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Application Form for Debt Schemes
APPLICATION FORM No.
Principal Pnb Asset Management Company Private Limited Investment Manager for Principal Mutual Fund BROKER INFORMATION & APPLICATION RECEIPT DATE (Not to be filled in by the Applicant) Broker Name & Code
Sub-Broker Code
Registrar Serial No.
Bank Serial No.
Date & Time Receipt
ARN 0155
NJ India Invest
EXISTING UNITHOLDERS DETAILS (Please fill in your Common Account No. & First Unitholder’s Name) Common Account No.
First Unitholder’s Name
NEW APPLICANT INFORMATION (Please fill-up entire form in CAPITAL LETTERS & black/blue ink) Status of First Applicant
Occupation of 1st Applicant / Guardian
- Resident Individual
- Partnership Firm
- AOP
- BOI
- Business
- Minor
- Body Corporate
- Society/Club
- Others
- Service
- HUF
- Trust
- Company
Please specify..................
If Applicant is a Non-Resident - NRI (Repatriable)
- FII (Repatriable)
- Retired
- NRI Minor (Repatriable)
- NRI (Non Repatriable)
- Agriculture
- NRI Minor (Non Repatriable)
- House wife
Mode of Holding - Single
- Jointly
- Profession
- Student
- Either / Anyone or Survivor
- Others
Name of Sole/First Applicant/Minor/Karta of HUF/Non Individual/Donee
Date of Birth (dd/mm/yyyy) /
/
Name of Guardian (In case of minor)
Name of Alternate Guardian (In case of minor)
Name of Contact Person (In case of Body Corporate/Company/Society/FII/Trust/AOP/BOI etc)
Address of Sole/First Applicant (Local Indian address only)
City: Telephone: STD Code: Mobile:
Pin:
Dist: Off.: Email Address:
Send me a pin for Internet services - Yes / - No
State: Fax:
Res.:
Name of Second Applicant / Joint Holder (Only for Resident Individual & NRI)
Date of Birth (dd/mm/yyyy)
Name of Third Applicant / Joint Holder (Only for Resident Individual & NRI)
Date of Birth (dd/mm/yyyy)
/
/ Pan No. Sole / First Applicant Second Applicant Third Applicant
PAN No/s. (Mandatory for investments fo Rs. 50,000/- and above) Circle/Ward/District PAN Card enclosed - Yes / - No - Yes / - No - Yes / - No
/
/
Form 60/61 enclosed - Yes / - Yes / - Yes /
MAPIN / UIN No. - No - No - No
FOREIGN ADDRESS DETAILS (In case the 1st Applicant is NRI / FII)
City: Telephone: STD Code: Mobile:
Zipcode: Off.: Email Address:
State: Res.:
Country: Fax:
ACKNOWLEDGEMENT SLIP (To be filled in by the investor)
Principal Pnb Asset Management Company Private Ltd. Investment Managers for Principal Mutual Fund Apeejay House, 5th Floor, 3 Dinshaw Vaccha Road, Churchgate, Mumbai 400 020. Tel: (91-22) 2202 1111. Fax: (91-22) 2204 4990. Website: www.principalindia.com E-mail:
[email protected]
Application Form for Debt Schemes APPLICATION FORM No.
Received from : Cheque/DD No. Drawn on Bank & Branch :
DD MM YYYY Dated: ______/______/___________
Signature, Stamp & Date
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NOMINATION
SIP / SWP / SSTP
Nomination form is enclosed: Yes (Please fill up the form on Page No. 25 )
No
SIP / SWP / SSTP form is enclosed: Yes (Please fill up the form on Page No. 26 )
No
BANK ACCOUNT DETAILS (It is mandatory to furnish these otherwise your application may be rejected) Account No. Bank Name Branch Name City Name Pin 9 digit MICR code of Bank Branch
Bank Account Type - Savings - Current - NRO - NRE - FCNR - NRSR as appearing next to the MICR No. issued by the bank
INVESTMENT & PAYMENT DETAILS INVESTMENT DETAILS Scheme / Plans Principal Income Fund Regular Plan Principal Income Fund - Short Term Plan Regular Plan Institutional Plan Principal Floating Rate Fund Short Maturity Plan Regular Plan Institutional Plan Flexible Maturity Plan Regular Plan Institutional Plan Principal Monthly Income Plan MIP MIP Plus Principal Cash Management Fund Liquid Option Regular Plan Institutional Plan Institutional Premium Plan Principal Government Securities Fund Savings Plan Principal Government Securities Fund Investment Plan Principal Government Securities Fund Provident Fund Plan
Plan / Option (Please ) Dividend Growth - Accumulation Growth - Auto Earnings Payout Dividend Growth Dividend
Growth
Dividend
Growth
Dividend Frequency (Please ) Quarterly Half Yearly Annual Weekly Fortnightly Monthly
Dividend Distribution Option (Please ) Reinvest Payout Sweep Reinvest Payout Sweep
Daily Weekly Monthly Weekly Monthly
Reinvest
Payout
Reinvest
Payout
Dividend Growth - Accumulation Growth - Auto Earnings Payout
Monthly
Reinvest Sweep
Payout
Dividend
Daily Weekly Monthly
Reinvest Sweep
Payout
Reinvest Sweep Reinvest Sweep Reinvest Sweep
Payout
Growth
Dividend Growth - Accumulation Growth - Auto Earnings Payout Dividend Growth - Accumulation Growth - Auto Earnings Payout Dividend Growth - Accumulation Growth - Auto Earnings Payout Annual NAV Rebalancing Option
Quarterly
Quarterly Half Yearly Annual Half Yearly Annual
Amount (Rs.)
Payout Payout
Gross Amount Invested (Rs. In Figures) Less: Bank Charges (Rs. In Figures) Net Amount (Rs. In Figures) PAYMENT - Cheque - D.D. - NRE Drawn on Bank Name Branch Name City name All Cheques / DDs to be drawn in favour of “Principal Mutual Fund”
DETAILS - NRO Cheque / DD No. & Date Cheque Amount (in figures) Cheque Amount (in words)
- FCNR
- NRSR
DECLARATION AND SIGNATURES Name of the 1st Authorised Signatory Name of the 2nd Authorised Signatory Name of the 3rd Authorised Signatory Power of Attorney Registration No.
Signature / Thumb impression of 1st Applicant / Parent / Guardian / P A Holder / Authorised Signatory Signature / Thumb impression of 2nd Applicant / Parent / Guardian / P A Holder / Authorised Signatory Signature / Thumb impression of 3rd Applicant / Parent / Guardian / P A Holder / Authorised Signatory (if registered with the Registrar of the scheme concerned)
WITNESS DETAILS (To be filled in if Application is signed by Thumb Impression) Name of 1st Witness
Name of 2nd Witness
Address of 1st Witness
Address of 2nd Witness
Signature of 1st Witness
Signature of 2nd Witness
ACKNOWLEDGEMENT SLIP (To be filled in by the investor) Scheme Name/Plan/Option
Gross Investment Amount Rs.
TOTAL GROSS AMOUNT LESS BANK CHARGES TOTAL NET AMOUNT Note: All future communications in connection with this application should be addressed to Investor Services Mumbai, quoting full name of the first applicant, the application serial number, the name of the scheme/plan/option, the amount invested under individual schemes or asset allocation, optional feature details, date and place of the Investor Service Centre where application was lodged.
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Application Form for Equity Schemes
APPLICATION FORM No.
Principal Pnb Asset Management Company Private Limited Investment Manager for Principal Mutual Fund BROKER INFORMATION & APPLICATION RECEIPT DATE (Not to be filled in by the Applicant) Broker Name & Code
Sub-Broker Code
Registrar Serial No.
Bank Serial No.
Date & Time Receipt
ARN 0155
NJ India Invest
EXISTING UNITHOLDERS DETAILS (Please fill in your Common Account No. & First Unitholder’s Name) Common Account No.
First Unitholder’s Name
NEW APPLICANT INFORMATION (Please fill-up entire form in CAPITAL LETTERS & black/blue ink) Status of First Applicant - Partnership Firm - AOP - BOI - Body Corporate - Society/Club - Others - Trust - Company Please specify.................. If Applicant is a Non-Resident - NRI (Repatriable) - FII (Repatriable) - NRI Minor (Repatriable) - NRI (Non Repatriable) - NRI Minor (Non Repatriable) Mode of Holding - Single - Jointly - Either / Anyone or Survivor Name of Sole/First Applicant/Minor/Karta of HUF/Non Individual/Donee - Resident Individual - Minor - HUF
Occupation of 1st Applicant / Guardian - Business - Service - Profession - Retired - Agriculture - House wife - Student - Others Date of Birth (dd/mm/yyyy) /
/
Name of Guardian (In case of minor) Name of Alternate Guardian (In case of minor) Name of Contact Person (In case of Body Corporate/Company/Society/FII/Trust/AOP/BOI etc) Address of Sole/First Applicant (Local Indian address only) Send me a pin for Internet services - Yes / - No
City: Pin: Dist: State: Telephone: STD Code: Off.: Res.: Fax: Mobile: Email Address: Name of Second Applicant / Joint Holder (Only for Resident Individual & NRI)
Date of Birth (dd/mm/yyyy) / / Date of Birth (dd/mm/yyyy)
Name of Third Applicant / Joint Holder (Only for Resident Individual & NRI)
/ Pan No. Sole / First Applicant Second Applicant Third Applicant
PAN No/s. (Mandatory for investments fo Rs. 50,000/- and above) Circle/Ward/District PAN Card enclosed - Yes / - No - Yes / - No - Yes / - No
NOMINATION Nomination form is enclosed: Yes (Please fill up the form on Page No. 25 )
/
Form 60/61 enclosed - Yes / - Yes / - Yes /
MAPIN / UIN No. - No - No - No
SIP / SWP / SSTP No
SIP / SWP / SSTP form is enclosed: Yes (Please fill up the form on Page No. 26 )
No
FOREIGN ADDRESS DETAILS (In case the 1st Applicant is NRI / FII) City: Telephone: STD Code: Mobile:
Zipcode: Off.: Email Address:
State:
Country: Fax:
Res.:
BANK ACCOUNT DETAILS (It is mandatory to furnish these otherwise your application may be rejected) Account No. Bank Name Branch Name City Name Pin 9 digit MICR code of Bank Branch
Bank Account Type - Savings - Current - NRO - NRE - FCNR - NRSR as appearing next to the MICR No. issued by the bank
ACKNOWLEDGEMENT SLIP (To be filled in by the investor)
Principal Pnb Asset Management Company Private Ltd.
Application Form for Equity Schemes
Investment Managers for Principal Mutual Fund Apeejay House, 5th Floor, 3 Dinshaw Vaccha Road, Churchgate, Mumbai 400 020. Tel: (91-22) 2202 1111. Fax: (91-22) 2204 4990. Website: www.principalindia.com E-mail:
[email protected]
APPLICATION FORM No.
Received from : Cheque/DD No. Drawn on Bank & Branch :
DD MM YYYY Dated: ______/______/___________
Signature, Stamp & Date
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INVESTMENT & PAYMENT DETAILS INVESTMENT DETAILS Scheme / Plans
Plan / Option (Please )
Dividend Distribution Option (Please )
Principal Growth Fund
Dividend
Growth
Reinvest
Payout
Principal Dividend Yield Fund
Dividend
Growth
Reinvest
Payout
Principal Global Opportunities Fund
Dividend
Growth
Reinvest
Payout
Principal Junior Cap Fund
Dividend
Growth
Reinvest
Payout
Principal Large Cap Fund
Dividend
Growth
Reinvest
Payout
Sweep
Principal Infrastructure & Services Industries Fund
Dividend
Growth
Reinvest
Payout
Sweep
Principal Focussed Advantage Fund
Dividend
Growth
Reinvest
Payout
Principal Index Fund
Dividend
Growth
Reinvest
Payout
Principal Resurgent India Equity Fund
Dividend
Growth
Reinvest
Payout
Principal Equity Fund
Dividend
Growth
Reinvest
Payout
Sweep
Principal Balanced Fund
Dividend
Growth
Reinvest
Payout
Sweep
Amount (Rs.)
Sweep Sweep
Sweep
GROSS AMOUNT (Rs. in figures) LESS BANK CHARGES (Rs. in figures) NET AMOUNT (Rs. in figures) PAYMENT - Cheque - D.D. - NRE Drawn on Bank Name Branch Name City name All Cheques / DDs to be drawn in favour of “Principal Mutual Fund”
DETAILS - NRO Cheque / DD No. & Date Cheque Amount (in figures) Cheque Amount (in words)
- FCNR
- NRSR
PRIMARY BENEFICIARY(S) / NOMINEE(S) Relation
Name of Sole/First Primary Beneficiary: Mr/Ms/Mrs Name of Guardian (in case of Minor): Mr/Ms/Mrs Address of Sole/First Primary Beneficiary: City
Relation of Guardian
Pin
Percentage of Investment Allocation (integer) %
State
Relation
Name of Second Primary Beneficiary: Mr/Ms/Mrs Name of Guardian (in case of Minor): Mr/Ms/Mrs Address of Second Primary Beneficiary: City
Relation of Guardian
Pin
Percentage of Investment Allocation (integer) %
State
Relation
Name of Third Primary Beneficiary: Mr/Ms/Mrs Name of Guardian (in case of Minor): Mr/Ms/Mrs Address of Third Primary Beneficiary: City
Relation of Guardian
Pin
Percentage of Investment Allocation (integer) %
State
DECLARATION AND SIGNATURES Name of the 1st Authorised Signatory Name of the 2nd Authorised Signatory Name of the 3rd Authorised Signatory Power of Attorney Registration No.
Signature / Thumb impression of 1st Applicant / Parent / Guardian / P A Holder / Authorised Signatory Signature / Thumb impression of 2nd Applicant / Parent / Guardian / P A Holder / Authorised Signatory Signature / Thumb impression of 3rd Applicant / Parent / Guardian / P A Holder / Authorised Signatory (if registered with the Registrar of the scheme concerned)
WITNESS DETAILS (To be filled in if Application is signed by Thumb Impression) Name of 1st Witness
Name of 2nd Witness
Address of 1st Witness
Address of 2nd Witness
Signature of 1st Witness
Signature of 2nd Witness
ACKNOWLEDGEMENT SLIP (To be filled in by the investor) Scheme Name/Plan/Option
Gross Investment Amount Rs.
TOTAL GROSS AMOUNT LESS BANK CHARGES TOTAL NET AMOUNT Note: All future communications in connection with this application should be addressed to Investor Services Mumbai, quoting full name of the first applicant, the application serial number, the name of the scheme/plan/option, the amount invested under individual schemes or asset allocation, optional feature details, date and place of the Investor Service Centre where application was lodged.
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Application Form for Other Schemes
APPLICATION FORM No.
Principal Pnb Asset Management Company Private Limited Investment Manager for Principal Mutual Fund BROKER INFORMATION & APPLICATION RECEIPT DATE (Not to be filled in by the Applicant) Broker Name & Code
NJ India Invest
Sub-Broker Code
Registrar Serial No.
Bank Serial No.
Date & Time Receipt
ARN 0155
EXISTING UNITHOLDERS DETAILS (Please fill in your Common Account No. & First Unitholder’s Name) Common Account No.
First Unitholder’s Name
NEW APPLICANT INFORMATION (Please fill-up entire form in CAPITAL LETTERS & black/blue ink) Status of First Applicant - Partnership Firm - AOP - BOI - Body Corporate - Society/Club - Others - Trust - Company Please specify.................. If Applicant is a Non-Resident - NRI (Repatriable) - FII (Repatriable) - NRI Minor (Repatriable) - NRI (Non Repatriable) - NRI Minor (Non Repatriable) Mode of Holding - Single - Jointly - Either / Anyone or Survivor Name of Sole/First Applicant/Minor/Karta of HUF/Non Individual/Donee - Resident Individual - Minor - HUF
Occupation of 1st Applicant / Guardian - Business - Service - Profession - Retired - Agriculture - House wife - Student - Others Date of Birth (dd/mm/yyyy) /
/
Name of Guardian (In case of minor) Name of Alternate Guardian (In case of minor) Name of Contact Person (In case of Body Corporate/Company/Society/FII/Trust/AOP/BOI etc) Address of Sole/First Applicant (Local Indian address only) Send me a pin for Internet services - Yes / - No
City: Pin: Dist: State: Telephone: STD Code: Off.: Res.: Fax: Mobile: Email Address: Name of Second Applicant / Joint Holder (Only for Resident Individual & NRI)
Date of Birth (dd/mm/yyyy) /
Pan No. Sole / First Applicant Second Applicant Third Applicant
PAN No/s. (Mandatory for investments fo Rs. 50,000/- and above) Circle/Ward/District PAN Card enclosed - Yes / - No - Yes / - No - Yes / - No
NOMINATION Nomination form is enclosed: Yes (Please fill up the form on Page No. 25 )
/
Form 60/61 enclosed - Yes / - Yes / - Yes /
MAPIN / UIN No. - No - No - No
SIP / SWP / SSTP No
SIP / SWP / SSTP form is enclosed: (Please fill up the form on Page No. 26)
Yes
No
ASSIGNMENT CLAUSE (To be filled up compulsorily for Insurance Cover only for Principal Tax Savings Fund) I Name of Assignee Mr/Ms/Mrs Address of Assignee
do hereby assign the money payable in the event of my death by The New India Assurance Co. Ltd. to: Date of Birth ______/_____/____________
City Name of Guardian (If Assignee is Minor) I further declare that his/her receipt shall be sufficient discharge to the company Date Place Witness Name Witness Address
Pin
State
Witness Signature
FOREIGN ADDRESS DETAILS (In case the 1st Applicant is NRI / FII) City: Telephone: STD Code: Mobile:
Zipcode: Off.: Email Address:
State: Res.:
Country: Fax:
ACKNOWLEDGEMENT SLIP (To be filled in by the investor)
Principal Pnb Asset Management Company Private Ltd. Investment Managers for Principal Mutual Fund Apeejay House, 5th Floor, 3 Dinshaw Vaccha Road, Churchgate, Mumbai 400 020. Tel: (91-22) 2202 1111. Fax: (91-22) 2204 4990. Website: www.principalindia.com E-mail:
[email protected]
Application Form for Other Schemes APPLICATION FORM No.
Received from : Cheque/DD No. Drawn on Bank & Branch :
DD MM YYYY Dated: ______/______/___________
Signature, Stamp & Date
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BANK ACCOUNT DETAILS (It is mandatory to furnish these otherwise your application may be rejected) Account No. Bank Name Branch Name City Name Pin 9 digit MICR code of Bank Branch
Bank Account Type - Savings - Current - NRO - NRE - FCNR - NRSR as appearing next to the MICR No. issued by the bank
INVESTMENT & PAYMENT DETAILS INVESTMENT DETAILS Plan / Option (Please )
Scheme / Plans
Dividend Distribution Option (Please )
Principal Tax Savings Fund
N.A.
N.A.
Principal Personal Tax Saver Fund
N.A.
N.A.
Plan / Option (Please )
Scheme Principal Child Benefit Fund Super Saver Option
Amount (Rs.)
Target Period (Please )
Career Builder Plan Future Guard Plan
7 Years
10 Years
Amount (Rs.)
15 Years
GROSS AMOUNT (Rs. in figures) LESS BANK CHARGES (Rs. in figures) NET AMOUNT (Rs. in figures) PAYMENT DETAILS - Cheque Drawn on
- D.D.
- NRE
- NRO
- FCNR
Bank Name
Cheque / DD No. & Date
Branch Name City name
Cheque Amount (in figures) Cheque Amount (in words)
- NRSR
All Cheques / DDs to be drawn in favour of “Principal Mutual Fund”
DONOR INFORMATION (To be compulsorily filled only for Principal Child Benefit Fund) (All Capital letters)
Name of Donor Mr/Ms/Mrs
(First Name)
(Middle Name)
MM YYYY DD Date of Birth ______/_____/____________
(Last Name)
Address of Donor City: Telephone: STD Code: Mobile: Status (Please )
Off.: Email Address: Individual
Trust
Pin:
Res.: Others
Fax: NRI –
Repatriable
Non Repatriable
ALTERNATE BENEFICIARY INFORMATION (To be filled only for Principal Child Benefit Fund) Name of Alternate Beneficiary Mr/Ms/Mrs
(All Capital letters) (First Name)
(Middle Name)
(Last Name)
MM YYYY DD Date of Birth ______/_____/____________
Minor’s Relationship
Name of Guardian (in case Alternate Beneficiary is a Minor)
DECLARATION AND SIGNATURES Name of the 1st Authorised Signatory
Signature / Thumb impression of 1st Applicant / Parent / Guardian / P A Holder / Authorised Signatory
Name of the 2nd Authorised Signatory
Signature / Thumb impression of 2nd Applicant / Parent / Guardian / P A Holder / Authorised Signatory
Name of the 3rd Authorised Signatory
Signature / Thumb impression of 3rd Applicant / Parent / Guardian / P A Holder / Authorised Signatory
Power of Attorney Registration No.
(if registered with the Registrar of the scheme concerned)
WITNESS DETAILS (To be filled in if Application is signed by Thumb Impression) Name of 1st Witness
Name of 2nd Witness
Address of 1st Witness
Address of 2nd Witness
Signature of 1st Witness
Signature of 2nd Witness
ACKNOWLEDGEMENT SLIP (To be filled in by the investor) Scheme Name/Plan/Option
Gross Investment Amount Rs.
TOTAL GROSS AMOUNT LESS BANK CHARGES TOTAL NET AMOUNT Note: All future communications in connection with this application should be addressed to Investor Services Mumbai, quoting full name of the first applicant, the application serial number, the name of the scheme/plan/option, the amount invested under individual schemes or asset allocation, optional feature details, date and place of the Investor Service Centre where application was lodged.
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