registration cancellation of nominee

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 NOMINATION FORM (For use only by Individual Unit Holders for regist ering a Nominee or cancelling an existing Nomination) Details to be lled in English, in black / dark-coloured ink and in BLOCK CAPITALS. Please strike out any sections not required. Reliance Capital Asset Management Limited A Reliance Capital Company Folio No. Date of Birth (in case Nominee is a minor) Name and Address of 1st Nomineee Name Address Allocation %  D D M M Y Y Y Y City Pin Code State Country Name and Address of 2nd Nomineee Name Address Allocation %  D D M M Y Y Y Y City Pin Code State Country Name and Address of 3rd Nomineee Name Address Allocation %  D D M M Y Y Y Y City Pin Code State Country do hereby cancel the nomination made by me / us in favour of the under mentioned in respect of Units held by me / us the above referred F olio Date of Birth (in case Nominee is a minor) Date of Birth (in case Nominee is a minor) Guardian details to be furnished in case Nominee is a Minor (strike out if not applicable) Name Address Signature of Guardian (Mandatory) ________________ City Pin Code State Country Guardian details to be furnished in case Nominee is a Minor (strike out if not applicable) Name Address Signature of Guardian (Mandatory) ________________ City Pin Code State Country Guardian details to be furnished in case Nominee is a Minor (strike out if not applicable) Name Address Signature of Guardian (Mandatory) ________________ City Pin Code State Country I / We 1. REGISTRATION OF NOMINATION DETAILS (Please strike out if your request is not for registr ation of Nominee) do hereby nominate the undermentione d Nominee to receive the Units allotted to my / our credit in my folio in the event of my / our death. I / We also understand that all pay- ments and settlements made to such Nominee and Signature of the Nominee aknowledging receipt thereof, shall be a valid discharge by the AMC / Mutual Fund / T rustees. This instruction supercedes all previous nominations made by me in respect of the Folio indicated above. (If the mode of holding is sin gle & the existing nomination(s) is cancelled without any further nomination, it shall be construed as a deemed consent of that investor for not having any nominee in the existing folio.) 2. CANCELLATION OF NOMINATION (Please strike out if your request is not for cancellation of Nomination)  Sole/First Unit Holder Second/J oint Unit Holder Third/Joi nt Unit Holder N a m e o f 1 s t U n i t H o l d e r N a m e o f 1 s t U n i t H o l d e r N a m e o f 2 n d U n i t H o l d e r N a m e o f 2 n d U n i t H o l d e r N a m e o f 3 r d U n i t H o l d e r N a m e o f 3 r d U n i t H o l d e r Nominee 1  N a m e o f N o m i n e e Guardian Name Guardian Name Guardian Name I n c a s e N o m i n e e is M i n o r I n c a s e N o m i n e e is M i n o r I n c a s e N o m i n e e is M i n o r Nominee 2  N a m e o f N o m i n e e Nominee 3  N a m e o f   N o m i n e e  D D M M Y Y Y Y Date 3. UNIT HOLDER(S) SIGNATURE(S) (MANDATORY) (ALL UNIT HOLDERS must sign here) Received from _________________________ ____, ____________________________ __ & ______________ an application for  Registration of Nominee Cancellation of Nominee in Folio no. _____________. ACKNOWLEDGEMENT 1st Applicant 2nd Applicant 3rd Applicant    N   o   m    i   n   a   t    i   o   n    F   o   r   m     /    2    9   t    h    M   a   y    2    0    1    3    /    V   e   r    1  .    0

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  • NOMINATION FORM(For use only by Individual Unit Holders for registering a Nominee or cancelling an existing Nomination)

    Details to be filled in English, in black / dark-coloured ink and in BLOCK CAPITALS. Please strike out any sections not required.

    Reliance Capital Asset Management LimitedA Reliance Capital Company

    Folio No.

    Date of Birth(in case Nominee is a minor)

    Name and Address of 1st NomineeeName

    Address

    Allocation %

    D D M M Y Y Y Y

    City Pin Code

    State Country

    Name and Address of 2nd NomineeeName

    Address

    Allocation %

    D D M M Y Y Y Y

    City Pin Code

    State Country

    Name and Address of 3rd NomineeeName

    Address

    Allocation %

    D D M M Y Y Y Y

    City Pin Code

    State Country

    do hereby cancel the nomination made by me / us in favour of the under mentioned in respect of Units held by me / us the above referred Folio

    Date of Birth(in case Nominee is a minor)

    Date of Birth(in case Nominee is a minor)

    Guardian details to be furnished in case Nominee is a Minor (strike out if not applicable)Name

    Address

    Signature ofGuardian(Mandatory) ________________

    City Pin Code

    State Country

    Guardian details to be furnished in case Nominee is a Minor (strike out if not applicable)Name

    Address

    Signature ofGuardian(Mandatory) ________________

    City Pin Code

    State Country

    Guardian details to be furnished in case Nominee is a Minor (strike out if not applicable)Name

    Address

    Signature ofGuardian(Mandatory) ________________

    City Pin Code

    State Country

    I / We

    1. REGISTRATION OF NOMINATION DETAILS (Please strike out if your request is not for registration of Nominee)

    do hereby nominate the undermentioned Nominee to receive the Units allotted to my / our credit in my folio in the event of my / our death. I / We also understand that all pay-ments and settlements made to such Nominee and Signature of the Nominee aknowledging receipt thereof, shall be a valid discharge by the AMC / Mutual Fund / Trustees. This instruction supercedes all previous nominations made by me in respect of the Folio indicated above.

    (If the mode of holding is single & the existing nomination(s) is cancelled without any further nomination, it shall be construed as a deemed consent of that investor for not having any nominee in the existing folio.)

    2. CANCELLATION OF NOMINATION (Please strike out if your request is not for cancellation of Nomination)

    Sole/First Unit Holder Second/Joint Unit Holder Third/Joint Unit Holder

    N a m e o f 1 s t U n i t H o l d e r

    N a m e o f 1 s t U n i t H o l d e r

    N a m e o f 2 n d U n i t H o l d e r

    N a m e o f 2 n d U n i t H o l d e r

    N a m e o f 3 r d U n i t H o l d e r

    N a m e o f 3 r d U n i t H o l d e r

    Nominee 1 N a m e o f N o m i n e e Guardian Name

    Guardian Name

    Guardian Name

    I n c a s e N o m i n e e is M i n o r

    I n c a s e N o m i n e e is M i n o r

    I n c a s e N o m i n e e is M i n o r

    Nominee 2 N a m e o f N o m i n e e

    Nominee 3 N a m e o f N o m i n e e

    D D M M Y Y Y YDate

    3. UNIT HOLDER(S) SIGNATURE(S) (MANDATORY)(ALL UNIT HOLDERS must sign here)

    Received from _____________________________, ______________________________ & ____________________________ an application for

    Registration of Nominee Cancellation of Nominee in Folio no. ___________________________.

    Acknowledgement

    1st Applicant 2nd Applicant 3rd Applicant

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  • As per SEBI regulation, you can assign a nominee to the invest-ment, to whome the amounts will be payable on death of the sole or all Unit Holders as the case may be.

    A) The nomination can be made only by individuals applying for/holding units on their own behalf singly or jointly. Non-individuals including society, trust, body corporate, partner-ship firm, Karta of HUF, holder of POA cannot nominate.

    B) A minor can be nominated and in that event, the name and address of the guardian of the minor nominee shall be provided by the Unit Holder. Nomination can also be in fa-vour of the Central Government, State Government, a local authority, any person designated by virtue of his office or a religious or charitable trust.

    C) The Nominee shall not be a trust (other than a religious or charitable trust), society, body corporate, partnership firm, Karta of Hindu Undividend Family or a Power of Attorney holder. Anon-resident Indian can be a Nominee subject to the exchange control regulations in force, from time to time.

    D) Nomination in respect of the stands rescinded upon the transfer of units.

    E) Transfer of units in favour of a Nominee shall be valid dis-charge by the AMC against the legal heir.

    INSTRUCTIONS

    F) The cancellation of nomination can be made only by those individuals who hold units on their own behalf singly or jointly and who made the original nomination. On cancella-tion of the nomination, the nomination shall stand rescinded and the asset management company shall not be under any obligation to transfer the units in favour of the Nominee.

    G) The maximum number of nominees shall be limited to 3 (three)

    H) In the event of the Unitholders not indicating the percent-age of allocation/share for each of the nominees, the AMCs, by invoking default option shall settle the claim equally amongst all the nominees.

    I) Nomination is mandatory for folios opened by individuals with single mode of holding.

    J) Where a folio has joint holders, all joint holders should sign the request for Nomination/cancellation of nomination, even if the mode of holding is not joint

    K) Power of Attorney (POA) holder cannot sign the Nomination form.

    L) Nomination is not allowed in a folio held on behalf of a minor.

    M) Nomination is maintained at the Folio level and not at the Scheme level.

    11th floor & 12th floor, One Indiabulls Centre, Tower 1, Jupiter Mills Compound,841, Senapati Bapat Marg, Elphinstone Road, Mumbai - 400 013.Tollfree: 1800-300-11111 | www.reliancemutual.com

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