Non Transferable Statement Date : 15 Sep 2025
Account / Folio No : 404271989256
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MUMBAI SUBURBAN MAHARASHTRA 400056
MUMBAI SUBURBAN - 400056
MAHARASHTRA,INDIA Mode of Holding : SINGLE
Status : INDIVIDUAL
Off. : NA
Resi : NA Nominee 1 : LE*** **** *AN
2nd Holder : NA
3rd Holder : 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.
Primary 2nd Holder 3rd Holder Guardian
PAN / PEKRN BVAPV3789H Not Provided Not Provided Not Provided
KYC VERIFIED NA NA NA
PAN Status (as per Operative
Income Tax)
KIN No.
FATCA # UPDATED NA NA NA
Mobile No. +917900128472
Email ID RAJULEELA85@gmail.com
# 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 GROWTH MID CAP FUND - GROWTH PLAN GROWTH OPTION (GFGPG) 9,995.14 0.00 0.00 4,180.1224 2.516 10,517.19
Total: 9,995.14 0.00 0.00 10,517.19
*IDCW Paid includes total IDCW payout / sweep out amount. IDCW Reinvested includes amount only for balance units
<font size="1.5" face="arial narrow"><b>NIPPON INDIA GROWTH MID CAP FUND - GROWTH PLAN GROWTH OPTION ( GFGPG) ISIN : INF204K01323 (NON-DEMAT)</b></font>
NIPPON INDIA GROWTH MID CAP FUND - GROWTH PLAN GROWTH OPTION ( GFGPG) ISIN : INF204K01323 (NON-DEMAT)
NAV Date Transaction Type Amount (`) Revised Cost* (`) NAV (`) Number of Units Balance Units
07/05/2025 Opening Balance 1.420
12/05/2025 Sys. Investment (Gross - Rs 500.00 ,Stamp duty Rs 0.02 ) (31/62) 499.98 3898.2135 0.128 1.548
11/06/2025 Sys. Investment (Gross - Rs 500.00 ,Stamp duty Rs 0.02 ) (32/62) 499.98 4176.3919 0.120 1.668
11/06/2025 Sys. Investment (Gross - Rs 500.00 ,Stamp duty Rs 0.02 ) (1/121) 499.98 4176.3919 0.120 1.788
11/07/2025 Sys. Investment (Gross - Rs 500.00 ,Stamp duty Rs 0.02 ) (33/62) 499.98 4134.8197 0.121 1.909
11/07/2025 Sys. Investment (Gross - Rs 500.00 ,Stamp duty Rs 0.02 ) (2/121) 499.98 4134.8197 0.121 2.030
11/08/2025 Sys. Investment (Gross - Rs 500.00 ,Stamp duty Rs 0.02 ) (34/62) 499.98 4068.2347 0.123 2.153
11/08/2025 Sys. Investment (Gross - Rs 500.00 ,Stamp duty Rs 0.02 ) (3/121) 499.98 4068.2347 0.123 2.276
11/09/2025 Sys. Investment (Gross - Rs 500.00 ,Stamp duty Rs 0.02 ) (35/62) 499.98 4167.6567 0.120 2.396
11/09/2025 Sys. Investment (Gross - Rs 500.00 ,Stamp duty Rs 0.02 ) (4/121) 499.98 4167.6567 0.120 2.516
Balance Units : 2.516 Pledge : 0.000, Non-Pledge : 2.516 Current Cost in (`) 9,995.14 Current value in (`) 10,517.19 NAV as on 12-Sep-2025 (`) 4180.1224
NAV as on 31-Jan-2018 Rs. 1177.8459 (For long term capital gains calculation)
Bank Name : STATE BANK OF INDIA
Bank Account No. : SAVINGS \ XXXXXXX2523 IFSC : SBIN0017415 MICR No : 400002349 Mode of Payment : Electronic
Agent/Advisor Code & Name : ARN-246120 / Prosperity Investments Sub Broker ARN Code : 0 Sub Broker Code : EUIN : E456829
City Type : T30
For subscriptions received w.e.f. Feb 2nd, 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 2nd, 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.
OTBM REGISTRATION DETAILS
UMRN Number Registration Mode Bank Name Bank Account No Upper Limit Amount Validity Date Registration Status Rejection Reason (if Any)
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Account No:404271989256 Statement Date : 15 Sep 2025
SBIC3002200014696888 OTMSBI STATE BANK OF INDIA XXXXXXX2523 500.00 31/12/2099 Registered NA
SBIC3002200014696888 OTMSBI STATE BANK OF INDIA XXXXXXX2523 5000.00 31/12/2060 Registered NA
*Form 15 : Not Registered
DTAA : Not Registered
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 Growth NA 11-Nov-2022 11-Nov-2027 Monthly 62 500.00 SIP NA NA NA
Mid Cap Fund
NIMF Growth NA 11-Jun-2025 11-Jun-2035 Monthly 121 500.00 SIP NA NA NA
Mid Cap Fund
For daily frequency options, units will be processed on business days only, excluding holidays, during the SIP and STP period. Accordingly, the start date and end date is provided to reflect the actual business
day processing schedule.
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 KFin Technologies Limited (Formerly KFin Technologies Private Limited)., 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-246120\ Prosperity Investments Mobile:+918169588791
Account / Folio No : 404271989256
Mode of Holding : SINGLE Sub-Broker ARN Code : 0 Sub Broker Code : EUIN : E456829
Scheme Please Mention the Scheme Name PAN / PEKRN KYC
First Holder RAJU VAN BVAPV3789H VERIFIED
Second Holder NA Not Provided NA
Third Holder NA Not Provided NA
Guardian Not Provided 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
CA : --15.09.2025 / LA: -03.08.23-4 : 638500703 Page 2 OF 2
