Mirae Asset Flexi Cap Fund 24 Jan 2023 1 5

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MIRAE ASSET FLEXI CAP FUND (MAFCF)

(An open-ended dynamic equity scheme investing across large cap, mid cap, small cap stocks)
Application No.:

Offer for units of ` 10/- each during the New Fund Offer period and at NAV based prices upon re-opening.
Scheme re-opens for continuous sale & re-purchase on and from 27/02/2023

Mirae Asset Flexi Cap Fund (MAFCF) This product is suitable for investors who are seeking* Riskometer Scheme Benchmark
NIFTY 500 TRI
(An open-ended dynamic equity scheme investing across Moder Moder
large cap, mid cap, small cap stocks) To generate long term appreciation / income derate
a
High tely derate
a
High tely
Mo Mo

er to
Investment in equity and equity related instrument across

er to
e
H

e
New Fund Offer opens on: 03/02/2023 H

at
ig

at
od w
ig

od w
h

M Lo
h

M Lo
market capitalization spectrum of large cap, mid cap,
New Fund Offer closes on: 17/02/2023 small cap companies

Very
Low

High

Very
Low

High
Application No.: *Investors should consult their financial advisor if they
are not clear about the suitability of the product
Investors understand that their principal The Benchmark is at Very High Risk
will be at Very High Risk

Name & Broker Code/ Sub Broker / ISC Date Time Stamp
Sub Agent Code EUIN* Internal Code for AMC
ARN/RIA Code Agent ARN Code Reference No.

EUIN Declaration: Declaration for Execution Only Transaction(where Employee Unique Identification Number-EUIN* box is left blank). Please refer instruction 12 of KIM for complete details on EUIN.I/We hereby confirm that
the EUIN box has been intentionally left blank by me/us as this transaction is executed without any interaction or advice by the employee/relationship manager/sales person of the above distributor/sub broker or notwithstanding the
Please Read All Instruments as given in KIM, to help you complete the Application Form Correctly.

advice of in-appropriateness, if any, provided by the employee/relationship manager/sales person of the distributors/sub broker. RIA/Declaration: “I/We hereby give you my/our consent to share/provide the transactions data
feed/portfolio holdings/NAV etc. in respect of my/our investments under Direct Plan of all Schemes managed by you,to the above mentioned SEBI-Registered Investment Adviser/RIA”.

Sign of 1st Applicant / Guardian / Auth. Signatory / PoA / Karta Sign of 2nd Applicant / Guardian / Auth. Signatory / PoA Sign of 3rd Applicant / Guardian / Auth. Signatory / PoA

Please Lumpsum Investment Micro Application SIP Application

TRANSACTION CHARGES (Please any one of the below. Refer KIM page no 31&32, Instructions No. 11)
I AM A FIRST TIME INVESTOR IN MUTUAL FUNDS OR I AM AN EXISTING INVESTOR IN MUTUAL FUNDS
Applicable transaction charges will be deducted in case your distributor has opted for such charges. Upfront commission shall be paid directly by the investor to the ARN Holder(AMFI
registered Distributor)based on the investor’s assessment of various factors including the services rendered by the ARN Holder.

1. EXISTING UNIT HOLDER INFORMATION- Please fill in your Folio Number, PAN, KIN in below Sections 2, 3, 4 & proceed to Section 7 for Investment Details.

Folio No. The details in our records under the Folio No. mentioned alongside will apply for this application.All Unit Holders in the
given Folio should be KYC compliant.Any updation in KYC credentials may be filled in the below sections.

2. APPLICANT(S) NAME AND INFORMATION [Refer KIM page no 31&32, Instruction 2] If the 1st / Sole Applicant is Minor, then please provide details of natural / legal guardian
st
1 SOLE APPLICANT Mr. / Ms. /M/s. PAN
(Please write the name as per PAN Card)

LEI Code for entities

01/CU/01/2023
Pls indicate if US Person or a resident for tax purpose / Resident of Canada
CKYC ID No. (KIN)
Yes No$ ($Default if not )
st
GUARDIAN (In case 1 Applicant is a Minor) Relationship with Minor (Please )
Mr. / Ms. / M/s. Mother Father Legal Guardian

GUARDIAN CKYC KYC (Please ) GUARDIAN


ID No. (KIN) Proof Attached PAN

POA / Custodian Name: KYC (Please ) Proof Attached


POA / Custodian POA / Custodian
CKYC ID No. (KIN) PAN

Contact Person for Corporate Investor: Designation:

3. FIRST APPLICANT AND KYC DETAILS All fields marked as


1st SOLE APPLICANT Individual or
‘*’ are Mandatory
Non-Individual [Please II Ultimate Beneficial Ownership (UBO) Declaration Form in section 11a & 11b - Refer Instruction No. 17]
*Date of Birth Incorporation Proof of Date of Birth (Please ) Birth Certificate School Leaving Certificate / Mark Sheet
(Individual) (Non-Individual) (For minor applicant) (Please specify)
(Please write the Date of birth as per Aadhaar Card
Passport of the Minor Others
Place of Birth / Country of Birth /
Nationality: Gender Male Female Other
Incorporation: Incorporation:
(Please write the Date of birth as per Aadhaar Card
Type: Resident Individual Sole Prop NRI - NRE Trust Bank / Fls FIIs PIO Society/AOP/BOI Minor through Guardian NRI - NRO
HUF LLP Listed Company Private Company Public Ltd. Company Artificial Juridicial Person Partnership Firm FOF - MF Schemes Other (Please specify)

Private Sector Public Sector Government Service Student Professional


a*. Occupation Details [Please ( )]
Business Retired Retired Proprietorship Others (Please specify)

b*. Politically Exposed Person (PEP) Status (Also applicable for authorised signatories/Promoters/Karta/Trustee/Whole time Directors) I am PEP I am Related to PEP Not Applicable

c*. Gross Annual Income (`) [Please ( )] Below 1 Lakh 1-5 Lakhs 5-10 Lakhs 10-25 Lakhs >25 Lakhs > 1 Crore

d*. Net-worth (Mandatory for Non-Individuals) ` as on (Not older than 1 year)


e*. Non-Individual Investors involved/providing Foreign Exchange / Money Changer Services Gaming/Gambling/Lottery/Casino Services
any of the mentioned services Money Lending / Pawning None of the above

4. BANK ACCOUNT DETAILS - Mandatory [Refer KIM page no 31&32, Instruction Nos. 3 & 4]
Name of the Bank:
A/c.
Core Banking A/c No. NRE CURRENT SAVINGS NRO Other
Type Pls. ( )
Branch Name: Address:

Bank Branch City: State: Pin Code

MICR Code Please attach a cancelled cheque IFSC Code (Mandatory for
OR a clear photo copy of a cheque Credit via NEFT/RTGS)
5. JOINT APPLICANTS, IF ANY AND THEIR KYC DETAILS All fields marked as are Mandatory
‘*’
Mode of Holding: Anyone or Survivor Single Joint (Please note that the Default option is Anyone or Survivor)
2nd APPLICANT Mr. / Ms. / M/s. (Not Applicable in case of Minor Applicant) (Please write the name as per PAN Card) Gender Male Female Other

PAN Details Pls indicates if US Person or a resident for tax purpose / Resident of Canada Yes No* (*Default if not )

CKYC ID No. (KIN) KYC Pls Proof Attached Date of Birth(Mandatory) D D M M Y Y Y Y


(As per PAN Card)

Place of Birth Country of Birth Nationality:

Private Sector Public Sector Government Service Student Professional Housewife


a*. Occupation Details [Please( )] (Please specity)
Business Retired Agriculture Proprietorship Others
b*. Politically Exposed Person (PEP) Status m PEP I am Related to PEP Not Applicable
c*. Gross Annual Income (`) [Please( )] Below 1 Lakh 1-5 Lakhs 5-10 Lakhs 10-25 Lakhs >25 Lakhs > 1 Crore
d*. Net-worth ` D D M M Y Y Y Y
as on (Not older than 1 year)
Mode of Holding: Anyone or Survivor Single Joint (Please note that the Default option is Anyone or Survivor)
3rdnd APPLICANT
2 APPLICANT Mr. / Ms. / M/s. (Not Applicable in case of Minor Applicant) (Please write the name as per PAN Card) Gender Male Female Other

PAN Details Pls indicates if US Person or a resident for tax purpose / Resident of Canada Yes No* (*Default if not )

CKYC ID No. (KIN) KYC Pls Proof Attached Date of Birth(Mandatory) D D M M Y Y Y Y


(As per PAN Card)

Place of Birth Country of Birth Nationality:

Private Sector Public Sector Government Service Student Professional Housewife


a*. Occupation Details [Please( )] (Please specity)
Business Retired Agriculture Proprietorship Others
b*. Politically Exposed Person (PEP) Status m PEP I am Related to PEP Not Applicable
c*. Gross Annual Income (`) [Please( )] Below 1 Lakh 1-5 Lakhs 5-10 Lakhs 10-25 Lakhs >25 Lakhs > 1 Crore
d*. Net-worth ` D D M M Y Y Y Y
as on (Not older than 1 year)
6. MAILING ADDRESS [Please provide your E-mail ID and Mobile Number to help us serve you better Refer KIM page no 31&32, Instructions 6g ]

Local Address of 1st Applicant

City State Pin Code

Tel. Off. Resi. Mobile

Mobile No specified above belongs to Self or Family, due to Investor being(Please tick any one option from below.)
Spouse Guardian(for Minor Investment) Dependent Children Dependent Parents Dependent Siblings
E - Mail^^
^^Please Use Block Letters. Investors providing email ID would mandatorily receive all Communications, Statement of Accounts and Abridged Annual Report through e-mail only.

02/CU/01/2023
Email address specified above belongs to Self or Family, due to Investor being(Please tick any one option from below.)
Spouse Guardian(for Minor Investment) Dependent Children Dependent Parents Dependent Siblings
6a. Mandatory for NRI / FII Applicant [Please provide Full Address. P. O. Box No. may not be sufficient. For Overseas Investors, Indian Address is preferred]

Overseas Correspondence Address

7. INVESTMENT AND PAYMENT DETAILS (For complete information on Investment Details please Refer KIM page no 31&32, to Instructions No. 6. )
Regular Plan Growth (Default) IDCW Payout IDCW*
Scheme - MIRAE ASSET FLEXI CAP FUND (MAFCF) Direct Plan IDCW Reinvestment Frequency^
*IDCW is applicable only for Mirae Asset Cash Management Fund, Mirae Asset Overnight Fund & Mirae Asset Savings Fund. Default option here will be Daily if frequency not selected.
*Income Distribution cum Capital Withdrawal. IDCW ^Frequency can be Daily or Weekly or Monthly; If not selected Monthly will be considered as default, refer SID for more details

Payment Type [Please ( )] Self (Non-Third Party Payment) Third Party Payment ( Please attach ‘Third Party Payment Declaration Form’)
Amount of Cheque / DD / DD Charges, Net Purchase Drawn on Bank / Pay-In Bank A/c No.
Cheque / DD / UTR No. & Date
RTGS / NEFT in figures (Rs.) if any Amount Branch (For Cheque Only)

8. DEMAT ACCOUNT: Mandatory for units in Demat Mode -Please Ensure the sequence of names as mentioned under sec-3 matches as per the Depository Details.
National Securities Depository Limited (NSDL) Central Depository Services (India) Limited (CDSL)

DP Name DP Name

DP ID I N Benef. A/C No. 16 Digit A/C No.

Enclosures - Please ( ) Client Masters List (CML) Transaction cum Holding Statement Delivery Instruction Slip (DIS)
9. NOMINATION DETAILS MANDATORY [Minor / HUF / POA Holder / Non Individuals cannot Nominate - Refer KIM page no 31&32, Nomination Instruction No. 20]
PLEASE REGISTER MY/OUR NOMINEE AS PER BELOW DETAILS OR I/WE DO NOT WISH TO NOMINATE
Date of Birth Name of the Guardian % of Signature of Nominee / Guardian
No. Nominee(s) Name Relationship (Preferred but not Mandatory)
(in case of Minor) (in case of Minor) Share
1 DD/MM/YYYY 1 2 3
2 DD/MM/YYYY
3 DD/MM/YYYY
I / We hereby confirm that I / We do not wish to appoint any nominee(s) for my mutual fund units held in my / our mutual fund folio and understand the issues involved in non appointment of nominee(s) and further are aware that in case of death of all the
account holder(s), my / our legal heirs would need to submit all the requisite documents issued by Court or other such competent authority, based on the value of assets held in the mutual fund folio.

st nd rd
Signature of 1 Applicant / Guardian / Auth. Signatory / PoA / Karta Signature of 2 Applicant / Guardian / Auth. Signatory / PoA Signature of 3 Applicant / Guardian / Auth. Signatory / PoA
(AS IN BANK RECORDS) (AS IN BANK RECORDS) (AS IN BANK RECORDS)
FOR NON-INDIVIDUALS ONLY
10. FATCA & CRS DETAILS (Please consult your professional tax advisor for further guidance on FATCA & CRS classification)
PART A To be filled by Financial Institutions or Direct Reporting Non Financial Entity (NFEs)

We are a, GIIN
Financial institution Note: If you do not have a GIIN but you are sponsered by another entity, please provide your sponsor’s GIIN above and indicate your sponsor’s name below
or
Direct reporting NFE
[Please tick ( )] Name of sponsoring entity:

GIIN not available [Please tick ( )] Applied for Not required to apply for - please specify 2 digits sub-category Not obtained - Non-participating FI
PART B (please fill any one as appropriate “to be filled by NFEs other then Direct Reporting NFEs”)

Is the Entity a publicly traded company Yes (If yes, please specify any one stock exchange on which the stock is regularly traded)
(that is, a company whose shares are regularly
traded on an established securities market) Name of stock exchange:

Is the Entity a related entity of a publicy Yes (If yes, please specify name of the listed company and one stock exchange on which the stock is regularly traded)
traded company (a company whose shares are
regularly traded on an established securities market) Name of Listed compnay:

Nature of relation Subsidiary of the Listed Company or Controlled by a Listed Company

Name of stock exchange:

Is the Entity an active NFE Yes (If yes, please fill UBO declaration in the next section.)

Nature of Business:

Please specify the sub-category of Active NFE Mention code: Refer instruction 15(c)

Is the Entity a Passive NFE Yes (If yes, please fill UBO declaration in the next section.)
The detail of this page should be filled by Non-Individual investors only.

Nature of Business:
For details refer instruction no. 15.
11 DECLARATION FOR ULTIMATE BENEFICIAL OWNERSHIP [UBO] (Refer KIM page no 31&32, instruction No. 17)*
*This declaration is not needed for Companies that are listed on any recognized stock exchange or is a Subsidiary of such Listed Company or is Controlled by such Listed Company. Please list below the details of controlling
person(s), confirming ALL countries of tax residency / permanent residency / citizenship and ALL Tax Identification Numbers for EACH controlling person(s). Owner-documented FFI's should provide FFI Owner Reporting
Statement and Auditor's Letter with required details as mentioned in Form W8 BENE

11a. DETAILS OF ULTIMATE BENEFICIAL OWNERS [Mandatory] (If the given space below is not adequate, please attach multiple declaration forms)
$$
Name of UBO & Address Address Type PAN/Tax Payer Document Type Country of tax Country of UBO Code KYC (Yes / NO) % of beneficial
Identification No./ Refer instruction Residency/ citizenship (Mandatory) [please attach interest
%
Equivalent ID No. No. 15(d) permanent the KYC
residency* acknowledgement
copy]

03/CU/01/2023
$$ Address Type: Residential or Business (default)/Residential/Business/Registered Office. Attached documents should be self certified by the UBO and certified by the applicant or Authorised signatory. In case the above
information is not provided, it will be presumed that applicant is the UBO, with no declaration to submit. In such case, MAMFIAMC reserves the right to reject the application or reverse the allotment of units, if subsequently it is found
that applicant has concealed the facts of beneficial ownership. We also undertake to keep you informed in writing about any changes/modification to the above information in future and also undertake to provide any other
additional information as may be required at your end.
# If passive NFE, please provide below additional details. (Please attach additional sheets if necessary). Also provide below mandatory details if the UBO does not have a PAN. (Refer Instruction No. 16)

PAN / Any other Identification Number (PAN, Aadhaar, Passport, Occupation Type: Service, Business, Others
Election ID, Govt. ID, Driving Licence NREGA Job Card, Others) DOB: Date of Birth
Nationality:
City of Birth - Country of Birth Gender: Male, Female, Other
Father’s Name: Mandatory if PAN in not available

1. PAN: Occupation Type:


Date of Birth:
City of Birth Nationality:
Father’s Name: Gender Male Female Other
Country of Birth:

2. PAN: Occupation Type:


Date of Birth:
City of Birth Nationality:
Country of Birth: Gender Male Female Other
Father’s Name:

3. PAN: Occupation Type:


Date of Birth:
City of Birth Nationality:
Gender Male Female Other
Country of Birth: Father’s Name:

# Additional details to be filled by controlling persons with tax residency/permanent residency/citizenship/Green Card in any country other than India.
* To include US, where controlling person is a US citizen or green card holder
% In case Tax Identfication Number is not available, kindly provide functional equivalent

Application No.:
Cheque/DD should be Drawn in favour of the Scheme Name MIRAE ASSET FLEXI CAP FUND (MAFCF)

Mutual Fund investments are subject market risks, read all scheme related document carefully.
12 . FATCA AND CRS DETAILS (Self Certification) (Refer KIM page no 31&32, instruction No. 15) (FOR INDIVIDUALS & NON-INDIVIDUALS)
FOR INDIVIDUALS: Please indicate all countries in which you are resident for tax purposes and the associated Tax Reference Numbers below.
FOR NON-INDIVIDUALS: Is the 'Entity'' a tax resident of any country other than India? Yes No
(If Yes, please provide country in which the entity is a resident for tax purpose and the associated Tax Identification No. below)

1st Applicant (Sole / Guardian / Non-Individual 2nd Applicant 3rd Applicant

Do you have any non-Indian Do you have any non-Indian Do you have any non-Indian
Country(ies) of Birth / Country(ies) of Birth / Country(ies) of Birth /
Citizenship / Nationality and Yes No Citizenship / Nationality and Yes No Citizenship / Nationality and Yes No
Tax Residency Tax Residency Tax Residency

Country of Birth / Country of Birth Country of Birth


Incorporation

Country Citizenship / Country Citizenship / Country Citizenship /


Nationality Nationality Nationality

Are you a US specified Yes No Are you a US specified Yes No Are you a US specified Yes No
person? person? person?
Please provide Tax Payer Id. Please provide Tax Payer Id. Please provide Tax Payer Id.

For non-Individual investor, in case your country of incorporation / Tax residence is US, but you are not a specified US person then please mention exemption code Refer instruction 15( e))
Individual or Non-Individual investors fill this section Individual investor have to fill in below details in case of joint applicants
if ticked Yes above.

Country: Country: Country:

Tax Residency Tax Residency Tax Residency


Status: 1 No.: Status: 1 No.: Status: 1 No.:

Type: Type: Type:

Country: Country: Country:

Tax Residency Tax Residency Tax Residency


Status: 2 No.: Status: 2 No.: Status: 2 No.:

Type: Type: Type:

Country: Country: Country:

Tax Residency Tax Residency Tax Residency


Status: 3 No.: Status: 3 No.: Status: 3 No.:

04/CU/01/2023
Type: Type: Type:

Address Type Address Type Address Type

(Address Type: Residential or Business (default) I Residential I Business I Registered Office) (For address mentioned in form I existing address appearing in folio)

In case of applications with POA, the POA holder should fill separate form to provide the above details mandatorily.
13 . DECLARATION AND SIGNATURES / THUMB IMPRESSION OF APPLICANT(s) [Refer Instructions 2(f) of KIM]
To The Trustees, Mirae Asset Mutual Fund (The Fund) – (A) Having read and understood the contents of the SID of the Scheme applied for (Including the scheme(s) available during the New Fund Offer period); I/We hereby apply for units of the said such scheme and
agree to abide by the terms, conditions, rules and regulations governing the scheme. (B) I/We hereby declare that the amount invested in the scheme is through legitimate sources only and does not involve and is not designed for the purpose of the contravention of any
provisions of the Income Tax Act, Anti Money Laundering Laws or any other applicable laws enacted by the Government of India from time to time. (C) Signature of the nominee acknowledging receipts of my/our credit will constitute full discharge of liabilities of Mirae
Asset Mutual Fund. (D) The information given in / with this application form is true and correct and further agrees to furnish additional information sought by Mirae Asset Investment Managers (India) Private Limited (AMC) / Fund and undertake to update the
information/details with the AMC / Fund/Registrars and Transfer Agent (RTA) from time to time. I/We hereby confirm that the AMC/Fund shall have the right to share my information and other details with the regulatory and government authorities as and when needed.
I/We will indemnify the Fund, AMC, Trustee, RTAand other intermediaries in case of any dispute regarding the eligibility, validity and authorization of my/our transactions. (E) I/We further declare that "The ARN holder has disclosed to me/us all the 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. (F) I/We hereby confirm that I/We have not been offered/communicated any
indicative portfolio and/ or any indicative yield by the Fund/AMC/its distributor for this investment. I/We have not received nor have been induced by any rebate or gifts, directly or indirectly in making this investment. (G) Applicable to Investors availing the online facility:
I/We have read, understood and shall be bound by the terms & conditions of the PIN agreement available on the AMC website for transacting online. (H) RIA: I/We hereby agree to consent the AMC to share my transaction details to the registered investment advisor
(RIA) through the registrar or otherwise. (I) Applicable to Foreign Resident's Residing in India:- I/ We confirm that I/We satisfy the Residency test as prescribed under FEMA provisions. I/We further declare that I/We am/are "Person Resident in India" and are allowed to
invest into the Scheme as per the said FEMA regulations and other applicable laws and regulations. (J) I / We confirm that I am / We are not United States person(s) under the laws of United States or resident(s) of Canada. In case of change to this status, I / We shall
notify the AMC, in which event the AMC reserves the right to redeem my / our investments in the Scheme(s). (K) FATCA/CRS Certification: I / We have understood the information requirements of this Form (read along with the FATCA& CRS Instructions) and hereby
confirm that the information provided by me / us on this Form is true, correct, and complete. I / We also confirm that I / We have read and understood the FATCA& CRS Terms and Conditions and hereby accept the same. In case the above information is not provided, it will
be presumed that applicant is the ultimate beneficial owner, with no declaration to submit. In such case, the concerned SEBI registered intermediary reserves the right to reject the application or reverse the allotment of units, if subsequently it is found that applicant has
concealed the facts of beneficial ownership. I/We also undertake to keep you informed in writing about any changes/modification to the above information in future & also undertake to provide any other additional information as may be required at your end. (L) Aadhaar:
I/We hereby voluntarily submit Aadhar card to the Fund/AMC for updating the same in my folio.

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

For Lumpsum ‘OR’ SIP


Received Application from Mr. / Ms. / M/s. as per details below:
Scheme Name and Plan Payment Details Date & Stamp of Collection Centre / ISC
Amount (Rs)
Cheque/ DD No.:
MIRAE ASSET FLEXI CAP FUND (MAFCF)
Dated
Bank & Branch
Cheque / DD is subject to realisation
SIP ENROLMENT CUM ONE TIME DEBIT MANDATE (OTM) FORM
with Goal SIP & Top Facility
Application No.:

Name & Broker Code/ Sub Broker / ISC Date Time Stamp
Sub Agent Code EUIN* Internal Code for AMC
ARN/RIA Code Agent ARN Code Reference No.

EUIN Declaration: Declaration for “Execution Only” Transaction (where Employee Unique Identification Number-EUIN* box is left blank). Please refer instruction 12 of KIM for complete details on EUIN. I/We hereby
confirm that the EUIN box has been intentionally left blank by me/us as this transaction is executed without any interaction or advice by the employee/relationship manager/sales person of the above distributor/sub
broker or notwithstanding the advice of in-appropriateness, if any, provided by the employee/relationship manager/sales person of the distributor/sub broker. RIA/Declaration: “I/We hereby give you my/our consent
to share/provide the transactions data feed/portfolio holdings/NAV etc. in respect of my/our investments under Direct Plan of all Schemes managed by you, to the above mentioned SEBI-Registered Investment

Signature of 1st Applicant / Guardian / Authorised Signatory / PoA / Karta Signature of 2nd Applicant / Guardian / Authorised Signatory / PoA Signature of 3rd Applicant / Guardian / Authorised Signatory / PoA

Please ü SIP ENROLMENT with One Time Mandate (OTM) (Please fill all sections) SIP Top-up Facility Goal SIP
1. EXISTING UNIT HOLDER INFORMATION (The details in our records under the folio number mentioned will apply for this application.)
Name of 1st Unit Holder Folio No.
2. SIP ENROLMENT DETAILS (Please check the Minimum Amount Criteria for the scheme applied for. [Refer General Instruction 17 Overleaf]).
Frequency Please ü Monthly (Default) Quarterly Regular Plan Direct Plan Growth IDCW Payout IDCW*
IDCW Reinvestment Frequency^
Scheme: MIRAE ASSET FLEXI CAP FUND (MAFCF)
*IDCW is applicable only for Mirae Asset Cash Management Fund, Mirae Asset Overnight Fund & Mirae Asset Savings Fund. Default option here will be Daily if frequency not selected.
*Income Distribution cum Capital Withdrawal. IDCW ^Frequency can be Daily or Weekly or Monthly; If not selected Monthly will be considered as default, refer SID for more details
(Please choose Any Date from 1st till 28th of the month,
SIP Date D D If left blank 5th will be considered as the default date) 5,000 10,000 25,000 Any other Amount. (`)

SIP Start Month (MM/YY) M M Y Y SIP End Month (MM/YY) M M Y Y OR Perpetual Dec 2099 (Till you instruct Mirae Asset Mutual Fund to discontinue your SIP)

2a. Goal SIP - Do you want to assign a goal for your SIP. Yes No If yes please select ( ) your goal [Refer General Instruction No. 24 Overleaf ].
If Goal & SIP amount is same default will be taken as ` 1 crore Goal Amount ` Kids Education Retirement Planning (Default)
Tax Savings Dream House Dream Car Dream Vacation Kids Marriage Others- Please specify
2b. SIP TOP-UP FACILITY (You can start SIP Top-up facility after minimum 6 months from 1st SIP) [Refer General Instruction No. 23 Overleaf].
All Applicants have to submit NACH mandate and will need to fill the maximum amount in line with Top Up amount, SIP amount & tenure. (Not available for micro SIPs)
Top-up Amount (`) (minimum ` 500/- & in multiples of ` 1/- only) Top-up Start Month (MM/YY) M M Y Y Top-up End Month (MM/YY) M M Y Y
Existing Investors Availing Top-Up: Please provide current SIP IH Number as per SOA Frequency Please ü Half Yearly Yearly (Default)
3. SIP PAYMENT DETAILS (New Investors - Please provide copy of cancelled cheque and mention relevant SIP details in the form and One Time Mandate.)
Cancelled cheque Leaf First SIP Cheque No. Drawn on Bank
OTM BANK ACCOUNT DETAILS (Mandatory) Name of 1st A/c. Holder as in Bank Records

06/CU/01/2023
Bank Name Core Banking A/c. No.
Branch Name & City Bank Account Type ü NRE CURRENT SAVINGS NRO
DECLARATION & SIGNATURE: To The Trustees, Mirae Asset Mutual Fund - Having read and understood the contents of the SID of the Scheme applied for (Including the scheme(s)); I/We hereby apply for units of the said such
scheme and agree to abide by the terms, conditions, rules and regulations governing the scheme & conditions of SIP enrolment and registration through NACH/ECS or Direct Debit (Auto Debit). I/We also agree that if the
transaction is delayed or not effected for reasons of incomplete or incorrect or any other operational reasons, I/We would not hold Mirae Asset Investment Managers (India) Private Limited, their appointed service providers or
representatives responsible. I/We also undertake to keep sufficient funds in my bank account on the date of execution of the said standing instructions. "The ARN holder has disclosed to me/us all the 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 have not made any
other Micro application [including Lumpsum + SIPs] which together with the current application would result in aggregate investments exceeding `50,000 in a rolling 12 month period or in a financial year".

UMRN Bank use Date D D M M Y Y Y Y

Sponsor Bank Code Bank use CREATE MODIFY CANCEL


I/We hereby Mirae Asset Investment Managers (India) Pvt. Ltd.
Utility Code Bank use authorize
To Debit (tick ) SB CA CC SB-NRE SB-NRO Other Bank A/c

With Bank IFSC / MICR

An Amount Of Rupees `
DEBIT TYPE Fixed Amount Maximum Amount FREQUENCY Mthly Qtly H-Yrly Yrly As & when presented

Reference 1 Folio No. Reference 2 Scheme Name


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 Y
To 3 1 1 2 2 0 9 9
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 Account Holder 2. Name Of Joint Account Holder 3. Name Of Joint Account Holder

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