fidelitytax advantage fund application form

8/14/2019 FidelityTax Advantage Fund Application Form

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Issue of Units of Rs.10 per Unit forcash plus applicable Entry Load during

the New Fund Offer and atApplicable NAV plus applicable

Entry Load thereafter

New Fund Offer Opens :January 5, 2006

New Fund Offer Closes :January 31, 2006

This Key Information Memorandum (KIM) sets forth theinformation, which a prospective investor ought to know beforeinvesting.

The Scheme particulars have been prepared in accordance withSecurities and Exchange Board of India (Mutual Funds)Regulations 1996, as amended till date, and filed with Securitiesand Exchange Board of India (SEBI). The units being offered for public subscription have not been approved or disapproved bySEBI, norhas SEBI certifiedtheaccuracy oradequacyof this KIM.

For further details of the Scheme / Mutual Fund, duediligence certificate by the AMC, Key Personnel, investors

rights & services, risk factors, penalties & pending litigations,associate transactions, Who cannot invest, Important Noteon Anti Money Laundering and Know-Your-Customerinvestors should, before investment, refer to the OfferDocument available free of cost at any of the Investor ServiceCentres or distributorsor fromthe website www.fidelity.co.in

Scheme re-opens forPurchase and Redemption *

on March 1, 2006

Fidelity Mutual Fund presents

An open ended equity linked savings scheme

*Redemptionof units under theSchemecanbe made only after a 3year lock-in period from the date of allotment of the unitsproposedtobe redeemed.

I N T E R N A T I O N A L


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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 secur

Asset Allocation Pattern of theScheme

Instrument Normal Allocation Range of Allocation Risk Profile(% of net assets) (% of net assets)

Equity and equity related securities* 95% 80% to 100% HighMoney 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 Optionl Dividend OptionThe Dividend option offers Dividend Payout and Dividend Reinvestment facilities.

Applicable NAV (after the

Scheme opens for Purchases / Redemptions)PLEASE NOTE THAT REDEMPTIONOF UNITS UNDER THE SCHEME CANBE MADE ONLY AFTER 3 YEARSLOCK IN PERIOD FROM THE DATEOF ALLOTMENT OF THE UNITSPROPOSED TO BE REDEEMED

The Cut-off time for the Scheme is 3 p.m., and the Applicable NAV will be as under:

For Purchase / Redemption1. In respect of valid Purchase (along with cheques / drafts / other payment instruments) / Redemption applications accepted at a Designated Collection Centup

to 3 p.m. on a Business Day, the NAV of such day will be applicable.2. In respect of valid Purchase (along with cheques / drafts / other payment instruments) / Redemption applications accepted at a Designated Collection Centreafter

3 p.m. on a Business Day, the NAV of the next Business Day will be applicable.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 acFor SwitchesValid applications for 'switch-out' shall be treated as applications for Redemption and valid applications for 'switch-in' shall be treated as applications for Purchasthe 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 'swiapplications.

Minimum Application Amount / Number of Units

Initial Application Amount-lump sum / SIP investment Additional Application Amount Redemption

Rs. 500 per application / instalment and Rs. 500 per application and Rs. 500 or 50 Unitsin 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-200Dividend 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

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 withto availability and adequacy, rate, timing and frequency of distribution shall be final. The dividend will be due to only those Unit Holders whose names appearregister 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 rethe 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

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 :NILFor each Purchase by an FOF (irrespective of the amount of Purchase) or as a result of dividend re-investment :NILFor 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 : NILNo 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(Unit Holders)

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 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 proof 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 theirdated December 14, 2005. However, the Fund does not make any representations on the procedures for ascertaining the tax benefits nor do they make any representregarding any legal interpretations. Since the information below is based on the relevant provisions as on December 14, 2005, any subsequent changes in the 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 DoTHE FOLLOWING INFORMATION IS PROVIDED FOR GENERAL INFORMATION PURPOSES ONLY AND APPLIES TO THE SCHEME. IN VIEW OF THNATURE OF TAX BENEFITS, EACH INVESTOR IS ADVISED TO CONSULT HIS OR HER OWN TAX CONSULTANT WITH RESPECT TO THE SPIMPLICATIONS ARISING OUT OF HIS OR HER PARTICIPATION IN THE SCHEME.A. For Unit HoldersFor 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 thanof the total proceeds of such fund.1) Income Tax Act, 1961 (hereinafter referred to as 'the Act')a) Deduction under section 80C of the ActIn 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 insecurities 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 fAdministrator or the specified company under any plan formulated in accordance with such scheme as the Central Government may, by notification in the Official Gspecify in this behalf, qualify for deduction under section 80C of the Act.

KEY INFORMATION MEMORANDUM

Performance of Fidelity EquityFund, the equity schemelaunched by the Fund and itsbenchmark (BSE-200)

Absolute Returns as on December 15, 2005 Fidelity Equity Fund BSE-200

Since Inception* 41.84% 33.99%

*Since date of allotment i.e. May 16, 2005Notes : 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.


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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 aby 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 unitsUnder 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 of the Act will be exempt from income tax in the hands of all unit holders.Taxes to be deducted on income distributedIn 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 dion or after April 1, 2003 to resident and non-resident unit holders.c) Capital GainsIncome 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 GainsUnder 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 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 yFor 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 traattracts 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 (redemvalue of the units, which will be collected by the Fund and deposited into the Government Treasury. Short Term Capital GainsAs 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-termgains on transfer of such units would not arise.Set off and carry forward of lossesAccording 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 madeinvestor 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. Fwhen 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 fThe 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

in which such capital loss was incurred subject to compliance with other provisions of the ActRebate for Securities Transaction TaxUnder 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 sutax 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 paon the income from such sale of units by virtue of the provisions of section 88E of the Act.Taxes to be deducted on capital gainsi. Resident InvestorsNo 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 InvestorsAs 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 TrustInvestment 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 Ta1962.e) Tax implications on redemption of unitsAs 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 fundsuch 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-eexempt' (EEE) method currently followed. Under the EET method, contribution to specified savings is exempt from tax (E), the accumulation is also exempt (E)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 thesystem is rolled out, any redemptions from the scheme may be subjected to tax.2) Wealth Tax Act, 1957Units 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 liablwealth- tax.B. For the FundFidelity 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 frin accordance with the provisions of section 10(23D) of the Act.Dividend Distribution TaxAs 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 suchFund 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 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 tapplicable 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 ina Recognised Stock Exchange and the contract is settledby actual deliveryor 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 aRecognised Stock Exchange and the contract is settledby actual deliveryor 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 aRecognised Stock Exchange and the contract is settledotherwise than by actual deliveryor 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 CGovernment within the specified time limits.

KEY INFORMATION MEMORANDUM(contd.)

Tax treatment for the Investors(Unit Holders)(Contd.)


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Daily Net Asset Value (NAV)Publication

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. 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 pleasecontact

Mr. Srikar BaljekarFidelity Fund Management Private Limited21st Floor, DLF Square, Gurgaon 122 002.Tel : 91-124-409 2104. Fax :+91-124-256-0706E-mail: [email protected]

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 lat30 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 mto 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 Holdeone month from the end of each half-year and it shall also be displayed on the website of the Fund.

Computer Age Management Services Private LimitedRegistered Office:A&B, Lakshmi Bhawan,609, Anna Salai, Chennai - 600 006.

Date: December 20, 2005

LIST OF INVESTOR SERVICE CENTRESFidelity Fund Management Private Limitedu 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 052u 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 017u Mumbai :57, 5th Floor, Maker Chambers VI, 220, Nariman Point, Mumbai 400 021u Pune : Unit No. 406, 4th Floor, NucleusMall, 1, Church Road, Camp, Pune - 411 001.

CAMSu Ahmedabad : 402 - 406, 4th Floor - Devpath Building, Off. C. G. Road, Behind Lal Bungalow, Ellis Bridge, Ahmedabad - 380 006u Bangalore : Trade Center, 1st Floor, 45, Dickenson Road, (Next to ManipalCenter), Bangalore - 560 042u Bhubaneswar : 101/ 7, Janpath, Unit - III, Bhubaneswar : 751 001u Chandigarh : SCO 154-155, 1st Floor, Sector 17-C, Chandigarh - 160 017u Chennai : 178/10, KodambakkamHigh Road, Opp. Hotel Palm Grove, Chennai 600 034.u Cochin : 40 / 9633 D, Veekshanam Road, Near International hotel, Cochin - 682 035u Coimbatore : 66, Lokamanya Street (West), R. S. Puram,Coimbatore - 641 002u Durgapur :SN-10, Ambedkar Sarani, City Centre, Doctor's Colony, Durgapur - 713 216u Goa : No. 108, 1st First Floor, Gurudutta Bldg, Above Weekender, M. G. Road, Panaji, Goa - 403 00u Indore: Dalal Chambers, No. 101, Sagarmatha Apartments, 1st Floor, 18/7 M. G. Road, Indore - 452 003u Jaipur : G-III, Park Saroj, Behind Ashok Nagar Police Station, R-7, Yudhisthir Marg, C-SchemJaipur - 302 001u Kanpur : G - 27, 28 Citi Centre, 63/2, The Mall, Kanpur - 208 001u Kolkata :LORDS Building, 7/1, Lord Sinha Road, Ground Floor, Kolkata - 700 071u Lucknow :No. 3, First Floor, SaranChambers 1, 5, Park Road, Lucknow - 226 001u Ludhiana : Shop No. 20-21 (Ground Floor), Prince Market, near Traffic Lights, Sarabha Nagar Pulli, Pakhowal Road, P.O: Model Town, Ludhiana - 14u Mangalore : No. G4 & G5, Inland Monarch, Opp. Karnataka Bank, Kadri Main Road, Kadri, Mangalore - 575 003u Mumbai :Rajabahadur Compound, Ground Floor, Opp. Allahabad Bank, Behind ICICI Bank30, Mumbai Samachar Marg, Fort, Mumbai - 400 023u Nagpur : 145 Lendra Park, Behind Shabari, New Ramdaspeth, Nagpur - 440 010u 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 001u Pune : Nirmiti Eminence, Off No. 6, I Floor, Opp. Abhishek Hotel, MehandalGarage Road, Erandawane, Pune - 411 004u Secunderabad : 102, First Floor, Jade Arcade, Paradise Circle, Secunderabad - 500 003u Surat : Niva Apartments, Above Sagrampura-Rudarpura Co-op. Bank,Bhatia Street, Nanpura, Surat - 395 001u Vadodara : 109 - Silver Line, Besides World Trade Centre, Sayajigunj, Vadodara - 390 005u Vijayawada :Door No. 40-1-48/2, Bandar Road, Adj. HDFC Bank, Vijayawada -520 010u Vizag : 47/9/17, 1st Floor, 3rd Lane, Dwaraka Nagar, Visakhapatnam - 530 016.

CI00167

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

HDFC Bank Limitedu Agra :Shop No. 11, Block No. 17/2/4, Friends Plaza, Sanjay Place, Agra - 282 002u Ahmedabad :HDFC Bank House, Near Mithakali Six Roads, Navrangpura, Ahmedabad - 380 009u Allahabad :54/1 S. P. MargCivil Lines, Allahabad - 211 003, UPu Amritsar :39, The Mall, Amritsaru Asansol : HDFC Bank Ltd., CMS Dept, P. C. Chatterjee Market, G. T. Road, Rambandhu Tala, Asansol - 713 303u Bangalore : No. 8/24, SalcoCentre, 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 PlazaRoad, 18th Cross Road, Malleswaram, Bangalore - 560 005; Koramangala - No. 9 Eterna Koramangala Ind Layout, Bangalore - 560 095u Baroda : 5th Floor, 'Midway Heights', Next to Panchmukhi Hanuman Temple,Lokmanya Tilak Rd, Kirti Mandir, Near Kala Ghoda, Raopura, Baroda - 390 001u Belgaum : 4830/28A Opp. Dist. Hospital, Dr Ambedkar Road, Belgaum - 590 002u 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 001u Calicut : MalabarPalace, G. H. Road, Calicut - 673 001u Chandigarh :HDFC Bank, SCO 371 / 372, Sector 35-B, Chandigarhu Chennai :HDFC Bank Limited, 751 - B Anna Salai, Mariam Centre, Chennai - 600 002u Cochin :2nd Floor,Elmar Square, M. G. Road, Ravipuram, Cochin - 682 016u Coimbatore :1635 Classic Towers, Trichy Road, Coimbatore - 641 018u Cuttack : Bajrakbati Road, Cuttack, Orissa - 753 001u Dehradun : 56, RajpurRoad, Dehradun - 248 001, Uttaranchalu Dhanbad : Sri Ram Plaza, 1st Floor Bank More, Dhanbad Jharkhand- 826 001u Durgapur :A 102 & 103, City Centre, Bengal Shristi Complex, City Centre, DurgapuBranch, West Bengal - 713 216u Faridabad : 5-R/2, Badshah Khan Chowk, NIT, Faridabad - 121 001u Gurgaon : DLF- Gurgaon, A-12, The Shopping Mall, DLF Qutab Enclave Phase 1, Gurgaon - 122 00u 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 00u Goa - Panjim :Minum Residency, 18th June Road, Panjim-Goa - 403 001u Hubli :T. B. Revankar Complex, Vivekanand Hospital Road, Hubli - 580 029u Hyderabad :6-1-73 3rd Floor, Saeed Plaza, Lakdikapul,Hyderabad - 500 004u Indore : IIIrd Floor, 9/1A, U. V. House, South Tukonj, Indore - 452 001u 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, Jaipuru Jalandhar : 911, G. T. Road, Near Narinder Cinema, Jalandharu Jamnagar : HDFC Bank, Plot No. 6, Park Colony, Opp. St. Ann's School, Bedi Bunder RoadJamnagar - 361 008u Jamshedpur : C/o Mithila Motors Ltd., Near Rammandir, Bistupur, Jamshedpur - 831 001u Jodhpur : 57/B "Swapndeep", Chopasani Road, Jodhpur - 342 003 (Raj.)u Kanpur :Navin MarketBranch, 15/46, Civil Lines, Kanpur - 208 001u Kolkata :HDFC Bank Ltd, CMS Abhilasha II, Royd Street, 1st Floor, Kolkata-700 016; Central Plaza, Sarat Bose Road, Kolkata - 700 020; New Alipore - 174ANew 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 007u 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 001u Ludhiana : CMS Deptt, HDFC Bank Ltd, 5th Floor, The Mall, Mall Road,

Ludhianau Madurai : 7-A, West Veli Street, Opp. to Railway Station, Madurai - 625 001u Mangalore : M. N. Towers, Kadri, Mangalore - 575 002u Meerut : 381 Western Kachery Road, Meerut - 250 001u Moradabad : Chaddha Shopping Complex, GMD Road, Moradabad, Uttar Pradesh - 244 001u Mumbai :Maneckjiwadia Bldg., Nanik Motwani Marg, Fort, Mumbai 23; Andheri - Ganga Jamuna Appts., Gflr., 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 HiMumbai - 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 - 4Thane - Sharad Kunj, Dr. Moos Road, Talao Pali, Thane (W); Vashi - HDFC Annexe, Plot No 82, Sector 17, Vashi, Navi Mumbai - 400 703u Mysore :Nageetha Complex, Vishwamanawa Double Road, SaraswathiPuram, Mysore - 570 009u Nagpur : 303 & 304 3rd Floor, Wardh Road, Transactional Banking Group12, Milestone, Near Lokmat Square, Nagpur - 440 010u Nasik : Archit Centre, 3rd Floor, Chandak Circle,Link Road, Opposite Sandeep Hotel, Near Mahamarg Bus Stand, Nasik - 422 002u Nellore :G. T. Road, Nellore - 524 001u New Delhi :Fig-ops 1st Floor, Kailash Bldg, 26 K. G. Marg, New Delhi - 110 001u Noida : G 28 & 29, Sector 18, Noida - 201 301u Panipat : 801/4, G. T. Road, Panipat - 132 103u Patiala : S.C.O. 70-73, Leela Bhawan Market, Patiala - 147 001 (Punjab)u Patna : Rajendra Ram Plaza,Exhibition Road, Patna - 800 001u Pondicherry : TS No. 6, 100 Feet Road, Ellaipillaichavady, Pondicherry - 605 005u Pune: 5th Floor, Millennium Tower, Bhandarkar Road, Shivajinagar, Pune - 411 004u Rajahmundry :HDFC Bank Ltd., H.No: 46-17-20, Main Road, Danavaipet, Rajahmundry - 533 103u Rajkot: Opp. Alfred High School, 2nd Floor, Panchratna Building, Jawahar Road, Rajkotu Raipur : ChawlaComplex, Near Vanijya Bhawan, Sai Nagar, Devendra Nagar Road, Raipur - 492 009. Chhattisgarhu Ranchi : HDFC Bank Ltd, Ranchi Club Shopping Complex, Apt. No. 11, Main Road, Ranchi - 834 0u Rourkela : Bisra Road, Dwivedi Bhawan, Dwivedi Square, Rourkela - 769 001u Salem : 5/241-F, Rathna Arcade, Omalur Main Road, Salem - 636 004.u Siliguri :HDFC Bank Ltd, 3 No. Ramkrishna SamityBuilding, Sevoke Road, Pani Tanki More, Siliguri - 734 401u Surat : Chataniya Jyoti Building, Near Parle Point Circle, Surat - 395 007u Trichur : Kalliyath Royal Square, Palace Road, Trichur - 680 020, KeralaState u Trichy :A-10, "Lakshmi Arcade", 11th Cross Main Road, Thillainagar, Trichy - 620 018, Tamilnaduu Trivandrum :Kenton Towers, Vazhuthacaud, Trivandrum - 695 014u Udaipur : HDFC Bank, ChetakCircle, GPO Road, Udaipuru Valsad : Ekta Appt., Nr, RJJ High School, Thithal Road, Valsad - 1u Varanasi : HDFC Bank Ltd, D 58/2 Kuber Complex, Rathyatra Crossing, Varanasi - 221 010u Vijayawada :40-1-48/2, M.G.Road, Labbipet, Vijayawada - 520 010u Visakhapatnam : Potluri Castle, Dwaraka Nagar, Visakhapatnam


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GUIDANCE NOTES TO HELP YOU COMPLETE THE APPLICATION FORMS

General instructionsu Please read the Offer Document of Fidelity Tax Advantage Fund (the

Offer Document) carefully before investing. In the Offer Documentyour attention is particularly drawn to the risk factors of investingin the Scheme and also the sections on " Who cannot invest " and"Important Note on Anti Money Laundering and Know-Your- Customer."

u Please complete the form legiblyu in black ink or any dark coloured ink,u in the English language,u in BLOCK CAPITALS

u Please refer to the checklist at the end of these notes to ensure thatthe necessary details and attachments are made available. This willhelp to avoid processing delays and / or rejection of your ApplicationForm.

u Please strike out with a line across any section that is not applicable.u Please note redemption of units under the Scheme can be made only

after a 3 year lock in period from the date of allotment of the Unitsproposed to be redeemed.

The Main Application Form (green form) should only be filled in forlump sum investments and not for investments through SystematicInvestment Plan (SIP). To start investment through SIP, please fillin the SIP Application Form (orange form).

Note 1 - First applicant's personal details:a) Applications for Individuals: Please write your name in the sequence

of First Name, Middle Name and Last Name. Please do not abbreviateany name. Preferably write your name exactly as it appears in the BankAccount (as provided in the bank account details).

b) Applications for Non-Individuals: Companies, Trusts, Partnershipfirms, Societies or any other association should write the name exactlyas it appears in its Incorporation document and in the Bank Account(as provided in the bank account details). Sole-proprietorship concernsshould apply in the name of the sole-proprietor.

c) In case the Sole / first applicant has an existing Folio No, it should bestated in the space provided. The form thereafter should be filled fromSection 6 Investment Details (i.e. the back side of the form).

d) Please fill in your date of birth as this may be required to identify youwhen communicating with us.

e) If you have an email ID please include it as this will help us resolveany queries more promptly.

f) PAN (Permanent Account Number): In case of (i) lump sum

investment of Rs. 50,000 or more or (ii) total SIP investments(aggregate of all instalments) of Rs. 50,000 or more, it is mandatoryfor all applicants to state the PAN in the Application Form and supportit with a self-attested photocopy of the PAN Card, PAN allotment letteror an assessment order / refund cheque from the Income TaxDepartment. The "General Index Register" Number (GIR No.) is notacceptable in lieu of the PAN. If a PAN has not been allotted to anyApplicant, Form 60 and documents supporting address therein shouldbe attached to the Application Form. If these are not provided theapplication will be rejected . If a Form 60 is attached or the applicantis a Non-Resident not having a PAN, the words "FORM 60" or"NON-RESIDENT", as applicable, should be written in the spaceprovided for the PAN.If any applicant is a minor, this should be indicated by ticking in theplace provided. The Guardian's PAN should be stated (unless theminor applicant has a PAN).

g) If any applicant is a minor, the name of the Guardian who will sign on

behalf of the minor should be filled in the space provided. In case theapplicant is a Corporate or a Non-Individual investor, the ContactPerson's name should be stated in the space provided.

h) Your address should be written in full. P.O. Box address is not sufficient.NRIs should mandatorily state their overseas address in completeotherwise the application will be rejected. NRIs are requested toprovide an Indian address (if available) for correspondence. It shouldbe noted that NRIs resident in USA, Canada or any Financial ActionTask Force - Non Compliant Countries or Territories (currently Myanmarand Nigeria; this list may change from time to time) cannot invest inthe Scheme.To help us service you better, your telephone number(s) should alsobe provided including the relevant STD / ISD code.

i) Please indicate the status of the sole / 1st applicant at the time ofinvestment. Any change in status during the period of holding unitsshould be given to assist in accurate tax treatment of income arisingfrom such holdings. The abbreviations used in these sections are:

HUF Hindu Undivided Family AOP Association of Persons

FII Foreign Institu tional I nvestor BOI Body o f Individuals

Note 2 - Joint applicants' details :

a) The Names and PAN details of joint applicants (i.e. second and thirdapplicants) should be provided here. Please see note 1(f) and 1(g)above.

b) The mode of holding for operating the folio should be indicated in thissection. "Single" will entitle only the first holder to operate the accountto the exclusion of the joint holders. "Anyone or Survivor" will entitleany one of the joint holders to operate the folio and "Jointly" will allowoperation of the account only if all the holders sign the instruction. Ifthis is left blank or it is not clear, the default will be treated as jointly.For more details please refer to the Offer Document.

Note 3 - Bank account details :

a) It is mandatory to give the bank account details in which you wish anyredemption proceeds and / or dividend payments to be paid into. If these details are not provided, the application will be rejected.

b) To enable verification of the bank mandate details and ensureexpeditious clearing, the following should be provided,

i) Details of the "City" of the Clearing Circle in which the bank / branchparticipates; and

ii) The 9-digit MICR (Magnetic Ink Character Recognition) numberappearing to the right of the cheque number on the bottom whitestrip of a cheque leaf. The Registrar may ask for a copy of acancelled cheque to verify these details.

c) Direct credit facility is available with the following banks for paying outRedemption proceeds / Dividend.

ABN Amro Bank IDBI BankBNP Paribas ICICI BankCitibank Kotak Mahindra BankDeutsche Bank Standard Chartered BankHDFC Bank UTI BankHSBC

If your Bank mandate is with any of these banks, we will directly credityour Redemption proceeds / dividend into the same. If however, youwish to receive a cheque pay-out, please tick in the space provided.

The Electronic Clearing Service facility (ECS) is available for makingdividend payments. In case you wish to avail of this facility, please tickin the space provided. Please note that the MICR code i.e. the 9 digitcode appearing after your cheque number on the bottom band on thecheque needs to be mandatorily provided.

Note 4 - Services :

We offer an online account management service which gives you the

latest details of your account 24 hours a day, seven days a week,including your current valuation and information on recent transactions.If you would like to view your account online please tick the relevant boxand we will send you a PIN form.

To help minimise paperwork you also have the option of receivingstatements by e-mail rather than by post. Please tick the relevant box toopt for this service.

Note 5 - Proof of Identity :

As per the Know-your-Customer policy (please refer to Chapter VII (D)of the Offer Document), please provide the number and place-of-issueof your passport and / or driving license and / or voter's id card.


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Note 6 - Investment details :a) Depending on your residential status and intent of repatriation, please

indicate the type of bank account most relevant to you from the list ofoptions provided.

b) Please tick either the "Growth" or "Dividend" option. If this is left blankor it is not clear, the default will be treated as "Growth". If "Dividend"option is ticked, please select either "Re-investment" or "Payout". Ifthis is left blank or it is not clear, the default will be treated as"Re-investment".

c) The following mode of payments are not valid and applications

accompanied by such payments are liable to be rejected:i) Outstation chequesii) Cash / Money Order / Post Orderiii) Post dated cheques

Main Application Formd) If you are from a city not serviced by an Investor Service Centre, you

may submit a Demand Draft for the investment amount.e) Please enter the investment amount (minimum Rs. 500 for initial

investments or in multiples of Rs. 500 thereafter for additionalinvestments), the Demand Draft (DD) charges (if applicable) and thenet amount. If DD charges are applicable please subtract them fromthe investment amount and fill in the difference in the net amount box.The AMC shall bear the bank charges for the demand draft(s) borneby the applicant, if the applicant is resident of a city, the banking

clearing circle of which is different from that of any Investor ServiceCentre, as designated by the AMC from time to time. The AMC shallnot refund any demand draft charges.

SIP Application Formf) The minimum investment amount is Rs. 500 or multiples of Rs. 500

per instalment. The minimum number of instalments (including the firstinstalment) should be 6. The total value of the instalments should notbe less than Rs. 3,000. If any of these conditions are not met, the application will be rejected.

g) Please fill in the total number of instalments that you wish to invest for.h) Please choose whether you wish to make your SIP investments on the

1st or 10th of the month of your chosen frequency period.i) Please state whether you would like the SIP frequency to be monthly

or quarterly or yearly. j) Please enter the first instalment cheque number, cheque date and

instalment amount.k) The first SIP instalment cheque should be dated on or before the date

of submission of the Application Form.l) Please provide the first cheque for the first instalment, and fill the SIP

Auto Debit (ECS) facility form for the subsequent instalments andsubmit it together with the Application form and the first cheque.Please note that post dated cheques for SIP investments during

GUIDANCE NOTES TO HELP YOU COMPLETE THE APPLICATION FORMS(Contd..)

the NFO shall not be accepted. During the NFO, SIP investmentscan be made only through Electronic Clearing Service facility.

Note 7 - Nomination details :As per SEBI regulations, you can assign a nominee to the investment,to whom the amounts will be payable on death of the sole or all UnitHolders as the case may be. The nomination can be made only byindividuals applying for / holding units on their own behalf singly or

jointly. Non-individuals including society, trust, body corporate, partnershipfirm, Karta of Hindu Undivided Family, holder of Power of Attorneycannot nominate. If the units are held jointly, all joint holders will sign

the nomination form. A minor can be nominated and in that event, thename and address of the guardian of the minor nominee shall beprovided by the Unit Holder. Nomination can also be in favour of theCentral Government, State Government, a local authority, any persondesignated by virtue of his office or a religious or charitable trust.

The Nominee shall not be a trust (other than a religious or charitabletrust), society, body corporate, partnership firm, Karta of Hindu UndividedFamily or a Power of Attorney holder. A non-resident Indian can be aNominee subject to the exchange control regulations in force, from timeto time.

Nomination in respect of the units stands rescinded upon the transferof units. Transfer of units in favour of a Nominee shall be a validdischarge by the asset management company against the legal heir. Thecancellation of nomination can be made only by those individuals whohold units on their own behalf singly or jointly and who made the originalnomination. On cancellation of the nomination, the nomination shallstand rescinded and the asset management company shall not be underany obligation to transfer the units in favour of the Nominee.

Note 8 - Declaration and signatures :a) All signatures should be in English or any Indian language. Thumb

impressions should be from the left hand for males and the right handfor females and in all cases be attested by a Magistrate, Notary Publicor Special Executive Magistrate.

b) If the application form is signed by a Power of Attorney (PoA) holder,the form should be accompanied by a notarised photocopy of thePoA. Alternatively, the original PoA can be submitted, which will bereturned after verification. If the PoA is not received within 30 daysof submitting the application, the application is liable to be rejected.

c) In the case of corporates or any non-Individual investors, a list ofauthorised signatories should be submitted within 7 days of submitting

the application form or of any change in the status of any authorisedsignatory.

Note 9 - List of attachments :In case any attachments are submitted together with the applicationform (please see Accompanying documents in the check list below),please mention the documents in the space provided and also write thetotal number of attachments in the box provided.

CHECKLIST

Please ensure that:

Your name and address is given in full.

All PAN are given (where relevant). Otherwise your application will berejected.

Your bank account details are entered completely and correctly. This ismandatory, if this is not included your application will be rejected.

Your preferred option i.e. whether Growth or Dividend is selected.

Your investment is not less than the minimum investment amount of Rs. 500.

Your application is completed and signed by all applicants.

Cheques are drawn in favour of 'Fidelity Tax Advantage Fund' , dated andsigned.

On the reverse of each cheque submitted write the First Applicant's name andthe Application Form number or Folio number.

You are not resident of USA, Canada, FATF-NCCT, otherwise your applicationwill be rejected.

Status of Sole / First Applicant's for tax purposes is indicated.

Accompanying documentsPlease submit the following documents with your application (where applicable). All documents shouldbe original / true copies certified by a Director / Trustee / Company Secretary / Authorised Signatory.Document s C ompani es So ciet ies Partn ers hi p In ves tment s Trus ts NRI FIIs

Firms through

POAResolution / Authorisation to invest 3 3 3 3 3

List of Authorised Signatories withSpecimen signature(s) 3 3 3 3 3 3

Memorandum & Articles of Association 3

Trust Deed 3

Bye-laws 3

Partnership Deed 3

Overseas Auditors' Certificate 3

Notarised Power of Attorney 3

Foreign Inward Remittance Certificate,in case payment is made by DD fromNRE / FCNR a/c or where applicable 3


7/16

5. PROOF OF IDENTITY(See note 5)

Place of Issue Place of Issue Place of Issue

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 ( )

Sub-Brokers CodeDistributors / Brokers Code

ARN-

DISTRIBUTOR INFORMATION (only empanelled Distributors / Brokers will be permitted to distribute Units)

1. FIRST APPLICANTS PERSONAL DETAILS (See note 1)

Sole / 1st Applicant

Address for Correspondence (in India) (Mandatory for NRI / FII applicants in addition to mailing addres

Pin CodeCity

State

Tel.(Res.)Tel. (Off)/Mobile Fax

Status of Sole / 1st Applicant (Please )

2. JOINT APPLICANTS DETAILS (See note 2)

2nd Applicant

MODE OF HOLDING Single Anyone or Survivor Joint

3. BANK ACCOUNT DETAILS (MANDATORY) (See note 3)

Resident Indian IndividualCompany / Body Corporate

Non Resident Indian IndividualPartnership Firm

TrustBank

AOP / BOISociety

HUFFII

Mutual FundFund of Funds

Others (please specify) ____________________

(ISD/STD) (ISD/STD) (ISD/STD)

Registrars / Bank Serial No.

Overseas Address(P. O. Box Address is not sufficient)

Existing Folio No.

Date of Birth D D M M Y Y Y Y

(Clearing Circle)City

PAN

PostalCodeCity

Country

NRIs residing in USA, Canada or an FATF Non-compliant country / territory cannot

First Name Middle Name Last Name

MICR Code Account Type(Please )

Savings NRE NROCurrent FCNR Others(This is a 9 Digit Number next to your Cheque Number)

Guardian (if Sole / 1st Applicant is a Minor) Or Contact Person (For institutional applications) First Name Middle Name Last Name

ACKNOWLEDGEMENT SLIPTo be filled by the Applicant

Please read Guidance Notescarefully and complete all

sections in BLOCK CAPITALS

MAIN APPLICATION FORMPlease do not use this form for SIP Investments

Acknowledgement Stamp

an application for Purchase of Units of Fidelity TaxAdvantage Fund alongwith

Cheque / DD No.

Received from Mr./Ms.

For Rs.

Please refer to the Key Information Memorandum for details of Entry and Exit Loads. All purchases are subject to realisation of cheques.

Total No. of Attachments

Email ID

3rd Applicant

Name of Bank

Branch

A/c. No.

If you have an existing folio no. Please mention the number alongsideand skip to section 6.

If the Sole / 1st Applicant is a minor, please tick here ( )and state the Guardians PAN no. alongside.



PAN If the 2nd Applicant is a minor, please tick here ( )and state the Guardians PAN no. alongside.

Guardian(If 2nd Applicant is minor)



PAN

4. SERVICESI would like to receive statements by email rather than by post(Please )I would like to receive a PIN form to view this account on the internet(Please )

(See note 4)

Guardian(If 3rd Applicant is minor)

See note 1(f)

If the 3rd Applicant is a minor, please tick here ( )and state the Guardians PAN no. alongside.

See note 1(f)

See note 1(f)

App. No.

App. No.



New Fund Offer Opens : January 05, 2006New Fund Offer Closes : January 31, 2006Scheme re-opens for Purchases: March 01, 2006

Passport No. Driving License No. Voter ID No.Passport Driving License Voter ID Card

NJ IndiaInvest Pvt Ltd ARN 0155

9285


8/16

8. DECLARATION AND SIGNATURES

6. INVESTMENT DETAILS

Bank Branch CityDrawn on

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 andImportant Note on Anti Money Laundering and Know-Your-Customer. I / We hereby apply for allotment / purchase of Units in the Scheme indicated above andagree toabideby thetermsand conditionsapplicable thereto.

Fidelity Mutual Fund Fidelity Mutual Fundsbank(s)and / or Distributor/ Broker/ InvestmentAdviser

I / Weherebydeclare that I / Weam / areauthorised to make this investment inthe above-mentionedScheme 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 anycontravention or evasion of anyAct,Rules, Regulations, Notificationsor Directionsissued by anyregulatoryauthority in India.I / We hereby authorise , its Investment Manager and its agents to disclose details of my investment to my bank(s) /

.I / Wehave neither received norbeen induced by anyrebateor gifts,directlyor indirectly, in makingthis investment.I / We declare that theinformationgivenin thisapplicationformis correct, complete andtruly stated.* I/ WeconfirmthatI am/ weare Non-Resident(s)of IndianNationality / OriginandthatI / Wehaveremittedfundsfromabroad through approvedbankingchannels or from funds in my / our NRE / FCNR Account. I/We undertake that all additional purchases made under this folio will also be from fundsreceivedfrom abroad throughapprovedbankingchannelsor fromfunds inmy / ourNRE / FCNRAccount.

(See note 6)

(See note 8)

Dated

3rd ApplicantSole / 1st Applicant 2nd Applicant

(OPTIONAL, PLEASECROSS OUTTHISSECTIONIF YOUDO NOT INTEND TONOMINATE)(See note 7)

Name and Address of Nominee

Name

Address

Nameof Guardian Addressof Guardian

Signatureof Guardian(Mandatory)

To be furnished in case Nominee is a Minor (strike out if not applicable)

Date of Birth (in case Nominee is a minor)DD MM YYYY

DD MM

email : [email protected]

ALL ApplicantsMUST SIGN HERE (Please refer to the guidance notes / checklist and ensure that all relevant sections are completed)SIGNATURE(S)

X

YYYY

Option (Please )

Growth Dividend Reinves tmentOR

X X

Investment Amount DD Charges (if applicable) Net Amount (Cheque / DD Amount)Rs. (Minimum Rs. 500) Rs. Rs.

Cheque / Demand Draft / ____________ Mode of Payment

(Strike off whichever is not applicable)

Instrument No. dated DD MM YYYY

A B A Bminus

FIDELITY INVESTOR SERVICE CENTRES

CAMS INVESTOR SERVICE CENTRES (ISCs)

a l o k

g r a p h

i c s If you have any queries with regard to completing this form, call Fidelity on (toll-free)

or (at long distance call rates). Lines are open from 9 am to 6 pm on all business days.1600 180 8000

0124 254 2022

Name of Applicant(s)I / Wedo 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

dischargeby theAMC /Mutual Fund /Trustees.

web : www.fidelity.co.in

Type of Bank Account (Please )Current Savings

NRE * NRO FCNR *

Foreign Inward Remittance *NRE * FCNR *

Foreign Inward Remittance *

Foreign Inward RemittanceNon Resident Rupee AccountFII

Resident

NRI : Non Repatriation basis

NRI : Repatriation basis

Ahmedabad : Bangalore :Chennai : Gurgaon :

Kolkata : Mumbai :Pune :

301,RaindropsBuilding,Opp. Cargo Motors, C.G. Road, Ellis Bridge,Ahmedabad 380 006. Unit402, 4th Floor, H.M.GenevaHouse, CunninghamRoad, Bangalore 560 052. Old No. 90, New No. 104, Ganesha Towers, Dr. Radhakrishnan Salai, Mylapore, Chennai 600 004. Unitech Business Park,TowerB, South CityPhase1, Gurgaon 122 001. 408, 4th Floor,AzimganjHouse,7 Camac Street,Kolkata700017 57, 5th Floor, Maker ChambersVI,220,Nariman Point,Mumbai 400021. UnitNo. 406,4th Floor,NucleusMall,1,Church Road,Camp,Pune -411001.

7. NOMINATION DETAILS


X X X

SIGNATURE(S)

(Please mention below the documents attached alongwith the form)9. LIST OF ATTACHMENTSTotal Number of attachments

To befilled in byapplicant

Office toverify thesaid Nos.

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

(See note 9)

Dividend PayoutOR

Cheque should be made in favour of the Scheme

FIDELITY TAX ADVANTAGE FUND

ALL ApplicantsMUST SIGN HERE


9/16


10/16

8. DECLARATION AND SIGNATURES (See note 8)

Dated


DD MMALL ApplicantsMUST SIGN HERE (Please refer to the guidance notes and ensure that all relevant sections are completed)SIGNATURE(S)

X

YYYY

X X

a l o k

g r a p h

i c s

No. of Instalments

min. 6 (incl. 1stinstalment)

SIP Frequency Monthly(Please one)

Option (Please )

Dividend Payout

(See note 7)

Name and Address of Nominee

Name Address

Nameof Guardian Addressof Guardian

Signatureof Guardian(Mandatory)

To be furnished in case Nominee is a Minor (strike out if not applicable)

Date of Birth (in case Nominee is a minor)DD MM YYYY

Name of Applicant(s)I / We

email : [email protected] web : www.fidelity.co.in

FIDELITY INVESTOR SERVICE CENTRES

CAMS INVESTOR SERVICE CENTRES (ISCs)

6. INVESTMENT DETAILS (See note 6)

Growth Dividend ReinvestmentOR

doherebynominate theundermentionedNomineeto receivethe Unitsallottedto my/ ourcredit against this application / inmy folio inthe event ofmy / ourdeath. I /We also understand that all payments and settlements made to such Nominee and Signature of the Nominee acknowledging receipt thereof, shall be a validdischargeby theAMC /Mutual Fund /Trustees.

(OPTIONAL,PLEASE CROSS OUTTHIS SECTIONIF YOUDO NOTINTEND TONOMINATE)7. NOMINATION DETAILS


X X X

SIGNATURE(S)

Drawn on Bank Branch City

SIP available only through SIP Auto Debit (ECS) FacilityPlease attach a cheque for the 1st instalment, and the SIP Auto Debit (ECS) Facility Form for subsequent instalments

D D M M Y Y Y YFirst Cheque No.

Type of Bank Account (Please )Resident

NRI : Non Repatriation basis

NRI : Repatriation basis

FII

Current Savings

NRE NRO FCNR Foreign Inward Remittance

NRE FCNR Fore ign Inward Remittance

Non Resident Rupee Account Foreign Inward Remittance

* * *

* * *

Checklist for SIP l

l

l

l

All instalments of equal amount,

Each instalment - MinimumRs. 500 or in multiples of Rs. 500

Minimum instalments - 6

Sum total of all instalments -Minimum Rs. 3000

Dated InstalmentFirst SIP Instalment Cheque No.

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 andImportant Note on Anti Money Laundering and Know-Your-Customer. I / We hereby apply for allotment / purchase of Units in the Scheme indicated above andagree toabideby thetermsand conditionsapplicable thereto.

Fidelity Mutual Fund Fidelity Mutual Fundsbank(s)and / or Distributor/ Broker/ InvestmentAdviser

I / Weherebydeclare that I / Weam / areauthorised to make this investment inthe above-mentionedScheme 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 anycontravention or evasion of anyAct,Rules, Regulations, Notificationsor Directionsissued by anyregulatoryauthority in India.I / We hereby authorise , its Investment Manager and its agents to disclose details of my investment to my bank(s) /

.I / Wehave neither received norbeen induced by anyrebateor gifts,directlyor indirectly, in makingthis investment.I / We declare that theinformationgivenin thisapplicationformis correct, complete andtruly stated.* I/ WeconfirmthatI am/ weare Non-Resident(s)of IndianNationality / OriginandthatI / Wehaveremittedfundsfromabroad through approvedbankingchannels or from funds in my / our NRE / FCNR Account. I/We undertake that all additional purchases made under this folio will also be from fundsreceivedfrom abroad throughapprovedbankingchannelsor fromfunds inmy / ourNRE / FCNRAccount.

Instalment Dates 1st10th

or From To(Please one)

MM YYYY MM YYYY

(Please mention below the documents attached alongwith the form)9. LIST OF ATTACHMENTS

QuarterlyYearly

(See note 9)Total No. of attachments

No. to befilled in byapplicant

Office toverify thesaid Nos.

OR


FIDELITY TAX ADVANTAGE FUND

ALL ApplicantsMUST SIGN HERE

If you have any queries with regard to completing this form, call Fidelity on (toll-free)or (at long distance call rates). Lines are open from 9 am to 6 pm on all business days.

1600 180 80000124 254 2022

Ahmedabad : Bangalore :Chennai : Gurgaon :

Kolkata : Mumbai :Pune :

301,RaindropsBuilding,Opp. Cargo Motors, C.G. Road, Ellis Bridge,Ahmedabad 380 006. Unit402, 4th Floor, H.M.GenevaHouse, CunninghamRoad, Bangalore 560 052. Old No. 90, New No. 104, Ganesha Towers, Dr. Radhakrishnan Salai, Mylapore, Chennai 600 004. Unitech Business Park,TowerB, South CityPhase1, Gurgaon 122 001. 408, 4th Floor,AzimganjHouse,7 Camac Street,Kolkata700017 57, 5th Floor, Maker ChambersVI,220,Nariman Point,Mumbai 400021. UnitNo. 406,4th Floor,NucleusMall,1,Church Road,Camp,Pune -411001.

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


11/16

SIP INVESTMENT DETAILS


FIDELITY TAX ADVANTAGE FUNDOption (Please ) Growth Dividend Reinvestment Dividend PayoutOR

Please read Instructions and Terms & Conditions overleaf carefullyand complete all sections in BLOCK CAPITALS

SIP AUTO DEBIT (ECS) FACILITY FORM

SOLE / 1stAPPLICANT First Name Middle Name Last Name

Each SIP Amount (Rs.)

M M Y Y Y Y

(Min. Rs. 500)

SIP Period From M M Y Y Y YTo

SIP Date (Please )4

SIP Frequency (Please )4

First SIP Instalment Cheque No. D D M M Y Y Y YDated

ECS DEBIT BANK ACCOUNT DETAILS (MANDATORY)

Name of the Bank

(This is a 9 Digit Number next to your Cheque Number)

Branch & City

Account Number

Branch City

MICR Code (Mandatory)

3rd Account Holder Sole / 1st Account Holder 2nd Account Holder

SIGNATURE(S)

X X X

(To be signed by all holders if mode of operation is joint) (As in Bank Records)

Authorisation of the Bank Account Holder

Folio No.SIP Application No.

(Application to be furnished with a gap of at least 60 days betweenthe date of closing of NFO and date of first instalment through ECS)

Name of the Account Holder asin Bank Records


SOLE / 1st APPLICANTS DETAILS

Ne w Reg is tratio n Chan ge in Ban k A cco unt

Account Type(Please )

Savings NRE NROCurrent FCNR Others

Scheme

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

Scheme Code Credit Account Number

This is toinform that I / Wehave registered forthe RBIsElectronicClearingService(Debit Clearing)and that my/ ourpaymenttowardsmy / our investment in Fidelity Mutual Fund shall be made from my / our below mentioned bank account with your bank. I / We authorise therepresentativecarryingthis ECSmandateForm to getit verified & executed.

DECLARATIONI / We hereby authorise Fidelity Mutual Fund and their authorised service provider (TechProcess Solutions Ltd.), to debit the following bankaccount by ECS Debit Clearing for collection of SIP payments. I / We understand that the information provided by me / us may be shared withthirdpartiesfor facilitating transaction processingfor theauto debitprocessor forcompliancewith any legalor regulatoryrequirements.

3rd ApplicantSole / 1st Applicant 2nd ApplicantX X X

(See Instruction 1)

(See Instruction 3)

Checklist for SIP l

l

l

l

All instalments of equal amount,

Each instalment - MinimumRs. 500 or in multiples of Rs. 500Minimum instalments - 6Sum total of all instalments -Minimum Rs. 3000

1st

Monthly

10th

Quarterly Yearly

(See Instruction 2)

OR



12/16 a l o k

g r a p

h i c s

List of Cities currently offering SIP Auto Debit Facility via ECS (Debit Clearing)

TERMS AND CONDITIONS FOR SIP WITH AUTO DEBIT FACILITY1. THIS FORM IS TO BE READ IN CONJUNCTION WITH TERMS AND CONDITIONS FOR SIP MENTIONED IN THE GUIDANCE NOTES TO THE KEY

INFORMATION MEMORANDUMCONTAINING SIPAPPLICATIONFORM.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 FidelityMutual Fund /FidelityFundManagementPrivateLimitedand nopriornoticeof suchchangeis requiredto begiven.

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 samefacility againtake careof thefollowing:-

(a)Additionalinvestments in thesame folioshouldbe fromthe samebank account as thepreviousSIPAuto DebitBankAccount.(b)You cannotmakean additional investmentin thesamefolio,in thesamescheme/ optionandon thesameduedate.Thefollowingexamplewill makethis clear:

Folio No.: 12345/67SIP due date : 1stScheme : Fidelity Tax Advantage FundOption : Growth Option :Bank a/c number : 56789Bank Name: ABC BankBank 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 localMICR / ECSClearing.

5. Applicants arerequired togiveat least30 daysnoticein writing forcancellationof SIPAutoDebit Facility/ changein bank account.6. If the applicant has left any or all the following fields blank in the SIPAuto Debit (ECS) Facility Form under the heading "SIPInvestment Details" , the application

shallbe treated asunder:

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 least60 days between the NFO closure date and the date of first instalment through ECS

Frequency Quarterly

7. If anyof theSIP investment details areleft blank in eitherthe SIPapplication form or theSIPAutoDebit(ECS)Facility Form,the information provided in eitherof theforms willprevail.In theevent of a discrepancyin SIPinvestment detailsbetween SIPApplicationForm andSIPAuto Debit(ECS)FacilityForm, theinvestmentdetails as entered in SIPApplication Formshall prevail.

8. Terms andconditionslaiddownby Reserve Bank ofIndiaforECSfacilityshall applyoverand abovethe termsand conditionsspecified 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 theapplicantbank accountis debited in advance.

10. FidelityMutual Fund/ Fidelity FundManagement Private Limited reserves theright notto re-presentany mandate forSIPAuto Debitfacilityif theregistration couldnotbe effectedin timefor reasonbeyondcontrol.

11. Pleasereferto theOffer Documentfor ApplicableNAV, riskfactors,load structureand otherinformation.

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

Field Left Blank Action

Folio No.: 12345/67 Folio No.: 12345/67SIP due date : SIP due date : 1stScheme : Fidelity Tax Advantage Fund Scheme : Fidelity Tax Advantage Fund

Growth Option : GrowthBank a/c number : 56789 Bank a/c number : 56789Bank Name: ABC Bank Bank Name: ABC BankBank Branch: Andheri (E) Bank Branch: Andheri (E)

Folio No.: 12345/67 Folio No.: 12345/67SIP due date : 1st SIP due date : 1stScheme : Fidelity Tax Advantage Fund Scheme : Fidelity Tax Advantage FundOption : Option : GrowthBank a/c number : 56789 Bank a/c number :

Bank Name: ABC Bank Bank Name: ABC BankBank Branch: Andheri (E) Bank Branch: Andheri (E)

Folio No.: 12345/67SIP due date : 1stScheme : Fidelity Tax Advantage FundOption : GrowthBank a/c number : 56789Bank Name:Bank Branch: Andheri (E)

10th

Dividend45678

XYZ Bank

1. a. PleasementiontheSIPApplicationFormnumber inthe spaceprovidedandif youhavea foliono,pleasementionthefoliono.in thespace provided.

2. a. IntheSIPInvestmentDetailscolumn,the applicantshouldmentionthe period( Fromand To ),frequency, amountanddateof SIP.b. Thefirst chequetowardsSIPinvestmentshouldbe fromthe same bank accountas providedby theapplicantforSIPAutoDebitfacility.

3. Under theECSDebitBankAccountDetailscolumn,nameand bank account details ofthe personwhoseaccount isto bedebited shallbe mentioned. This personmaynot bethe sole / 1stapplicant asmentioned inSIPInvestment Details column. Foreg ;A maybe thesole/ 1stapplicant buthisfirstinvestmentchequeforSIPmighthavebeenfromthebank account ofB. Insucha case,detailsof B shallbe mentionedin BankAccountDetailscolumn.

4. Thefollowingdocuments mustbe submitted,bothbynew applicants inNFOand existingunitholdersapplyingin NFO.(i) SIPApplication Form(completein allrespectsfor newapplicants)(ii) SIPApplication Form(with FolioNo. onlyto be mentionedby existing unitholders)(iii) SIPAuto Debit(ECS)Facilityform(iv) Firstchequetowards SIPinvestment(v) Photocopyof a cancelledcheque leaf ofthe bank accountdetailsmentionedunderthe heading "ECS DebitBankAccountDetails" inthe SIPAutoDebit(ECS)

FacilityForm if itis differentfrom thebank accountdetails of thecheque issuedfor SIPinvestment.

b. Pleasementionthenameof thesole/ 1stapplicantas appearingin theSIPApplicationForminthe spaceprovided.

Theremust bea gapof atleast60 days between thedateof closureof NFOandthe date offirstinstalmentthroughECS.Forapplicants inNFO,therefore,the firstinstalmentdatesforSIPAutoDebit(ECS)shallbeas under:

1stApril,2006for1stdatedSIP 10thApril, 2006 for10thdated SIP l l

INSTRUCTIONS FOR FILLING UP THE SIP AUTO DEBIT (ECS) FACILITY FORM

l l l l l l l l l

l l l l l l l l l l

l l l l l l l l

Ahmedabad Bangalore Baroda Bhopal Bhubaneshwar Chandigarh Chennai Coimbatore GuwahatiHyderabad Indore Jaipur Kanpur Kolkata Lucknow Ludhiana Madurai Mumbai Nagpur

New Delhi Panjim Pune Surat Trichy Trivandrum Vijaywada Vizag


13/16

Form No. 60

(1) Full name and address of the declarant

[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 makespayment in cash in respect of transaction specified in clauses (a) to (h) of rule 114B

(2) Particulars of transaction

(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

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 showingresidential address

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

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

Investment in Mutual Fund Units of Fidelity Mutual Fund


14/16

T hi s p a ge i s i n t en t i on a l ly l e f t b la nk


15/16

Form No. 60

(1) Full name and address of the declarant

[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 makespayment in cash in respect of transaction specified in clauses (a) to (h) of rule 114B

(2) Particulars of transaction

(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

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 showingresidential address

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

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

Investment in Mutual Fund Units of Fidelity Mutual Fund


16/16

T hi s p a ge i s i n t en t i on a l ly l e f t b la nk