Account Statement

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investor.line@mutualfunds.hsbc.co.in 1800 200 2434 / 1800 4190 200 assetmanagement.hsbc.com/in
Folio Number : 4631292 / 16 Statement Date : 03-Nov-2023
R Kanakavalli (First Holder) Total Units : 0.00
Investment Overview
Total Valuation : INR Total Valuation : INR
Mode of Holding : Anyone or Survivor
Old No 33 New No 12 Tax Status : Individual
Natumuthu Kumarappa Street Nmk Street 2 nd Unit Holder : K Raghunathan
Mylapore 3 rd Unit Holder : None
Chennai - 600004
Nominee : OPTED OUT
Tamil Nadu
India
Off : - Res : 9380633036
Mobile : XXXXXXXXX3036 Guardian :-
EMAIL : XXXXXXXXXXXXXnaka@gmail.com POA :-
CAN : N/A Statement Preference : By Email
IDCW Option : Pay IDCW

INVESTOR TYPE PAN PAN VERIFIED KYC COMPLIANT CKYC-KIN FATCA/UBO SUPPLEMENTARY PAN AADHAR
KYC LINKING STATUS
Complied/Not
First Holder AVDPK***** Yes Yes Not Provided Complied Successful
applicable
Complied/Not
Second Holder AGZPR***** Yes Yes Not Provided Complied Successful
applicable

HSBC Midcap Fund - Regular IDCW# (Formerly known as L&T Midcap Fund - NAV as on 02/11/2023 : INR 57.0983
IDCW# )
ISIN - INF917K01239

EISC-CCSHAKTI-16.6.0-031123130152(I)-A16605--1042
Date Transaction Type Amount Price NAV Number of Balance
(INR) (INR) (INR) Units Units
Opening Balance as on 23/08/2019 0.000
23/08/2019 Purchase 80,000.00 37.370 37.3700 2,140.755 2,140.755
23/08/2019 ***IDCW Payout @ Rs.2.87757809 per unit*** 6,160.19 37.3700
26/08/2020 ***IDCW Payout @ Rs.1.50 per unit*** 3,211.13 39.9600
26/08/2021 ***IDCW Payout @ Rs.3.50 per unit*** 6,743.64 55.0900
*** TDS on Cumulative IDCW *** 749.00
26/08/2022 ***IDCW Payout @ Rs.3.75 per unit*** 7,224.83 54.2400
*** TDS on Cumulative IDCW *** 803.00
26/05/2023 ***Registration of Nominee Rejected***
25/08/2023 ***IDCW Payout @ Rs.5.00 per unit*** 9,633.78 59.6460
*** TDS on Cumulative IDCW *** 1,070.00
19/09/2023 ***Change of Contacts***
22/09/2023 Redemption - ELECTRONIC PAYMENT - CITIN23427948893 , less (120,372.17) 56.2294 56.2294 (2,140.755) 0.000
STT
*** STT Paid *** (1.20)
23/09/2023 ***Address Updated from KRA Data***

Unit Balance : 0.00 Cost Value : INR 0.00

Market Value as on 02/11/2023 : INR 0.00 Available Units for Redemption : 0.000

IDCW for the period : 32,973.57 IDCW since inception : 32,973.57 Units under Lien : 0.000 Payout Mode : Electronic

Bank Details : SB XXXXXXXXXXX6799 / Indian Overseas Bank / CHENNAI-EAST MADA STREET / Chennai IFSC Code : IOBA0001083

MICR Code : 600020057 Your Broker/Dealer is : ARN-137779 / Revathi Sub-Broker (ARN Code) : -
EUIN : E232917 Sub-Broker Code : -

Exit Load :If the units redeemed or switched out are upto 10% of the units purchased or switched in (the limit) within 1 year from the date of allotment Nil. If units redeemed or switched out are
over and above the limit within 1 year from the date of allotment 1%. If units are redeemed or switched out on or after 1 year from the date of allotment Nil. A switch-out or a withdrawal under
SWP may also attract an Exit Load like any Redemption.No Exit load will be chargeable in case of switches made between different options of the Scheme.No Exit load will be chargeable in
case of Units allotted on account of dividend reinvestments, if any.

HSBC Small Cap Fund - Regular IDCW# (Formerly known as L&T Emerging
Businesses Fund IDCW # ) NAV as on 02/11/2023 : INR 36.3672
ISIN - INF917K01QB9
Date Transaction Type Amount Price NAV Number of Balance
(INR) (INR) (INR) Units Units
Opening Balance as on 08/06/2018 0.000
08/06/2018 Purchase 100,000.00 22.598 22.5980 4,425.170 4,425.170
09/06/2018 ***Address Updated from KRA Data***
26/10/2018 ***IDCW Payout @ Rs.1.32811296 per unit*** 5,877.13 19.7680

#IDCW - Income Distribution cum Capital Withdrawal

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HSBC Small Cap Fund - Regular IDCW# (Formerly known as L&T Emerging
Businesses Fund IDCW # ) NAV as on 02/11/2023 : INR 36.3672
ISIN - INF917K01QB9
Date Transaction Type Amount Price NAV Number of Balance
(INR) (INR) (INR) Units Units
Opening Balance as on 08/06/2018 0.000
23/10/2019 ***IDCW Payout @ Rs.1.06249037 per unit*** 4,701.70 17.4510
22/10/2021 ***IDCW Payout @ Rs.1.50 per unit*** 5,973.76 31.2030
*** TDS on Cumulative IDCW *** 664.00
21/10/2022 ***IDCW Payout @ Rs.1.85 per unit*** 7,367.56 32.3730
*** TDS on Cumulative IDCW *** 819.00
25/05/2023 ***IDCW Payout @ Rs.3.00 per unit*** 11,947.51 33.4612
*** TDS on Cumulative IDCW *** 1,328.00
22/09/2023 Redemption - ELECTRONIC PAYMENT - CITIN23427948853 , less (160,997.58) 36.383 36.3826 (4,425.170) 0.000
STT
*** STT Paid *** (1.61)

Unit Balance : 0.00 Cost Value : INR 0.00

Market Value as on 02/11/2023 : INR 0.00 Available Units for Redemption : 0.000

IDCW for the period : 35,867.66 IDCW since inception : 35,867.66 Units under Lien : 0.000 Payout Mode : Electronic

Bank Details : SB XXXXXXXXXXX6799 / Indian Overseas Bank / CHENNAI-EAST MADA STREET / Chennai IFSC Code : IOBA0001083

MICR Code : 600020057 Your Broker/Dealer is : ARN-137779 / Revathi Sub-Broker (ARN Code) : -
EUIN : E232917 Sub-Broker Code : -

Exit Load :If the units redeemed or switched out are upto 10% of the units purchased or switched in (the limit) within 1 year from the date of allotment Nil. If units redeemed or switched out are
over and above the limit within 1 year from the date of allotment 1%. If units are redeemed or switched out on or after 1 year from the date of allotment Nil. A switch-out or a withdrawal under

EISC-CCSHAKTI-16.6.0-031123130152(I)-A16605--1042
SWP may also attract an Exit Load like any Redemption.No Exit load will be chargeable in case of switches made between different options of the Scheme.No Exit load will be chargeable in
case of Units allotted on account of dividend reinvestments, if any.

#IDCW - Income Distribution cum Capital Withdrawal

... continued on next page
To locate your nearest Investor Service Centre of AMC / CAMS please visit the Contact Us section www.assetmanagement.hsbc.co.in/en/mutual-funds or www.camsonline.com

Folio Number : 4631292 / 16

Particulars PAN No KYC Compliant Last Transacted
: ARN-137779/Revathi
R Kanakavalli (First Holder) AVDPK***** Yes Broker Code

Sub-Broker (ARN Code) :

Mode of Holding : Anyone or Survivor EUIN : E232917

Scheme HSBC Plan :

^Sub-Option Growth Reinvestment Payout of IDCW ^IDCW Frequency Daily Weekly Fortnightly Monthly Quarterly Semi-Annual Annual
of IDCW
ADDITIONAL PURCHASE REQUEST Cheque/Transfer
Cheque/Transfer
Date Date
I / We would like to purchase Units of the above mentioned Scheme for Rs. (amount in figures) transferred via RTGS or Funds Transfer or
Cheque/DD No. Drawn on bank A/c. No.
To your Bank A/c. No. A/c. Type Current Savings NRO NRE FCNR Others

SWITCH REQUEST (From scheme as above) Please check exit load, if applicable.
I / We wish to switch All Units OR No. of Units OR Amount Rs.
To Scheme HSBC Plan Option
^Sub-Option Growth Reinvestment Payout of IDCW ^IDCW Frequency Daily Weekly Fortnightly Monthly Quarterly Semi-Annual Annual
of IDCW
Sole / First Unitholder Guardian Second Unitholder Third Unitholder
PAN (Mandatory)
Documents attached to avoid Third Party Payment Rejection where applicable: Third Party Declarations Bank Certificate for Pre-funded Instruments.
^ In case the option(s) offered are not ticked or incorrectly ticked, the default option(s) will be applicable as per SID and SAI.
In case the Additional Purchase amount is Rs. 10,000 or more and your Distributor has opted to receive Transaction Charges Rs. 100/- will be deducted from the purchase amount and paid to the Distributor. Units will be
issued against the balance amount invested . I / We have read and understood the terms and contents of the Scheme Information Documents including addenda, Key Information Memorandum and load structure (s) of the
respective Scheme (s) and Statement of Additional Information of HSBC Mutual Fund. I / We hereby apply to the Trustee of HSBC Mutual Fund for allotment of Units of the Scheme(s) of HSBC Mutual Fund, as
indicated and agree to abide by the terms, conditions, rules and regulations of the relevant Scheme(s). 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 him / them for the different competing schemes of various Mutual Funds from amongst whcih the
Scheme is being recommended to me / us. I / We hereby confirm that I / We have not been offered / communicated any indicative portfolio and / or any indicative yield by HSBC Mutual Fund / HSBC Asset
Management Company Limited / its distributor for this investment. I / We am / are authorised to undertake this transaction.

X X X

SIGNATURE(S) First Account Holder / Regd. POA Holder Second Account Holder / Regd. POA Holder Third Account Holder / Regd. POA Holder
In case of joint holding, the request should be signed by all the unitholders

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IMPORTANT INSTRUCTIONS
1. Please fill in details in English and in BLOCK CAPITALS in Black or Blue ink.
2. If you have filled both side of the transaction slip, it is mandatory to sign both sides, failing
which only the signed side will be processed.
3. PAN and KYC are mandatory for all investors, POA holders and Guardians.
4. Completed Transaction Slip should be submitted to HSBC or CAMS Investor Service Centres.
Please visit our website www.assetmanagement.hsbc.co.in for an updated list of Official Points
of Acceptance of HSBC Mutual Fund. Please visit www.camsonline.com for an updated list of
CAMS.
5. This Account Statement is record of your transaction in the Units of the Scheme(s) of HSBC
Mutual Fund. This is a non-transferable document. The unit balance shown overleaf is subject to
realisation of cheque, fulfilment of regulatory requirements, fulfilment of requirements of the
scheme related documents / Addendum(s) and furnishing necessary information to the
satisfaction of the Mutual Fund. Kindly quote your Folio No. and Plan / Scheme name in all
future correspondence.
6. All cheques and bank drafts must be drawn in the name of Scheme as specified in the Scheme
related documents and crossed "Account Payee Only". A separate cheque / bank draft / fund
transfer letter must accompany each Application. All purchase are subject to realisation of
instruments.
7. Any request must be signed by all joint holders in case mode of operation as specified by the
unitholder(s) is joint.
8. For details and risk factors applicable to the scheme / Plans, Please refer to the scheme related
documents. Investors are deemed to have read and understood the terms and conditions of the
scheme related documents and addenda of the scheme in which they are transacting, as of the
date of the transaction.
9. Please verify the details mentioned on this statement . In case of any discrepancy you
may write to enq_o@camsonline.com or investor.line@hsbc.co.in or contact us at the
number mentioned below . Contents of this statement will be considered correct, if no
discrepancy is reported within 30 days of receipt of this statement.
10. HSBC Mutual Fund is not responsible for errors or delay in processing your request due to the
errors in the information provided. All transaction processing is subject to final verification.
12. Please note that certain critical information will be obtained from the KRA database and
overwritten in AMC records. Eg: Address, DOB and where email and mobile number is not
available in the folio.
13. Any non-financial or static details change request received with a financial transaction will be
rejected. In such cases, only the financial transaction will be processed. For e.g. incase of a
redemption transaction, the same will be processed and the proceeds shall be credited to the
registered bank account without considering the change of bank details received along with such
redemption request.
14. In order to avoid any instances of mis-selling, please provide the EUIN of the Sub-Broker
code/Main ARN code as applicable in case if your transaction is advisory in nature. In case of
execution mode, please provide the declaration.
15. In case of Direct Application, please write as "Direct" against Broker Code.Any correction of the
code requires authentication. Any corrections in the request to be counter-signed by the unit
holder(s).
16. Please refer to the SID/SAI/KIM for details on Transaction Charges, Third Party validation,
Stamp Duty Charges.
17. Redemption request:
a. Please specify scheme details and the amount /number of units you wish to redeem . If
your redemption request specifies both amount and units for redemption, then the
amount will be considered.
b. In case an investor has purchased Units on more than one Business Day (either under
the Initial Offer Period or through subsequent purchases) the Units purchased first will
be deemed to have been redeemed first i.e. on a First-In-First-O ut basis.
c. A redemption will be processed only for the amount which has been realized. If the
balance in the scheme/plan/option after taking into account the redemption is below
the minimum redemption size (either in amount or in units whichever is less), the
entire balance would be redeemed and paid out.
d. To safeguard investors against fraudulent action on their investments, where
redemption request is received together with a request for change of address and / or
change in bank details. the AMC may release the payment only after completing
necessary additional checks.
18. Switch Request:
a. Please specify the exact source, target scheme names for the switch and
amount/number of units you wish to switch.

11. The Proof of address AND PAN Card (OR Any other Proof of Identity for PAN exempt cases
only). Copies of all documents submitted should be self-attested & accompanied by originals for
verification (OR) they should be attested by a KYD complied distributor or personnel/entities
authorized for attesting as per KYC guidelines. All KYC comliant folios/clients are requested to
submit change of address request along with the Supporting documents as outlined under
uniform KYC guidelines.
EISC-CCSHAKTI-16.6.0-031123130152(I)-A16605--1042
b. If your switch request specifies both amount and units, then the amount will be
considered.
c. f the balance in the source scheme / plan / option, after taking into account the switch
is below the minimum redemption size (either in amount or in units whichever is less),
the entire balance in the source scheme will be switched to the target scheme

Contact us at SMS your request to HSBC Mutual Fund

Contact us at our following customer service toll free numbers or write an email to: Latest NAV : Send SMS as HSBCMF NAV <Scheme Code> to 56767
investor.line@m utualfunds.hsbc.co.in Example:
Example: HSBCMF NAV CAMS
F03 O VAL 123456
Investor & Online related queries : 1800-4190-200 / 1800-200-2434 Valuation Service : Send SMS as HSBCMF VAL <folio_number> to 56767
Example: HSBCMF VAL 123456
Investor (Dialing from abroad) : +91 44 39923900
Annual Report :
Useful Links for self service options For Electronic Copy: Send SMS as HSBCMFARE <folio_number> to 567678080
To Invest online or Update your Bank details or Nominee : Example: HSBCMFARE 123456
v isit: https://invest.assetmanagement.hsbc.co.in For Physical Copy: Send SMS as HSBCMFARP <folio_number> to 567678080
Use our 24 x 7 Chatbot : “ASKME” for any queries or service request : Example: HSBCMFARP 123456
v isit: https://invest.assetmanagement.hsbc.co.in
Half Yearly Portfolio:
To update your Personal details like PAN & Email ID : For Electronic Copy: Send SMS as HSBCMFHPE <folio_number> to 567678080
v isit: https://new.camsonline.com
Example: HSBCMFHPE 123456
Join us on WhatsApp For Physical Copy: Send SMS as HSBCMFHPP <folio_number> to 567678080
W hatsApp @ 9326929294 for financial and non-financial transactions, Account statement, Example: HSBCMFHPP 123456
etc.
SMS charges applicable as per the rates fixed for such services by your mobile phone
Missed Call Service operator.
You can give a missed call to 9212900020 to get the total valuation via SMS and a statement
on your registered email ID
To locate your nearest Investor Service Centre of AMC / CAMS please visit the Contact Us section www.assetmanagement.hsbc.co.in/en/mutual-funds or www.camsonline.com
Folio Number : 4631292 / 16
Particulars PAN No KYC Compliant
Last Transacted
AVDPK***** Yes
: ARN-137779/Revathi
R Kanakavalli (First Holder) Broker Code

Sub-Broker (ARN Code) :

Mode of Holding : Anyone or Survivor EUIN : E232917

Folio No.
REDEMPTION REQUEST Please check exit load, if applicable.
I / We would like to redeem from the below mentioned Scheme
All Units OR No. of Units OR Amount Rs. (in words) Rs.
Scheme HSBC Plan
Option ^Sub-Option Growth Reinvestment of IDCW Payout of IDCW

^IDCW Frequency Daily Weekly Fortnightly Monthly Quarterly Semi-Annual Annual

^ In case the option(s) offered are not ticked or incorrectly ticked, the default option(s) will be applicable as per SID and SAI.

For investors who have registered for Multiple Bank Accounts facility in the above folio. (Please strike off this section if not used)
The redemption should be processed into the following bank account as per the payout mechanism indicated by me / us. (This bank account has already been registered in the folio)

Name of the Bank: Account No. : Account Type :

Important Note : If the bank account mentioned above is different from those already registered in your folio OR if the bank account details are not filled above, the redemption will be processed into the “Default”
bank account registered for the aforesaid folio. HSBC Mutual Fund or HSBC Asset Management Company Ltd. will not be liable for any loss arising to the unitholder(s) due to the credit of redemption proceeds into any
of the bank accounts registered with us for the aforesaid folio.
I / We have read and understood the contents of the Scheme Information Document and Statement of Additional Information. Key Information Memorandum, Addendums and Instructions issued of respective Scheme
(s) of HSBC Mutual Fund. I / We hereby apply to the Trustee of HSBC Mutual Fund for units of the Scheme(s) and agree to abide by the terms and conditions, rules and regulations of the relevant Scheme(s). I / We
have neither received nor been induced by any rebate or gifts, directly or indirectly in making this investment.
X X X
SIGNATURE(S) First Account Holder / Regd. POA Holder Second Account Holder / Regd. POA Holder Third Account Holder / Regd. POA Holder
In case of joint holding, the request should be signed by all the unitholders