EMAIL ID & MOBILE NO REGISTRATION FORM

(TO BE FILLED IN BLOCK CAPITAL LETTERS IN BLACK/BLUE INK ONLY)

Name :__________________________________________________________________________________________________________________

First Holder PAN No: Mobile No.

Folio No: 1 2 3 4
Email ID :

SIGN First / Sole Applicant / Guardian / Second Applicant / Third Applicant /

HERE Authorised Signatory Authorised Signatory Authorised Signatory

I request you to update my email id and/or mobile number in the folio no(s) mentioned above. Investors providing Email Id would
mandatorily receive only E - Statement of Account in lieu of physical statement of Accounts.
To receive SMS alerts on your mobile for transactions done in your account, update your mobile number.

Statutory Details: Nippon India Mutual Fund has been constituted as a trust in accordance with the provisions of the Indian Trusts Act, 1882. Sponsor: Nippon
Life India Asset Management Limited. Trustee: Nippon Life India Asset Management Limited. Investment Manager: Nippon Life India Asset Management
Limited (Registered Office of Trustee & Investment Manager: "Reliance House" Nr. Mardia Plaza, Off. C.G. Road, Ahmedabad 380 006). The Sponsor, the Trustee
and the Investment Manager are incorporated under the Companies Act 1956. The Sponsor is not responsible or liable for any loss resulting from the operation
of the Scheme beyond their initial contribution of Rs.1 lakh towards the setting up of the Mutual Fund and such other accretions and additions to the corpus.
Mutual Funds investments are subject to market risks. Please read the Scheme Information Documents & Statement
of Additional Information carefully before investing.