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COMMON APPLICATION FORM - Kotak Asset Management

COMMON APPLICATION form Appl. CA. Date: DD / MM / YYYY. Distributor s ARN/ RIA Code# Sub-Broker s ARN Sub-Broker s Code EUIN. #. By mentioning RIA code, I/We authorize you to share with the Investment Adviser the details of my/our transactions in the scheme(s) of Kotak Mahindra Mutual Fund. Declaration for"Execution-only" transactions (only where EUIN box is left blank). I/We hereby confirm that the EUIN box has been intentionally left blank by me/us as this transaction is executed without any interaction or advice by the employee/relationship manager/sales person of the above distributor/sub broker or notwithstanding the advice of in-appropriateness, if any, provided by the employee/relationship manager/sales person of the distributor/sub broker.

COMMON APPLICATION FORM Appl. CA Date: DD / MM / YYYY (To be filled by Applicant) An application for allotment of units in the following scheme: Official Acceptance

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Transcription of COMMON APPLICATION FORM - Kotak Asset Management

1 COMMON APPLICATION form Appl. CA. Date: DD / MM / YYYY. Distributor s ARN/ RIA Code# Sub-Broker s ARN Sub-Broker s Code EUIN. #. By mentioning RIA code, I/We authorize you to share with the Investment Adviser the details of my/our transactions in the scheme(s) of Kotak Mahindra Mutual Fund. Declaration for"Execution-only" transactions (only where EUIN box is left blank). I/We hereby confirm that the EUIN box has been intentionally left blank by me/us as this transaction is executed without any interaction or advice by the employee/relationship manager/sales person of the above distributor/sub broker or notwithstanding the advice of in-appropriateness, if any, provided by the employee/relationship manager/sales person of the distributor/sub broker.

2 SIGNATURE(S). Sole / First Applicant Second Applicant Third Applicant (To be signed by All Applicants). TRANSACTION CHARGES for applications routed through distributor/agents only (Kindly refer Transaction Charges under the heading Guidelines to filling up the form for details). Upfront commission shall be paid directly by the investor to the AMFI registered distributors based on the investor's assessment of various factors including the service rendered by the distributor. Have you ever invested in any, Mutual Fund before Yes No (for more details, please refer Transaction Charges on page 7).

3 Are you a tax resident of any country other than India? Yes No Information If you have, at any time, invested in any Scheme of Kotak Mahindra Mutual Fund and wish to hold your present investment in the same Account, please furnish your Name, Folio Number and PAN. Unitholder (Section I). Existing details below and proceed to Section Investment Details. Name of Sole / First Applicant: PAN No.: Folio No.: Sole/ First Applicant Second Applicant Third Applicant Name of Name of Name of Applicant Applicant Applicant PAN PAN PAN. Aadhaar No. Aadhaar No. Aadhaar No. New Applicant's Personal Information Date of Birth Date of Birth Date of Birth CKYC No.

4 CKYC No. CKYC No. # # #. (Section II). Status Status Status Occupation% Occupation% Occupation%. # %. ^ Name shall be as per PAN/Aadhaar card. Please refer to Section V below for Status of All Applicants. Please refer to Section VI below for Occupation of All Applicants. Gross Annual Income Details in INR (please tick): Gross Annual Income Details in INR (please tick): Gross Annual Income Details in INR (please tick): < 1 lac 1 - 5 lac 5 - 10 lac 10 - 25 lac < 1 lac 1 - 5 lac 5 - 10 lac 10 - 25 lac < 1 lac 1 - 5 lac 5 - 10 lac 10 - 25 lac 25 lac - 1 cr 1 cr - 5 cr 5 cr - 10 cr > 10 cr 25 lac - 1 cr 1 cr - 5 cr 5 cr - 10 cr > 10 cr 25 lac - 1 cr 1 cr - 5 cr 5 cr - 10 cr > 10 cr or Net-worth as on (date) DD / MM / YYYY or Net-worth as on (date) DD / MM / YYYY or Net-worth as on (date) DD / MM / YYYY.

5 Rs. _____ (should not be older than 1 year) Rs. _____ (should not be older than 1 year) Rs. _____ (should not be older than 1 year). Please tick, if applicable, Please tick, if applicable, Please tick, if applicable, Politically Exposed Person (PEP) YES NO Politically Exposed Person (PEP) YES NO Politically Exposed Person (PEP) YES NO. Related to a Politically Exposed Person (PEP)* Related to a Politically Exposed Person (PEP)* Related to a Politically Exposed Person (PEP)*. Not applicable Not applicable Not applicable *I declare that the information is to the best of my knowledge and belief, accurate and complete.

6 I agree to notify Kotak Mahindra Mutual Fund/ Kotak Mahindra Asset Management Co. Ltd. immediately in case there is any change in the above information. Individual Applicant Guardian/ Contact Name PAN Country of Birth Nationality Tax Reference Number (for NRI). Person if Non- (Section III). Gross Annual Income Details in INR (please tick): < 1 lac 1 - 5 lac 5 - 10 lac 10 - 25 lac 25 lac - 1 cr 1 cr - 5 cr 5 cr - 10 cr > 10 cr or Net-worth as on (date) DD / MM / YYYY Rs. _____ (should not be older than 1 year). Please tick, if applicable, Politically Exposed Person (PEP) YES NO Related to a Politically Exposed Person (PEP)* Not applicable *I declare that the information is to the best of my knowledge and belief, accurate and complete.

7 I agree to notify Kotak Mahindra Mutual Fund/ Kotak Mahindra Asset Management Co. Ltd. immediately in case there is any change in the above information. Name PAN Country of Birth Nationality Tax Reference Number (for NRI). (PoA) Holder (Section IV). Power of Attorney Gross Annual Income Details in INR (please tick): < 1 lac 1 - 5 lac 5 - 10 lac 10 - 25 lac 25 lac - 1 cr 1 cr - 5 cr 5 cr - 10 cr > 10 cr or Net-worth as on (date) DD / MM / YYYY Rs. _____ (should not be older than 1 year). Please tick, if applicable, Politically Exposed Person (PEP) YES NO Related to a Politically Exposed Person (PEP)* Not applicable *I declare that the information is to the best of my knowledge and belief, accurate and complete.

8 I agree to notify Kotak Mahindra Mutual Fund/ Kotak Mahindra Asset Management Co. Ltd. immediately in case there is any change in the above information. (Section V). Applicant Resident Individual Proprietorship Mutual Fund PF/ Gratuity/ Pension/ On behalf of Minor Status of NRI on Repatriation Basis Partnership Firm Mutual Fund FOF Scheme Superannuation Fund Other NRI on Non-Repatriation Basis Private Limited Company Body Corporate Trust AOP/ BOI _____. HUF Public Limited Company Registered Society Foreign Institutional Investor (Please specify). of Applicant (Section VII).

9 Operation Occupation (Section VI). Private Sector Professional Student Where there is more than one applicant [Please ( )]. Mode of Public Sector Agriculturist Forex Dealer Government Service Retired Other_____ First Applicant only Anyone or Survivor Joint Business Housewife (Please specify) (Default will be any one or survivor, in case of more than one applicant). (To be filled by Applicant). ACKNOWLEDGEMENT SLIP. An APPLICATION for allotment of units in the following scheme: Appl. CA. Instument Details Investment Details Received from: Scheme No. Dated DD / MM / YYYY Rs. Plan Bank & Branch Option Official Acceptance Please retain this silp, duly acknowledged by the Official Collection Center till you receive your Account Statement Point Stamp & Sign Address for Communication (Full Address Mandatory) Overseas Address (Mandatory for NRI/ FII Applicants).

10 House/ Flat No House/ Flat No Correspondence Details of Sole/. First Applicant (Section VII). Street Address Street Address City/ Town State City/ Town State Country Pin Code Country Pin Code Mobile Tel ( Off.) Mobile Tel ( Off.). Email**. **Tick here, if you still wish to receive allotment confirmations, consolidated account statement/account statement, annual report/ abridged summary and any statutory/ other information in physical mode In case you wish to hold units in demat, please fill this section. Please note that you can hold units in demat for all open ended schemes (except ETFs and dividend options having dividend frequency of less than a month).