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9/25/2010 Service Request Form

Change of Address/Bank

I / We request the following update of my static data for all folios where I,
__________________________, as holder of PAN Number __________________, am the
first holder, in all Mutual Funds servic ed by CAMS, based upon this single request.

New Address New Bank

Address1 5E, JNU Ara wa li Appt, GH-5, Bank Name HDFC Bank
Address2 Be hind Ke ndriya Vihar, Sec-56 Branch SG5, DLF P hase -4, Gala ria Ma rk et Gurga on
Address3 A/C No./Type 12021930002931
City Gurga on Bank City Gurga on
Pincode 122002 Bank IFSC Code HDFC 0001202
9560396879
State Ha rya na Mobile No.

Country India Home Phone

Email Address pa rijat.ava sthy@gm ail.com Work Phone

NEFT IFSC Code


RTGS Code
ECS No
Statement Delivery
Option Email-Only Physical

Signatures

_____________________
_____________________ _____________________
__________________________

For a change in bank details, please attach a cancelled cheque leaf / copy of your Bank Statement or
Passbook with your name and account number printed therein or any other related / additional
documents as specified by the respective Mutual Fund in the Addendum / Scheme Information
Document / Key Information Memorandum from time to time.

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