(Non-Transferable)

Account Statement
Folio : 7842012793
Name : Vikky Kumar For the period 17/10/2023 to 02/11/2023 Statement Date : 02 Nov 2023

Vikky Kumar Asset Composition

ADDRESS

C/O Baidhnath Choudhary . . Garibasthan Muzaffarpur,

Muzaffarpur,Bihar,India,PIN : 842001

Equity - 100%
OFF. PHONE MOBILE
+919304339508

E-MAIL
kanshalrajdost64@gmail.com

* IDCW payout / reinvestment is not considered to calculate Gain / Loss

Your Portfolio Summary

Asset Class Invested Amount (`) Investment Value (`) XIRR (%) Balance Units Latest NAV (`) IDCW Paid (`)

Equity 40,000.00 39,402.90 - 3,941.078 - 0.00

Bajaj Finserv Flexi Cap Fund -

40,000.00 39,402.90 -36.62% 3,941.078 9.9980 0.00
Regular Plan - Growth -FX -RG -
ISIN : INF0QA701383

TOTAL 40,000.00 39,402.90 - 3,941.078 - 0.00

<font size= 2.5 color="White" face="Rubik Medium"><b>Scheme : Bajaj Finserv Flexi Cap Fund - Regular Plan - Growth - FX - RG- ISIN :
Scheme : Bajaj Finserv Flexi Cap Fund - Regular Plan - Growth - FX - RG- ISIN : INF0QA701383
INF0QA701383</b></font>

Date NAV Date Transaction Type Amount (`) NAV (`) Load (`) Price (`) Units Balance Units

17/10/2023 20/10/2023 Gross Purchase 40,000.00

20/10/2023 Stamp Duty 2.00
17/10/2023 20/10/2023 Net Purchase 39,998.00 10.149 0.0000 10.1490 3,941.078 3,941.078
ARN-252007
NEW PURCHASE WITH CHEQUE

NAV as on 01 Nov 2023 (Rs.) 9.998 Current value : (`) 39,402.90 Current Cost : (`) 40,000.00

Units Pledged : 0.000 Clear Units : 3,941.078

Bank Mandate Information : SAVINGS - XXXXXXXX8169 - ICICI BANK LIMITED ; IFSC : ICIC0000306 ; Mode of Payment : Electronic
Current Load Structure : *Entry Load: Nil; Exit Load: If upto 10% of units allotted are redeemed/switched out – Nil.In excess of 10% units: 1% if
redeemed/switched out within 6 months from the date of allotment.NIL if redeemed/ switched out after 6 months from the
date of allotment.

Bank Account Folio Demat/POA details

Name ICICI BANK LIMITED Folio Number 7842012793 DP ID
IFSC CODE ICIC0000306 Mode Of Holding SINGLE
Client ID
A/C No. XXXXXXXX8169 Status INDIVIDUAL
A/C Type SAVINGS CAN POA

Note: Bank account details above are masked to ensure security of information

1
(Non-Transferable)
Account Statement
Folio : 7842012793
Name : Vikky Kumar For the period 17/10/2023 to 02/11/2023 Statement Date : 02 Nov 2023

Mode of Holding
Name PAN KYC Status FATCA UBO PAN-Aadhaar Linking
Vikky Kumar CEMPK8372R Compliant Available Linked

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 # 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 on our website or by submitting a duly filled and signed application form at any of our
Designated Investor Service Centre (DISC) or branch.

Nominee Details

Name MINOR Guardian-PAN Allocation (%)

Nominee 1 SHUSHILA DEVI N 100

Nominee 2

Nominee 3

Last Distributor / RIA Details

Distributor Details Nearest Service Centre

Distributor/RIA ARN SUB ARN
KIRTI DEVI ARN-252007 Kfin Technologies Limited
Selenium Tower, Plot Nos. 31 & 32, Survey No. 116/22, 115/24
Financial District, Nanakramguda, Selingampally Mandal
Hyderabad-500032
Phone Email EUIN
Last Transacted Mode : Offline
NA kirtidevi1978@gmail.com E469051

Head Office Details

Corporate address: 8th Floor, E-Core, Solitaire Business Hub(Formerly Marvel Edge), Viman nagar, Pune - 411014

To serve you better, we have highlighted your profile / contact details. In case you find any information / details to be incorrect, please get in touch with us.
Contact Details: Call us on 1800 309 3900 (Toll-free), Monday to Friday from 9.00 am to 6.00 pm or write to us at service@bajajamc.com

2
(Non-Transferable)
Account Statement
Folio : 7842012793
Name : Vikky Kumar For the period 17/10/2023 to 02/11/2023 Statement Date : 02 Nov 2023

Transaction Slip Mode Of Holding : SINGLE

Name PAN KYC Status FATCA UBO PAN-Aadhaar Linking

First Holder Vikky Kumar CEMPK8372R Compliant Available Linked

Joint Holder 1
Joint Holder 2
Guardian / POA

Distributor Information
Distributor Code RIA Code Distributor / Investment Advisor Name Sub broker code EUIN
ARN-252007 KIRTI DEVI E469051

Additional Purchase
Scheme Plan ( ) Regular Direct

Option ( ) Growth IDCW Reinvestment IDCW Payout

Amount (`) (in words)

Mode of Payment Cheque Demand Draft Electronic Fund Transfer Cheque No./UTR Dated D| D| M| M| Y| Y| Y| Y
Bank

Branch & City

Switch
From Scheme Plan ( ) Regular Direct

Option ( ) Growth IDCW Reinvestment IDCW Payout

To Scheme Plan ( ) Regular Direct

Option ( ) Growth IDCW Reinvestment IDCW Payout

No. of Units OR All units ( ) OR

Amount (`) (in words)

Redemption
Scheme Plan ( ) Regular Direct

Option ( ) Growth IDCW Reinvestment IDCW Payout

No. of Units OR All units ( ) OR

Amount (`) (in words)
Please note that redemption proceeds will be credited to the Default Bank Account. In case you wish to receive the redemption proceeds in an account
other than the primary Bank Account registered with us, then please mention alternate bank name and account number registered in the folio.
Bank Name Bank A/c No

Declaration & Signatures (To be signed as per the Existing Mode of Holding)
I/We have read and understood the instructions and I/we here by apply for the necessary changes. Request for nominee registration/updation/cancellation
has to be signed by all the unit holders.
CA : MZ84-BaJAJ75152-02.11.2023 /

First Holder / Guardian / POA Joint Holder 1 Joint Holder 2

IMPORTANT: Please strike off the section(s) that is (are) not used by you to avoid any unauthorised use. I/We have read and understood the terms and
contents of the Scheme Information Document(s) / Key Information Memorandum(s) & Statement of Additional Information(s) of the Scheme(s) of Bajaj
Finserv Mutual Fund. I / We hereby apply to the Trustee of Bajaj Finserv Mutual Fund for allotment of Units of the Scheme(s) of Bajaj Finserv Mutual Fund as
indicated and agree to abide by the terms and conditions, rules and regulations of the relevant Scheme(s). I/We have understood the details of the Scheme(s)
and I/we have not received nor been induced by any rebate or gifts, directly or indirectly, in making this investment. The ARN holder has disclosed to me/us
all the commissions (in the form of trail commission or any other mode), payable to them for the different competing Schemes of various Mutual Funds from
amongst which the Scheme is being recommended to me/us.

3
(Non-Transferable)
Account Statement
Folio : 7842012793
Name : Vikky Kumar For the period 17/10/2023 to 02/11/2023 Statement Date : 02 Nov 2023

SIP Registration & OTM Mandate Form Distributor Code & : ARN-252007 & KIRTI DEVI
Name
SIP INVESTMENT & PAYMENT DETAILS RIA Code & Name :

Please tick any one ( ) - Investment Plan : Regular Direct Sub Broker Code : EUIN : E469051

Scheme

Please tick any one ( ) - Investment Plan : Growth (Default) IDCW Payout IDCW Reinvestment (Default for IDCW)

Please tick any one ( ) - IDCW Frequency : Daily Weekly Fortnightly Monthly (Default)

Please tick any one ( ) - SIP Frequency : Daily Weekly Fortnightly Monthly (Default) Quarterly
(1st & 16th of each month)
* You may select any date from 1 to 28 of the month. In case
SIP Date* D| D SIP Start Date M | M | Y | Y | Y | Y SIP End Date M|M|Y|Y|Y|Y OR Perpetual no date is selected, 10 would be the default SIP Date)

SIP Amount (`) (in words)

$
SIP Top Up Facility (Optional) ( to avail facility ) Options : Fixed# | Variable (Please fill the applicable section below)
SIP Top Up Frequency Half Yearly | Yearly* *In case of Quarterly SIP, only Yearly frequency is available under SIP Top Up Facility.
#Fixed Top Up Amount: (`) OR $Variable Top Up Percentage: 5% 10% 15% 20% Monthly (Multiple of 5% only)
#SIP Top Up amount has to be in multiple of 500/- only $If the Variable Top Up percentage is not selected, the default shall be 5%.

SIP Top Up Cap Amount*: OR SIP Top Up Cap Month M|M|Y|Y|Y|Y (Investor has to choose only one option either CAP amount or
CAP month - year, In case of multiple selection, Top Up Cap
amount will be considered as a default selection)
First Instalment Details
First SIP Transaction via Cheque No. Cheque Dated D| D| M| M| Y| Y| Y| Y Amount (` in figures)
The name of the first/ sole applicant must be pre-printed
Mandatory Enclosure (if 1st Installment is not by cheque) Blank cancelled cheque Copy of cheque on the cheque.

Declaration(S) & Signature(S)

Should be as it appears in the Folio /on the Application Form and in the same order. In case the mode of holding is joint, all Unit holders are required to sign.
I/We hereby authorise Bajaj Finserv Mutual Fund and their authorised service provider to debit the above bank account by NACH/ Auto Debit Clearing for collection of SIP payments. I/We
understand that the information provided by me/us may be shared with third parties for facilitating transaction processing through NACH/ Auto Debit Clearing or for compliance with any legal
or regulatory requirements. I/We hereby declare that the particulars given above are correct and complete and express my/our willingness to make payments referred above through
participation in NACH/ Auto Debit. If the transaction is delayed or not effected at all for reasons of incomplete or incorrect information, I/We will not hold Bajaj Finserv AMC/MF or their appointed
service providers or representatives responsible. I/We will also inform,about any changes in my bank account immediately. I/We undertake to keep sufficient funds in the funding account on the
date of execution of standing instruction. I/We have read and agreed to the terms and conditions mentioned overleaf. The ARN holder has disclosed to me/us all he commissions (in the form of
trail commission or any other mode), payable to him for the different competing Schemes of various Mutual Funds from amongst which the Scheme is being recommended to me/us. "I / We
acknowledge that the RIA has entered into an agreement with the AMC / MF for accepting transaction feeds under the code. I / We hereby indemnify, defend and hold harmless the AMC / MF
against any regulatory action, damage or liability that they may suffer, incur or become subject to in connection therewith or arising from sharing, disclosing and transferring of the aforesaid
information."For Micro SIP only: I hereby declare that I do not have any existing Micro SIPs which together with the current application in rolling 12 month period or in financial year i.e. April to
March will result in aggregate investments exceeding 50,000 in a year.

Sign of 1st Applicant / Authorised Signatory / POA Sign of 2nd Applicant / Authorised Signatory / POA Sign of 3rd Applicant / Authorised Signatory / POA

OTM Debit Mandate Form (Applicable for Lumpsum additional purchases as well as SIP Registrations )
UMRN Dated D| D| M| M| Y| Y| Y| Y
Sponsor Bank Code CREATE X MODIFY X CANCEL
Utility Code I/We hereby authorize Bajaj Finserv Mutual Fund

To Debit (tick ) SB CA CC SB-NRE SB-NRO Other Bank A/C

With Bank IFSC / MICR

An Amount Of Rupees
DEBIT TYPE X Fixed Amount Maximum Amount FREQUENCY X Mthly X Qtly X H-Yrly X Yrly As & when presented
Reference 1 Reference 2
1. I agree for the debit of mandate processing charges by the bank whom I am authorizing to debit my account as per latest schedule of charges of the bank. 2. This is to confirm that the declaration has been
carefully read, understood & made by me/us. I am authorizing the user entity/Corporate to debit my account, based on the instructions as agreed and signed by me. 3. I have understood that I am authorized to
cancel/amend this mandate by appropriately communicating the cancellation / amendment request to the user entily / corporate or the bank where I have authorized the debit.
Period
From D| D| M| M| Y| Y| Y|
To D| D| M| M| Y| Y| Y|
Signature Of Primary Account Holder Signature Of Joint Account Holder Signature Of Joint Account Holder
Or X Until Cancelled

Phone No. | | | | | | | | | 1. Name Of Primary 2. Name Of Joint 3. Name Of Joint