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Fidelity Mutual Fund presents

An open ended equity linked savings scheme

Issue of Units of Rs.10 per Unit for


cash plus applicable Entry Load during
the New Fund Offer and at
Applicable NAV plus applicable
Entry Load thereafter

New Fund Offer Opens :


January 5, 2006
New Fund Offer Closes :
January 31, 2006

Scheme re-opens for


Purchase and Redemption*
on March 1, 2006
*Redemption of units under the Scheme can be made only after a 3
year lock-in period from the date of allotment of the units
proposed to be redeemed.

This Key Information Memorandum (KIM) sets forth the


information, which a prospective investor ought to know before
investing. For further details of the Scheme / Mutual Fund, due
diligence certificate by the AMC, Key Personnel, investors’
rights & services, risk factors, penalties & pending litigations,
associate transactions, “Who cannot invest”, “Important Note
on Anti Money Laundering and Know-Your-Customer”
investors should, before investment, refer to the Offer
Document available free of cost at any of the Investor Service
Centres or distributors or from the website www.fidelity.co.in
The Scheme 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 for
public subscription have not been approved or disapproved by
SEBI, nor has SEBI certified the accuracy or adequacy of this KIM.

I N T E R N A T I O N A L
KEY INFORMATION MEMORANDUM
Investment Objective The investment objective of the Scheme is to generate long-term capital growth from a diversified portfolio of predominantly equity and equity-related securities.
Asset Allocation Pattern of the Instrument Normal Allocation Range of Allocation Risk Profile
Scheme (% of net assets) (% of net assets)
Equity and equity related securities* 95% 80% to 100% High
Money market instruments 5% 0% to 20% Low to medium
* Includes investments in Offshore securities, ADRs and GDRs not exceeding 10% of the net assets of the Scheme as on January 31 of each relevant year.
Risk Profile of the Scheme Mutual Fund investments are subject to market risks. Please read the offer document carefully for details on risk factors before investment.
Options l Growth Option l Dividend Option
The Dividend option offers Dividend Payout and Dividend Reinvestment facilities.
Applicable NAV (after the The Cut-off time for the Scheme is 3 p.m., and the Applicable NAV will be as under:
Scheme opens for Purchases / For Purchase / Redemption
Redemptions) 1. In respect of valid Purchase (along with cheques / drafts / other payment instruments) / Redemption applications accepted at a Designated Collection Centre up
to 3 p.m. on a Business Day, the NAV of such day will be applicable.
PLEASE NOTE THAT REDEMPTION
2. In respect of valid Purchase (along with cheques / drafts / other payment instruments) / Redemption applications accepted at a Designated Collection Centre after
OF UNITS UNDER THE SCHEME CAN 3 p.m. on a Business Day, the NAV of the next Business Day will be applicable.
BE MADE ONLY AFTER 3 YEARS The above will be applicable only for cheques / drafts / payment instruments payable locally in the city in which ISC is located. No outstation cheques will be accepted.
LOCK IN PERIOD FROM THE DATE For Switches
OF ALLOTMENT OF THE UNITS Valid applications for 'switch-out' shall be treated as applications for Redemption and valid applications for 'switch-in' shall be treated as applications for Purchase, and
PROPOSED TO BE REDEEMED the provisions of the Cut-off time and the Applicable NAV as applicable to Purchase and Redemption shall be applied respectively to the 'switch-in' and 'switch-out'
applications.

Minimum Application Amount / Initial Application Amount-lump sum / SIP investment Additional Application Amount Redemption
Number of Units Rs. 500 per application / instalment and Rs. 500 per application and Rs. 500 or 50 Units
in multiples of Rs. 500 thereafter in multiples of Rs. 500 thereafter.
Despatch of Redemption Request Within 10 Business Days of the receipt of the redemption request at the authorised centre of Fidelity Mutual Fund ('the Fund').
Benchmark Index BSE-200
Dividend Policy The Trustee may decide to distribute by way of dividend, the surplus by way of realised profit, dividends and interest, net of losses, expenses and taxes, if any, to Unit
Holders in the Dividend option of the Scheme if such surplus is available and adequate for distribution in the opinion of the Trustee. The Trustee's decision with regard
to availability and adequacy, rate, timing and frequency of distribution shall be final. The dividend will be due to only those Unit Holders whose names appear in the
register of Unit Holders in the Dividend option of the Scheme on the record date which will be announced in advance. The Unit Holders have the option of receiving
the dividend or reinvesting the same. The dividend will be reinvested at the Applicable NAV of the immediately following Business Day.
The AMC shall despatch to the Unit Holders, the dividend warrants within 30 days of the date of declaration of dividend.
There is no assurance or guarantee to Unit Holders as to the rate of dividend distribution or that the dividends will be paid regularly.
Name of the Fund Manager Mr. Arun Mehra
Name of the Trustee Company Fidelity Trustee Company Private Limited
Performance of Fidelity Equity Absolute Returns as on December 15, 2005 Fidelity Equity Fund BSE-200
Fund, the equity scheme Since Inception* 41.84% 33.99%
launched by the Fund and its
benchmark (BSE-200) *Since date of allotment i.e. May 16, 2005
Notes : Compounded Annualised Returns have not been shown as Fidelity Equity Fund has not completed one year since its launch / allotment.
NAV of the Growth option is used for calculation of returns.
Returns for Fidelity Equity Fund have been calculated on the face value of Rs. 10 per unit.
Past performance may or may not be sustained in future.
Expenses of the Scheme The initial issue expenses charged to the investor shall be only to the extent of the applicable Entry Load charged during the NFO.
(i) Load Structure During the NFO and the Ongoing Offer period:
Entry Load :
For each Purchase of less than Rs. 5 Crores : 2.25%
For each Purchase of Rs. 5 Crores or more : NIL
For each Purchase by an FOF (irrespective of the amount of Purchase) or as a result of dividend re-investment : NIL
For Purchase through SIP (Entry Load will be applicable to each SIP instalment) : 1.25%
A switch-in will also attract an Entry Load like any other Purchase.
Exit Load : NIL
No Entry / Exit Loads / CDSC will be chargeable in case of switches made between different options of the Scheme.
(ii) Recurring expenses Maximum Recurring Expenses:
Average daily net assets First 100 crores Next 300 crores Next 300 crores Balance assets
Maximum as a % of Average daily net assets 2.50% 2.25% 2.00% 1.75%

Tax treatment for the Investors The information furnished below outlines briefly the tax implications with respect to the Unit Holders of the Scheme and with respect to the Fund and is based on relevant
(Unit Holders) provisions of the Income Tax Act, 1961 and Wealth Tax Act, 1957 (collectively called 'the relevant provisions') as at December 14, 2005. For this purpose, the provisions
of the Finance Act, 2005 (hereinafter referred to as 'the Finance Act') as assented by the President of India have been considered.
The implications stated herein have been reviewed and certified by the Auditors of the Scheme and are found in agreement with the relevant provisions vide their letter
dated December 14, 2005. However, the Fund does not make any representations on the procedures for ascertaining the tax benefits nor do they make any representation
regarding any legal interpretations. Since the information below is based on the relevant provisions as on December 14, 2005, any subsequent changes in the said
provisions could affect the tax benefits.
Except for the above procedure, the Auditor has not performed any other services in connection with any other data or information included in this Offer Document.
THE FOLLOWING INFORMATION IS PROVIDED FOR GENERAL INFORMATION PURPOSES ONLY AND APPLIES TO THE SCHEME. IN VIEW OF THE INDIVIDUAL
NATURE OF TAX BENEFITS, EACH INVESTOR IS ADVISED TO CONSULT HIS OR HER OWN TAX CONSULTANT WITH RESPECT TO THE SPECIFIC TAX
IMPLICATIONS ARISING OUT OF HIS OR HER PARTICIPATION IN THE SCHEME.
A. For Unit Holders
For this purpose, 'an equity oriented fund' is a fund where the investible funds are invested in equity shares of domestic companies to the extent of more than 50%
of the total proceeds of such fund.
1) Income Tax Act, 1961 (hereinafter referred to as 'the Act')
a) Deduction under section 80C of the Act
In terms of the provisions of section 80C of the Act, an Individual or a Hindu Undivided Family ('HUF') is entitled to claim a deduction for investments made in specified
securities etc. up to a maximum amount of Rs. 100,000. Subscription to any units of any Mutual Fund notified under clause (23D) of section 10 of the Act or from the
Administrator or the specified company under any plan formulated in accordance with such scheme as the Central Government may, by notification in the Official Gazette,
specify in this behalf, qualify for deduction under section 80C of the Act.
KEY INFORMATION MEMORANDUM (contd.)
Tax treatment for the Investors The Central Government has notified the Equity Linked Savings Scheme, 2005 (ELSS, 2005) in this regard vide Notification No. 226 dated November 3, 2005 as amended
(Unit Holders) (Contd.) by Notification No. 259 dated December 13, 2005.
The investors would be entitled to the benefit under section 80C of the Act for investments made under this Scheme.
b) Income from units
Under the provisions of section 10(35) of the Act, income received in respect of the units (not being income on transfer of units) of a mutual fund specified u/s 10(23D)
of the Act will be exempt from income tax in the hands of all unit holders.
Taxes to be deducted on income distributed
In view of the exemption of income distributed by a mutual fund in the hands of the investors, the Fund will not be liable to deduct tax at source from income distributed
on or after April 1, 2003 to resident and non-resident unit holders.
c) Capital Gains
Income arising on "transfer" of units of a mutual fund would not be exempt under section 10(35) of the Act by virtue of the proviso to section 10(35).
Nature of Capital Gains
– Long Term Capital Gains
Under Section 2(29A) read with 2(42A) of the Act, units of a mutual fund are treated as a long-term capital asset if they are held for a period of more than 12 months
preceding the date of transfer. Units held for less than 12 months preceding the date of their transfer are treated as short-term capital assets.
The additional units issued under any option under the Scheme and held as capital asset would be treated as a long-term capital asset if sold after a period of one year.
For this purpose one year will be computed from the date when such additional units are allotted.
As per section 10(38) of the Act, long term capital gains arising from the sale (redemption) of a unit of an equity oriented fund is exempt from tax where such sale transaction
attracts Securities Transaction Tax (STT). However, at the time of sale (redemption) of units the unit holder will have to pay a STT @ 0.2% on the sale (redemption)
value of the units, which will be collected by the Fund and deposited into the Government Treasury.
– Short Term Capital Gains
As the Scheme does not permit withdrawal before completion of 3 years from the date of allotment of units (1 year in the event of death of an investor), short-term capital
gains on transfer of such units would not arise.
Set off and carry forward of losses
According to the provisions of section 70 of the Act, the capital loss resulting from sale of units would be available for set off against other capital gains made by the
investor and would reduce the tax liability of the investor to that extent.
However, long-term capital losses other than those mentioned above, would be allowed to be set-off only against gains from transfer of long-term capital assets. Further,
when the long term gains arising on transfer of units are not subject to tax then the long-term losses from such units would not be allowed to be set off or carried forward.
The amount of capital loss not so set off may be carried forward for future set off for a period of eight assessment years immediately succeeding the assessment year
in which such capital loss was incurred subject to compliance with other provisions of the Act
Rebate for Securities Transaction Tax
Under the provisions of the Act, no deduction is allowed for STT while computing capital gains. However, where the income arising from the sale of units is subject to
tax under the head "Profits & Gains of business or profession", an amount equal to the STT paid by the unit holder can be claimed as a rebate from the tax payable
on the income from such sale of units by virtue of the provisions of section 88E of the Act.
Taxes to be deducted on capital gains
i. Resident Investors
No tax is required to be deducted at source from capital gains arising at the time of repurchase or redemption of the units.
ii. Non-resident Investors
As long term capital gains on transfer of units under the Scheme are exempt from tax, no tax is required to be deducted on such gains.
d) Religious and Charitable Trust
Investment in units of the Fund by Religious and Charitable Trusts is an eligible investment under Section 11(5) of the Act, read with Rule 17C of the Income Tax Rules,
1962.
e) Tax implications on redemption of units
As mentioned earlier, section 10(38) of the Act grants an exemption to any long-term capital gains earned on sale (redemption) on units of an equity-oriented fund, where
such sale attracts STT.
However, the Finance Bill, 2005 specifies that is the intention of the Government to transition to the 'exempt-exempt-tax' ('EET') method as against the 'exempt-exempt-
exempt' (EEE) method currently followed. Under the EET method, contribution to specified savings is exempt from tax (E), the accumulation is also exempt (E) but the
withdrawal / benefits from the savings are taxed (T).
Investors may note that although as of now the Act does not tax any withdrawals (principal amount) from this scheme, it may be possible that as and when the EET
system is rolled out, any redemptions from the scheme may be subjected to tax.
2) Wealth Tax Act, 1957
Units held under the Scheme of the Fund are not treated as assets as defined under section 2(ea) of the Wealth-Tax Act, 1957 and therefore, would not be liable to
wealth- tax.
B. For the Fund
Fidelity Mutual Fund is a Mutual Fund registered with the Securities and Exchange Board of India and hence, the entire income of the mutual fund is exempt from tax
in accordance with the provisions of section 10(23D) of the Act.
Dividend Distribution Tax
As per provisions of Section 115R(2) of the Act, any amount of income distributed by a mutual fund on or after April 1, 2003 shall be chargeable to tax and such Mutual
Fund shall be liable to pay Distribution Tax (including applicable Surcharge and Education Cess) at the rate of
– 14.025% on income distributed to any person being an individual or Hindu Undivided Family; and
– 22.44% on income distributed to any other person.
Additionally, proviso to Section 115R(2) provides that aforesaid does not apply to any income distributed to unit holders of open ended equity oriented funds in respect
of any distribution made from such funds. In other words, no distribution tax is payable by an open-ended equity oriented fund.
Securities Transaction Tax
As specified in Chapter VII of the Finance (No. 2) Act, 2004, as and when the mutual fund purchases and sells equity shares/units, it would be required to pay the STT
applicable on such purchases and sales to the concerned Recognised Stock Exchange at the following rates:
Transaction Rate of STT Payable by
Purchase of an equity share in a company / unit of an equity-oriented fund where the transaction is entered into in
a Recognised Stock Exchange and the contract is settled by actual delivery or transfer of shares / units. 0.1% Purchaser
Sale of an equity share in a company / unit of an equity-oriented fund where the transaction is entered into in a
Recognised Stock Exchange and the contract is settled by actual delivery or transfer of shares / units. 0.1% Seller
Sale of an equity share in a company / unit of an equity-oriented fund where the transaction is entered into in a
Recognised Stock Exchange and the contract is settled otherwise than by actual delivery or transfer of shares / units. 0.02% Seller
Sale of a derivative when transaction is entered into in a Recognised Stock Exchange. 0.0133% Seller
Sale of a unit of an equity oriented fund to the Mutual Fund. 0.2% Seller
Further, the Fund would also be liable to collect STT from every person who sells a unit to the Fund at the rate of 0.2% and pay the same to the credit of the Central
Government within the specified time limits.
Daily Net Asset Value (NAV) The NAV will be declared on all Business Days and will be published in 2 newspapers. NAV can also be viewed on www.fidelity.co.in and www.amfiindia.com. You can
Publication also call us on 1600 180 8000 (toll-free) or please dial 0124 254 2022 (at long distance call rates). Lines are open from 9 a.m. to 6 p.m. on all business days.

For Investor Grievances please Computer Age Management Services Private Limited Mr. Srikar Baljekar
contact Registered Office: Fidelity Fund Management Private Limited
A&B, Lakshmi Bhawan, 21st Floor, DLF Square, Gurgaon 122 002.
609, Anna Salai, Chennai - 600 006. Tel : 91-124-409 2104. Fax :+91-124-256-0706
E-mail: investor.line@fidelity.co.in

Unitholders' Information An account statement will be sent by ordinary post /courier/ secured encrypted electronic mail to each Unit Holder, stating the number of Units purchased, not later than
30 days from close of the NFO period/date of acceptance of the valid Transaction Slip.
Unit Holders will also be sent an annual account statement by the AMC, within 30 days after March 31.
An annual report of the Scheme will be prepared as at the end of each financial year (March 31) and copies of the report or an abridged summary thereof will be mailed
to all Unit Holders. Full portfolio details, in the prescribed format, shall also be disclosed either by publishing it in the newspapers or by sending to the Unit Holders within
one month from the end of each half-year and it shall also be displayed on the website of the Fund.

Date: December 20, 2005

LIST OF INVESTOR SERVICE CENTRES


Fidelity Fund Management Private Limited
u Ahmedabad : 301, Raindrops Building, Opp Cargo Motors, C. G. Road, Ellis Bridge, Ahmedabad 380 006. u Bangalore : Unit 402, 4th Floor, H. M. Geneva House, Cunningham Road, Bangalore 560 052.
u Chennai : Old No. 90, New No. 104, Ganesha Towers, Dr. Radhakrishnan Salai, Mylapore, Chennai 600 004. u Gurgaon : Unitech Business Park, Tower B, South City Phase 1, Gurgaon 122 001.
u Kolkata : 408, 4th Floor, Azimganj House, 7 Camac Street, Kolkata 700 017 u Mumbai : 57, 5th Floor, Maker Chambers VI, 220, Nariman Point, Mumbai 400 021 u Pune : Unit No. 406, 4th Floor, Nucleus
Mall, 1, Church Road, Camp, Pune - 411 001.

CAMS
u Ahmedabad : 402 - 406, 4th Floor - Devpath Building, Off. C. G. Road, Behind Lal Bungalow, Ellis Bridge, Ahmedabad - 380 006 u Bangalore : Trade Center, 1st Floor, 45, Dickenson Road, (Next to Manipal
Center), Bangalore - 560 042 u Bhubaneswar : 101/ 7, Janpath, Unit - III, Bhubaneswar : 751 001 u Chandigarh : SCO 154-155, 1st Floor, Sector 17-C, Chandigarh - 160 017 u Chennai : 178/10, Kodambakkam
High Road, Opp. Hotel Palm Grove, Chennai 600 034. u Cochin : 40 / 9633 D, Veekshanam Road, Near International hotel, Cochin - 682 035 u Coimbatore : 66, Lokamanya Street (West), R. S. Puram,
Coimbatore - 641 002 u Durgapur : SN-10, Ambedkar Sarani, City Centre, Doctor's Colony, Durgapur - 713 216 u Goa : No. 108, 1st First Floor, Gurudutta Bldg, Above Weekender, M. G. Road, Panaji, Goa - 403 001
u Indore : Dalal Chambers, No. 101, Sagarmatha Apartments, 1st Floor, 18/7 M. G. Road, Indore - 452 003 u Jaipur : G-III, Park Saroj, Behind Ashok Nagar Police Station, R-7, Yudhisthir Marg, C-Scheme,
Jaipur - 302 001 u Kanpur : G - 27, 28 Citi Centre, 63/2, The Mall, Kanpur - 208 001 u Kolkata : LORDS Building, 7/1, Lord Sinha Road, Ground Floor, Kolkata - 700 071 u Lucknow : No. 3, First Floor, Saran
Chambers 1, 5, Park Road, Lucknow - 226 001 u Ludhiana : Shop No. 20-21 (Ground Floor), Prince Market, near Traffic Lights, Sarabha Nagar Pulli, Pakhowal Road, P.O: Model Town, Ludhiana - 141 002
u Mangalore : No. G4 & G5, Inland Monarch, Opp. Karnataka Bank, Kadri Main Road, Kadri, Mangalore - 575 003 u Mumbai : Rajabahadur Compound, Ground Floor, Opp. Allahabad Bank, Behind ICICI Bank,
30, Mumbai Samachar Marg, Fort, Mumbai - 400 023 u Nagpur : 145 Lendra Park, Behind Shabari, New Ramdaspeth, Nagpur - 440 010 u New Delhi : 304-305, III Floor, Kanchenjunga, 18, Barakhamba Road,
New Delhi - 110 001. u Patna : Kamlalaye Shobha Plaza (1st Floor), Behind RBI Near Ashiana Tower, Exhibition Road, Patna - 800 001 u Pune : Nirmiti Eminence, Off No. 6, I Floor, Opp. Abhishek Hotel, Mehandale
Garage Road, Erandawane, Pune - 411 004 u Secunderabad : 102, First Floor, Jade Arcade, Paradise Circle, Secunderabad - 500 003 u Surat : Niva Apartments, Above Sagrampura-Rudarpura Co-op. Bank,
Bhatia Street, Nanpura, Surat - 395 001 u Vadodara : 109 - Silver Line, Besides World Trade Centre, Sayajigunj, Vadodara - 390 005 u Vijayawada : Door No. 40-1-48/2, Bandar Road, Adj. HDFC Bank, Vijayawada -
520 010 u Vizag : 47/9/17, 1st Floor, 3rd Lane, Dwaraka Nagar, Visakhapatnam - 530 016.

COLLECTION BANKS DURING THE NFO PERIOD


Citibank N.A.
u Ahmedabad : 3rd Flr, "Rembrandt", C. G. Road, Near Panchvati Circle, Ahmedabad - 380 006 u Bangalore : 506 / 507, 5th Flr, Prestige Meridian 2, 30 Mahatma Gandhi Road, Bangalore - 560 001
u Bhubaneshwar : Unit 3, 98 Janpath Station Square, Bhubaneshwar - 751 001 u Chandigarh : SCO 132 / 133, Sector 9C, Madhya Marg, Chandigarh - 160 017 u Chennai : GTS, 3rd Flr, No. 2 Club House
Road, Chennai - 600 002 u Coimbatore : 1st Flr, Tristar Towers, 657 Avinashi Road, Coimbatore - 641 037 u Hyderabad : G, Pulla Reddy Bldg, Ground Flr, Road No. 6-3-879, Greenlands Road, Begumpet,
Hyderabad - 500 016 u Indore : UG 1, Apollo Square, 7/2 Race Course Road, Opp. Narayan Kothi, Sawarkar Pratima Chowk, Indore - 452 007 u Jaipur : 2nd Flr, Bhagwati Bhawan, Govt. Hostel Crossing, MI
Road, 2nd Floor, Jaipur - 302 001 u Kochi : Fotofast House, 38/1581, M. G. Road, Padma Junction, Kochi - 682 035 u Kolkata : Kanak Bldg,1st Floor, 41, Chowringhee Road, Kolkata - 700 071; Brabourne Road - 9, Brabourne
Road, Kolkata - 700 001 u Lucknow : 17/1 Ashok Marg, Lucknow - 226 001 u Ludhiana : Ludhiana Stock Exchange, Ground Flr, Feroze Gandhi Market, Ludhiana - 141 001 u Mumbai : Bombay Mutual Bldg,
Mezzanine Floor, 293 D. N. Road, Fort, Mumbai - 400 001; Air India Building, Nariman Point, Mumbai - 400 021 u Nasik : Rishuraj Presidency, Plot No. 52 & 53, D'Souza Colony, College Road, Nasik - 422 005
u New Delhi : 4th Flr, Jeevan Bharti Bldg, 124, Connaught Circus, New Delhi - 110 001; International Trade Towers, Nehru Place, New Delhi - 110 001 u Pondicherry : No. 22, Rue Bussy, St. Lal Bahadur Shastri
St., Pondicherry - 605 001 u Pune : Parmar House, 2413 East Street, Camp, Pune - 411 001 u Surat : Ghoddod Rd., Opp. Kakadia Complex, Surat - 395 007 u Vadodara : Pelican, 1st Floor, Opposite Race Course
Towers, Gotri Rd, Vadodara - 390 007

HDFC Bank Limited


u Agra : Shop No. 11, Block No. 17/2/4, Friends Plaza, Sanjay Place, Agra - 282 002 u Ahmedabad : HDFC Bank House, Near Mithakali Six Roads, Navrangpura, Ahmedabad - 380 009 u Allahabad : 54/1 S. P. Marg
Civil Lines, Allahabad - 211 003, UP u Amritsar : 39, The Mall, Amritsar u Asansol : HDFC Bank Ltd., CMS Dept, P. C. Chatterjee Market, G. T. Road, Rambandhu Tala, Asansol - 713 303 u Bangalore : No. 8/24, Salco
Centre, Richmond Road, Bangalore - 560 025; M. G. Road - M. G. Road, 25/1, Shankarnarayana Building, Next to Raheja Towers, M. G. Road, Bangalore - 560 001; Malleswaram - 63/1, Makam Plaza, 3rd Main
Road, 18th Cross Road, Malleswaram, Bangalore - 560 005; Koramangala - No. 9 Eterna Koramangala Ind Layout, Bangalore - 560 095 u Baroda : 5th Floor, 'Midway Heights', Next to Panchmukhi Hanuman Temple,
Lokmanya Tilak Rd, Kirti Mandir, Near Kala Ghoda, Raopura, Baroda - 390 001 u Belgaum : 4830/28A Opp. Dist. Hospital, Dr Ambedkar Road, Belgaum - 590 002 u Bhopal : E-1/57, Arera Colony,
Bhopal - 462 016 (M.P.) u Bhubaneshwar : HDFC Bank Ltd, Junction of Janpath & Gandhi Marg, Hotel Jajati Complex, Kharvelanagar, Unit - III, Master Canteen Square, Bhubaneswar - 751 001 u Calicut : Malabar
Palace, G. H. Road, Calicut - 673 001 u Chandigarh : HDFC Bank, SCO 371 / 372, Sector 35-B, Chandigarh u Chennai : HDFC Bank Limited, 751 - B Anna Salai, Mariam Centre, Chennai - 600 002 u Cochin : 2nd Floor,
Elmar Square, M. G. Road, Ravipuram, Cochin - 682 016 u Coimbatore : 1635 Classic Towers, Trichy Road, Coimbatore - 641 018 u Cuttack : Bajrakbati Road, Cuttack, Orissa - 753 001 u Dehradun : 56, Rajpur
Road, Dehradun - 248 001, Uttaranchal u Dhanbad : Sri Ram Plaza, 1st Floor Bank More, Dhanbad Jharkhand- 826 001 u Durgapur : A 102 & 103, City Centre, Bengal Shristi Complex, City Centre, Durgapur
Branch, West Bengal - 713 216 u Faridabad : 5-R/2, Badshah Khan Chowk, NIT, Faridabad - 121 001 u Gurgaon : DLF- Gurgaon, A-12, The Shopping Mall, DLF Qutab Enclave Phase 1, Gurgaon - 122 001
u Guntur : HDFC Bank Ltd, 87-90, Main Road, Lakshmipuram, Guntur - 522 007, A.P. u Guwahati : HDFC Bank, Guwahati Branch, House No. 126, Opp. Times of India, Bhangagarh, Guwahati - 781 005
u Goa - Panjim : Minum Residency, 18th June Road, Panjim-Goa - 403 001 u Hubli : T. B. Revankar Complex, Vivekanand Hospital Road, Hubli - 580 029 u Hyderabad : 6-1-73 3rd Floor, Saeed Plaza, Lakdikapul,
Hyderabad - 500 004 u Indore : IIIrd Floor, 9/1A, U. V. House, South Tukonj, Indore - 452 001 u Jabalpur : 1702, Napier Town Model Road, Jabalpur - 482 002, M.P. u Jaipur : HDFC Bank House, 1st Floor,
O-10, Ashok Marg, Ahimsa Circle, C-Scheme, Jaipur u Jalandhar : 911, G. T. Road, Near Narinder Cinema, Jalandhar u Jamnagar : HDFC Bank, Plot No. 6, Park Colony, Opp. St. Ann's School, Bedi Bunder Road,
Jamnagar - 361 008 u Jamshedpur : C/o Mithila Motors Ltd., Near Rammandir, Bistupur, Jamshedpur - 831 001 u Jodhpur : 57/B "Swapndeep", Chopasani Road, Jodhpur - 342 003 (Raj.) u Kanpur : Navin Market
Branch, 15/46, Civil Lines, Kanpur - 208 001 u Kolkata : HDFC Bank Ltd, CMS Abhilasha II, Royd Street, 1st Floor, Kolkata-700 016; Central Plaza, Sarat Bose Road, Kolkata - 700 020; New Alipore - 174A Block G,
New Alipore, Kolkata - 700 053; Salt Lake - 2/6 B A 3 Sector I, Salt Lake City, Kolkata - 700 064; Howrah, 493/C/A G. T. Road, S, Howrah - 700 007 u Kota : Show Room No-13-14, Main Jhalawar Road,
Kota u Lucknow : HDFC Bank Ltd., Pranay Tower, Darbari Lal Sharma Marg, Beside Pratibha Cinema, Lucknow - 226 001 u Ludhiana : CMS Deptt, HDFC Bank Ltd, 5th Floor, The Mall, Mall Road,
Ludhiana u Madurai : 7-A, West Veli Street, Opp. to Railway Station, Madurai - 625 001 u Mangalore : M. N. Towers, Kadri, Mangalore - 575 002 u Meerut : 381 Western Kachery Road, Meerut - 250 001
u Moradabad : Chaddha Shopping Complex, GMD Road, Moradabad, Uttar Pradesh - 244 001 u Mumbai : Maneckjiwadia Bldg., Nanik Motwani Marg, Fort, Mumbai 23; Andheri - Ganga Jamuna Appts., Grnd.
flr., Opp. Shoppers Stop, S. V. Road, Andheri (W), Mumbai - 400 058; Borivali - Jayabhadra Villa Ground flr., S. V. Patel Road, Borivali (W), Mumbai - 400 092; Bandra - Land Mark Appts, Pali Naka, Pali Hill, Bandra (W),
Mumbai - 400 050; Worli - Sandoz House, Shivsagar Estate, Dr Annie Besant Road, Worli, Mumbai - 400 018; Ghatkopar - 101/102, Vasant Niwas Bldg., Tilak Road, Ghatkopar (E), Mumbai - 400 077;
Thane - Sharad Kunj, Dr. Moos Road, Talao Pali, Thane (W); Vashi - HDFC Annexe, Plot No 82, Sector 17, Vashi, Navi Mumbai - 400 703 u Mysore : Nageetha Complex, Vishwamanawa Double Road, Saraswathi
Puram, Mysore - 570 009 u Nagpur : 303 & 304 3rd Floor, Wardh Road, Transactional Banking Group12, Milestone, Near Lokmat Square, Nagpur - 440 010 u Nasik : Archit Centre, 3rd Floor, Chandak Circle,
Link Road, Opposite Sandeep Hotel, Near Mahamarg Bus Stand, Nasik - 422 002 u Nellore : G. T. Road, Nellore - 524 001 u New Delhi : Fig-ops 1st Floor, Kailash Bldg, 26 K. G. Marg, New Delhi - 110 001
u Noida : G 28 & 29, Sector 18, Noida - 201 301 u Panipat : 801/4, G. T. Road, Panipat - 132 103 u Patiala : S.C.O. 70-73, Leela Bhawan Market, Patiala - 147 001 (Punjab) u Patna : Rajendra Ram Plaza,
Exhibition Road, Patna - 800 001 u Pondicherry : TS No. 6, 100 Feet Road, Ellaipillaichavady, Pondicherry - 605 005 u Pune : 5th Floor, Millennium Tower, Bhandarkar Road, Shivajinagar, Pune - 411 004
u Rajahmundry : HDFC Bank Ltd., H.No: 46-17-20, Main Road, Danavaipet, Rajahmundry - 533 103 u Rajkot : Opp. Alfred High School, 2nd Floor, Panchratna Building, Jawahar Road, Rajkot u Raipur : Chawla
Complex, Near Vanijya Bhawan, Sai Nagar, Devendra Nagar Road, Raipur - 492 009. Chhattisgarh u Ranchi : HDFC Bank Ltd, Ranchi Club Shopping Complex, Apt. No. 11, Main Road, Ranchi - 834 001
u Rourkela : Bisra Road, Dwivedi Bhawan, Dwivedi Square, Rourkela - 769 001 u Salem : 5/241-F, Rathna Arcade, Omalur Main Road, Salem - 636 004. u Siliguri : HDFC Bank Ltd, 3 No. Ramkrishna Samity
Building, Sevoke Road, Pani Tanki More, Siliguri - 734 401 u Surat : Chataniya Jyoti Building, Near Parle Point Circle, Surat - 395 007 u Trichur : Kalliyath Royal Square, Palace Road, Trichur - 680 020, Kerala
State u Trichy : A-10, "Lakshmi Arcade", 11th Cross Main Road, Thillainagar, Trichy - 620 018, Tamilnadu u Trivandrum : Kenton Towers, Vazhuthacaud, Trivandrum - 695 014 u Udaipur : HDFC Bank, Chetak
Circle, GPO Road, Udaipur u Valsad : Ekta Appt., Nr, RJJ High School, Thithal Road, Valsad - 1 u Varanasi : HDFC Bank Ltd, D 58/2 Kuber Complex, Rathyatra Crossing, Varanasi - 221 010 u Vijayawada : 40-1-48/2, M.G.
Road, Labbipet, Vijayawada - 520 010 u Visakhapatnam : Potluri Castle, Dwaraka Nagar, Visakhapatnam
CI00167
GUIDANCE NOTES TO HELP YOU COMPLETE THE APPLICATION FORMS
General instructions i) Please indicate the status of the sole / 1st applicant at the time of
u Please read the Offer Document of Fidelity Tax Advantage Fund (“the investment. Any change in status during the period of holding units
Offer Document”) carefully before investing. In the Offer Document should be given to assist in accurate tax treatment of income arising
your attention is particularly drawn to the risk factors of investing from such holdings. The abbreviations used in these sections are:
in the Scheme and also the sections on "Who cannot invest" and
"Important Note on Anti Money Laundering and Know-Your- HUF Hindu Undivided Family AOP Association of Persons
Customer."
FII Foreign Institutional Investor BOI Body of Individuals
u Please complete the form legibly
u in black ink or any dark coloured ink,
Note 2 - Joint applicants' details :
u in the English language,

u in BLOCK CAPITALS a) The Names and PAN details of joint applicants (i.e. second and third
u Please refer to the checklist at the end of these notes to ensure that applicants) should be provided here. Please see note 1(f) and 1(g)
the necessary details and attachments are made available. This will above.
help to avoid processing delays and / or rejection of your Application b) The mode of holding for operating the folio should be indicated in this
Form.
section. "Single" will entitle only the first holder to operate the account
u Please strike out with a line across any section that is not applicable. to the exclusion of the joint holders. "Anyone or Survivor" will entitle
u Please note redemption of units under the Scheme can be made only any one of the joint holders to operate the folio and "Jointly" will allow
after a 3 year lock in period from the date of allotment of the Units operation of the account only if all the holders sign the instruction. If
proposed to be redeemed. this is left blank or it is not clear, the default will be treated as ‘jointly’.
The Main Application Form (green form) should only be filled in for For more details please refer to the Offer Document.
lump sum investments and not for investments through Systematic
Investment Plan (SIP). To start investment through SIP, please fill Note 3 - Bank account details :
in the SIP Application Form (orange form). a) It is mandatory to give the bank account details in which you wish any
Note 1 - First applicant's personal details: redemption proceeds and / or dividend payments to be paid into. If
a) Applications for Individuals: Please write your name in the sequence these details are not provided, the application will be rejected.
of First Name, Middle Name and Last Name. Please do not abbreviate b) To enable verification of the bank mandate details and ensure
any name. Preferably write your name exactly as it appears in the Bank expeditious clearing, the following should be provided,
Account (as provided in the bank account details).
b) Applications for Non-Individuals: Companies, Trusts, Partnership i) Details of the "City" of the Clearing Circle in which the bank / branch
firms, Societies or any other association should write the name exactly participates; and
as it appears in its Incorporation document and in the Bank Account ii) The 9-digit MICR (Magnetic Ink Character Recognition) number
(as provided in the bank account details). Sole-proprietorship concerns
appearing to the right of the cheque number on the bottom white
should apply in the name of the sole-proprietor.
strip of a cheque leaf. The Registrar may ask for a copy of a
c) In case the Sole / first applicant has an existing Folio No, it should be cancelled cheque to verify these details.
stated in the space provided. The form thereafter should be filled from
Section 6 Investment Details (i.e. the back side of the form). c) Direct credit facility is available with the following banks for paying out
d) Please fill in your date of birth as this may be required to identify you Redemption proceeds / Dividend.
when communicating with us. ABN Amro Bank IDBI Bank
e) If you have an email ID please include it as this will help us resolve BNP Paribas ICICI Bank
any queries more promptly.
Citibank Kotak Mahindra Bank
f) PAN (Permanent Account Number): In case of (i) lump sum
investment of Rs. 50,000 or more or (ii) total SIP investments Deutsche Bank Standard Chartered Bank
(aggregate of all instalments) of Rs. 50,000 or more, it is mandatory HDFC Bank UTI Bank
for all applicants to state the PAN in the Application Form and support HSBC
it with a self-attested photocopy of the PAN Card, PAN allotment letter
or an assessment order / refund cheque from the Income Tax If your Bank mandate is with any of these banks, we will directly credit
Department. The "General Index Register" Number (GIR No.) is not your Redemption proceeds / dividend into the same. If however, you
acceptable in lieu of the PAN. If a PAN has not been allotted to any
Applicant, Form 60 and documents supporting address therein should wish to receive a cheque pay-out, please tick in the space provided.
be attached to the Application Form. If these are not provided the The Electronic Clearing Service facility (ECS) is available for making
application will be rejected. If a Form 60 is attached or the applicant dividend payments. In case you wish to avail of this facility, please tick
is a Non-Resident not having a PAN, the words "FORM 60" or
in the space provided. Please note that the MICR code i.e. the 9 digit
"NON-RESIDENT", as applicable, should be written in the space
provided for the PAN. code appearing after your cheque number on the bottom band on the
cheque needs to be mandatorily provided.
If any applicant is a minor, this should be indicated by ticking in the
place provided. The Guardian's PAN should be stated (unless the
minor applicant has a PAN). Note 4 - Services :
g) If any applicant is a minor, the name of the Guardian who will sign on We offer an online account management service which gives you the
behalf of the minor should be filled in the space provided. In case the latest details of your account 24 hours a day, seven days a week,
applicant is a Corporate or a Non-Individual investor, the Contact including your current valuation and information on recent transactions.
Person's name should be stated in the space provided. If you would like to view your account online please tick the relevant box
h) Your address should be written in full. P.O. Box address is not sufficient. and we will send you a PIN form.
NRIs should mandatorily state their overseas address in complete To help minimise paperwork you also have the option of receiving
otherwise the application will be rejected. NRIs are requested to statements by e-mail rather than by post. Please tick the relevant box to
provide an Indian address (if available) for correspondence. It should opt for this service.
be noted that NRIs resident in USA, Canada or any Financial Action
Task Force - Non Compliant Countries or Territories (currently Myanmar
and Nigeria; this list may change from time to time) cannot invest in Note 5 - Proof of Identity :
the Scheme. As per the Know-your-Customer policy (please refer to Chapter VII (D)
To help us service you better, your telephone number(s) should also of the Offer Document), please provide the number and place-of-issue
be provided including the relevant STD / ISD code. of your passport and / or driving license and / or voter's id card.
GUIDANCE NOTES TO HELP YOU COMPLETE THE APPLICATION FORMS (Contd..)
Note 6 - Investment details : the NFO shall not be accepted. During the NFO, SIP investments
a) Depending on your residential status and intent of repatriation, please can be made only through Electronic Clearing Service facility.
indicate the type of bank account most relevant to you from the list of
Note 7 - Nomination details :
options provided.
As per SEBI regulations, you can assign a nominee to the investment,
b) Please tick either the "Growth" or "Dividend" option. If this is left blank to whom the amounts will be payable on death of the sole or all Unit
or it is not clear, the default will be treated as "Growth". If "Dividend" Holders as the case may be. The nomination can be made only by
option is ticked, please select either "Re-investment" or "Payout". If individuals applying for / holding units on their own behalf singly or
this is left blank or it is not clear, the default will be treated as jointly. Non-individuals including society, trust, body corporate, partnership
"Re-investment". firm, Karta of Hindu Undivided Family, holder of Power of Attorney
c) The following mode of payments are not valid and applications cannot nominate. If the units are held jointly, all joint holders will sign
accompanied by such payments are liable to be rejected: the nomination form. A minor can be nominated and in that event, the
name and address of the guardian of the minor nominee shall be
i) Outstation cheques
provided by the Unit Holder. Nomination can also be in favour of the
ii) Cash / Money Order / Post Order Central Government, State Government, a local authority, any person
iii) Post dated cheques designated by virtue of his office or a religious or charitable trust.

Main Application Form The Nominee shall not be a trust (other than a religious or charitable
trust), society, body corporate, partnership firm, Karta of Hindu Undivided
d) If you are from a city not serviced by an Investor Service Centre, you Family or a Power of Attorney holder. A non-resident Indian can be a
may submit a Demand Draft for the investment amount. Nominee subject to the exchange control regulations in force, from time
e) Please enter the investment amount (minimum Rs. 500 for initial to time.
investments or in multiples of Rs. 500 thereafter for additional
Nomination in respect of the units stands rescinded upon the transfer
investments), the Demand Draft (DD) charges (if applicable) and the
of units. Transfer of units in favour of a Nominee shall be a valid
net amount. If DD charges are applicable please subtract them from
discharge by the asset management company against the legal heir. The
the investment amount and fill in the difference in the net amount box.
cancellation of nomination can be made only by those individuals who
The AMC shall bear the bank charges for the demand draft(s) borne
hold units on their own behalf singly or jointly and who made the original
by the applicant, if the applicant is resident of a city, the banking
nomination. On cancellation of the nomination, the nomination shall
clearing circle of which is different from that of any Investor Service stand rescinded and the asset management company shall not be under
Centre, as designated by the AMC from time to time. The AMC shall any obligation to transfer the units in favour of the Nominee.
not refund any demand draft charges.
Note 8 - Declaration and signatures :
SIP Application Form
a) All signatures should be in English or any Indian language. Thumb
f) The minimum investment amount is Rs. 500 or multiples of Rs. 500 impressions should be from the left hand for males and the right hand
per instalment. The minimum number of instalments (including the first for females and in all cases be attested by a Magistrate, Notary Public
instalment) should be 6. The total value of the instalments should not or Special Executive Magistrate.
be less than Rs. 3,000. If any of these conditions are not met, the
application will be rejected. b) If the application form is signed by a Power of Attorney (PoA) holder,
the form should be accompanied by a notarised photocopy of the
g) Please fill in the total number of instalments that you wish to invest for.
PoA. Alternatively, the original PoA can be submitted, which will be
h) Please choose whether you wish to make your SIP investments on the returned after verification. If the PoA is not received within 30 days
1st or 10th of the month of your chosen frequency period. of submitting the application, the application is liable to be rejected.
i) Please state whether you would like the SIP frequency to be monthly
c) In the case of corporates or any non-Individual investors, a list of
or quarterly or yearly.
authorised signatories should be submitted within 7 days of submitting
j) Please enter the first instalment cheque number, cheque date and the application form or of any change in the status of any authorised
instalment amount. signatory.
k) The first SIP instalment cheque should be dated on or before the date
of submission of the Application Form. Note 9 - List of attachments :
l) Please provide the first cheque for the first instalment, and fill the SIP In case any attachments are submitted together with the application
Auto Debit (ECS) facility form for the subsequent instalments and form (please see “Accompanying documents” in the check list below),
submit it together with the Application form and the first cheque. please mention the documents in the space provided and also write the
Please note that post dated cheques for SIP investments during total number of attachments in the box provided.

CHECKLIST
Please ensure that: Accompanying documents
Your name and address is given in full. Please submit the following documents with your application (where applicable). All documents should
All PAN are given (where relevant). Otherwise your application will be be original / true copies certified by a Director / Trustee / Company Secretary / Authorised Signatory.
rejected. Documents Companies Societies Partnership Investments Trusts NRI FIIs
Firms through
Your bank account details are entered completely and correctly. This is POA
mandatory, if this is not included your application will be rejected. Resolution / Authorisation to invest 3 3 3 3 3
Your preferred option i.e. whether Growth or Dividend is selected. List of Authorised Signatories with
Specimen signature(s) 3 3 3 3 3 3
Your investment is not less than the minimum investment amount of Rs. 500.
Memorandum & Articles of Association 3
Your application is completed and signed by all applicants.
Trust Deed 3
Cheques are drawn in favour of 'Fidelity Tax Advantage Fund', dated and Bye-laws 3
signed. Partnership Deed 3
On the reverse of each cheque submitted write the First Applicant's name and Overseas Auditors' Certificate 3
the Application Form number or Folio number. Notarised Power of Attorney 3
You are not resident of USA, Canada, FATF-NCCT, otherwise your application Foreign Inward Remittance Certificate,
will be rejected. in case payment is made by DD from
NRE / FCNR a/c or where applicable 3
Status of Sole / First Applicant's for tax purposes is indicated.
MAIN APPLICATION FORM
Please do not use this form for SIP Investments I N T E R N A T I O N A L

New Fund Offer Opens : January 05, 2006


Please read Guidance Notes New Fund Offer Closes : January 31, 2006
carefully and complete all Scheme re-opens for Purchases : March 01, 2006 App. No.
sections in BLOCK CAPITALS

DISTRIBUTOR INFORMATION (only empanelled Distributors / Brokers will be permitted to distribute Units)
Distributor’s / Broker’s Code Sub-Broker’s Code Registrar’s / Bank Serial No.

NJ IndiaInvest Pvt Ltd 9285


ARN- ARN 0155
1. FIRST APPLICANT’S PERSONAL DETAILS (See note 1)
Sole / 1st Applicant First Name Middle Name Last Name
Existing Folio No. If you have an existing folio no. Please mention the number alongside
and skip to section 6.
Date of Birth DD MM YYYY Email ID
If the Sole / 1st Applicant is a minor, please tick here ( )
PAN See note 1(f) and state the Guardian’s PAN no. alongside.
Guardian (if Sole / 1st Applicant is a Minor) Or
First Name Middle Name Last Name
Contact Person (For institutional applications)
Address for Correspondence (in India) (P. O. Box Address is not sufficient) Overseas Address (Mandatory for NRI / FII applicants in addition to mailing address)

City City Postal


Pin Code Code
State Country
NRIs residing in USA, Canada or an FATF Non-compliant country / territory cannot invest.
Tel. (Off)/
Mobile (ISD/STD) Tel.(Res.) (ISD/STD) Fax (ISD/STD)
Status of Sole / 1st Applicant (Please )
Resident Indian Individual Non Resident Indian Individual Trust Mutual Fund HUF AOP / BOI Others (please specify)
Company / Body Corporate Partnership Firm Bank Fund of Funds FII Society ____________________

2. JOINT APPLICANTS’ DETAILS (See note 2)


2nd Applicant First Name Middle Name Last Name
PAN If the 2nd Applicant is a minor, please tick here ( )
See note 1(f) and state the Guardian’s PAN no. alongside.
Guardian
(If 2nd Applicant is minor) First Name Middle Name Last Name

3rd Applicant First Name Middle Name Last Name


PAN If the 3rd Applicant is a minor, please tick here ( )
See note 1(f) and state the Guardian’s PAN no. alongside.
Guardian
(If 3rd Applicant is minor) First Name Middle Name Last Name

MODE OF HOLDING Single Anyone or Survivor Joint


3. BANK ACCOUNT DETAILS (MANDATORY) (See note 3)
Name of Bank A/c. No.

Branch City (Clearing Circle)


MICR Code Account Type Savings NRE NRO
(This is a 9 Digit Number next to your Cheque Number) (Please ) Current FCNR Others
Please see guidance note 3(c) for payment options. If you wish to receive a cheque payment, please tick here ( )
Electronic Clearing Service (ECS) facility is available for receiving dividends. If you wish to avail of this facility, please tick here ( )
4. SERVICES (See note 4)
I would like to receive a PIN form to view this account on the internet (Please ) I would like to receive statements by email rather than by post (Please )

5. PROOF OF IDENTITY (See note 5)


Passport Driving License Voter ID Card
Passport No. Driving License No. Voter ID No.
Place of Issue Place of Issue Place of Issue

ACKNOWLEDGEMENT SLIP
To be filled by the Applicant I N T E R N A T I O N A L
App. No.

Received from Mr./Ms.

an application for Purchase of Units of Fidelity Tax Advantage Fund alongwith

Cheque / DD No. For Rs. Total No. of Attachments

Please refer to the Key Information Memorandum for details of Entry and Exit Loads. All purchases are subject to realisation of cheques. Acknowledgement Stamp
6. INVESTMENT DETAILS (See note 6)
Type of Bank Account (Please )
Resident Current Savings
NRI : Non Repatriation basis NRE * NRO FCNR* Foreign Inward Remittance*
NRI : Repatriation basis NRE * FCNR* Foreign Inward Remittance*
FII Non Resident Rupee Account Foreign Inward Remittance

Cheque should be made in favour of the Scheme Option (Please )

FIDELITY TAX ADVANTAGE FUND Growth OR Dividend Reinvestment OR Dividend Payout

Investment Amount DD Charges (if applicable) Net Amount (Cheque / DD Amount)


Rs. A (Minimum Rs. 500) Rs. B Rs. A minus B
Mode of
Payment Cheque / Demand Draft / ____________
Instrument No. dated DD MM YYYY
(Strike off whichever is not applicable)

Drawn on Bank Branch City

7. NOMINATION DETAILS (OPTIONAL, PLEASE CROSS OUT THIS SECTION IF YOU DO NOT INTEND TO NOMINATE) (See note 7)

I / We Name of Applicant(s)
do hereby nominate the undermentioned Nominee to receive the Units allotted to my / our credit against this application / 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 the AMC / 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) DD MM YYYY Signature


of Guardian
(Mandatory)

SIGNATURE(S)
ALL Applicants X X X
MUST SIGN HERE
Sole / 1st Applicant 2nd Applicant 3rd Applicant
8. DECLARATION AND SIGNATURES (See note 8)
I/ We have read and understood the contents of the Offer Document and of the Scheme of Fidelity Mutual Fund including the sections on “Who cannot invest” and
“Important Note on Anti Money Laundering and Know-Your-Customer”. I / We hereby apply for allotment / purchase of Units in the Scheme indicated above 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 in the above-mentioned
Scheme 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.
* 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.
SIGNATURE(S)
ALL Applicants MUST SIGN HERE (Please refer to the guidance notes / checklist and ensure that all relevant sections are completed) Dated DD MM YYYY

X X X
Sole / 1st Applicant 2nd Applicant 3rd Applicant
9. LIST OF ATTACHMENTS (Please mention below the documents attached alongwith the form) (See note 9)
Total Number of attachments
To be Office to
filled in by verify the
applicant said Nos.

FIDELITY INVESTOR SERVICE CENTRES


Ahmedabad : 301, Raindrops Building, Opp. Cargo Motors, C. G. Road, Ellis Bridge, Ahmedabad 380 006. Bangalore : Unit 402, 4th Floor, H. M. Geneva House, Cunningham
Road, Bangalore 560 052. Chennai : Old No. 90, New No. 104, Ganesha Towers, Dr. Radhakrishnan Salai, Mylapore, Chennai 600 004. Gurgaon : Unitech Business Park,
Tower B, South City Phase 1, Gurgaon 122 001. Kolkata : 408, 4th Floor, Azimganj House, 7 Camac Street, Kolkata 700 017 Mumbai : 57, 5th Floor, Maker Chambers VI, 220,
Nariman Point, Mumbai 400 021. Pune : Unit No. 406, 4th Floor, Nucleus Mall, 1, Church Road, Camp, Pune - 411 001.
email : investor.line@fidelity.co.in web : www.fidelity.co.in
CAMS INVESTOR SERVICE CENTRES (ISCs)
Ahmedabad, Bangalore, Bhubaneswar, Chandigarh, Chennai, Cochin, Coimbatore, Durgapur, Goa, Indore, Jaipur, Kanpur, Kolkata, Lucknow, Ludhiana, Mangalore, Mumbai,
Nagpur, New Delhi, Patna, Pune, Secunderabad, Surat, Vadodara, Vijayawada, Vizag

If you have any queries with regard to completing this form, call Fidelity on 1600 180 8000 (toll-free)
graphics
alok

or 0124 254 2022 (at long distance call rates). Lines are open from 9 am to 6 pm on all business days.
SIP APPLICATION FORM
Please do not use this form for lump sum Investment I N T E R N A T I O N A L

New Fund Offer Opens : January 05, 2006


Please read Guidance Notes New Fund Offer Closes : January 31, 2006
carefully and complete all Scheme re-opens for Purchases : March 01, 2006 App. No.
sections in BLOCK CAPITALS
DISTRIBUTOR INFORMATION (only empanelled Distributors / Brokers will be permitted to distribute Units)
Distributor’s / Broker’s Code Sub-Broker’s Code Registrar’s / Bank Serial No.

NJ IndiaInvest Pvt Ltd


ARN- ARN 0155 9285

1. FIRST APPLICANT’S PERSONAL DETAILS (See note 1)


Sole / 1st Applicant First Name Middle Name Last Name
Existing Folio No. If you have an existing folio no. Please mention the number alongside
and skip to section 6.
Date of Birth DD MM YYYY Email ID
If the Sole / 1st Applicant is a minor, please tick here ( )
PAN See note 1(f) and state the Guardian’s PAN no. alongside.
Guardian (if Sole / 1st Applicant is a Minor) Or
First Name Middle Name Last Name
Contact Person (For institutional applications)
Address for Correspondence (in India) (P. O. Box Address is not sufficient) Overseas Address (Mandatory for NRI / FII applicants in addition to mailing address)

City City Postal


Pin Code Code
State Country
NRIs residing in USA, Canada or an FATF Non-compliant country / territory cannot invest.
Tel. (Off)/
Mobile (ISD/STD) Tel.(Res.) (ISD/STD) Fax (ISD/STD)
Status of Sole / 1st Applicant (Please )
Resident Indian Individual Non Resident Indian Individual Trust Mutual Fund HUF AOP / BOI Others (please specify)
Company / Body Corporate Partnership Firm Bank Fund of Funds FII Society ____________________

2. JOINT APPLICANTS’ DETAILS (See note 2)


2nd Applicant First Name Middle Name Last Name
PAN If the 2nd Applicant is a minor, please tick here ( )
See note 1(f) and state the Guardian’s PAN no. alongside.
Guardian
(If 2nd Applicant is minor) First Name Middle Name Last Name

3rd Applicant First Name Middle Name Last Name


PAN If the 3rd Applicant is a minor, please tick here ( )
See note 1(f) and state the Guardian’s PAN no. alongside.
Guardian
(If 3rd Applicant is minor) First Name Middle Name Last Name

MODE OF HOLDING Single Anyone or Survivor Joint


3. BANK ACCOUNT DETAILS (MANDATORY) (See note 3)
Name of Bank A/c. No.

Branch City (Clearing Circle)


MICR Code Account Type Savings NRE NRO
(This is a 9 Digit Number next to your Cheque Number) (Please ) Current FCNR Others
Please see guidance note 3(c) for payment options. If you wish to receive a cheque payment, please tick here ( )
Electronic Clearing Service (ECS) facility is available for receiving dividends. If you wish to avail of this facility, please tick here ( )
4. SERVICES (See note 4)
I would like to receive a PIN form to view this account on the internet (Please ) I would like to receive statements by email rather than by post (Please )

5. PROOF OF IDENTITY (See note 5)


Passport Driving License Voter ID Card
Passport No. Driving License No. Voter ID No.
Place of Issue Place of Issue Place of Issue

ACKNOWLEDGEMENT SLIP
To be filled by the Applicant I N T E R N A T I O N A L
App. No.

Received from Mr./Ms.

an application for Purchase of Units of Fidelity Tax Advantage Fund alongwith Cheque and SIP Auto Debit (ECS) Facility Form

For Rs. (single instalment) Total No. of Attachments

Please refer to the Key Information Memorandum for details of Entry and Exit Loads. All purchases are subject to realisation of cheques.
Acknowledgement Stamp
6. INVESTMENT DETAILS (See note 6)
Type of Bank Account (Please ) Checklist for SIP
Resident Current Savings l All instalments of equal amount,
l Each instalment - Minimum
NRI : Non Repatriation basis NRE * NRO FCNR* Foreign Inward Remittance* Rs. 500 or in multiples of Rs. 500
NRI : Repatriation basis NRE * FCNR* Foreign Inward Remittance* l Minimum instalments - 6
l Sum total of all instalments -
FII Non Resident Rupee Account Foreign Inward Remittance Minimum Rs. 3000

Cheque should be made in favour of the Scheme Option (Please )

FIDELITY TAX ADVANTAGE FUND Growth OR Dividend Reinvestment OR Dividend Payout

SIP Frequency Monthly


No. of (Please one) Quarterly
min. 6 (incl. 1st Instalment Dates 1st or From MM YYYY To MM YYYY
Instalments instalment) (Please one) 10th Yearly
SIP available only through SIP Auto Debit (ECS) Facility
Please attach a cheque for the 1st instalment, and the SIP Auto Debit (ECS) Facility Form for subsequent instalments
First SIP Instalment Cheque No. First Cheque No. Dated D D M M Y Y Y Y Instalment
Drawn on Bank Branch City

7. NOMINATION DETAILS (OPTIONAL, PLEASE CROSS OUT THIS SECTION IF YOU DO NOT INTEND TO NOMINATE) (See note 7)
I / We Name of Applicant(s)
do hereby nominate the undermentioned Nominee to receive the Units allotted to my / our credit against this application / 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 the AMC / 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) Signature


DD MM YYYY of Guardian
(Mandatory)

SIGNATURE(S)
ALL Applicants X X X
MUST SIGN HERE
Sole / 1st Applicant 2nd Applicant 3rd Applicant

8. DECLARATION AND SIGNATURES (See note 8)


I/ We have read and understood the contents of the Offer Document and of the Scheme of Fidelity Mutual Fund including the sections on “Who cannot invest” and
“Important Note on Anti Money Laundering and Know-Your-Customer”. I / We hereby apply for allotment / purchase of Units in the Scheme indicated above 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 in the above-mentioned
Scheme 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.
* 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.
SIGNATURE(S) Dated DD MM YYYY
ALL Applicants MUST SIGN HERE (Please refer to the guidance notes and ensure that all relevant sections are completed)

X X X
Sole / 1st Applicant 2nd Applicant 3rd Applicant

9. LIST OF ATTACHMENTS (Please mention below the documents attached alongwith the form) (See note 9)
Total No. of attachments
No. to be Office to
filled in by verify the
applicant said Nos.

FIDELITY INVESTOR SERVICE CENTRES


Ahmedabad : 301, Raindrops Building, Opp. Cargo Motors, C. G. Road, Ellis Bridge, Ahmedabad 380 006. Bangalore : Unit 402, 4th Floor, H. M. Geneva House, Cunningham
Road, Bangalore 560 052. Chennai : Old No. 90, New No. 104, Ganesha Towers, Dr. Radhakrishnan Salai, Mylapore, Chennai 600 004. Gurgaon : Unitech Business Park,
Tower B, South City Phase 1, Gurgaon 122 001. Kolkata : 408, 4th Floor, Azimganj House, 7 Camac Street, Kolkata 700 017 Mumbai : 57, 5th Floor, Maker Chambers VI, 220,
Nariman Point, Mumbai 400 021. Pune : Unit No. 406, 4th Floor, Nucleus Mall, 1, Church Road, Camp, Pune - 411 001.
email : investor.line@fidelity.co.in web : www.fidelity.co.in
CAMS INVESTOR SERVICE CENTRES (ISCs)
Ahmedabad, Bangalore, Bhubaneswar, Chandigarh, Chennai, Cochin, Coimbatore, Durgapur, Goa, Indore, Jaipur, Kanpur, Kolkata, Lucknow, Ludhiana, Mangalore, Mumbai,
Nagpur, New Delhi, Patna, Pune, Secunderabad, Surat, Vadodara, Vijayawada, Vizag

If you have any queries with regard to completing this form, call Fidelity on 1600 180 8000 (toll-free)
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or 0124 254 2022 (at long distance call rates). Lines are open from 9 am to 6 pm on all business days.
I N T E R N A T I O N A L

SIP AUTO DEBIT (ECS) FACILITY FORM


Please read Instructions and Terms & Conditions overleaf carefully
and complete all sections in BLOCK CAPITALS
(Application to be furnished with a gap of at least 60 days between
the date of closing of NFO and date of first instalment through ECS)
SOLE / 1st APPLICANT’S DETAILS (See Instruction 1)

SIP Application No. Folio No.

SOLE / 1st
APPLICANT
First Name Middle Name Last Name

SIP INVESTMENT DETAILS (See Instruction 2)


New Registration Change in Bank Account
Cheque should be made in favour of the Scheme
Option (Please ) Growth OR Dividend Reinvestment OR Dividend Payout
FIDELITY TAX ADVANTAGE FUND
SIP Date (Please 4 ) 1st 10th
Each SIP Amount (Rs.) (Min. Rs. 500)
SIP Frequency (Please 4 ) Monthly Quarterly Yearly

SIP Period From MM YYYY To MM YYYY Checklist for SIP


l All instalments of equal amount,
l Each instalment - Minimum
Rs. 500 or in multiples of Rs. 500
l Minimum instalments - 6
First SIP Instalment Cheque No. Dated DD MM YYYY l Sum total of all instalments -
Minimum Rs. 3000

DECLARATION
I / We hereby authorise Fidelity Mutual Fund and their authorised service provider (TechProcess Solutions Ltd.), to debit the following bank
account by ECS Debit Clearing for collection of SIP payments. I / We understand that the information provided by me / us may be shared with
third parties for facilitating transaction processing for the auto debit process or for compliance with any legal or regulatory requirements.

X X X
Sole / 1st Applicant 2nd Applicant 3rd Applicant

ECS DEBIT BANK ACCOUNT DETAILS (MANDATORY) (See Instruction 3)

This is to inform that I / We have registered for the RBI’s Electronic Clearing Service (Debit Clearing) and that my / our payment towards my / our
investment in Fidelity Mutual Fund shall be made from my / our below mentioned bank account with your bank. I / We authorise the
representative carrying this ECS mandate Form to get it verified & executed.

Name of the
Account Holder as First Name Middle Name Last Name
in Bank Records
Name of the Bank

Branch & City Branch City

Account Number MICR Code (Mandatory)

Account Type Savings NRE NRO (This is a 9 Digit Number next to your Cheque Number)
(Please ) Current FCNR Others

Authorisation of the Bank Account Holder


SIGNATURE(S)

X X X
Sole / 1st Account Holder 2nd Account Holder 3rd Account Holder
(To be signed by all holders if mode of operation is joint) (As in Bank Records)

For Office Use only (Not to be filled in by Investors)

Scheme

Scheme Code Credit Account Number


List of Cities currently offering SIP Auto Debit Facility via ECS (Debit Clearing)
l Ahmedabad l Bangalore l Baroda l Bhopal l Bhubaneshwar l Chandigarh l Chennai l Coimbatore l Guwahati
l Hyderabad l Indore l Jaipur l Kanpur l Kolkata l Lucknow l Ludhiana l Madurai l Mumbai l Nagpur

l New Delhi l Panjim l Pune l Surat l Trichy l Trivandrum l Vijaywada l Vizag

INSTRUCTIONS FOR FILLING UP THE SIP AUTO DEBIT (ECS) FACILITY FORM
1. a. Please mention the SIPApplication Form number in the space provided and if you have a folio no, please mention the folio no. in the space provided.
b. Please mention the name of the sole / 1st applicant as appearing in the SIPApplication Form in the space provided.
2. a. In the SIP Investment Details column, the applicant should mention the period ( From and To ), frequency, amount and date of SIP.
b. The first cheque towards SIP investment should be from the same bank account as provided by the applicant for SIPAuto Debit facility.
3. Under the ECS Debit Bank Account Details column, name and bank account details of the person whose account is to be debited shall be mentioned. This person
may not be the sole / 1st applicant as mentioned in SIP Investment Details column. For eg ; A may be the sole / 1st applicant but his first investment cheque for SIP
might have been from the bank account of B. In such a case, details of B shall be mentioned in Bank Account Details column.
4. The following documents must be submitted, both by new applicants in NFO and existing unit holders applying in NFO.
(i) SIPApplication Form (complete in all respects for new applicants)
(ii) SIPApplication Form (with Folio No. only to be mentioned by existing unit holders)
(iii) SIPAuto Debit (ECS) Facility form
(iv) First cheque towards SIP investment
(v) Photocopy of a cancelled cheque leaf of the bank account details mentioned under the heading "ECS Debit Bank Account Details" in the SIP Auto Debit (ECS)
Facility Form if it is different from the bank account details of the cheque issued for SIP investment.
There must be a gap of at least 60 days between the date of closure of NFO and the date of first instalment through ECS. For applicants in NFO, therefore, the first
instalment dates for SIPAuto Debit (ECS) shall be as under :
l 1st April, 2006 for 1st dated SIP l 10th April, 2006 for 10th dated SIP

TERMS AND CONDITIONS FOR SIP WITH AUTO DEBIT FACILITY


1. THIS FORM IS TO BE READ IN CONJUNCTION WITH TERMS AND CONDITIONS FOR SIP MENTIONED IN THE GUIDANCE NOTES TO THE KEY
INFORMATION MEMORANDUM CONTAINING SIPAPPLICATION FORM.
2. This facility is offered only to applicants having bank accounts in select cities as specified above. This list is subject to changes from time to time generally on
account of changes in the ECS facility provided by Reserve Bank of India ( RBI ) / service provider(s). Such changes may be done entirely at the discretion of
Fidelity Mutual Fund / Fidelity Fund Management Private Limited and no prior notice of such change is required to be given.
3. An unit holder who has existing SIP investments using SIP Auto Debit (ECS) Facility should, at the time of making additional SIP investments using the same
facility again take care of the following :-
(a) Additional investments in the same folio should be from the same bank account as the previous SIPAuto Debit Bank Account.
(b) You cannot make an additional investment in the same folio, in the same scheme / option and on the same due date.
The following example will make this clear:

Existing Investment New Investment (acceptable) New Investment (unacceptable)


Folio No.: 12345/67 Folio No.: 12345/67 Folio No.: 12345/67
SIP due date : 1st SIP due date : 10th SIP due date : 1st
Scheme : Fidelity Tax Advantage Fund Scheme : Fidelity Tax Advantage Fund Scheme : Fidelity Tax Advantage Fund
Option : Growth Option : Growth Option : Growth
Bank a/c number : 56789 Bank a/c number : 56789 Bank a/c number : 56789
Bank Name: ABC Bank Bank Name: ABC Bank Bank Name: ABC Bank
Bank Branch: Andheri (E) Bank Branch: Andheri (E) Bank Branch: Andheri (E)

Folio No.: 12345/67 Folio No.: 12345/67


SIP due date : 1st SIP due date : 1st
Scheme : Fidelity Tax Advantage Fund Scheme : Fidelity Tax Advantage Fund
Option : Dividend Option : Growth
Bank a/c number : 56789 Bank a/c number : 45678
Bank Name: ABC Bank Bank Name: ABC Bank
Bank Branch: Andheri (E) Bank Branch: Andheri (E)

Folio No.: 12345/67


SIP due date : 1st
Scheme : Fidelity Tax Advantage Fund
Option : Growth
Bank a/c number : 56789
Bank Name: XYZ Bank
Bank Branch: Andheri (E)

4. SIP Auto Debit (ECS) Facility application shall be accepted only if the bank branch details mentioned under the heading "ECS Debit Bank Account Details"
participate in local MICR / ECS Clearing.
5. Applicants are required to give at least 30 days notice in writing for cancellation of SIPAuto Debit Facility / change in bank account.
6. If the applicant has left any or all the following fields blank in the SIP Auto Debit (ECS) Facility Form under the heading "SIP Investment Details" , the application
shall be treated as under :

Field Left Blank Action

SIP Period Registered for six months

SIP Date 10th of the month commencing from the immediately following month provided there is a gap of at least
60 days between the NFO closure date and the date of first instalment through ECS

Frequency Quarterly

7. If any of the SIP investment details are left blank in either the SIP application form or the SIP Auto Debit (ECS) Facility Form, the information provided in either of
the forms will prevail. In the event of a discrepancy in SIP investment details between SIPApplication Form and SIPAuto Debit (ECS) Facility Form, the investment
details as entered in SIPApplication Form shall prevail.
8. Terms and conditions laid down by Reserve Bank of India for ECS facility shall apply over and above the terms and conditions specified herein.
9. Applicant will not hold Fidelity Mutual Fund / Fidelity Fund Management Private Limited / Trustees to the Fund, its Registrars and other service providers
responsible if the transaction is delayed due to various clearing cycles of ECS / local holidays / incomplete or incorrect instructions from the applicant or the
applicant bank account is debited in advance.
10. Fidelity Mutual Fund / Fidelity Fund Management Private Limited reserves the right not to re-present any mandate for SIPAuto Debit facility if the registration could
not be effected in time for reason beyond control.
11. Please refer to the Offer Document for Applicable NAV, risk factors, load structure and other information.
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Form No. 60
[See third proviso to rule 114B]
Form of declaration to be filed by a person who does not have either a
Permanent Account Number or General Index Register Number and who makes
payment in cash in respect of transaction specified in clauses (a) to (h) of rule 114B

(1) Full name and address of the declarant

(2) Particulars of transaction Investment in Mutual Fund Units of Fidelity Mutual Fund
(3) Amount of the transaction

(4) Are you assessed to tax? Yes No

(5) If yes, (i) Details of Ward/Circle/Range where the last return of income was filed?

(ii) Reasons for not having permanent account number / General Index Register Number ?

(6) Details of the document being produced in support of address in column (1)

Verification
I,

do hereby declare that what is stated above is true to the best of my knowledge and belief.

Verified today, the day of ,

Date Place

Signature of the declarant

Instructions :
Documents which can be produced in support of the address are:-

(a) Ration Card

(b) Passport

(c) Driving licence

(d) Identity Card issued by any institution

(e) Copy of the electricity bill or telephone bill showing residential address

(f) Any document or communication issued by any authority of Central Government, State Government or local bodies showing
residential address

(g) Any other documentary evidence in support of his address given in the declaration.
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Form No. 60
[See third proviso to rule 114B]
Form of declaration to be filed by a person who does not have either a
Permanent Account Number or General Index Register Number and who makes
payment in cash in respect of transaction specified in clauses (a) to (h) of rule 114B

(1) Full name and address of the declarant

(2) Particulars of transaction Investment in Mutual Fund Units of Fidelity Mutual Fund
(3) Amount of the transaction

(4) Are you assessed to tax? Yes No

(5) If yes, (i) Details of Ward/Circle/Range where the last return of income was filed?

(ii) Reasons for not having permanent account number / General Index Register Number ?

(6) Details of the document being produced in support of address in column (1)

Verification
I,

do hereby declare that what is stated above is true to the best of my knowledge and belief.

Verified today, the day of ,

Date Place

Signature of the declarant

Instructions :
Documents which can be produced in support of the address are:-

(a) Ration Card

(b) Passport

(c) Driving licence

(d) Identity Card issued by any institution

(e) Copy of the electricity bill or telephone bill showing residential address

(f) Any document or communication issued by any authority of Central Government, State Government or local bodies showing
residential address

(g) Any other documentary evidence in support of his address given in the declaration.
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