NAME

MOTHER NAME

DOB

ANNUAL INCOME
—Please choose an option—below 1 lakh1 to 5 lakh5 to 10 lakh10 to 25 lakh25 to 1 croreabove 1 crore

OCCUPATION
—Please choose an option—Private SectorGovt. SectorBusinessRetiredHouse WifeStudent

NOMINEE NAME- 1 NOMINEE 1 DOB RELATIONSHIP WITH NOMINEE 1

NOMINEE NAME- 2 NOMINEE 2 DOB RELATIONSHIP WITH NOMINEE 2

LUMP SUM INVESTMENT

SIP INVESTMENT AMOUNT
SIP DATE

MOBILE

EMAIL ID

AADHAR NO.

PAN NO.

UPLOAD PAN CARD (optional)

UPLOAD ADHAR CARD (optional)

UPLOAD PASSPORT SIZE PHOTO (optional)

UPLOAD BANK PROOF (Copy of Passbook Front Page)(optional)