For any enquiries, please contact Investor Service Centre, Ground Flr,Chawla Complex,Devender Ngr, Sai Nagar Rd,Nr.

Indira Bhavan Square, Raipur-

492001, Chhattisgarh, Phones : 1800 3010 6767 / 1800 419 7676, Email : [email protected]

Page 1 of 3
Account Statement (From 01-APR-2022 To 31-MAR-2023)

Folio No. : 14102856 / 19 Statement Date : 06-Jul-2023

Mode of Holding : Single

Sita Devi Pandit Tax Status : Individual

M/S JAI AMBE TRADERS

G E ROAD KUMHARI
NEAR GRAMIN BANK DURG
KUMHARI - 490042
Chhattisgarh , India

Email : [email protected]
Mobile No. : +919300487634

PAN/PEKRN PAN-Aadhar linking CKYC No. KYC FATCA / CRS UBO

1st Unit Holder AMYPP7176J Successful Please provide Verified Complete Not applicable

2nd Unit Holder Not applicable Not Applicable Not applicable Not applicable Not applicable Not applicable

3rd Unit Holder Not applicable Not Applicable Not applicable Not applicable Not applicable Not applicable

Guardian, If any Not applicable Not Applicable Not applicable Not applicable Not applicable Not applicable

POA, If any Not applicable Not Applicable Not applicable Not applicable Not applicable Not applicable

Nominee Details
Sr. No. Nominee Name Date of Birth Guardian Name (in case of minor) Share (%)
1 Dharamnath Pandit Please provide Not Applicable 100

Account Summary as on 31-MAR-2023 THANK YOU FOR INVESTING WITH HDFC MUTUAL FUND
Maturity Mode of NAV as on Market
Scheme Nav Date NAV Units Cost (INR)
Date Investment 31-Jan-2018 * Value (INR)
HDFC Balanced Advantage Scheme Merger 31-Mar-2023 29.262 NA 6,411.265 200,102.13 187,606.44
Fund-IDCW
HDFC Balanced Advantage IDCW 31-Mar-2023 29.262 NA 2,590.969 65,719.15 75,816.93
Fund-IDCW REINVESTMENT
Total : 9,002.234 265,821.28 263,423.37
HDFC Hybrid Equity Fund- IDCW 31-Mar-2023 84.757 NA 77.707 3,974.98 6,586.21
Growth REINVESTMENT

Grand Total : 269,796.26 270,009.58

*This field is applicable only for Equity oriented Schemes

1002 / HDFC Prudence Fund - Regular Plan - IDCW# * - INF179K01AU0 UCC : MFHDFC0023 , Option :
Reinvest
NAV Amount Price Number of Balance
Date Transaction Type
in INR in INR Units Units
Opening Balance as on 01/04/2022 0.000
EISC-ETRXN-16.4.0-060723141307(I)-A164016--1119-YN

Available Units to Redeem : 0.000

Market Value of Balance Units at NAV of 29.267 on 01/06/2018 (INR) : 0.00 Total Units Under Lien : 0.000
IDCW reinvested / paid (INR) : 0.00 Total IDCW reinvested / paid (INR) : 1,776.31
Primary Bank Account : SB XXXX3957 / Union Bank of India / Chandigarh Raipur / Raipur / Redemption / IDCW Payout Mode : Electronic
UBIN0543306
Advisor : ARN-95647 / Ganga Prasad Dewangan
EUIN : E103657

IDCW-Income Distribution and Capital Withdrawal * An open-ended Balanced Scheme - Current Load Structure : Entry Load: Not Applicable; Exit Load: In respect of each
purchase/switch-in of units from allotment date, Nil exit load upto 15% of the units ("the limit") redeemed/switched-out; 1% if units in excess of the limit are redeemed
/switched-out within 1 year. No Exit Load if units are redeemed /switched-out after 1 year. Applicable for the subscriptions made w.e.f. 21-Jan-2016. The rate of exit load levied
on units redeemed will be the rate prevailing at the time of allotment of the units. For further details visit www.hdfcfund.com (under Investor Corner) or contact any of our
Investor Service Centre. GST Identification Number : 27AAATH1809A1Z9.

#IDCW - Income Distribution cum Capital Withdrawal continued...

 Page 2 of 3
Account Statement (Folio No. : 14102856 / 19)
HDFCIG / HDFC Low Duration Fund - Regular Plan - Growth* - INF179K01442 UCC : MFHDFC0027

NAV Amount Price Number of Balance

Date Transaction Type
in INR in INR Units Units
Opening Balance as on 01/04/2022 0.000
Available Units to Redeem : 0.000
Market Value of Balance Units at NAV of 49.0814 on 31/03/2023 (INR) : 0.00 Total Units Under Lien : 0.000
IDCW reinvested / paid (INR) : 0.00 Total IDCW reinvested / paid (INR) : 0.00
Primary Bank Account : SB XXXX3957 / Union Bank of India / Chandigarh Raipur / Raipur / Redemption Payout Mode : Electronic
UBIN0543306
Advisor : ARN-95647 / Ganga Prasad Dewangan
EUIN : E103657

*Merger of erstwhile 'HDFC Low Duration Fund Wholesale Option into HDFC Low Duration Fund (Erstwhile Retail Option) w.e.f. May 11, 2019 . HDFC Low Duration Fund, An Open
ended low duration debt scheme investing in instruments such that the Macaulay Duration of the portfolio is between 6 months and 12 months. Current Load Structure : Entry
Load: Not Applicable. Exit Load : Nil. For further details visit www.hdfcfund.com (under Investor Corner) or contact any of our Investor Service Centre. GST Identification
Number : 27AAATH1809A1Z9

HDFCGR / HDFC Balanced Advantage Fund - Regular Plan - IDCW#* - INF179K01814 UCC : MFHDFC0001 ,
Option : Payout
NAV Amount Price Number of Balance
Date Transaction Type
in INR in INR Units Units
Opening Balance as on 25/04/2022 9,002.234
25/04/2022 ***IDCW Paid @ Rs.0.26 per unit*** 29.269 2,340.58
25/05/2022 ***IDCW Paid @ Rs.0.26 per unit*** 27.941 2,106.58
*** TDS on Cumulative IDCW *** 234.00
27/06/2022 ***IDCW Paid @ Rs.0.26 per unit*** 27.586 2,106.58
*** TDS on Cumulative IDCW *** 234.00
25/07/2022 ***IDCW Paid @ Rs.0.26 per unit*** 28.708 2,106.58
*** TDS on Cumulative IDCW *** 234.00
25/08/2022 ***IDCW Paid @ Rs.0.26 per unit*** 29.723 2,106.58
*** TDS on Cumulative IDCW *** 234.00
26/09/2022 ***IDCW Paid @ Rs.0.26 per unit*** 29.113 2,106.58
*** TDS on Cumulative IDCW *** 234.00
25/10/2022 ***IDCW Paid @ Rs.0.26 per unit*** 30.011 2,106.58
*** TDS on Cumulative IDCW *** 234.00
25/11/2022 ***IDCW Paid @ Rs.0.26 per unit*** 30.878 2,106.58
*** TDS on Cumulative IDCW *** 234.00
26/12/2022 ***IDCW Paid @ Rs.0.26 per unit*** 30.253 2,106.58
*** TDS on Cumulative IDCW *** 234.00
25/01/2023 ***IDCW Paid @ Rs.0.26 per unit*** 30.209 2,106.58
*** TDS on Cumulative IDCW *** 234.00
27/02/2023 ***IDCW Paid @ Rs.0.26 per unit*** 29.511 2,106.58
*** TDS on Cumulative IDCW *** 234.00
27/03/2023 ***IDCW Paid @ Rs.0.26 per unit*** 29.088 2,106.58
*** TDS on Cumulative IDCW *** 234.00
Available Units to Redeem : 9,002.234
Market Value of Balance Units at NAV of 29.262 on 31/03/2023 (INR) : 263,423.37 Total Units Under Lien : 0.000
IDCW reinvested / paid (INR) : 25,512.96 Total IDCW reinvested / paid (INR) : 114,933.84
Primary Bank Account : SB XXXX3957 / Union Bank of India / Chandigarh Raipur / Raipur / Redemption / IDCW Payout Mode : Electronic
UBIN0543306
Advisor : ARN-95647 / Ganga Prasad Dewangan
EUIN : E103657
EISC-ETRXN-16.4.0-060723141307(I)-A164016--1119-YN

IDCW-Income Distribution and Capital Withdrawal *Due to change in Scheme Name and the fundamental attributes of HDFC Growth Fund and merger of HDFC Prudence Fund
therein, w.e.f. June 01, 2018 (close of business hours) , the scheme shall be managed as HDFC Balanced Advantage Fund (erstwhile HDFC Prudence Fund and HDFC Growth
Fund), an open-ended scheme Balanced Advantage Fund. Current Load Structure : Entry Load - Nil. Exit Load : In respect of each purchase/switch-in of units from allotment
date, Nil exit load upto 15% of the units ("the limit") redeemed/switched-out; 1% if units in excess of the limit are redeemed/switched-out within 1 year. No Exit Load if units are
redeemed /switched-out after 1 year. Applicable for the subscriptions made w.e.f. May 08, 2015. The rate of exit load levied on units redeemed will be the rate prevailing at the
time of allotment of the units. For further details visit www.hdfcfund.com (under Investor Corner) or contact any of our Investor Service Centre. GST Identification Number :
27AAATH1809A1Z9

HDFCPM / HDFC Hybrid Equity Fund - Regular Plan - Growth* - INF179K01AS4 UCC : MFHDFC0040

NAV Amount Price Number of Balance

Date Transaction Type
in INR in INR Units Units
Opening Balance as on 01/04/2022 77.707

#IDCW - Income Distribution cum Capital Withdrawal continued...

 Page 3 of 3
Account Statement (Folio No. : 14102856 / 19)
Available Units to Redeem : 77.707
Market Value of Balance Units at NAV of 84.757 on 31/03/2023 (INR) : 6,586.21 Total Units Under Lien : 0.000
IDCW reinvested / paid (INR) : 0.00 Total IDCW reinvested / paid (INR) : 3,974.98
Primary Bank Account : SB XXXX3957 / Union Bank of India / Chandigarh Raipur / Raipur / Redemption Payout Mode : Electronic
UBIN0543306
Advisor : ARN-95647 / Ganga Prasad Dewangan
EUIN : E103657

*Due to change in Scheme Name and the fundamental attributes of HDFC Premier Multi-Cap Fund and merger of HDFC Balanced Fund therein, w.e.f. June 01, 2018 (close of
business hours) , the scheme shall be managed as HDFC Hybrid Equity Fund (erstwhile HDFC Balanced Fund and HDFC Premier Multi-Cap Fund), an open-ended hybrid scheme
investing predominantly in equity and equity related instruments. Current Load Structure : Entry Load: Not Applicable. Exit Load: In respect of each purchase/switch-in of units
from allotment date, Nil exit load upto 15% of the units ("the limit") redeemed/switched-out; 1% if units in excess of the limit are redeemed/switched-out within 1 year. No Exit
Load if units are redeemed /switched-out after 1 year. The rate of exit load levied on units redeemed will be the rate prevailing at the time of allotment of the units. For further
details visit www.hdfcfund.com (under Investor Corner) or contact any of our Investor Service Centre. GST Identification Number : 27AAATH1809A1Z9

Details regarding your primary Bank account and Email Id maybe masked to ensure security of information.
(#)switch-in will be processed based on the settlement cycle of the switch-out scheme.
This is a computer generated statement and does not require any signature.

EISC-ETRXN-16.4.0-060723141307(I)-A164016--1119-YN

continued...
 TRANSACTION REQUEST FOR TIMESTAMP (FOR OFFICE USE ONLY)

PURCHASE / SWITCH / REDEMPTION

(Please use separate transaction slip for each scheme.
For updating your contact details, please submit a separate request)
Folio Number : 14102856 / 19 Scheme / Plan / Option* :
Name of sole / (Switch-out scheme
First Unit Holder : Sita Devi Pandit for switch request) :
*Default Plan / Option in terms of KIM will apply if the choice of Plan / Option is not indicated.
KEY PARTNER / AGENT INFORMATION
Internal Code for Employee Unique
ARN ARN Name Sub Agent’s ARN Bank Branch Code
Sub-Agent/ Employee Identification Number (EUIN)
ARN-95647 Ganga Prasad Dewangan - (Mobile E103657
No. +919981145499)

Note: Upfront commission shall be paid directly by the investor to the ARN Holder (AMFI registered Distributor) based on the investors’ assessment of various factors including the service rendered by the ARN Holder.
Important: Please strike off any unused portion of this sheet.
ADDITIONAL PURCHASE (Please write your folio number and name on the reverse of the cheque/DD/Payment Instrument no.)
Payment Mode: (Please tick any one only) OTM (One Time Bank Mandate) Cheque DD Funds Transfer RTGS / NEFT
Cheque/DD/Instrument No: IF APPLICABLE Payment Date/Instrument Date : / / Amount (Rs.) :
Bank Name: Branch: City :
MANDATORY FOR OTM
Investors desiring to get allotment of units in dematerialized mode instead of physical mode should provide the details in their demat account below:
NSDL CDSL

DP Name
DP ID
Beneficiary Account No.
Please attach a copy of the DP statement / Client Master Form to enable us to verify the demat account details.
IMPORTANT : Names, mode of holding , PAN details, etc. of the Investor will be verified against the Depository data.The units will be credited to the beneficiary (demat) account only after
successful verification with the depository records and realization of payment.

at - our offices,www.hdfcfund.com,with your distributor,if any

Please check exit load, if applicable. Information available
SWITCH REQUEST (Please tick any one only) All Free Units No. of units : Amount (in Rs.) :
To Scheme / Plan / Option ^ :
^Default Plan / Option in terms of KIM will apply if the choice of Plan / Option is not indicated.

REDEMPTION - Subject to Lock-in Period, if any (Please tick only one of the below options.)
Redeem All Free Units No. of units : Amount (in Rs.) (in words)
IFSC Code : (If not provided earlier for electronic payment)
Note : If a redemption request is submitted alongwith a request for changing the bank account details, the redemption will be processed into the registered /default bank
account in the aforesaid scheme/folio and the request for changing the bank account details will not be processed.
For investors who have registered for Multiple Bank Accounts facility# in the above folio:
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 : Branch :
Account No.: Account Type: Bank City :
This transaction request is not valid for HDFC Gold Exchange Traded Fund,

#
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 .HDFC Mutual Fund or HDFC 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. If the balance in my/our account does not cover the amount /
units of the redemption request, I/we authorise you to send the entire such (lesser) balance to me/us.
DECLARATION :I/We am/are not prohibited from accessing capital markets under any order/ruling/judgment etc., of any regulation, including SEBI. I/We confirm that my
application is in compliance with applicable Indian and foreign laws. I / We hereby confirm and declare as under:-
HDFC NIFTY ETF,HDFC SENSEX ETF.

1) I/We have read, understood and hereby agree to comply with the terms and conditions of the scheme related documents and apply for allotment of Units of the Scheme(s) of HDFC Mutual Fund (‘Fund’) indicated above.
2) I/We am/are eligible Investor(s) as per the scheme related documents and am/are authorised to make this investment as per the Constitutive documents/ authorization(s). The amount invested in the Scheme(s) is through
legitimate sources only and is not for the purpose of contravention and/or evasion of any act, rules, regulations, notifications or directions issued by any regulatory authority in India.
3) The information given in / with this application form is true and correct and further agree to furnish such other further/additional information as may be required by the HDFC Asset Management Company Limited (AMC)/ Fund and undertake to
inform the AMC / Fund/Registrars and Transfer Agent (RTA) in writing about any change in the information furnished from time to time.
4) That in the event, the above information and/or any part of it is/are found to be false/ untrue/ misleading, I/We will be liable for the consequences arising therefrom.
5) I/We hereby authorize you to disclose, share, remit in any form/manner/mode the above information and/or any part of it including the changes/updates that may be provided by me/us to the Mutual Fund, its Sponsor/s,
Trustees,Asset Management Company, its employees, agents and third party service providers, SEBI registered intermediaries for single updation/ submission, any Indian or foreign statutory, regulatory, judicial, quasi-
judicial authorities/agencies including but not limited to Financial Intelligence Unit-India (FIU-IND) etc without any intimation/advice to me/us.
6) I/We will indemnify the Fund, AMC, Trustee, RTA and other intermediaries in case of any dispute regarding the eligibility, validity and authorization of my/our transactions.
7) The ARN holder (AMFI registered Distributor) 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 which 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 THE FUND/AMC/ITS DISTRIBUTOR FOR
THIS INVESTMENT.
Applicable to Foreign Nationals Resident in India only :I/We will redeem my/our entire investment/s before I /We change my /our Indian residency status. I/We shall be fully liable for all
consequences (including taxation) arising out of the failure to redeem on account of change in residential status.
Applicable to NRIs/PIO/OCIs only:I/We confirm that my application is in compliance with applicable Indian and foreign laws.
Please ( ) Yes No If Yes, ( ) Repatriation basis Non-repatriation basis
Declaration for Purchase/Switch transaction where EUIN box is left blank
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.
TO BE SIGNED BY ALL UNIT HOLDERS IF MODE OF HOLDING IS JOINT. ALTERATIONS, IF ANY, SHOULD BE COUNTERSIGNED.
Signature(s)

EISC-ETRXN-16.4.0-060723141307(I)-A164016--1119-YN

Sole/ First Unit holder/ Guardian/ POA Second Unit holder Third Unit holder
Important alert: Incase there is any change to your KYC information please update the same by using the prescribed "KYC Change Request Form"
and submit the same at the point of sevice of any KYC Registration Agency

FATCA & CRS - SELF CERTIFICATION FOR INDIVIDUALS

(To be filled and signed by folio(s) with Single holders only.In case of folio(s) with joint holders/Entities,separate SUPPLEMENTARY
KNOW YOUR CLIENT (KYC),FATCA & CRS-SELF CERTIFICATION FORM needs to be submitted)
PAN: Name:
Is the applicant/guardian's Country of Birth/Citizenship/Nationality/Tax Residency other than India? Yes No
If yes, then please submit a Supplementary Know Your Client(KYC), FATCA and CRS - Self certification form attached along-with this transaction.
Declaration: I have read and understood the information requirements and the Terms and Conditions mentioned in the SUPPLEMENTARY KNOW
YOUR CLIENT(KYC), FATCA & CRS-SELF CERTIFICATION FORM and hereby confirm that the information provided by me/us on this Form is true,
correct and complete. I hereby agree and confirm to inform HDFC Asset Management Company Limited/HDFC Mutual Fund/Trustees for any
modification to this information promptly. I further agree to abide by the provisions of the Scheme related documents inter alia provisions on
'Foreign Account Tax Compliance Act(FATCA) and Common Reporting Standards(CRS) on Automatic Exchange of Information(AEOI)'. I hereby
authorize you to disclose, share, remit in any form /manner/mode the above information and/or any part of it including the changes/updates that
may be provided by me to the Mutual Fund, its Sponsor/s, Trustees, Asset Management Company , its employees, agents and third party service
providers, SEBI registered intermediaries for single updation/submission, any Indian or foreign statutory, regulatory, judicial, quasi-judicial
authorities/agencies including but not limited to Financial Intelligence Unit-India(FIU-IND) etc without any intimation/advice to me. Sign of Sole Holder