Non Transferable For the period 01 Apr 2015 to 29 Apr 2021 Statement Date : 29 Apr 2021

Account / Folio No : 428145069347 To serve you better, we have highlighted your profile / contact details. In case you find
any information /details to be incorrect, please reach us at 1860 266 0111 (Call charges
SANDEEP KUMAR SHUKLA apply) at the earliest.
Mode of Holding : SINGLE
268 24 SI
SOHABTIYA BAGH Status : INDIVIDUAL
CHAIL Off. : NA
ALLAHABAD - 211004
Mobile : 9918671922
UTTAR PRADESH,INDIA
Resi : NA
Email id : sandeep.jss123@gmail.com
2nd Holder : NA
3rd Holder : NA Name on Debit Card : NA
Note: In case there is any change in your KYC information please update the same by using the prescribed 'KYC Change Request form' and submit the same at the Point of Service of any KYC Registration Agency.

PAN / PEKRN KYC KYC Type FATCA # Open up your world of possibilities with just a
‘Hi’ to us on WhatsApp now!
Primary EUSPS1400N VERIFIED KRA KYC UPDATED
2nd Holder NA NA NA NA Say ‘Hi’ to us on WhatsApp +918433938264
from your registered mobile number.
3rd Holder NA NA NA NA
Don’t forget to add us to your contact list.
Guardian NA NA NA NA
# It is mandatory for all investors (new and existing) to provide information related to FATCA (Foreign Account Tax Compliance Act). These details can be updated online at https://mfs.kfintech.com/mfs/fatcahome.aspx or by submitting a duly
filled and signed application form at any of our Designated Investor Service Centre (DISC) or branch.

Summary of Investments
Amount IDCW Earned * Current Value (`)
Scheme Details NAV(`) Balance Units
Invested (`) Paid (`) Re-invested (`)
NIPPON INDIA SMALL CAP FUND - GROWTH PLAN GROWTH OPTION (SCGPG) 1,55,999.00 0.00 0.00 61.8844 4,636.452 2,86,924.05

Total: 1,55,999.00 0.00 0.00 2,86,924.05

*IDCW Paid includes total IDCW payout / sweep out amount. IDCW Reinvested includes amount only for balance units

NIPPON INDIA SMALL CAP FUND - GROWTH PLAN GROWTH OPTION ( SCGPG) ISIN : INF204K01HY3 (NON-DEMAT)
NAV Date Transaction Type Amount (`) Revised Cost* (`) NAV (`) Number of Units Balance Units
01/04/2015 Opening Balance 413.244
28/04/2015 Sys. Investment (5/241) 2,000.00 23.5697 84.855 498.099
28/05/2015 Sys. Investment (6/241) 2,000.00 23.8329 83.918 582.017
29/06/2015 Sys. Investment (7/241) 2,000.00 23.6158 84.689 666.706
28/07/2015 Sys. Investment (8/241) 2,000.00 25.2319 79.265 745.971
28/08/2015 Sys. Investment (9/241) 2,000.00 24.6366 81.180 827.151
28/09/2015 Sys. Investment (10/241) 2,000.00 24.6631 81.093 908.244
28/10/2015 Sys. Investment (11/241) 2,000.00 26.8470 74.496 982.740
30/11/2015 Sys. Investment (12/241) 2,000.00 27.3454 73.138 1,055.878
28/12/2015 Sys. Investment (13/241) 2,000.00 27.5810 72.514 1,128.392
28/01/2016 Sys. Investment (14/241) 2,000.00 25.1841 79.415 1,207.807
29/02/2016 Sys. Investment (15/241) 2,000.00 21.8959 91.341 1,299.148
28/03/2016 Sys. Investment (16/241) 2,000.00 23.9538 83.494 1,382.642
28/04/2016 Sys. Investment (17/241) 2,000.00 25.5515 78.273 1,460.915
30/05/2016 Sys. Investment (18/241) 2,000.00 25.9397 77.102 1,538.017
28/06/2016 Sys. Investment (19/241) 2,000.00 26.7224 74.844 1,612.861
28/07/2016 Sys. Investment (20/241) 2,000.00 28.3174 70.628 1,683.489
29/08/2016 Sys. Investment (21/241) 2,000.00 28.7660 69.527 1,753.016
28/09/2016 Sys. Investment (22/241) 2,000.00 30.4428 65.697 1,818.713
28/10/2016 Sys. Investment (23/241) 2,000.00 32.0857 62.333 1,881.046
28/11/2016 Sys. Investment (24/241) 2,000.00 29.1549 68.599 1,949.645
28/12/2016 Sys. Investment (25/241) 2,000.00 28.7153 69.649 2,019.294
30/01/2017 Sys. Investment (26/241) 2,000.00 31.6192 63.253 2,082.547
28/02/2017 Sys. Investment (27/241) 2,000.00 32.4449 61.643 2,144.190
28/03/2017 Sys. Investment (28/241) 2,000.00 33.7436 59.270 2,203.460
28/04/2017 Sys. Investment (29/241) 2,000.00 37.2071 53.753 2,257.213
29/05/2017 Sys. Investment (30/241) 2,000.00 36.1883 55.266 2,312.479
28/06/2017 Sys. Investment (31/241) 2,000.00 36.7385 54.439 2,366.918
28/07/2017 Sys. Investment (32/241) 2,000.00 38.9909 51.294 2,418.212
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 Account No:428145069347 Statement Date : 29 Apr 2021
NIPPON INDIA SMALL CAP FUND - GROWTH PLAN GROWTH OPTION ( SCGPG) ISIN : INF204K01HY3 (NON-DEMAT)
NAV Date Transaction Type Amount (`) Revised Cost* (`) NAV (`) Number of Units Balance Units
28/08/2017 Sys. Investment (33/241) 2,000.00 38.4866 51.966 2,470.178
28/09/2017 Sys. Investment (34/241) 2,000.00 38.5168 51.925 2,522.103
30/10/2017 Sys. Investment (35/241) 2,000.00 42.5952 46.954 2,569.057
28/11/2017 Sys. Investment (36/241) 2,000.00 44.8449 44.598 2,613.655
28/12/2017 Sys. Investment (37/241) 2,000.00 47.4859 42.118 2,655.773
29/01/2018 Sys. Investment (38/241) 2,000.00 47.5996 42.017 2,697.790
28/02/2018 Sys. Investment (39/241) 2,000.00 46.0133 43.466 2,741.256
28/03/2018 Sys. Investment (40/241) 2,000.00 43.3480 46.138 2,787.394
30/04/2018 Sys. Investment (41/241) 2,000.00 46.8818 42.660 2,830.054
28/05/2018 Sys. Investment (42/241) 2,000.00 44.4992 44.945 2,874.999
28/06/2018 Sys. Investment (43/241) 2,000.00 40.6020 49.259 2,924.258
30/07/2018 Sys. Investment (44/241) 2,000.00 42.2017 47.391 2,971.649
28/08/2018 Sys. Investment (45/241) 2,000.00 44.1417 45.309 3,016.958
28/09/2018 Sys. Investment (46/241) 2,000.00 39.3734 50.796 3,067.754
29/10/2018 Sys. Investment (47/241) 2,000.00 38.0685 52.537 3,120.291
28/11/2018 Sys. Investment (48/241) 2,000.00 39.3978 50.764 3,171.055
28/12/2018 Sys. Investment (49/241) 2,000.00 39.5235 50.603 3,221.658
28/01/2019 Sys. Investment (50/241) 2,000.00 37.2521 53.688 3,275.346
28/02/2019 Sys. Investment (51/241) 2,000.00 37.0615 53.964 3,329.310
28/03/2019 Sys. Investment (52/241) 2,000.00 40.1167 49.855 3,379.165
30/04/2019 Sys. Investment (53/241) 2,000.00 39.7375 50.330 3,429.495
28/05/2019 Sys. Investment (54/241) 2,000.00 41.2311 48.507 3,478.002
28/06/2019 Sys. Investment (55/241) 2,000.00 39.5731 50.539 3,528.541
29/07/2019 Sys. Investment (56/241) 2,000.00 36.0618 55.460 3,584.001
28/08/2019 Sys. Investment (57/241) 2,000.00 35.0573 57.049 3,641.050
30/09/2019 Sys. Investment (58/241) 2,000.00 37.5295 53.291 3,694.341
29/10/2019 Sys. Investment (59/241) 2,000.00 38.0948 52.501 3,746.842
28/11/2019 Sys. Investment (60/241) 2,000.00 38.3537 52.146 3,798.988
30/12/2019 Sys. Investment (61/241) 2,000.00 38.6783 51.709 3,850.697
28/01/2020 Sys. Investment (62/241) 2,000.00 41.5655 48.117 3,898.814
28/02/2020 Sys. Investment (63/241) 2,000.00 38.9390 51.362 3,950.176
30/03/2020 Sys. Investment (64/241) 2,000.00 26.2526 76.183 4,026.359
28/04/2020 Sys. Investment (65/241) 2,000.00 30.5520 65.462 4,091.821
28/05/2020 Sys. Investment (66/241) 2,000.00 30.1931 66.240 4,158.061
29/06/2020 Sys. Investment (67/241) 2,000.00 34.5644 57.863 4,215.924
28/07/2020 Sys. Investment (Gross - Rs 2000.00 ,Stamp duty Rs 0.10 ) (68/241) 1,999.90 36.1524 55.319 4,271.243
28/08/2020 Sys. Investment (Gross - Rs 2000.00 ,Stamp duty Rs 0.10 ) (69/241) 1,999.90 42.5393 47.013 4,318.256
28/09/2020 Sys. Investment (Gross - Rs 2000.00 ,Stamp duty Rs 0.10 ) (70/241) 1,999.90 42.0175 47.597 4,365.853
28/10/2020 Sys. Investment (Gross - Rs 2000.00 ,Stamp duty Rs 0.10 ) (71/241) 1,999.90 41.4694 48.226 4,414.079
01/12/2020 Sys. Investment (Gross - Rs 2000.00 ,Stamp duty Rs 0.10 ) (72/241) 1,999.90 47.2255 42.348 4,456.427
28/12/2020 Sys. Investment (Gross - Rs 2000.00 ,Stamp duty Rs 0.10 ) (73/241) 1,999.90 49.5905 40.328 4,496.755
28/01/2021 Sys. Investment (Gross - Rs 2000.00 ,Stamp duty Rs 0.10 ) (74/241) 1,999.90 50.1093 39.911 4,536.666
02/03/2021 Sys. Investment (Gross - Rs 2000.00 ,Stamp duty Rs 0.10 ) (75/241) 1,999.90 59.2889 33.731 4,570.397
05/04/2021 Sys. Investment (Gross - Rs 2000.00 ,Stamp duty Rs 0.10 ) (76/241) 1,999.90 59.2766 33.738 4,604.135
28/04/2021 Sys. Investment (Gross - Rs 2000.00 ,Stamp duty Rs 0.10 ) (77/241) 1,999.90 61.8844 32.317 4,636.452
Balance Units : 4636.452 Pledge : 0.000, Non-Pledge : 4636.452 Current Cost in (`) 1,55,999.00 Current value in (`) 2,86,924.05 NAV as on 28-Apr-2021 (`) 61.8844
NAV as on 31-Jan-2018 Rs. 46.5399 (For long term capital gains calculation)
Bank Name : UNION BANK OF INDIA
Bank Account No. : SAVINGS \ XXXXXXXXXXX6245 IFSC : UBIN0551970 MICR No : 211026005 Mode of Payment : Electronic
Agent/Advisor Code & Name : ARN-9992 / Prudent Corporate Advisory Services Ltd Sub Broker ARN Code : ARN-74189 Sub Broker Code : 77644 EUIN : E063428
Nominee registration status : 1 Nominee(s) registered City Type : B30
For subscriptions received w.e.f. Feb 5th, 2021, 1% exit load shall be applicable for units redeemed on or before completion of one month from the date of allotment of units.And Nil thereafter. Redemption of units would be done on First in First out Basis (FIFO).For subscriptions prior
to Feb 5th, 2021, Exit load levied on the Units redeemed will be the rate prevailing at the time of the allotment of the Units.For Special products registrations, load for each transaction is based on the load structure applicable as on the registration date.
Agent/Advisor Code,Sub Broker Code and EUIN displayed are as available in last transaction.

Registered for Invest Easy : No

*Form 15 : Not Registered
CA : WB99-sandeep.jss123@gmail.com-29.04.2021 / LA: ESMS-03.10.19-24 : 464255888 Page 2 OF 3
 Account No:428145069347 Statement Date : 29 Apr 2021
*Form 15 : Not Registered
*Details of Form 15 G / H shown above are related to Current Financial Year and in case if the statement is generated since inception, details will be displayed for the Current Financial Year only considering the
date till which statement is extracted.

SPECIAL PRODUCTS REGISTRATION DETAILS (For complete scheme name, refer transaction table.)

From Scheme To Scheme Start Date End Date Frequency Installment Amount Transaction Type Step-Up Frequency Step-Up Amount Insure status
NIMF Small NA 28-Dec-2014 28-Nov-2034 Monthly 241 2,000.00 SIP NA NA NA
Cap Fnd
It is always good to keep your profile details updated with us. Hence, we request you to go through your Statement of Account and review important details such as Name(s), Bank details, PAN, Address etc. In case of any
discrepancy in the details mentioned in the Statement of Account (SOA), we request you to urgently (within 10 days of the receipt of SOA) get in touch with us as per modes / ways mentioned below for necessary correction. Call
us at 1860 266 0111 (Call charges apply) or write to us at customercare@nipponindiaim.in or write to the Registrar at KFintech Pvt. Ltd., Selenium Tower, Plot No. 31 & 32, Financial District, Nanakramguda, Serilingampally
Mandal, Hyderabad 500032. Nippon India Mutual Fund (NIMF) ( mf.nipponindiaim.com), asset manager of NIMF or its Registrars shall NOT be liable for any discrepancy brought to notice thereafter

PLEASE TEAR HERE

Agent/Advisor Code & Name: ARN-9992\ Prudent Corporate Advisory Services Ltd
Account / Folio No : 428145069347
Mode of Holding : SINGLE Sub-Broker ARN Code : ARN-74189 Sub Broker Code : 77644 EUIN : E063428
Scheme Please Mention the Scheme Name PAN / PEKRN KYC
First Holder SANDEEP KUMAR SHUKLA EUSPS1400N VERIFIED
Second Holder NA NA NA
Third Holder NA NA NA
Guardian NA NA
Additional Purchase Request Payment Mode OTBM facility (one time bank mandate) Cheque DD
I / We would like to Purchase additional units in the above mentioned scheme. OTBM / Cheque / DD Net amount (`) | | | | | | | | | | | | | | dated | | | | |
DD Charges (`) | | | | | | Drawn on (bank) | | | | | | | | | | | | | | | | | | | | | | | | | Cheque/DD No | | | | | | | | | |
Branch | | | | | | | | | | | | | | City | | | | | | | | | |
Switch Request
I / We would like to Switch(`) | | | | | | | | | | | | | | | | | | | | | Units from the above mentioned Scheme / Plan to Nippon India
| | | | | | | | | | | | | | | Scheme | | | | | | | | | | | | | | | Plan | | | | | | | | | | | | | | | Option.
Redemption Request
Please redeem (`) (in fig.) | | | | | | | | | | or | | | | | | | | | | Units from the above mentioned Scheme / Plan.

Signature(s) Sole / First Unit holder Second Unit holder Third Unit holder

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