TRISTAR

TRISTAR
S E R I E S I
Plan A • Plan B
Broker Name / ARN No.
Application Form
New Fund Offer Opens: Dec. 07, 2005
Closes: Dec. 19, 2005
Sub Broker Name / ARN No.
Application No.
Date of Receipt Bank Code Branch Code Bank Sr. No.
2. UNIT HOLDER INFORMATION ( r efer instruction A) Fresh / new Investors fill in all the blocks. (2 to 10)
DATE OF BIRTH
NAME OF FIRST / SOLE APPLICANT / CORPORATE INVESTOR
Mr. Ms. M/s.
PAN* (mandatory if amount invested is Rs. 50,000 or more)
ENCLOSED [Please tick()] PAN Proof Form 60/61
NAME OF SECOND APPLICANT
Mr. Ms. M/s.
PAN* (mandatory if amount invested is Rs. 50,000 or more)
ENCLOSED [Please tick()] PAN Proof Form 60/61
NAME OF THIRD APPLICANT
Mr. Ms. M/s.
PAN* (mandatory if amount invested is Rs. 50,000 or more)
ENCLOSED [Please tick()] PAN Proof Form 60/61
NAME OF GUARDIAN (in case of First / Sole Applicant is a Minor) / CONTACT PERSON – DESIGNATION (in case of non-individual Investors)
Mr. Ms. M/s.
@
PAN (mandatory if amount invested is Rs. 50,000 or more)
ENCLOSED [Please tick()] PAN Proof Form 60/61
*Investors are required to mention the PAN and provide the copy of PAN card or PAN allotment letter or an assessment/ refund order from the Income Tax department. This will be applicable for each of
@
the applicants. In case of minor investing Rs. 50,000/- or more PAN of the guardian should be mentioned, if minor has no PAN.
ADDRESS OF FIRST / SOLE APPLICANT / CORPORATE INVESTOR (P.O. Box Address may not be sufficient. Overseas Investors should provide their Indian address.)
CITY STATE PINCODE
CONTACT OF FIRST / SOLE APPLICANT
STD CODE
TELEPHONE
OFF.
RES.
MOBILE
E-MAIL
9 a. DEBIT MANDATE (for SCB account holders only) The Debit Mandate is to be submitted along with the transaction details. Filling up the Debit Mandate alone is not sufficient. Debit mandate should not be detached from the application form.
Standard Chartered Mutual Fund Standard Chartered Mutual Fund Standard Chartered Mutual Fund Standard Chartered Mutual Fund
Standard To Branch Chartered Manager Mutual - Standard Fund Chartered Standard Bank Chartered Mutual Fund Standard Chartered Application Mutual Fund No.: Standard Chartered Mutual Fund
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Mutual
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Standard Rs. (figures) Chartered Mutual Fund Standard Chartered Rs. (Words) Mutual Fund Standard Chartered Mutual Fund Standard Chartered Mutual Fund
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with them and to pay Standard Chartered Tristar Series - I (SCTS - I) for Purchase.
Standard Chartered Mutual Fund Standard Chartered Mutual Fund Standard Chartered Mutual Fund Standard Chartered Mutual Fund
Standard Chartered Mutual Fund Standard Chartered Mutual Fund Standard Chartered Mutual Fund Standard Chartered Mutual Fund
Standard Chartered Mutual Fund Standard Chartered Mutual Fund Standard Chartered Mutual Fund Standard Chartered Mutual Fund
Date:
Standard Chartered Mutual Fund Standard Chartered Mutual Fund Standard
Signature
Chartered
of Applicant(s)/
Mutual
Authorised
Fund
Signatory(s)
Standard Chartered Mutual Fund
Standard Please Chartered also sign in the Mutual signatures section Fund on Standard the main application Chartered form. Mutual Fund Standard Chartered Mutual Fund Standard Chartered Mutual Fund