REDEMPTION REQUEST

Date :

Folio No.:

ARN - 0155

Sub Broker Code:

AMC :
Investor Name :
I wish to redeem :

Units OR Rs.:

Rupees (in words) :

From Scheme :

Option :

Bank Details :
Declaration: Upfront commission be paid directly by the investor to the AMFI registered Distributors based on
investors' assessment of various factors like service rendered by the distributor.
The ARN holder has disclosed to me/us all the commissions ( in form of trail commission or any other mode.), Payable
to him for the different competing schemes of various Mutual Funds from amongst the scheme is being recommended
to me/us.

Signatures :

Holder 1

Holder 2

Holder 3

Fundz Network
www.njfundz.com

Acknowledgment Slip
Received From :
Folio No.

Scheme

Option

Amount

Units

Dated :

Signature, Date & Stamp

of Receiving Office

Fundz Network
www.njfundz.com