TRISTAR

Form For Nomination / Cancellation Of Nomination
(To be filled in by Individual (s) applying Singly or Jointly)
To
Computer Age Management Services Pvt. Ltd.
Unit: Standard Chartered Mutual Fund, 383, Anna Salai, Saidapet, Chennai- 600 015
Date: D D M M Y Y
Dear Sir,
I / We*
and*
do hereby nominate the person more particularly described hereunder/ and / cancel the nomination made by me / us on the
in respect of the Units bearing FOLIO NO. .
1st Nominee
Name
Address
NAMES AND ADDRESSES OF NOMINEES
day of
(*Strike out which is not applicable)
Date of Birth
(to be furnished in case the Nominee is a minor)
D D M M Y Y
Nominee's relationship with the Investor
If Nominee is a minor, name of the guardian
Address of the Guardian
Signature of the Guardian
2nd Nominee
NAMES AND ADDRESSES OF NOMINEES
Name
Address
Date of Birth
(to be furnished in case the Nominee is a minor)
D D M M Y Y
Nominee's relationship with the Investor
If Nominee is a minor, name of the guardian
Address of the Guardian
Signature of the Guardian
PERCENTAGE OF HOLDING ( this is compulsory & if not submitted the holding will be equally split) _________________________________
Name of 1st Unitholder
Address
Name of 2nd Unitholder
Name of 3rd Unitholder
1st Nominee Signature
UNIT HOLDER (S)
2nd Nominee Signature
Date
D D M M Y Y
(1) Signature
(2) Signature (3) Signature
Specimen Signature of First Nominee
Specimen Signature of Second Nominee