SIP MODIFICATION FORM Application No.

(Please complete the relevant section legibly in black / dark coloured ink and in BLOCK LETTERS.)

For Office use only

Sub-Broker Code/ LG/ MO/ CRE RIA Code /
Broker Code/ ARN EUIN*
ARN/ Branch Code Code PMRN**
Ref. No.

*I/We hereby confirm that the EUIN box has been intentionally left blank by me/us as this is an “execution-only” transaction without any interaction or advice by the employee/relationship
manager/sales person of the above distributor or notwithstanding the advice of in-appropriateness, if any, provided by the employee/relationship manager/sales person of the distributor and the
distributor has not charged any advisory fees on this transaction.
**By mentioning the RIA Code/ PMRN , I/we hereby give my/our consent to share/provide the transactions data feed / unit holdings in respect of my/our investments under Direct Plan in the Scheme(s)
of Union Mutual Fund with the SEBI Registered Investment Adviser/ SEBI registered Portfolio Managers.
Signature Signature Signature
Sole/ First Applicant/ Guardian/ POA/ Authorised Signatory Second Applicant/ POA/ Authorised Signatory Third Applicant/ POA/ Authorised Signatory
Any upfront commission shall be paid directly by the investor to the AMFI registered distributors based on the investors assessment of various factors including the service rendered by the distributor.
TRANSACTION CHARGES FOR APPLICATIONS THROUGH DISTRIBUTORS ONLY.
I confirm that I am a First time investor across Mutual Funds I confirm that I am an Existing investor in Mutual Funds
In case the subscription amount is ` 10,000/- or more and your Distributor has opted-in to receive Transaction Charges, ` 150/- (for first time mutual fund investor) or ` 100/- (for investor
other than first time mutual fund investor) will be deducted from the subscription amount and paid to the distributor. Units will be issued against the balance amount invested.
1. EXISTING UNIT HOLDER INFORMATION [Please tick (3)] Mr. Ms. M/s. PAN KYC
Folio No. Unitholder's Name
2. EXISTING SIP DETAILS [Please tick (3)]
Scheme/ Plan/ Option Frequency SIP SIP Day Existing SIP Period
SIP Amount Date (MM/YY)
Daily Weekly From M M Y Y
Union D D
Monthly Quarterly To M M Y Y
Daily Weekly From M M Y Y
Union D D
Monthly Quarterly To M M Y Y
Daily Weekly From M M Y Y
Union D D
Monthly Quarterly To M M Y Y

3. NEW/MODIFICATION SIP DETAILS [Please tick (3)] With Change of Bank (Please fill OTM Debit Mandate Form) Without Change of Bank
SIP SIP Day# Enrolment Period (MM/YY) Top-Up Facility
Scheme/ Plan/ Option SIP Amount Frequency#
Date# (Default end Date 09/2053)$ Frequency Amount
Daily Half Yearly
Weekly From M M Y Y Yearly
Union Monthly D D
To M M Y Y SIP Top-Up Cap
Quarterly Amount
Daily Half Yearly
Weekly From M M Y Y Yearly
Union Monthly D D
To M M Y Y SIP Top-Up Cap
Quarterly Amount
Daily Half Yearly
Weekly From M M Y Y Yearly
Union Monthly D D
To M M Y Y SIP Top-Up Cap
Quarterly Amount
#Note: In case the chosen date/day falls on a Non-Business Day or on a date which is not available in a particular month/week, the SIP will be processed on the immediate next Business date/day.
Daily Frequency is available only for Union Flexi Cap Fund. Weekly Frequency is available under all existing schemes except Union Liquid Fund and Union Overnight Fund. Any day between Monday to Friday to be specified
for Daily/Weekly frequency. Incase of any discrepancy “Wednesday” shall be considered as default day for Weekly SIP. Monthly/ Quarterly Frequency: SIP Date to be specified for monthly/quarterly frequency. In case none of
the frequencies have been selected then Monthly frequency shall be treated as the Default frequency, provided the requirement relating to minimum instalment size for monthly frequency is fulfilled. Further, incase of any
discrepancy default SIP date considered shall be 8th of the specified month/ quarter.

Declaration & Signatures (To be signed by ALL UNIT HOLDER if the mode of holding is 'Joint')
I/We hereby agree to have read and understood the SAI, SID, KIM including the provisions with regard to payment of transaction charges. I/We hereby express my/our willingness to make payments towards SIP instalments
as mentioned herein. If the transaction is delayed or not effected for reasons of incomplete/incorrect information, I / we would not hold the user institution responsible. Further, I/we authorize the representative (the bearer of
this request) to get the Mandate herein verified. Mandate verification charges, if any, may be charged to my/our account. The ARN holder has disclosed to me/us all the commissions (in the form of trail commission or any
other mode), payable to him for the different competing Schemes of various Mutual Funds from amongst which the Scheme(s) are being recommended to me/ us. I/ We hereby confirm that Union Mutual Fund / the AMC and
its empanelled broker(s) has not given any indicative portfolio and indicative yield, in any manner whatsoever. I/ We hereby confirm that at the time of investment, I / we have the express authority to invest in units of the
Scheme(s); and Union Mutual Fund / AMC / Trustee will not be responsible if such investment is ultravires the relevant constitution. I / We hereby apply to Union Mutual Fund for SIP Modification under the above mentioned
Scheme(s) and agree to abide by the terms and conditions, rules and regulations applicable. I understand that if my SIP Modification request is submitted later than 30 days prior to the next SIP date and if my next succeeding
SIP purchase falls within this period, the transaction will be processed even though the SIP Modification has been registered. I / We hereby agree that any such transaction processed will be binding upon me/us. I /We will not
hold the AMC/the Trustee Company/ the Mutual Fund / the Sponsor liable for any such transaction.
Applicable to Micro Investments only: I/We do not have any existing Micro Investments which together with the current application will result in aggregate investments exceeding ` 50,000 in a year.
Applicable to NRIs only: I/We confirm that I am / we are Non-Resident(s) of Indian Nationality / Origin and I/we hereby confirm that the funds for subscriptions have been remitted from abroad through normal banking
channels or from fund in my/our Non Resident External / Ordinary account/ FCNR account(s).
Signature Signature Signature

Sole/First Applicant/Guardian/POA/Authorized Signatory Second Applicant/Guardian/POA/Authorized Signatory Third Applicant/Guardian/POA/Authorized Signatory

OTM Debit Mandate Form - NACH/DIRECT DEBIT

UMRN F o r O f f i c e u s e Date D D M M Y Y Y Y
[tick (3)] Sponsor Bank Code Utility Code
CREATE
I/We, hereby authorize Union Mutual Fund To debit [tick (3)] SB/CA/CC SB-NRE/SB-NRO/Other
MODIFY X
CANCEL X Bank a/c number
with Bank Name of Customer's Bank IFSC or MICR
an amount of Rupees in words ` in figures

FREQUENCY X Daily X Weekly X Monthly X Quarterly X Half Yearly X Yearly As & when presented DEBIT TYPE X Fixed Amount Maximum Amount
Reference 1 Folio No. Phone No.

Reference 2 Application No. Email ID

I agree for the debit of mandate processing charges by the bank whom I am authorizing to debit my account as per latest schedule of charges of bank.
PERIOD
From D D M M Y Y Y Y Signature Primary Account Holder Signature of Account Holder Signature of Account Holder

To 3 0 0 9 2 0 5 3
Name as in bank records Name as in bank records Name as in bank records
Or X Until cancelled 1. 2. 3.

Declaration: This is to confirm that the declaration has been carefully read, understood & made by me/us. I am authorizing Union Mutual Fund to debit my account based on the
instructions as agreed and signed by me. I have understood that I am authorised to cancel/amend this mandate by appropriately communicating the cancellation/amendment request to
Union Mutual Fund or the bank where I have authorised the debit.
 INSTRUCTIONS FOR COMPLETING SIP MODIFICATION FORM
1. Please read the Scheme Information Document (SID), Statement of Additional 11. DEDUCTION OF TRANSACTION CHARGE FOR INVESTMENTS THROUGH
Information (SAI) and Key Information Memorandum (KIM) and relevant addenda, if EMPANELLED DISTRIBUTORS OF THE FUND:
any, of the respective schemes carefully before investing. All applicants are deemed In accordance with the terms of SEBI Circular No. Cir/ IMD/ DF/13/ 2011 dated August
to have read, understood and accepted the terms subject to which this offer is being 22, 2011 and SEBI Circular No. Cir/ IMD/ DF/21/ 2012 dated September 13, 2012 on
made and bind themselves to the terms upon signing the application form and Transaction Charges, the AMC/Mutual Fund shall deduct the Transaction Charges on
tendering payment. purchase / subscription received from first time mutual fund investors and investors
2. PAN is a mandatory requirement for all investors for investing in the mutual fund, other than first time mutual fund investors through the distributor (who have
except for Micro Investments and investors from Sikkim. Micro Investments specifically opted-in to receive the transaction charges) as under:
exemption will be applicable only to investments by individuals [including NRIs but • First Time Mutual Fund Investor (across Mutual Funds):
excluding Persons of Indian Origin (PIOs)], minors, sole proprietary firms and to Transaction charge of ` 150/- for subscription of ` 10,000 and above will be
investments made by joint holders. deducted from the subscription amount and paid to the distributor/agent
3. KYC Compliance is mandatory for all investors, irrespective of the amount of investment. of the first time investor and the balance shall be invested.
4. Please furnish the existing folio number, name and PAN details of sole/first unit holder in • Investor other than First Time Mutual Fund Investor:
section 1 of this form. Transaction charge of ` 100/- per subscription of ` 10,000 and above will be
5. Please furnish/indicate the following details with respect to systematic investment:- deducted from the subscription amount and paid to the distributor/agent
a. Scheme/Plan/Option/Facility and Income Distribution cum Capital Withdrawal of the existing investor and the balance shall be invested.
(IDCW) frequency, wherever applicable. It may be noted that the transaction charges shall be subject to the following:
b. Investors are requested to refer to the SID/ KIM for minimum application amount o Transaction charges in case of investments through Systematic Investment Plan
applicable for SIP investment. (SIP) shall be deducted only if the total commitment (i.e. amount per SIP
c. Investors can choose any preferred date of the month as SIP debit date. In case the installment x No. of installments) amounts to ` 10,000/- or more. The Transaction
chosen date falls on a Non-Business Day or on a date which is not available in a Charges shall be deducted in 4 equal installments commencing from the second
particular month, the SIP will be processed on the immediate next Business Day. SIP installment.
d. There should be a minimum gap of 30 days from the date of submission of SIP o Distributors shall be able to choose to “opt in” OR “opt out” of charging the
application for SIP Auto Debit to start. transaction charge. However, the option exercised by the Distributor is required
e. Each of the instalments under an SIP (excluding the initial cheque) should be of the to be at distributor level and may be based on type of the product but not investor
same amount and date. level i.e. a distributor shall not charge one investor and choose not to charge
f. In case the applicant/ unit holder has not indicated SIP preferences completely another investor.
in the form or in case of any discrepancy, the default SIP frequency would be o Transaction charges shall not be deducted for (i) purchases/ subscriptions
‘Monthly’ (provided the requirement relating to minimum instalment size for monthly made directly with the Fund (i.e. not through any distributor); (ii) purchase/
frequency is fulfilled) and the default SIP date would be ‘8th’ for monthly and quarterly subscriptions below ` 10,000/- and (iii) transactions other than purchases/
frequency. An investor has an option to choose the 'End Date' of the SIP by filling the subscriptions relating to new inflows.
date or by selecting the Default Date i.e. September 30, 2053. In case no end date is It may be further noted that the transaction charges are in addition to the
selected, the default end date will be considered as end date. Scheme name: same existing system of commission permissible to the Distributors. It is further clarified
as mentioned on the 1st cheque, SIP amount: same as mentioned on the 1st cheque that pursuant to SEBI Circular No. SEBI/IMD/CIR No. 4/ 168230/09, dated June 30,
(applicable when this form is submitted with common investment application form 2009, upfront commission to distributors shall continue to be paid by the investor
and cheque). directly to the distributor by a separate cheque based on his assessment of various
6. Micro investments application will be rejected by the AMC where it is found that the factors including the service rendered by the distributor.
registration of the SIP will result in the aggregate of investments in a rolling 12 months 12. EMPLOYEE UNIQUE IDENTIFICATION NUMBER (EUIN):
period or in a financial year exceeding ` 50,000/-. Micro SIP is allowed only for those who As per SEBI Circular No. CIR/IMD/DF/21/2012 dated September 13, 2012 and AMFI
do not have PAN. Guidelines on implementation of EUIN, it is mandatory to state the Employee Unique
7. It is mandatory to submit the copy of cancelled cheque leaf (issued by the bank Identification Number (EUIN) of the employee/ relationship manager/ sales person
branch mentioned overleaf) along with this Auto Debit Form. of the distributor interacting with the investor for the sale of mutual fund products, in
8. Declaration & Signatures: This section needs to be signed by the applicant(s)/ unit addition to the AMFI Registration Number (ARN) of the distributor in the space indicated in
holder(s) at the places marked as per the mode of holding recorded with us (i.e. 'Single', the application form. In case the EUIN box is intentionally left blank in the absence of
'Anyone or Survivor' or 'Joint'). any client facing interaction, then it is required to mandatorily tick against the
9. In case of three consecutive failures due to insufficient balance in bank account confirmation/declaration stating that the transaction is an “execution-only”
while processing request for an SIP, Union Mutual Fund shall reserve the right to terminate transaction, mentioned below the box/space provided for the ARN Number/ EUIN in
the SIP without any written request from the investor. the application form and also provide signature(s) in the signature pane appearing
just below the confirmation/ declaration. The mentioning of the EUIN shall assist the
10. The payment towards investment can happen only from the bank account of 1st AMC to tackle the problem of mis-selling by the distributors/ its employees/ relationship
holder and therefore the 1st holder needs to be a holder in the bank account. Third Party manager/ sales person.
Payments are not accepted except in certain cases. For further details, refer the point on 13. For the features, terms and conditions for availing SIP Top-up Facility, please refer the
“Non-Acceptance of Third Party Payment Instruments for subscription/ investments of Scheme Information Document of the respective Scheme(s).
units” in the SAI.

TERMS & CONDITIONS FOR SIP MODIFICATION FORM

1. SIP Modification request provides the investor an option to modify the Scheme Name, you need not fill the OTM section of this form again, unless you intend to increase the
Scheme Option, SIP installment amount , SIP date, SIP Frequency and SIP Top-up Details amount registered as per existing OTM. Also, incase the Modified SIP Amount or SIP Top-
in the scheme(s) wherein the SIP investments are currently being made. up amount exceeds the Maximum Amount registered in the Existing OTM, you will be
2. SIP Modification Request shall be construed as request for cessation of Existing SIP & required to fill in the OTM Section of this Form.
Registration of a fresh SIP. Hence, the load structure and transaction charges (opted-in 7. SIP Modification request shall be liable for rejection if there is any discrepancy or if the form
distributors) will be as applicable at the time of registration of SIP modification. is not duly filled.
3. Modification Form has to be submitted atleast 30 days prior to the next SIP installment 8. For Change of Bank Details in your existing SIP, please ensure to provide a cancelled
date. cheque leaf of your new bank account with the name of account holder printed on it.
4. SIP Modification request shall be liable for rejection if the modified details do not meet the 9. The option to modify the SIP details shall not be available to SIP registered through Stock
minimum amount criteria as per the Scheme Information Document of the respective Exchange, Channel Partners and/ or any Online platform(s).
scheme or the registered mandate. 10. The broker code mentioned on SIP Modification Form shall override the broker details
5. If the investor submits SIP Modification Request for an existing SIP registered with top up mentioned in the original SIP Registration Form.
facility, the earlier registration and Top-up if any shall stand cancelled. The SIP and SIP Top- 11. Change in ARN will not be allowed during SIP Modification . The broker code mentioned
up details as mentioned in the SIP Modification Form shall over-write all the earlier on the initial SIP registration request will continue even after the SIP Modification
instructions in this regard. registration request is given. In case a different broker code is specified on the SIP
6. In case your existing SIP has been registered through the One Time Mandate (OTM), then Modification registration request then the same will not be considered.

• Terms and Conditions for Mandate Instruction for Auto Debit: d. Name of Destination Bank (Investor’s bank)
i. SIP through NACH (National Automated Clearing House) / ECS / Direct Debit is offered to e. IFSC / MICR code
investors having bank accounts in selected bank / cities where they have an account or f. Mention Maximum Amount such that the total of all SIP instalments in a day should be less
located currently. than or equal to the Maximum Amount.
ii. The list of such banks may be modified/ updated at any time in future entirely at the discretion of g. Reference 1: Mention Folio Number
Union Mutual Fund without assigning any reasons or prior notice.
h. Reference 2: Mention Application No.
iii. The investor agrees to abide by the terms and conditions of NACH facility of National Payments
Corporation of India (NPCI). The investor assumes the entire risk of using the Auto Debit Facility i. Phone No. (Optional)
and takes full responsibility for the same. Investor will not hold Union Mutual Fund, its registrars j. Email ID (Optional)
and other service providers responsible if the transaction is delayed or not effected or the
investor bank account is debited in advance or after the specific SIP date due to various clearing k. Period: Start date and End Date of NACH registration (in format DD/MM/YYYY) or select
cycles of NACH Debit/Auto Debit /ECS. ‘Until cancelled’.
iv. Union Mutual Fund reserves the right to reverse allotments in case the Auto debit is rejected by l. Signature as per bank account records
the bank for any reason whatsoever. m. Name: Mention Bank Account Holder Name as per bank records
v. By submitting the Auto Debit mandate the investor authorizes Union Mutual Fund to utilize the
information provided herein for the purpose of investor’s investments in the Mutual Fund, SIP Snapshot- Frequency, Minimum Amount and Minimum Period.
including creation of a folio. SIP Minimum SIP Amount Minimum SIP Amount Minimum Default
vi. Investors are required to ensure that there are adequate funds in their bank account on the date Frequency (Applicable to Schemes
other than Union Tax Saver
For Union Tax Saver
(ELSS) Fund
Period Date/Day
of investment transaction. Union Mutual Fund will endeavor to debit the investor bank account (ELSS) Fund
on the date of investment transaction, however if there is any delay all such transactions will be
debited subsequently. Daily* ` 300 and in multiples of Not applicable 1 Month -
vii. The total of all SIP instalments in a day should be less than or equal to the maximum amount as ` 1 thereafter
#
mentioned in the Mandate Instruction. Weekly ` 500 and in multiples of ` 500 and in multiples 12 Weeks Wednesday
viii. The enrolment period i.e Start and End Month/ Year specified for the SIPs should be less than or ` 1 thereafter of ` 500 thereafter
@
equal to the enrolment period mentioned in the Mandate Instruction. Monthly ` 1000 and in multiples of ` 500 and in multiples 6 Months 8th of the
ix. Investments made through the Auto Debit Mode are subject to realization of funds from ` 1 thereafter of ` 500 thereafter month
investor’s bank account and the NAV guidelines will be applicable for the transactions. Quarterly ` 5000 and in multiples of ` 1500 and in multiples 2 Quarters 8th of the
x. Following fields need to be filled mandatorily:- ` 1 thereafter of ` 500 thereafter month
a. Date in format DD/MM/YYYY * Available only under Union Flexi Cap Fund
@
b. Bank A/c Type: Tick the relevant box Monthly SIP amount for Union Money Market Fund, Union Overnight Fund and Union Liquid Fund is
` 2000 and in multiples of ` 1 thereafter.
c. Bank Account Number (Investor’s bank account number) #
Available in all exisiting Schemes except Union Liquid Fund and Union Overnight Fund.