompany the Application Form for
Registration-cum-Mandate Form for ECS/Direct Debit Registration of SIP through Auto Debit (ECS/Direct Debit).
I N T E R N A T I O N A L

Please read Terms & Conditions overleaf carefully. All sections to be completed legibly in English, in black/dark-coloured ink and in BLOCK CAPITALS.
Distributor’s Code Sub-Broker’s Code Branch Code For Official Use

ARN - 59932 ARN-70963


1 APPLICANTS’ PERSONAL DETAILS (MANDATORY) (See Note 1)
Application Form No. Folio No.
(For New Applicants) OR (For Existing Unit holders)

Sole/First Applicant/Unitholder First Name Middle Name Last Name

E-mail ID For receiving SIP Statements over E-mail instead of Post

2 PAN AND KYC DETAILS (See Note 2)


Please note that furnishing of PAN together with an attested copy of PAN Card is mandatory for all applicants/unit holders. 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 applicant/unit holder.

PAN First Applicant Second Applicant Third Applicant


Enclosed Attested PAN Card KYC Acknowledgement Letter Attested PAN Card KYC Acknowledgement Letter Attested PAN Card KYC Acknowledgement Letter
(Please 3 )

3 DECLARATION & UNIT HOLDER(S) SIGNATURES (To be signed by ALL UNIT HOLDERS if mode of holding is ‘Joint’.) (See Note 3)
I/We have read and understood the contents of the Scheme Information Document of the Scheme and addenda issued till date. I/We have neither received nor been induced by any rebate or gifts
directly or indirectly in making this Systematic Investment. I/We hereby declare that the particulars given here are correct and express my/our willingness to make payments referred above through
direct debit/participation in ECS. If the transaction is delayed or not effected at all for reasons of incomplete or incorrect information, I/We would not hold Fidelity Mutual Fund, their Investment
Manager - FIL Fund Management Private Limited, or any of their appointed service providers or representatives responsible. I/We will also inform FIL Fund Management Private Limited about any
changes in my/our bank account. I/We have read and agreed to the terms and conditions mentioned overleaf.
Date D D / M M / Y Y Y Y

X X X
Sole/First Unit Holder Second Unit Holder Third Unit Holder

4 AUTO DEBIT AUTHORISATION BY BANK ACCOUNT HOLDERS (See Note 4)


The Manager
Name of Bank Branch City
I hereby authorise you to debit my account for making payment to Fidelity Mutual Fund through ECS (Debit) clearing/Direct Debit (Standing Instructions) as per the details given here :

Scheme/(Plan) Fidelity Wealth Builder Fund - Plan ____________


A. Folio No./Application No.
SIP Auto Debit Date 1st 10th 15th 25th
B. Account Number
Frequency (Please 3) Monthly OR Quarterly
C. Account Type (Please 3) Savings Current Cash Credit
SIP Instalment Amount Rs. (Min. 500)
D. 9-Digit Code Number of the Bank & Branch
(Appearing on the MICR Cheque issued by the Bank) SIP Auto Debit Period From M M / Y Y Y Y To * M M / Y Y Y Y
*Please fill in the ‘To’ period only if ‘No. of Instalments’ has been specified in the NFO Application Form, otherwise leave blank.
I/We hereby declare that the particulars given above are correct and complete. If the transaction is delayed or is not effected at all for reasons of incomplete or incorrect information,
I/We would not hold the user institution responsible.
NAME(S) & SIGNATURE(S) OF BANK ACCOUNT HOLDER(S) AS IN BANK RECORDS
Name(s) of
Bank Account Holder(s) Sole/1st Bank Account Holder 2nd Bank Account Holder 3rd Bank Account Holder

Signature(s) of XX XX XX
Bank Account Holder(s) Sole/First Unit Holder Second Unit Holder Third Unit Holder
(To be signed by all holders if mode of operation of Bank Account is ‘Joint’)
Date D D / M M / Y Y Y Y

FOR OFFICE USE ONLY (not to be filled in by investor) We confirm that we have taken the above ECS/Auto Debit instructions on our records.

D D / M M / YYYY Stamp of Bank Branch Manager


Recorded on

Recorded by Signature

Credit A/c. No. Name


GENERAL INSTRUCTIONS
1. Applicants need to fill in this form together with the NFO Application Form for the purpose of availing the facility of Systematic Investments (SIP) through Auto Debit
(ECS/Direct Debit).
2. This form should be used only for Registration of new SIPs through Auto Debit (ECS/Direct Debit). A separate form is available for modification in existing SIP Details/
Change in Bank Account Details for SIPAuto Debit (ECS/Direct Debit).
3. Please read the terms and conditions for SIP in Note 5(d) appearing under ‘Guidance notes to help you complete the application form’.
4. The first SIP instalment has to compulsorily be in the form of a cheque.
5. Please furnish all information marked as 'MANDATORY’ in the form. In the absence of any mandatory information, your application for investment would be rejected.
6. Please refer the 'GUIDELINES FOR FILLING UP THE SIP AUTO DEBIT FACILITY FORM ' below. This should help you fill in the necessary details in the form correctly
and completely.
7. SIGNATURES: This form needs to be signed at two places marked X and XX. Please sign the forms as per instructions below :
a. X To be signed by Applicants for SIP investment in the same order in which the NFO Application Form is signed.
b. XX To be signed by Bank Account Holders in the order in which the Bank Account is held and the manner in which their signatures appear on Bank records.

TERMS AND CONDITIONS FOR SIP WITH AUTO DEBIT FACILITY


1. Our SIPAuto Debit(ECS/Direct Debit) Facility is offered to you using Reserve Bank of India's (RBI) Electronic Clearing Service (Debit Clearing Facility). By opting for this facility you agree to abide by the terms
and conditions subject to which this facility is offered by RBI.
2. The SIPAuto Debit (ECS/Direct Debit) Facility is offered only to investors having BankAccounts in select cities listed below :
Agra Bhopal Dhanbad Jabalpur Kolhapur Nasik Ranchi Trichy
Ahmedabad Bhubaneshwar Durgapur Jaipur Kolkata Nellore Salem Trivandrum
Allahabad Burdwan Erode Jalandhar Lucknow New Delhi Shimla Udaipur
Amritsar Calicut Gorakhpur Jammu Ludhiana Panjim Siliguri Udupi
Asansol Chandigarh Guwahati Jamnagar Madurai Patna Solapur Varanasi
Aurangabad Chennai Gwalior Jamshedpur Mangalore Pondicherry Surat Vijayawada
Bangalore Cochin Hubli Jodhpur Mumbai Pune Tirupati Vizag
Baroda Coimbatore Hyderabad Kakinada Mysore Raipur Tirupur
Bhilwara Dehradun Indore Kanpur Nagpur Rajkot Trichur
The cities listed above may be modified/removed at any time purely at the discretion of Fidelity Mutual Fund without assigning any reason or prior notice.
3. Applications for SIP Auto Debit (ECS/Direct Debit) Facility would be accepted only if the Bank Branch listed in Section 4 of this form participates in local MICR/ECS Clearing. In case your bank chooses to
cross-verify the Auto Debit mandate with you as the Bank's customer, you would need to promptly act on the same. Fidelity Mutual Fund, its Investment Manager - FIL Fund Management Private Limited, its
Registrar and other service providers will not be liable for any transaction failures due to rejection of the transaction by your bank/branch or its refusal to register the SIP mandate or any charges that may be
levied by your Bank/Branch on you.
4. There has to be a minimum gap of 30 days between the date of your first SIP instalment (through Cheque) and your second & subsequent SIP instalments (through Auto-Debit). If you are making a SIP
Investment during the NFO, your second instalment should be on or after April 1, 2009. While mentioning the SIP Auto Debit period (from) in this form, please take this into account and indicate the correct SIP
Auto Debit commencement date. Please refer 'GUIDELINES FOR FILLING UP THE SIPAUTO DEBIT FACILITY FORM' below to understand this requirement better.
5. For cancellation of theAuto Debit (ECS/Direct Debit) Facility, you need to give a notice 30 days in advance.
6. You will not hold Fidelity Mutual Fund (FMF)/FIL Fund Management Private Limited (FFMPL)/Trustees to the Fund, its Registrars and other service providers responsible if the transaction is not/incorrectly
effected due to incomplete or incorrect instructions from the applicant. Besides, you will not hold either of the entities listed hereinbefore responsible if the transaction is delayed or not effected or the applicant
bank account is debited in advance or after the specific SIP date due to various clearing cycles of RBI’s ECS/local holidays.
7. FMF/FFMPL reserves the right not to re-present any mandate for SIPAuto Debit facility if the registration could not be effected in time for reasons beyond its/their control.
8. FMF/FFMPL/Trustees to the Fund, its Registrars and other service providers shall not be responsible and liable for any damages/compensation for any loss, damage, etc. incurred/suffered by you as a result of
use of this facility.

GUIDELINES FOR FILLING UP THE SIP AUTO DEBIT FACILITY FORM


Note 1 - APPLICANTS' PERSONAL DETAILS (f) In order to save you the rigour of sending us renewal instructions each time your
Please furnish the name of all applicants as they appear in the NFO Application SIP expires, Fidelity offers you two ways to invest. If you know how long you
Form and the Application Number (if this is your first investment in Fidelity Mutual wish to invest for, specify your Start Date and End Date. Alternatively, you can
Fund) or Existing Folio (if you hold an existing folio with us). choose the open option - where you specify just your Start Date - and
discontinue your SIP by writing to us.
Note 2 - PAN AND KYC DETAILS (g) Please note that your Auto Debit would commence from your second SIP
Please furnish PAN for each applicant/unitholder together with an attested copy of Instalment. Your first SIP Instalment has to be compulsorily in the Cheque
PAN Card. If the amount you propose to invest is Rs. 50,000 or more, you need to mode. E.g. , if you are applying for a SIP from 1st January, 2009 till 1st
also enclose a KYC Acknowledgement letter issued by CDSL Ventures Limited for December, 2010, your first SIP instalment of 1st January, 2009 would be
each applicant/unitholder. through a cheque. Your SIP Auto Debit period, therefore would be from 1st
Note 3 - DECLARATION AND SIGNATURES February, 2009 to 1st December, 2010).
This section needs to be signed by the applicants at the places marked "X" in the (h) If you have not indicated any of your SIP preferences in the NFO Application
same order and manner in which they have signed the NFO Application Form. Form and this Form, the same would be assumed to be as indicated in the
second column below :
Note 4 - AUTHORISATION OF BANK ACCOUNT HOLDER(S)
SIP Auto Debit Period Six Months
(a) Please indicate Folio/Application Number.
(b) Please furnish your Bank Account details from which the SIP Auto Debit is to be SIP Date 10th of the month (commencing 30 days
effected. Please note that the sole/first account holder in bank records need not after the first SIP instalment date)
necessarily be the sole/first applicant in the "Applicants' Personal Details" SIP Frequency Quarterly
section on this form.
(c) Please indicate the Bank Account Type. (i) If the SIP details indicated in this form materially vary from the SIP Details
indicated in the NFO Application Form, the SIP application would be rejected.
(d) It is mandatory to furnish the 9 Digit MICR Code of your Bank in this Else, the details contained in the NFO Application Form would overrule the
section. This is the number appearing next to the cheque number on the MICR
band at the bottom of the cheque. In the absence of this information, your details contained in this Form.
SIP Application would be rejected. (j) Please enclose a cancelled cheque leaf of your bank account or alternatively
(e) Please furnish the following details with respect to your systematic investment : a copy thereof. This would help us cross-verify your bank details appearing in
the cheque with the details furnished in this form and let you know of
1. Scheme - Plan - Option. discrepancies, if any, for early corrective action.
2. SIP Frequency (Monthly/Quarterly) & SIP Date (1st/10th/15th/25th) (k) Please mention name of all bank account holders. If the mode of operation of
3. SIP Instalment Amount your bank account is joint all bank account holders would need to sign at the
4. SIP Auto Debit Period (Auto Debit commencement date and end date). places marked XX in the same order and manner in which their signatures
Please refer note (f) appear on bank accounts.

SIP AUTO DEBIT FACILITY FORM - CHECKLIST


1 Application Form No. (for new Applicants)/Folio No. (for existing investors) is quoted on the Form.
Name of Sole/First Applicant is furnished in the form.
2 Scheme - Plan - Option - Dividend Frequency (if applicable) are furnished on the Form.
Systematic Investment Details listed below are furnished :
SIP Instalment Amount No. of SIP Instalments Preferred SIP Date SIP Frequency SIP Auto Debit Period
3 Complete Bank Account Details from which you wish your SIP Auto Debit to happen are completely furnished.
Name of Sole/1st Holder of Bank A/c is furnished Bank A/c No. is correctly furnished
MICR code is furnished Cancelled Cheque leaf/Copy of Cheque leaf is attached.
4 All Applicants for the SIP Investment have signed the Form at the places marked "X" in the same order and manner in which they have signed the Common
Application Form.
5 All Bank Account Holders have signed the Form at the places marked “XX” in the same order and manner in which their signatures appear on Bank Records.

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