Fidelity Mutual Fund presents
An open ended equity linked savings scheme Issue of Units of Rs.10 per Unit for cash plus applicable Entry Load during the New Fund Offer and at Applicable NAV plus applicable Entry Load thereafter New Fund Offer Opens : January 5, 2006 New Fund Offer Closes : January 31, 2006 Scheme re-opens for Purchase and Redemption* on March 1, 2006 *Redemption of units under the Scheme can be made only after a 3 year lock-in period from the date of allotment of the units proposed to be redeemed. This Key Information Memorandum (KIM) sets forth the information, which a prospective investor ought to know before investing. For further details of the Scheme / Mutual Fund, due diligence certificate by the AMC, Key Personnel, investors’ rights & services, risk factors, penalties & pending litigations, associate transactions, “Who cannot invest”, “Important Note on Anti Money Laundering and Know-Your-Customer” investors should, before investment, refer to the Offer Document available free of cost at any of the Investor Service Centres or distributors or from the website www.fidelity.co.in The Scheme particulars have been prepared in accordance with Securities and Exchange Board of India (Mutual Funds) Regulations 1996, as amended till date, and filed with Securities and Exchange Board of India (SEBI). The units being offered for public subscription have not been approved or disapproved by SEBI, nor has SEBI certified the accuracy or adequacy of this KIM. I N T E R N A T I O N A L
KEY INFORMATION MEMORANDUM Investment Objective Asset Allocation Pattern of the Scheme
The investment objective of the Scheme is to generate long-term capital growth from a diversified portfolio of predominantly equity and equity-related securities. Instrument Equity and equity related securities* Money market instruments
Normal Allocation (% of net assets)
Range of Allocation (% of net assets)
Risk Profile
95% 5%
80% to 100% 0% to 20%
High 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 Option l Dividend Option The Dividend option offers Dividend Payout and Dividend Reinvestment facilities.
Applicable NAV (after the Scheme opens for Purchases / Redemptions)
The Cut-off time for the Scheme is 3 p.m., and the Applicable NAV will be as under: For Purchase / Redemption 1. In respect of valid Purchase (along with cheques / drafts / other payment instruments) / Redemption applications accepted at a Designated Collection Centre up 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 Centre after 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 accepted. For Switches Valid applications for 'switch-out' shall be treated as applications for Redemption and valid applications for 'switch-in' shall be treated as applications for Purchase, and the 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 'switch-out' applications.
PLEASE NOTE THAT REDEMPTION OF UNITS UNDER THE SCHEME CAN BE MADE ONLY AFTER 3 YEARS LOCK IN PERIOD FROM THE DATE OF ALLOTMENT OF THE UNITS PROPOSED TO BE REDEEMED
Minimum Application Amount / Number of Units
Initial Application Amount-lump sum / SIP investment
Additional Application Amount
Redemption
Rs. 500 per application / instalment and in multiples of Rs. 500 thereafter
Rs. 500 per application and in multiples of Rs. 500 thereafter.
Rs. 500 or 50 Units
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 Dividend Policy
BSE-200
Name of the Fund Manager
Mr. Arun Mehra
Name of the Trustee Company
Fidelity Trustee Company Private Limited
Performance of Fidelity Equity Fund, the equity scheme launched by the Fund and its benchmark (BSE-200)
Expenses of the Scheme (i) Load Structure
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 Unit 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 with regard to availability and adequacy, rate, timing and frequency of distribution shall be final. The dividend will be due to only those Unit Holders whose names appear in the register 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 receiving the 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.
Absolute Returns as on December 15, 2005 Since Inception*
Fidelity Equity Fund
BSE-200
41.84%
33.99%
*Since date of allotment i.e. May 16, 2005 Notes : 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. The initial issue expenses charged to the investor shall be only to the extent of the applicable Entry Load charged during the NFO. 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 : NIL For each Purchase by an FOF (irrespective of the amount of Purchase) or as a result of dividend re-investment : NIL For 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 : NIL No 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 Maximum as a % of Average daily net assets
Tax treatment for the Investors (Unit Holders)
First 100 crores
Next 300 crores
Next 300 crores
Balance assets
2.50%
2.25%
2.00%
1.75%
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 relevant 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 provisions of 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 their letter dated December 14, 2005. However, the Fund does not make any representations on the procedures for ascertaining the tax benefits nor do they make any representation regarding any legal interpretations. Since the information below is based on the relevant provisions as on December 14, 2005, any subsequent changes in the said 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 Document. THE FOLLOWING INFORMATION IS PROVIDED FOR GENERAL INFORMATION PURPOSES ONLY AND APPLIES TO THE SCHEME. IN VIEW OF THE INDIVIDUAL NATURE OF TAX BENEFITS, EACH INVESTOR IS ADVISED TO CONSULT HIS OR HER OWN TAX CONSULTANT WITH RESPECT TO THE SPECIFIC TAX IMPLICATIONS ARISING OUT OF HIS OR HER PARTICIPATION IN THE SCHEME. A. For Unit Holders For 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 than 50% of the total proceeds of such fund. 1) Income Tax Act, 1961 (hereinafter referred to as 'the Act') a) Deduction under section 80C of the Act In 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 in specified securities 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 from the Administrator or the specified company under any plan formulated in accordance with such scheme as the Central Government may, by notification in the Official Gazette, specify in this behalf, qualify for deduction under section 80C of the Act.
KEY INFORMATION MEMORANDUM (contd.) Tax treatment for the Investors (Unit Holders) (Contd.)
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 amended by 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 units Under 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 10(23D) of the Act will be exempt from income tax in the hands of all unit holders. Taxes to be deducted on income distributed In 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 distributed on or after April 1, 2003 to resident and non-resident unit holders. c) Capital Gains Income 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 Gains Under 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 months 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 year. For 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 transaction attracts 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 (redemption) value of the units, which will be collected by the Fund and deposited into the Government Treasury. – Short Term Capital Gains As 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-term capital gains on transfer of such units would not arise. Set off and carry forward of losses According 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 made by the investor 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. Further, when 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 forward. The 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 year in which such capital loss was incurred subject to compliance with other provisions of the Act Rebate for Securities Transaction Tax Under 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 subject to tax 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 payable on the income from such sale of units by virtue of the provisions of section 88E of the Act. Taxes to be deducted on capital gains i. Resident Investors No 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 Investors As 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 Trust Investment 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 Tax Rules, 1962. e) Tax implications on redemption of units As 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 fund, where such 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-exemptexempt' (EEE) method currently followed. Under the EET method, contribution to specified savings is exempt from tax (E), the accumulation is also exempt (E) but the 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 the EET system is rolled out, any redemptions from the scheme may be subjected to tax. 2) Wealth Tax Act, 1957 Units 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 liable to wealth- tax. B. For the Fund Fidelity 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 from tax in accordance with the provisions of section 10(23D) of the Act. Dividend Distribution Tax As 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 such Mutual Fund 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 respect 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 the STT applicable 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 in a Recognised Stock Exchange and the contract is settled by actual delivery or 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 a Recognised Stock Exchange and the contract is settled by actual delivery or 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 a Recognised Stock Exchange and the contract is settled otherwise than by actual delivery or transfer of shares / units. Sale of a derivative when transaction is entered into in a Recognised Stock Exchange. Sale of a unit of an equity oriented fund to the Mutual Fund.
0.02%
Seller
0.0133%
Seller
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 Central Government within the specified time limits.
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. You can 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 please contact
Computer Age Management Services Private Limited Registered Office: A&B, Lakshmi Bhawan, 609, Anna Salai, Chennai - 600 006.
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 later than 30 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 mailed to 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 Holders within one month from the end of each half-year and it shall also be displayed on the website of the Fund.
Mr. Srikar Baljekar Fidelity Fund Management Private Limited 21st Floor, DLF Square, Gurgaon 122 002. Tel : 91-124-409 2104. Fax :+91-124-256-0706 E-mail:
[email protected]
Date: December 20, 2005
LIST OF INVESTOR SERVICE CENTRES Fidelity Fund Management Private Limited 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 560 052. 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 700 017 u Mumbai : 57, 5th Floor, Maker Chambers VI, 220, Nariman Point, Mumbai 400 021 u Pune : Unit No. 406, 4th Floor, Nucleus Mall, 1, Church Road, Camp, Pune - 411 001. u u
CAMS u Ahmedabad : 402 - 406, 4th Floor - Devpath Building, Off. C. G. Road, Behind Lal Bungalow, Ellis Bridge, Ahmedabad - 380 006 u Bangalore : Trade Center, 1st Floor, 45, Dickenson Road, (Next to Manipal Center), Bangalore - 560 042 u Bhubaneswar : 101/ 7, Janpath, Unit - III, Bhubaneswar : 751 001 u Chandigarh : SCO 154-155, 1st Floor, Sector 17-C, Chandigarh - 160 017 u Chennai : 178/10, Kodambakkam High Road, Opp. Hotel Palm Grove, Chennai 600 034. u Cochin : 40 / 9633 D, Veekshanam Road, Near International hotel, Cochin - 682 035 u Coimbatore : 66, Lokamanya Street (West), R. S. Puram, Coimbatore - 641 002 u Durgapur : SN-10, Ambedkar Sarani, City Centre, Doctor's Colony, Durgapur - 713 216 u Goa : No. 108, 1st First Floor, Gurudutta Bldg, Above Weekender, M. G. Road, Panaji, Goa - 403 001 u Indore : Dalal Chambers, No. 101, Sagarmatha Apartments, 1st Floor, 18/7 M. G. Road, Indore - 452 003 u Jaipur : G-III, Park Saroj, Behind Ashok Nagar Police Station, R-7, Yudhisthir Marg, C-Scheme, Jaipur - 302 001 u Kanpur : G - 27, 28 Citi Centre, 63/2, The Mall, Kanpur - 208 001 u Kolkata : LORDS Building, 7/1, Lord Sinha Road, Ground Floor, Kolkata - 700 071 u Lucknow : No. 3, First Floor, Saran Chambers 1, 5, Park Road, Lucknow - 226 001 u Ludhiana : Shop No. 20-21 (Ground Floor), Prince Market, near Traffic Lights, Sarabha Nagar Pulli, Pakhowal Road, P.O: Model Town, Ludhiana - 141 002 u Mangalore : No. G4 & G5, Inland Monarch, Opp. Karnataka Bank, Kadri Main Road, Kadri, Mangalore - 575 003 u Mumbai : Rajabahadur Compound, Ground Floor, Opp. Allahabad Bank, Behind ICICI Bank, 30, Mumbai Samachar Marg, Fort, Mumbai - 400 023 u Nagpur : 145 Lendra Park, Behind Shabari, New Ramdaspeth, Nagpur - 440 010 u 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 - 800 001 u Pune : Nirmiti Eminence, Off No. 6, I Floor, Opp. Abhishek Hotel, Mehandale Garage Road, Erandawane, Pune - 411 004 u Secunderabad : 102, First Floor, Jade Arcade, Paradise Circle, Secunderabad - 500 003 u Surat : Niva Apartments, Above Sagrampura-Rudarpura Co-op. Bank, Bhatia Street, Nanpura, Surat - 395 001 u Vadodara : 109 - Silver Line, Besides World Trade Centre, Sayajigunj, Vadodara - 390 005 u Vijayawada : Door No. 40-1-48/2, Bandar Road, Adj. HDFC Bank, Vijayawada 520 010 u Vizag : 47/9/17, 1st Floor, 3rd Lane, Dwaraka Nagar, Visakhapatnam - 530 016.
COLLECTION BANKS DURING THE NFO PERIOD Citibank N.A. Ahmedabad : 3rd Flr, "Rembrandt", C. G. Road, Near Panchvati Circle, Ahmedabad - 380 006 u Bangalore : 506 / 507, 5th Flr, Prestige Meridian 2, 30 Mahatma Gandhi Road, Bangalore - 560 001 Bhubaneshwar : Unit 3, 98 Janpath Station Square, Bhubaneshwar - 751 001 u Chandigarh : SCO 132 / 133, Sector 9C, Madhya Marg, Chandigarh - 160 017 u Chennai : GTS, 3rd Flr, No. 2 Club House Road, Chennai - 600 002 u Coimbatore : 1st Flr, Tristar Towers, 657 Avinashi Road, Coimbatore - 641 037 u Hyderabad : G, Pulla Reddy Bldg, Ground Flr, Road No. 6-3-879, Greenlands Road, Begumpet, Hyderabad - 500 016 u Indore : UG 1, Apollo Square, 7/2 Race Course Road, Opp. Narayan Kothi, Sawarkar Pratima Chowk, Indore - 452 007 u Jaipur : 2nd Flr, Bhagwati Bhawan, Govt. Hostel Crossing, MI Road, 2nd Floor, Jaipur - 302 001 u Kochi : Fotofast House, 38/1581, M. G. Road, Padma Junction, Kochi - 682 035 u Kolkata : Kanak Bldg,1st Floor, 41, Chowringhee Road, Kolkata - 700 071; Brabourne Road - 9, Brabourne Road, Kolkata - 700 001 u Lucknow : 17/1 Ashok Marg, Lucknow - 226 001 u Ludhiana : Ludhiana Stock Exchange, Ground Flr, Feroze Gandhi Market, Ludhiana - 141 001 u Mumbai : Bombay Mutual Bldg, Mezzanine Floor, 293 D. N. Road, Fort, Mumbai - 400 001; Air India Building, Nariman Point, Mumbai - 400 021 u Nasik : Rishuraj Presidency, Plot No. 52 & 53, D'Souza Colony, College Road, Nasik - 422 005 u New Delhi : 4th Flr, Jeevan Bharti Bldg, 124, Connaught Circus, New Delhi - 110 001; International Trade Towers, Nehru Place, New Delhi - 110 001 u Pondicherry : No. 22, Rue Bussy, St. Lal Bahadur Shastri St., Pondicherry - 605 001 u Pune : Parmar House, 2413 East Street, Camp, Pune - 411 001 u Surat : Ghoddod Rd., Opp. Kakadia Complex, Surat - 395 007 u Vadodara : Pelican, 1st Floor, Opposite Race Course Towers, Gotri Rd, Vadodara - 390 007 u u
HDFC Bank Limited u Agra : Shop No. 11, Block No. 17/2/4, Friends Plaza, Sanjay Place, Agra - 282 002 u Ahmedabad : HDFC Bank House, Near Mithakali Six Roads, Navrangpura, Ahmedabad - 380 009 u Allahabad : 54/1 S. P. Marg Civil Lines, Allahabad - 211 003, UP u Amritsar : 39, The Mall, Amritsar u Asansol : HDFC Bank Ltd., CMS Dept, P. C. Chatterjee Market, G. T. Road, Rambandhu Tala, Asansol - 713 303 u Bangalore : No. 8/24, Salco Centre, 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 Plaza, 3rd Main Road, 18th Cross Road, Malleswaram, Bangalore - 560 005; Koramangala - No. 9 Eterna Koramangala Ind Layout, Bangalore - 560 095 u Baroda : 5th Floor, 'Midway Heights', Next to Panchmukhi Hanuman Temple, Lokmanya Tilak Rd, Kirti Mandir, Near Kala Ghoda, Raopura, Baroda - 390 001 u Belgaum : 4830/28A Opp. Dist. Hospital, Dr Ambedkar Road, Belgaum - 590 002 u 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 - 751 001 u Calicut : Malabar Palace, G. H. Road, Calicut - 673 001 u Chandigarh : HDFC Bank, SCO 371 / 372, Sector 35-B, Chandigarh u Chennai : HDFC Bank Limited, 751 - B Anna Salai, Mariam Centre, Chennai - 600 002 u Cochin : 2nd Floor, Elmar Square, M. G. Road, Ravipuram, Cochin - 682 016 u Coimbatore : 1635 Classic Towers, Trichy Road, Coimbatore - 641 018 u Cuttack : Bajrakbati Road, Cuttack, Orissa - 753 001 u Dehradun : 56, Rajpur Road, Dehradun - 248 001, Uttaranchal u Dhanbad : Sri Ram Plaza, 1st Floor Bank More, Dhanbad Jharkhand- 826 001 u Durgapur : A 102 & 103, City Centre, Bengal Shristi Complex, City Centre, Durgapur Branch, West Bengal - 713 216 u Faridabad : 5-R/2, Badshah Khan Chowk, NIT, Faridabad - 121 001 u Gurgaon : DLF- Gurgaon, A-12, The Shopping Mall, DLF Qutab Enclave Phase 1, Gurgaon - 122 001 u 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 - 781 005 u Goa - Panjim : Minum Residency, 18th June Road, Panjim-Goa - 403 001 u Hubli : T. B. Revankar Complex, Vivekanand Hospital Road, Hubli - 580 029 u Hyderabad : 6-1-73 3rd Floor, Saeed Plaza, Lakdikapul, Hyderabad - 500 004 u Indore : IIIrd Floor, 9/1A, U. V. House, South Tukonj, Indore - 452 001 u 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, Jaipur u Jalandhar : 911, G. T. Road, Near Narinder Cinema, Jalandhar u Jamnagar : HDFC Bank, Plot No. 6, Park Colony, Opp. St. Ann's School, Bedi Bunder Road, Jamnagar - 361 008 u Jamshedpur : C/o Mithila Motors Ltd., Near Rammandir, Bistupur, Jamshedpur - 831 001 u Jodhpur : 57/B "Swapndeep", Chopasani Road, Jodhpur - 342 003 (Raj.) u Kanpur : Navin Market Branch, 15/46, Civil Lines, Kanpur - 208 001 u Kolkata : HDFC Bank Ltd, CMS Abhilasha II, Royd Street, 1st Floor, Kolkata-700 016; Central Plaza, Sarat Bose Road, Kolkata - 700 020; New Alipore - 174A Block G, New 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 - 700 007 u 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 - 226 001 u Ludhiana : CMS Deptt, HDFC Bank Ltd, 5th Floor, The Mall, Mall Road, Ludhiana u Madurai : 7-A, West Veli Street, Opp. to Railway Station, Madurai - 625 001 u Mangalore : M. N. Towers, Kadri, Mangalore - 575 002 u Meerut : 381 Western Kachery Road, Meerut - 250 001 u Moradabad : Chaddha Shopping Complex, GMD Road, Moradabad, Uttar Pradesh - 244 001 u Mumbai : Maneckjiwadia Bldg., Nanik Motwani Marg, Fort, Mumbai 23; Andheri - Ganga Jamuna Appts., Grnd. flr., 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 Hill, Bandra (W), Mumbai - 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 - 400 077; Thane - Sharad Kunj, Dr. Moos Road, Talao Pali, Thane (W); Vashi - HDFC Annexe, Plot No 82, Sector 17, Vashi, Navi Mumbai - 400 703 u Mysore : Nageetha Complex, Vishwamanawa Double Road, Saraswathi Puram, Mysore - 570 009 u Nagpur : 303 & 304 3rd Floor, Wardh Road, Transactional Banking Group12, Milestone, Near Lokmat Square, Nagpur - 440 010 u Nasik : Archit Centre, 3rd Floor, Chandak Circle, Link Road, Opposite Sandeep Hotel, Near Mahamarg Bus Stand, Nasik - 422 002 u Nellore : G. T. Road, Nellore - 524 001 u New Delhi : Fig-ops 1st Floor, Kailash Bldg, 26 K. G. Marg, New Delhi - 110 001 u Noida : G 28 & 29, Sector 18, Noida - 201 301 u Panipat : 801/4, G. T. Road, Panipat - 132 103 u Patiala : S.C.O. 70-73, Leela Bhawan Market, Patiala - 147 001 (Punjab) u Patna : Rajendra Ram Plaza, Exhibition Road, Patna - 800 001 u Pondicherry : TS No. 6, 100 Feet Road, Ellaipillaichavady, Pondicherry - 605 005 u Pune : 5th Floor, Millennium Tower, Bhandarkar Road, Shivajinagar, Pune - 411 004 u Rajahmundry : HDFC Bank Ltd., H.No: 46-17-20, Main Road, Danavaipet, Rajahmundry - 533 103 u Rajkot : Opp. Alfred High School, 2nd Floor, Panchratna Building, Jawahar Road, Rajkot u Raipur : Chawla Complex, Near Vanijya Bhawan, Sai Nagar, Devendra Nagar Road, Raipur - 492 009. Chhattisgarh u Ranchi : HDFC Bank Ltd, Ranchi Club Shopping Complex, Apt. No. 11, Main Road, Ranchi - 834 001 u Rourkela : Bisra Road, Dwivedi Bhawan, Dwivedi Square, Rourkela - 769 001 u Salem : 5/241-F, Rathna Arcade, Omalur Main Road, Salem - 636 004. u Siliguri : HDFC Bank Ltd, 3 No. Ramkrishna Samity Building, Sevoke Road, Pani Tanki More, Siliguri - 734 401 u Surat : Chataniya Jyoti Building, Near Parle Point Circle, Surat - 395 007 u Trichur : Kalliyath Royal Square, Palace Road, Trichur - 680 020, Kerala State u Trichy : A-10, "Lakshmi Arcade", 11th Cross Main Road, Thillainagar, Trichy - 620 018, Tamilnadu u Trivandrum : Kenton Towers, Vazhuthacaud, Trivandrum - 695 014 u Udaipur : HDFC Bank, Chetak Circle, GPO Road, Udaipur u Valsad : Ekta Appt., Nr, RJJ High School, Thithal Road, Valsad - 1 u Varanasi : HDFC Bank Ltd, D 58/2 Kuber Complex, Rathyatra Crossing, Varanasi - 221 010 u Vijayawada : 40-1-48/2, M.G. Road, Labbipet, Vijayawada - 520 010 u Visakhapatnam : Potluri Castle, Dwaraka Nagar, Visakhapatnam
CI00167
GUIDANCE NOTES TO HELP YOU COMPLETE THE APPLICATION FORMS General instructions u Please read the Offer Document of Fidelity Tax Advantage Fund (“the Offer Document”) carefully before investing. In the Offer Document your attention is particularly drawn to the risk factors of investing in the Scheme and also the sections on "Who cannot invest" and "Important Note on Anti Money Laundering and Know-YourCustomer." u
u
Please complete the form legibly u in black ink or any dark coloured ink, u in the English language, u in BLOCK CAPITALS Please refer to the checklist at the end of these notes to ensure that the necessary details and attachments are made available. This will help to avoid processing delays and / or rejection of your Application Form.
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 Units proposed to be redeemed.
The Main Application Form (green form) should only be filled in for lump sum investments and not for investments through Systematic Investment Plan (SIP). To start investment through SIP, please fill in 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 abbreviate any name. Preferably write your name exactly as it appears in the Bank Account (as provided in the bank account details). b) Applications for Non-Individuals: Companies, Trusts, Partnership firms, Societies or any other association should write the name exactly as it appears in its Incorporation document and in the Bank Account (as provided in the bank account details). Sole-proprietorship concerns should apply in the name of the sole-proprietor. c) In case the Sole / first applicant has an existing Folio No, it should be stated in the space provided. The form thereafter should be filled from Section 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 you when communicating with us. e) If you have an email ID please include it as this will help us resolve any 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 mandatory for all applicants to state the PAN in the Application Form and support it with a self-attested photocopy of the PAN Card, PAN allotment letter or an assessment order / refund cheque from the Income Tax Department. The "General Index Register" Number (GIR No.) is not acceptable in lieu of the PAN. If a PAN has not been allotted to any Applicant, Form 60 and documents supporting address therein should be attached to the Application Form. If these are not provided the application will be rejected. If a Form 60 is attached or the applicant is a Non-Resident not having a PAN, the words "FORM 60" or "NON-RESIDENT", as applicable, should be written in the space provided for the PAN. If any applicant is a minor, this should be indicated by ticking in the place provided. The Guardian's PAN should be stated (unless the minor 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 the applicant is a Corporate or a Non-Individual investor, the Contact Person'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 complete otherwise the application will be rejected. NRIs are requested to provide an Indian address (if available) for correspondence. It should be noted that NRIs resident in USA, Canada or any Financial Action Task Force - Non Compliant Countries or Territories (currently Myanmar and Nigeria; this list may change from time to time) cannot invest in the Scheme. To help us service you better, your telephone number(s) should also be provided including the relevant STD / ISD code.
i) Please indicate the status of the sole / 1st applicant at the time of investment. Any change in status during the period of holding units should be given to assist in accurate tax treatment of income arising from such holdings. The abbreviations used in these sections are: HUF Hindu Undivided Family
AOP
Association of Persons
FII
BOI
Body of Individuals
Foreign Institutional Investor
Note 2 - Joint applicants' details : a) The Names and PAN details of joint applicants (i.e. second and third applicants) 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 this section. "Single" will entitle only the first holder to operate the account to the exclusion of the joint holders. "Anyone or Survivor" will entitle any one of the joint holders to operate the folio and "Jointly" will allow operation of the account only if all the holders sign the instruction. If this 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 any redemption 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 ensure expeditious clearing, the following should be provided, i) Details of the "City" of the Clearing Circle in which the bank / branch participates; and ii) The 9-digit MICR (Magnetic Ink Character Recognition) number appearing to the right of the cheque number on the bottom white strip of a cheque leaf. The Registrar may ask for a copy of a cancelled cheque to verify these details. c) Direct credit facility is available with the following banks for paying out Redemption proceeds / Dividend. ABN Amro Bank
IDBI Bank
BNP Paribas
ICICI Bank
Citibank
Kotak Mahindra Bank
Deutsche Bank
Standard Chartered Bank
HDFC Bank
UTI Bank
HSBC If your Bank mandate is with any of these banks, we will directly credit your Redemption proceeds / dividend into the same. If however, you wish to receive a cheque pay-out, please tick in the space provided. The Electronic Clearing Service facility (ECS) is available for making dividend payments. In case you wish to avail of this facility, please tick in the space provided. Please note that the MICR code i.e. the 9 digit code appearing after your cheque number on the bottom band on the cheque 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 box and we will send you a PIN form. To help minimise paperwork you also have the option of receiving statements by e-mail rather than by post. Please tick the relevant box to opt 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-issue of your passport and / or driving license and / or voter's id card.
GUIDANCE NOTES TO HELP YOU COMPLETE THE APPLICATION FORMS (Contd..) 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 of options provided. b) Please tick either the "Growth" or "Dividend" option. If this is left blank or it is not clear, the default will be treated as "Growth". If "Dividend" option is ticked, please select either "Re-investment" or "Payout". If this 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 cheques ii) Cash / Money Order / Post Order iii) Post dated cheques
Main Application Form d) 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 additional investments), the Demand Draft (DD) charges (if applicable) and the net amount. If DD charges are applicable please subtract them from the investment amount and fill in the difference in the net amount box. The AMC shall bear the bank charges for the demand draft(s) borne by the applicant, if the applicant is resident of a city, the banking clearing circle of which is different from that of any Investor Service Centre, as designated by the AMC from time to time. The AMC shall not refund any demand draft charges.
the NFO shall not be accepted. During the NFO, SIP investments can 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 Unit Holders as the case may be. 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, partnership firm, Karta of Hindu Undivided Family, holder of Power of Attorney cannot nominate. If the units are held jointly, all joint holders will sign the nomination form. 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 favour of the Central Government, State Government, a local authority, any person designated by virtue of his office or a religious or charitable trust. The Nominee shall not be a trust (other than a religious or charitable trust), society, body corporate, partnership firm, Karta of Hindu Undivided Family or a Power of Attorney holder. A non-resident Indian can be a Nominee subject to the exchange control regulations in force, from time to time. Nomination in respect of the units stands rescinded upon the transfer of units. Transfer of units in favour of a Nominee shall be a valid discharge by the asset management company against the legal heir. 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 cancellation 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.
Note 8 - Declaration and signatures :
SIP Application Form f) The minimum investment amount is Rs. 500 or multiples of Rs. 500 per instalment. The minimum number of instalments (including the first instalment) should be 6. The total value of the instalments should not be 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 and submit it together with the Application form and the first cheque. Please note that post dated cheques for SIP investments during
a) All signatures should be in English or any Indian language. Thumb impressions should be from the left hand for males and the right hand for females and in all cases be attested by a Magistrate, Notary Public or 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 the PoA. Alternatively, the original PoA can be submitted, which will be returned after verification. If the PoA is not received within 30 days of submitting the application, the application is liable to be rejected. c) In the case of corporates or any non-Individual investors, a list of authorised signatories should be submitted within 7 days of submitting the application form or of any change in the status of any authorised signatory.
Note 9 - List of attachments : In case any attachments are submitted together with the application form (please see “Accompanying documents” in the check list below), please mention the documents in the space provided and also write the total 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 be rejected. Your bank account details are entered completely and correctly. This is mandatory, 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 and signed. On the reverse of each cheque submitted write the First Applicant's name and the Application Form number or Folio number. You are not resident of USA, Canada, FATF-NCCT, otherwise your application will be rejected. Status of Sole / First Applicant's for tax purposes is indicated.
Accompanying documents 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. Documents
Resolution / Authorisation to invest List of Authorised Signatories with Specimen signature(s) Memorandum & Articles of Association Trust Deed Bye-laws Partnership Deed Overseas Auditors' Certificate Notarised Power of Attorney Foreign Inward Remittance Certificate, in case payment is made by DD from NRE / FCNR a/c or where applicable
Companies Societies Partnership Investments Trusts NRI FIIs Firms through POA 3 3 3 3 3 3 3
3
3
3
3
3
3 3 3 3 3 3
MAIN APPLICATION FORM Please do not use this form for SIP Investments
I N T E R N A T I O N A L
New Fund Offer Opens : January 05, 2006 New Fund Offer Closes : January 31, 2006 Scheme re-opens for Purchases : March 01, 2006
Please read Guidance Notes carefully and complete all sections in BLOCK CAPITALS
App. No.
DISTRIBUTOR INFORMATION (only empanelled Distributors / Brokers will be permitted to distribute Units) Distributor’s / Broker’s Code
Sub-Broker’s Code
NJ IndiaInvest Pvt Ltd
Registrar’s / Bank Serial No.
9285
ARN- ARN 0155
1. FIRST APPLICANT’S PERSONAL DETAILS Sole / 1st Applicant
First Name
Middle Name
Last Name
If you have an existing folio no. Please mention the number alongside and skip to section 6.
Existing Folio No. Date of Birth
(See note 1)
DD
Email ID
YYYY
MM
If the Sole / 1st Applicant is a minor, please tick here ( ) and state the Guardian’s PAN no. alongside.
See note 1(f)
PAN
Guardian (if Sole / 1st Applicant is a Minor) Or First Name Contact Person (For institutional applications) Address for Correspondence (in India) (P. O. Box Address is not sufficient)
City
Middle Name Overseas Address
Last Name
(Mandatory for NRI / FII applicants in addition to mailing address)
Postal Code
City
Pin Code
Country
State
NRIs residing in USA, Canada or an FATF Non-compliant country / territory cannot invest. Tel. (Off)/ Mobile
(ISD/STD)
Tel.(Res.)
(ISD/STD)
(ISD/STD)
Fax
Status of Sole / 1st Applicant (Please ) Non Resident Indian Individual Partnership Firm
Resident Indian Individual Company / Body Corporate
Trust Bank
Mutual Fund Fund of Funds
AOP / BOI Society
HUF FII
Others (please specify) ____________________
2. JOINT APPLICANTS’ DETAILS 2nd Applicant
First Name
PAN
See note 1(f)
Guardian (If 2nd Applicant is minor)
First Name
3rd Applicant
First Name
PAN
See note 1(f)
Guardian (If 3rd Applicant is minor)
First Name
MODE OF HOLDING
Single
(See note 2) Middle Name
Last Name
If the 2nd Applicant is a minor, please tick here ( ) and state the Guardian’s PAN no. alongside. Middle Name Middle Name If the 3rd Applicant is a minor, please tick here ( ) and state the Guardian’s PAN no. alongside. Middle Name Anyone or Survivor
Last Name Last Name
Last Name
Joint
3. BANK ACCOUNT DETAILS (MANDATORY)
(See note 3) A/c. No.
Name of Bank
(Clearing Circle)
City
Branch
MICR Code
Account Type (Please )
(This is a 9 Digit Number next to your Cheque Number)
Savings Current
NRE FCNR
NRO Others
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 ( )
(See note 4)
4. SERVICES I would like to receive a PIN form to view this account on the internet (Please )
I would like to receive statements by email rather than by post (Please )
(See note 5)
5. PROOF OF IDENTITY Passport
Driving License
Voter ID Card
Passport No. Place of Issue
Driving License No. Place of Issue
Voter ID No. Place of Issue
ACKNOWLEDGEMENT SLIP To be filled by the Applicant
I N T E R N A T I O N A L
App. No.
Received from Mr./Ms. an application for Purchase of Units of Fidelity Tax Advantage Fund alongwith Cheque / DD No.
For Rs.
Total No. of Attachments
Please refer to the Key Information Memorandum for details of Entry and Exit Loads. All purchases are subject to realisation of cheques.
Acknowledgement Stamp
6. INVESTMENT DETAILS Type of Bank Account (Please
(See note 6) )
Resident
Current
Savings
NRI : Non Repatriation basis
NRE *
NRO
FCNR*
NRI : Repatriation basis
NRE *
FCNR*
Foreign Inward Remittance*
FII
Non Resident Rupee Account
Foreign Inward Remittance*
Foreign Inward Remittance
Cheque should be made in favour of the Scheme
Option (Please
FIDELITY TAX ADVANTAGE FUND
Growth
Investment Amount
A
Rs.
)
OR
Dividend Reinvestment
DD Charges (if applicable)
B
Rs.
(Minimum Rs. 500)
Mode of Payment Cheque / Demand Draft / ____________
OR
Dividend Payout
Net Amount (Cheque / DD Amount)
A minus B
Rs.
Instrument No.
dated
DD
MM
YYYY
(Strike off whichever is not applicable)
Bank
Drawn on
City
Branch
7. NOMINATION DETAILS (OPTIONAL, PLEASE CROSS OUT THIS SECTION IF YOU DO NOT INTEND TO NOMINATE)
(See note 7)
Name of Applicant(s)
I / We
do 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 discharge by the AMC / Mutual Fund / Trustees. Name and Address of Nominee To be furnished in case Nominee is a Minor (strike out if not applicable)
Name of Guardian
Name Address
Address of Guardian
Date of Birth (in case Nominee is a minor)
DD
MM
YYYY
Signature of Guardian (Mandatory)
SIGNATURE(S) ALL Applicants MUST SIGN HERE
X
X
Sole / 1st Applicant
X 3rd Applicant
2nd Applicant
8. DECLARATION AND SIGNATURES
(See note 8)
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” and “Important Note on Anti Money Laundering and Know-Your-Customer”. I / We hereby apply for allotment / purchase of Units in the Scheme indicated above 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 in the above-mentioned Scheme 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 Fidelity Mutual Fund, its Investment Manager and its agents to disclose details of my investment to my bank(s) / Fidelity Mutual Fund’s bank(s) and / or Distributor / Broker / Investment Adviser. 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. * I / We confirm that I am / we are Non-Resident(s) 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 funds received from abroad through approved banking channels or from funds in my / our NRE / FCNR Account.
SIGNATURE(S)
ALL Applicants MUST SIGN HERE (Please refer to the guidance notes / checklist and ensure that all relevant sections are completed) Dated
X
X
X
Sole / 1st Applicant
2nd Applicant
3rd Applicant
DD
MM
YYYY
(See note 9)
9. LIST OF ATTACHMENTS (Please mention below the documents attached alongwith the form)
Total Number of attachments To be Office to filled in by verify the applicant said Nos.
FIDELITY INVESTOR SERVICE CENTRES Ahmedabad : 301, Raindrops Building, Opp. Cargo Motors, C. G. Road, Ellis Bridge, Ahmedabad 380 006. Bangalore : Unit 402, 4th Floor, H. M. Geneva House, Cunningham Road, Bangalore 560 052. Chennai : Old No. 90, New No. 104, Ganesha Towers, Dr. Radhakrishnan Salai, Mylapore, Chennai 600 004. Gurgaon : Unitech Business Park, Tower B, South City Phase 1, Gurgaon 122 001. Kolkata : 408, 4th Floor, Azimganj House, 7 Camac Street, Kolkata 700 017 Mumbai : 57, 5th Floor, Maker Chambers VI, 220, Nariman Point, Mumbai 400 021. Pune : Unit No. 406, 4th Floor, Nucleus Mall, 1, Church Road, Camp, Pune - 411 001.
email :
[email protected]
web : www.fidelity.co.in
CAMS INVESTOR SERVICE CENTRES (ISCs) alok
If you have any queries with regard to completing this form, call Fidelity on 1600 180 8000 (toll-free) or 0124 254 2022 (at long distance call rates). Lines are open from 9 am to 6 pm on all business days.
graphics
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
SIP APPLICATION FORM Please do not use this form for lump sum Investment
I N T E R N A T I O N A L
New Fund Offer Opens : January 05, 2006 New Fund Offer Closes : January 31, 2006 Scheme re-opens for Purchases : March 01, 2006
Please read Guidance Notes carefully and complete all sections in BLOCK CAPITALS
App. No.
DISTRIBUTOR INFORMATION (only empanelled Distributors / Brokers will be permitted to distribute Units) Distributor’s / Broker’s Code
Sub-Broker’s Code
NJ IndiaInvest Pvt Ltd
ARN- ARN 0155
Registrar’s / Bank Serial No.
9285
1. FIRST APPLICANT’S PERSONAL DETAILS Sole / 1st Applicant
First Name
Middle Name
Last Name
If you have an existing folio no. Please mention the number alongside and skip to section 6.
Existing Folio No. Date of Birth
(See note 1)
DD
Email ID
YYYY
MM
If the Sole / 1st Applicant is a minor, please tick here ( ) and state the Guardian’s PAN no. alongside.
See note 1(f)
PAN
Guardian (if Sole / 1st Applicant is a Minor) Or First Name Contact Person (For institutional applications) Address for Correspondence (in India) (P. O. Box Address is not sufficient)
City
Middle Name Overseas Address
Last Name
(Mandatory for NRI / FII applicants in addition to mailing address)
Postal Code
City
Pin Code
Country
State
NRIs residing in USA, Canada or an FATF Non-compliant country / territory cannot invest. Tel. (Off)/ Mobile
(ISD/STD)
Tel.(Res.)
(ISD/STD)
(ISD/STD)
Fax
Status of Sole / 1st Applicant (Please ) Non Resident Indian Individual Partnership Firm
Resident Indian Individual Company / Body Corporate
Trust Bank
Mutual Fund Fund of Funds
Others (please specify) ____________________
AOP / BOI Society
HUF FII
2. JOINT APPLICANTS’ DETAILS 2nd Applicant
First Name
PAN
See note 1(f)
Guardian (If 2nd Applicant is minor)
First Name
3rd Applicant
First Name
PAN
See note 1(f)
Guardian (If 3rd Applicant is minor)
First Name
MODE OF HOLDING
Single
(See note 2) Middle Name
Last Name
If the 2nd Applicant is a minor, please tick here ( ) and state the Guardian’s PAN no. alongside. Middle Name Middle Name If the 3rd Applicant is a minor, please tick here ( ) and state the Guardian’s PAN no. alongside. Middle Name Anyone or Survivor
Last Name Last Name
Last Name
Joint
3. BANK ACCOUNT DETAILS (MANDATORY)
(See note 3) A/c. No.
Name of Bank
(Clearing Circle)
City
Branch
MICR Code
Account Type (Please )
(This is a 9 Digit Number next to your Cheque Number)
Savings Current
NRE FCNR
NRO Others
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 ( )
(See note 4)
4. SERVICES I would like to receive a PIN form to view this account on the internet (Please )
I would like to receive statements by email rather than by post (Please )
(See note 5)
5. PROOF OF IDENTITY Passport
Driving License
Voter ID Card
Passport No. Place of Issue
Driving License No. Place of Issue
Voter ID No. Place of Issue
ACKNOWLEDGEMENT SLIP To be filled by the Applicant
I N T E R N A T I O N A L
App. No.
Received from Mr./Ms. an application for Purchase of Units of Fidelity Tax Advantage Fund alongwith Cheque and SIP Auto Debit (ECS) Facility Form For Rs.
(single instalment)
Total No. of Attachments
Please refer to the Key Information Memorandum for details of Entry and Exit Loads. All purchases are subject to realisation of cheques. Acknowledgement Stamp
6. INVESTMENT DETAILS Type of Bank Account (Please Resident
(See note 6) Checklist for SIP
) Current
Savings
NRI : Non Repatriation basis
NRE *
NRO
FCNR*
Foreign Inward Remittance*
NRI : Repatriation basis
NRE *
FCNR*
Foreign Inward Remittance*
Non Resident Rupee Account
FII
Foreign Inward Remittance
Cheque should be made in favour of the Scheme
Option (Please )
FIDELITY TAX ADVANTAGE FUND
Growth
l
All instalments of equal amount,
l
Each instalment - Minimum Rs. 500 or in multiples of Rs. 500
l
Minimum instalments - 6
l
Sum total of all instalments Minimum Rs. 3000
Dividend Reinvestment
OR
OR
Dividend Payout
SIP Frequency No. of Instalments
min. 6 (incl. 1st instalment)
Instalment Dates (Please
one)
1st or 10th
From MM
YYYY To MM
(Please
YYYY
one)
Monthly Quarterly Yearly
SIP available only through SIP Auto Debit (ECS) Facility Please attach a cheque for the 1st instalment, and the SIP Auto Debit (ECS) Facility Form for subsequent instalments First SIP Instalment Cheque No.
Dated
First Cheque No.
Bank
Drawn on
D D M M Y Y Y Y Instalment City
Branch
(See note 7)
7. NOMINATION DETAILS (OPTIONAL, PLEASE CROSS OUT THIS SECTION IF YOU DO NOT INTEND TO NOMINATE)
Name of Applicant(s)
I / We
do 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 discharge by the AMC / Mutual Fund / Trustees. Name and Address of Nominee To be furnished in case Nominee is a Minor (strike out if not applicable)
Name of Guardian Address of Guardian
Name Address
Date of Birth (in case Nominee is a minor)
DD
MM
YYYY
Signature of Guardian (Mandatory)
SIGNATURE(S) ALL Applicants MUST SIGN HERE
X
X
Sole / 1st Applicant
X 3rd Applicant
2nd Applicant
8. DECLARATION AND SIGNATURES
(See note 8)
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” and “Important Note on Anti Money Laundering and Know-Your-Customer”. I / We hereby apply for allotment / purchase of Units in the Scheme indicated above 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 in the above-mentioned Scheme 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 Fidelity Mutual Fund, its Investment Manager and its agents to disclose details of my investment to my bank(s) / Fidelity Mutual Fund’s bank(s) and / or Distributor / Broker / Investment Adviser. 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. * I / We confirm that I am / we are Non-Resident(s) 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 funds received from abroad through approved banking channels or from funds in my / our NRE / FCNR Account.
SIGNATURE(S)
Dated
DD
MM
YYYY
ALL Applicants MUST SIGN HERE (Please refer to the guidance notes and ensure that all relevant sections are completed)
X
X
X
Sole / 1st Applicant
2nd Applicant
3rd Applicant
9. LIST OF ATTACHMENTS (Please mention below the documents attached alongwith the form)
(See note 9)
Total No. of attachments No. to be Office to filled in by verify the applicant said Nos.
FIDELITY INVESTOR SERVICE CENTRES Ahmedabad : 301, Raindrops Building, Opp. Cargo Motors, C. G. Road, Ellis Bridge, Ahmedabad 380 006. Bangalore : Unit 402, 4th Floor, H. M. Geneva House, Cunningham Road, Bangalore 560 052. Chennai : Old No. 90, New No. 104, Ganesha Towers, Dr. Radhakrishnan Salai, Mylapore, Chennai 600 004. Gurgaon : Unitech Business Park, Tower B, South City Phase 1, Gurgaon 122 001. Kolkata : 408, 4th Floor, Azimganj House, 7 Camac Street, Kolkata 700 017 Mumbai : 57, 5th Floor, Maker Chambers VI, 220, Nariman Point, Mumbai 400 021. Pune : Unit No. 406, 4th Floor, Nucleus Mall, 1, Church Road, Camp, Pune - 411 001.
email :
[email protected]
web : www.fidelity.co.in
CAMS INVESTOR SERVICE CENTRES (ISCs)
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If you have any queries with regard to completing this form, call Fidelity on 1600 180 8000 (toll-free) or 0124 254 2022 (at long distance call rates). Lines are open from 9 am to 6 pm on all business days.
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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
I N T E R N A T I O N A L
SIP AUTO DEBIT (ECS) FACILITY FORM Please read Instructions and Terms & Conditions overleaf carefully and complete all sections in BLOCK CAPITALS
(Application to be furnished with a gap of at least 60 days between the date of closing of NFO and date of first instalment through ECS)
SOLE / 1st APPLICANT’S DETAILS
(See Instruction 1)
SIP Application No. SOLE / 1st APPLICANT
Folio No.
First Name
Middle Name
Last Name
SIP INVESTMENT DETAILS New Registration
(See Instruction 2) Change in Bank Account
Cheque should be made in favour of the Scheme
Option (Please )
Growth OR
Dividend Reinvestment OR
Dividend Payout
FIDELITY TAX ADVANTAGE FUND
MM
SIP Period From
SIP Date (Please 4 )
1st
10th
SIP Frequency (Please 4 )
Monthly
Quarterly
(Min. Rs. 500)
Each SIP Amount (Rs.)
YYYY
To
MM
Checklist for SIP
YYYY
l l
First SIP Instalment Cheque No.
Dated
Yearly
l
DD MM YYYY
l
All instalments of equal amount, Each instalment - Minimum Rs. 500 or in multiples of Rs. 500 Minimum instalments - 6 Sum total of all instalments Minimum Rs. 3000
DECLARATION I / We hereby authorise Fidelity Mutual Fund and their authorised service provider (TechProcess Solutions Ltd.), to debit the following bank account by ECS Debit Clearing for collection of SIP payments. I / We understand that the information provided by me / us may be shared with third parties for facilitating transaction processing for the auto debit process or for compliance with any legal or regulatory requirements.
X
X
X
Sole / 1st Applicant
2nd Applicant
3rd Applicant
(See Instruction 3)
ECS DEBIT BANK ACCOUNT DETAILS (MANDATORY)
This is to inform that I / We have registered for the RBI’s Electronic Clearing Service (Debit Clearing) and that my / our payment towards my / our investment in Fidelity Mutual Fund shall be made from my / our below mentioned bank account with your bank. I / We authorise the representative carrying this ECS mandate Form to get it verified & executed. Name of the Account Holder as in Bank Records
First Name
Middle Name
Last Name
Name of the Bank Branch & City Account Number Account Type (Please )
City
Branch MICR Code (Mandatory) Savings Current
NRE FCNR
NRO Others
(This is a 9 Digit Number next to your Cheque Number)
Authorisation of the Bank Account Holder SIGNATURE(S)
X Sole / 1st Account Holder
X
X
3rd Account Holder 2nd Account Holder (To be signed by all holders if mode of operation is joint) (As in Bank Records)
For Office Use only (Not to be filled in by Investors) Scheme Scheme Code
Credit Account Number
List of Cities currently offering SIP Auto Debit Facility via ECS (Debit Clearing) l
Ahmedabad l Bangalore l Baroda l Bhopal l Bhubaneshwar l Chandigarh l Chennai l Coimbatore l Guwahati l Hyderabad l Indore l Jaipur l Kanpur l Kolkata l Lucknow l Ludhiana l Madurai l Mumbai l Nagpur l New Delhi l Panjim l Pune l Surat l Trichy l Trivandrum l Vijaywada l Vizag
INSTRUCTIONS FOR FILLING UP THE SIP AUTO DEBIT (ECS) FACILITY FORM 1. 2. 3.
4.
a. Please mention the SIPApplication Form number in the space provided and if you have a folio no, please mention the folio no. in the space provided. b. Please mention the name of the sole / 1st applicant as appearing in the SIPApplication Form in the space provided. a. In the SIP Investment Details column, the applicant should mention the period ( From and To ), frequency, amount and date of SIP. b. The first cheque towards SIP investment should be from the same bank account as provided by the applicant for SIPAuto Debit facility. Under the ECS Debit Bank Account Details column, name and bank account details of the person whose account is to be debited shall be mentioned. This person may not be the sole / 1st applicant as mentioned in SIP Investment Details column. For eg ; A may be the sole / 1st applicant but his first investment cheque for SIP might have been from the bank account of B. In such a case, details of B shall be mentioned in Bank Account Details column. The following documents must be submitted, both by new applicants in NFO and existing unit holders applying in NFO. (i) SIPApplication Form (complete in all respects for new applicants) (ii) SIPApplication Form (with Folio No. only to be mentioned by existing unit holders) (iii) SIPAuto Debit (ECS) Facility form (iv) First cheque towards SIP investment (v) Photocopy of a cancelled cheque leaf of the bank account details mentioned under the heading "ECS Debit Bank Account Details" in the SIP Auto Debit (ECS) Facility Form if it is different from the bank account details of the cheque issued for SIP investment. There must be a gap of at least 60 days between the date of closure of NFO and the date of first instalment through ECS. For applicants in NFO, therefore, the first instalment dates for SIPAuto Debit (ECS) shall be as under : l 1st April, 2006 for 1st dated SIP l 10th April, 2006 for 10th dated SIP
TERMS AND CONDITIONS FOR SIP WITH AUTO DEBIT FACILITY 1. 2.
3.
THIS FORM IS TO BE READ IN CONJUNCTION WITH TERMS AND CONDITIONS FOR SIP MENTIONED IN THE GUIDANCE NOTES TO THE KEY INFORMATION MEMORANDUM CONTAINING SIPAPPLICATION FORM. 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 Fidelity Mutual Fund / Fidelity Fund Management Private Limited and no prior notice of such change is required to be given. 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 same facility again take care of the following :(a) Additional investments in the same folio should be from the same bank account as the previous SIPAuto Debit Bank Account. (b) You cannot make an additional investment in the same folio, in the same scheme / option and on the same due date. The following example will make this clear: Existing Investment Folio No.: 12345/67 SIP due date : 1st Scheme : Fidelity Tax Advantage Fund Option : Growth Bank a/c number : 56789 Bank Name: ABC Bank Bank Branch: Andheri (E)
New Investment (acceptable) Folio No.: 12345/67 SIP due date : 10th Scheme : Fidelity Tax Advantage Fund Option : Growth Bank a/c number : 56789 Bank Name: ABC Bank Bank Branch: Andheri (E)
New Investment (unacceptable) Folio No.: 12345/67 SIP due date : 1st Scheme : Fidelity Tax Advantage Fund Option : Growth Bank a/c number : 56789 Bank Name: ABC Bank Bank Branch: Andheri (E)
Folio No.: 12345/67 SIP due date : 1st Scheme : Fidelity Tax Advantage Fund Option : Dividend Bank a/c number : 56789 Bank Name: ABC Bank Bank Branch: Andheri (E)
Folio No.: 12345/67 SIP due date : 1st Scheme : Fidelity Tax Advantage Fund Option : Growth Bank a/c number : 45678 Bank Name: ABC Bank Bank Branch: Andheri (E) Folio No.: 12345/67 SIP due date : 1st Scheme : Fidelity Tax Advantage Fund Option : Growth Bank a/c number : 56789 Bank Name: XYZ Bank Bank Branch: Andheri (E)
7.
8. 9.
10. 11.
Field Left Blank
Action
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 least 60 days between the NFO closure date and the date of first instalment through ECS
Frequency
Quarterly
If any of the SIP investment details are left blank in either the SIP application form or the SIP Auto Debit (ECS) Facility Form, the information provided in either of the forms will prevail. In the event of a discrepancy in SIP investment details between SIPApplication Form and SIPAuto Debit (ECS) Facility Form, the investment details as entered in SIPApplication Form shall prevail. Terms and conditions laid down by Reserve Bank of India for ECS facility shall apply over and above the terms and conditions specified herein. 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 the applicant bank account is debited in advance. Fidelity Mutual Fund / Fidelity Fund Management Private Limited reserves the right not to re-present any mandate for SIPAuto Debit facility if the registration could not be effected in time for reason beyond control. Please refer to the Offer Document for Applicable NAV, risk factors, load structure and other information.
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5. 6.
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 local MICR / ECS Clearing. Applicants are required to give at least 30 days notice in writing for cancellation of SIPAuto Debit Facility / change in bank account. If the applicant has left any or all the following fields blank in the SIP Auto Debit (ECS) Facility Form under the heading "SIP Investment Details" , the application shall be treated as under :
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4.
Form No. 60 [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 makes payment in cash in respect of transaction specified in clauses (a) to (h) of rule 114B (1) Full name and address of the declarant
Investment in Mutual Fund Units of Fidelity Mutual Fund
(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 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
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 showing residential address (g) Any other documentary evidence in support of his address given in the declaration.
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Form No. 60 [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 makes payment in cash in respect of transaction specified in clauses (a) to (h) of rule 114B (1) Full name and address of the declarant
Investment in Mutual Fund Units of Fidelity Mutual Fund
(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 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
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 showing residential address (g) Any other documentary evidence in support of his address given in the declaration.
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