Bharti Axa Equity Fund

B h a r t i A X A E q u i t y F u n d New Fund Offer Opens: September 4, 2008 New Fund Offer Closes: October 1, 2008** Scheme re-opens for continuous sale and re-purchase on: October 29, 2008.

P L E A S E F I L L A L L F I E L D S W I T H B L A C K B A L L P O I N T , I N B L O C K L E T T E R S A N D C O M P L E T E M A N D A T O R Y ( M A R K E D * ) F I E L D S

A p p l i c a t i o n N o :

Please read the instructions carefully, before filling up the application form. Use this form If you are making the first time investment.

1 . D I S T R I B U T O R I N F O R M A T I O N ( R e f e r I n s t r u c t i o n N o 1 ) Name & Agent Code

Sub-Agent Name & Code

NJ India Invest / ARN-0155

F O R O F F I C E U S E O N L Y Registrar Serial No.

Bank/Branch Name & Serial No.

Date/Time of Receipt

54934 ( F o r e x i s t i n g I n v e s t o r s , p l e a s e m e n t i o n t h e F o l i o N u m b e r & g o d i r e c t l y t o S e c t i o n 7 ( S c h e m e D e t a i l s ) .

2 . I N F O R M A T I O N O F E X I S T I N G U N I T H O L D E R N o t e t h a t A p p l i c a n t D e t a i l s a n d M o d e o f H o l d i n g w i l l b e a s p e r e x i s t i n g F o l i o N u m b e r ) ( R e f e r I n s t r u c t i o n N o 2 ) F o l i o N o .

3 . A P P L I C A N T I N F O R M A T I O N ( R e f e r I n s t r u c t i o n N o 3 ) N a m e o f S o l e / F i r s t A p p l i c a n t

Mr.

Ms.

F I R S T

Date of Birth

M/s.

L A S T PAN Mr.

Ms.

F I R S T

N A M E

M/s.

Date of Birth

L A S T

N a m e o f T h i r d A p p l i c a n t

Mr.

Ms.

F I R S T

N A M E

M/s.

Date of Birth

L A S T

N A M E

# N a m e o f G u a r d i a n / C o n t a c t P e r s o n Relationship with MINOR

F I R S T

YES

NO

Minors Date of Birth D D M M Y Y M I D D L E

N A M E L A S T

PAN

NO

N A M E

KYC Compliant Status (Mandatory for Rs. 50,000 & above) (If yes, attach proof) :

Attested PAN Proof enclosed

YES

D D M M Y Y

M I D D L E

N A M E

PAN

NO

N A M E

KYC Compliant Status (Mandatory for Rs. 50,000 & above) (If yes, attach proof) :

Attested PAN Proof enclosed

YES

D D M M Y Y

M I D D L E

N A M E

PAN

N A M E

KYC Compliant Status (Mandatory for Rs. 50,000 & above) (If yes, attach proof) :

Attested PAN Proof enclosed

N a m e o f S e c o n d A p p l i c a n t

D D M M Y Y

M I D D L E

N A M E

N A M E

N A M E

KYC Compliant Status (Mandatory for Rs. 50,000 & above) (If yes, attach proof) :

Attested PAN Proof enclosed

YES

NO

#

Please mention the contact person in case of Non-indiviual

M o d e o f H o l d i n g Single

Joint

1

Resident individual

S t a t u s

O c c u p a t i o n

AOP / BOI

Housewife

NRI/PIO

Club / Society

Private Sector Service Student

1

Anyone or Survivor

( Default) Company / Body Corporate

Minor

NGO

Public Sector / Government Service Forex Dealer

Trust

Defence Establishment

Listed Company Government Body

Business

Partnership HUF

FIIs

Bank / FI

Others

Professional

Agriculturist

Retired

Others

4 . F I R S T A P P L I C A N T ' S C O N T A C T I N F O R M A T I O N ( R e f e r I n s t r u c t i o n N o 4 ) C o r r e s p o n d e n c e A d d r e s s o f S o l e / F i r s t A p p l i c a n t (P.O. Box alone may not be sufficient)

City State O v e r s e a s A d d r e s s # (mandatory for NRI/FII applicant). (P.O. Box alone may not be sufficient)

City

Pin code

Country

Pin code

# Document proof for foreign address to be provided (self certified copy of bank account statement/Passbook will serve as proof of address. Incase the documents are in foreign language, the same to be translated to English and certified by Govt. authorities in the country of residence or the Indian Embassy.

C o n t a c t D e t a i l s Tel No. STD Code

Res.

s t 1 A p p l i c a n t Mobile No.

Off.

Fax

Email ID*

n d 2 A p p l i c a n t Mobile No.

Email ID*

r d 3 A p p l i c a n t Mobile No.

Email ID* *Email ID compulsory for ECO Plan

(Investors in ECO Plan will be compulsorily communicated via Email only) 5 . E M A I L C O M M U N I C A T I O N I N F O R M A T I O N ( R e f e r I n s t r u c t i o n N o 5 )

I/We wish to receive the following document via e-mail in lieu of physical document(s) [Please (? )]

Account Statement

News Letter

Annual Report

Other Statutory Information

A p p l i c a t i o n N o : A C K N O W L E D G E M E N T S L I P (To be filled in by the investor) Received from: Mr. / Ms. / M/s_______________________________________________ an application for allotment of units under Bharti AXA Equity Fund, Plan_________________________, Option _________________________ Cheque/DD No ________________________________________________________ Dated ____/____/________ Amount (Rs.) __________________ Drawn on Bank and Branch ______________________________________. Checklist Investments Details Bank Mandate Attested PAN Card Copy KYC Details Please note: All purchases are subject to realization of cheques/Demand Drafts.

Collection Centre’s Stamp & Receipt Date and Time

6 . B A N K A C C O U N T D E T A I L S ( R e f e r I n s t r u c t i o n N o 6 ) ( * M a n d a t o r y I f l e f t b l a n k , A p p l i c a t i o n w i l l b e r e j e c t e d ) A/c Type [please ? ]

Saving

Current

NRO

NRE

FCNR

Bank Name Account No Branch

City

IFSC Code*

Pin

(mandatory for credit via NEFT/RTGS) (11 Character code appearing on your cheque leaf.)

MICR Code*

(9 Digit No. next to your Cheque Number)

( P l e a s e a t t a c h b l a n k c a n c e l l e d c h e q u e / C o p y o f c h e q u e )

Direct credit facility is available for redemption/dividend proceeds for investors having HDFC Bank Account. 7 . S C H E M E D E T A I L S ( R e f e r I n s t r u c t i o n N o 7 ) S c h e m e N a m e : Bharti AXA Equity Fund I n v e s t m e n t I n Lumpsum SIP (please fill the Auto Debit Form)

D i v i d e n d O p t i o n

O p t i o n

P l a n

D i v i d e n d S u b O p t i o n

Regular

Growth

Dividend

Bonus

Regular

Quarterly

Reinvest

Payout

Eco

Growth

Dividend

Bonus

Regular

Quarterly

Reinvest

Payout

Bonus

Regular

Quarterly

Reinvest

Payout

Institutional

Dividend

Growth

8 . S Y S T E M A T I C T R A N S F E R P L A N ( S T P ) ( R e f e r I n s t r u c t i o n N o 8 ) To Bharti AXA Equity Fund

From Bharti AXA Liquid Fund (only for existing investors in Liquid Fund) Option

Plan

Option

Plan

Each Instalment Amount (In figures) Frequency (please ? )

Monthly

Enrolment Period From

STP Date :

1st

7th

10th

15th

20th

Daily (On all Business Days only)

25th

D D M M Y Y Y Y To D D M M Y Y Y Y

STP shall not be executed if amount is less than Rs. 1000 and Rs. 300 for monthly and daily options respectively.

9 . D I V I D E N D T R A N S F E R F A C I L I T Y (Please ? to select this facility) ( R e f e r I n s t r u c t i o n N o 9 ) This facility is applicable only for Dividend Payout option and the unit holder chooses to transfer amount of the dividend receivable by them into the Bharti AXA Liquid Fund only.

1 0 . I N V E S T M E N T & P A Y M E N T D E T A I L S ( R e f e r I n s t r u c t i o n N o 1 0 ) Investment Amount

DD Charges

Cheque/DD No

Net Amount

Cheque/DD Date

Drawn on Bank

Branch Name •

A/c Type [please ? ] Saving

Current

NRO

NRE

FCNR

• C h e q u e s h o u l d b e i n f a v o u r o f t h e s c h e m e n a m e . • T h i r d P a r t y & O / S c h e q u e s w i l l n o t b e a c c e p t e d a n d t r a n s a c t i o n i s l i a b l e t o b e r e j e c t e d . S e p a r a t e c h e q u e / d e m a n d d r a f t i s r e q u i r e d f o r i n v e s t m e n t i n e a c h p l a n o f t h e s c h e m e )

1 1 . N O M I N A T I O N D E T A I L S ( P l e a s e c r o s s o u t t h i s s e c t i o n i f y o u d o n o t w i s h t o n o m i n a t e ) ( R e f e r I n s t r u c t i o n N o 1 1 ) I/We do hereby nominate the undermentioned Nominee to receive the Units alloted to my/our credit 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 discharge by the AMC/Mutual Fund/Trustees.

Nominee's Name

Mr.

Ms.

Relationship

(Mandatory In case of Minor) Date of Birth D D M M Y Y

F

U L L

N A M E

Name of Guardian (In case Nominee is a Minor (Other than the Applicant)) Mailing Address City

Pin

1 2 . D E C L A R A T I O N A N D S I G N A T U R E ( S ) ( R e f e r I n s t r u c t i o n N o 1 2 ) ( * M a n d a t o r y I f l e f t b l a n k , A p p l i c a t i o n w i l l b e r e j e c t e d ) I/We have read and understood the contents of the Offer Document of the above Scheme of Bharti AXA Mutual Fund including the section on “Who cannot invest” and “Prevention of Money Laundering”. I/We hereby apply for Allotment/Purchase of Units in the Scheme and agree to abide by the terms and conditions applicable thereto. I/We hereby declare that I/We am /are authorised to make this investment 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 any contravention or evasion of any Act, Rules, Regulations, Notifications or Directions issued by any regulatory authority in India. I/We hereby authorise Bharti AXA Mutual Fund, its Investment Manager and its agents to disclose details of my investment to my bank(s)/Bharti AXA Mutual Fund’s bank(s) and /or Distributor /Broker / Investment Advisor. I/We have neither received nor been induced by any rebate or gifts, directly or indirectly, in making this investment. I/We declare that the information given in this application form is correct, complete and truly stated. A p p l i c a b l e t o N R I o n l y : I /We confirm that I am/we are Non-Resident of Indian Nationality/Origin and that I/We have remitted funds from abroad through approved banking channels or from funds in my/our NRE/FCNR Account. I/We undertake that all additional purchases made under this Folio will also be from D D D M M Y Y A T E funds received from abroad through approved banking channels or from funds in my/our NRE/FCNR Account.

S I G N A T U R E ( S )

Sole/1st applicant/Guardian/Authorised Signatory/POA

2nd applicant/Guardian/Authorised Signatory/POA

C H E C K L I S T (Please submit the following documents with your application (where applicable). All documents should be original/true copies Certified by a Director/Trustee /Company Secretary /Authorised signatory / Notary Public.) D o c u m e n t s Resolution/ Authorisation to invest List of authorised signatories with specimen signatures Memorandum & Articles of Association Trust Deed Bye-laws Partnership Deed Notorised POA Bank confirmation of Non Resident Account Type / FIRC/ Approval from FIPB KYC Acknowledgement (If application for Rs. 50,000 or above) PAN Card

I n d C o . S o c . P a r t n e r s h i p I n v e s t m e n tT r u s t sN R I F I I s F i r m s t h r o u g h P O A

? ? ? ? ?

?

?

? ?

? ?

? ?

3rd applicant/Guardian/Authorised Signatory/POA

F o r m o r e i n f o r m a t i o n v i s i t u s a t

w w w . b h a r t i a x a i m . c o m E m a i l u s a t

s e r v i c e @ b h a r t i a x a i m . c o m

? ? ?? ?

?

?

? ? ? ?

?? ?

?

?

? ? ?

C a l l u s a t ( T o l l F r e e ) A l t e r n a t e N u m b e r

1 8 0 0 1 0 3 2 2 6 3 0 2 0 4 0 1 1 2 3 0 0

S I P A U T O D E B I T F A C I L I T Y : R E G I S T R A T I O N C U M M A N D A T E F O R M

I N V E S T O R S S U B S C R I B I N G T O T H E S C H E M E T H R O U G H S I P A U T O D E B I T F A C I L I T Y T O C O M P L E T E T H I S F O R M C O M P U L S O R I L Y A L O N G W I T H C O M M O N A P P L I C A T I O N F O R M

(Application should be submitted atleast 30 days before the 1st Debit Clearing date) For terms & conditions refer overleaf 1 . D I S T R I B U T O R I N F O R M A T I O N Name & Agent Code

Sub-Agent Name & Code

Application No: F O R O F F I C E U S E O N L Y

Bank/Branch Name & Serial No.

Registrar Serial No.

Date/Time of Receipt

NJ India Invest / ARN-0155 54934

Please ? any one only

SIP Registration - by Existing Investor

SIP Registration - by New Investor

(Please do not fill the Application Form)

(Complete the Application Form compulsorily alongwith this form.)

2 . I N V E S T O R D E T A I L S Folio No. / Application No.

(For Existing Investor please mention Folio Number / For New Applicants please mention the Common Application Form Number)

Name of 1st Applicant / Name of 2nd Applicant / Name of 3rd Applicant / Minor Name of Father/ Guardian in case of Minor (First SIP cheque and subsequent via Auto Debit Facility in select cities only) 3 . S I P D E T A I L S Scheme Name

Bharti AXA Equity Fund

Dividend Option Frequency

Option

Plan

Dividend Sub Option

Regular

Growth

Dividend

Bonus

Regular

Quarterly

Reinvest

Payout

Eco

Growth

Dividend

Bonus

Regular

Quarterly

Reinvest

Payout

Institutional

Growth

Dividend

Bonus

Regular

Quarterly

Reinvest

Payout

Scheme Name

Option

Plan

Monthly SIP Date : Frequency (please ? )

1st

7th

10th

15th

Instalment Amount (In figures)

20th

25th

Daily*

Enrolment Period From** D D M M Y Y Y Y To D D M M Y Y Y Y

Drawn on Bank /Branch Name *Daily SIP is offered only for Account holders in any of the following Banks: HDFC Bank, AXIS Bank, Bank of Baroda (core banking branches only) and in any other bank as notified by AMC from time to time. **Minimum SIP term should be for 6 months for monthly and daily SIP

4 . P A R T I C U L A R S O F B A N K A C C O U N T Name of 1st Account Holder Name of 1st Joint Holder Name of 2nd Joint Holder Name of Bank & Branch City

Pin

Account No.

Account Type

(Please ? )

9 digit MICR Code (Mandatory)

(This is 9 digit number next to the cheque number)

Savings

NRO

IFSC Code

Please provide a copy of cancelled cheque leaf from an Auto Debit eligible bank (Mandatory)

Current

NRE

I/We hereby declare that the particulars given above are correct and express my willingness to make payments referred above to debit my/our account DECLARATION & SIGNATURE directly or through participation in Auto Debit. If the transaction is delayed or not effected at all for reasons of incomplete or incorrect information, I / We would not hold the user institution responsible. I / We will also inform AMC, about any changes in my/our bank account. I/We have read and agreed to the terms and conditions mentioned overleaf.

SIGNATURE (S) (as in Bank records)

Sole/1st applicant/Guardian/Authorised Signatory/POA

2nd applicant/Guardian/Authorised Signatory/POA

3rd applicant/Guardian/Authorised Signatory/POA

5 . B A N K E R ’S A T T E S T A T I O N Signature of authorised Official from Bank (Bank stamp and date)

Certified that the signature of account holder and the Details of Bank account are correct as per our records

Signature verification request (To be retained by the Customers Bank) The Branch Manager

Date

Bank

D D M M Y Y

Branch

Sub : Mandate verification for A/c. No. This is to inform you that I/We have registered for making payment towards my investments in Bharti AXA Equity Fund by debit to my /our above account directly or through ECS (Debit Clearing). I/We hereby authorize to honour such payments and have signed and endorsed the Mandate Form. Further, I authorize my representative (the bearer of this request) to get the above Mandate verified. Mandate verification charges, if any, may be charged to my/our account. Thanking you, Yours sincerely

SIGNATURE (S) (as in Bank records)

Sole/1st applicant/Guardian/Authorised Signatory/POA

2nd applicant/Guardian/Authorised Signatory/POA

ACKNOWLEDGEMENT SLIP To be filled in by the Investor

3rd applicant/Guardian/Authorised Signatory/POA

Folio No. / Application No.

(To be filled in by the First applicant/Authorized Signatory) : Received from Name & address : _______________________________________________________________________________ an application for Purchase of Units alongwith Cheque SIP Auto Debit Facility For Rs. All purchases are subject to realisation of cheques. Cheque Number

Acknowledgement Stamp