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Religare Nifty Exchange Traded Fund

(An Open Ended Exchange Traded Fund)

Offer for Units having face value of Rs. 10 each and will be issued at a premium equivalent to difference between the
allotment price and face value during the New Fund Offer and continuous offer for Units at NAV based prices.

New Fund Offer Opens : 23rd May, 2011 Closes : 6th June, 2011
KEY INFORMATION MEMORANDUM CUM APPLICATION FORM
Scheme Re-opens for continuous sale and repurchase : Within 10 Business Days from the NFO closure date
Name of Asset Management Company : Religare Asset Management Company Limited Name of Mutual Fund: Religare Mutual Fund
This Key Information Memorandum (KIM) sets forth the information, which a prospective investor ought to know before investing. For further details of the Scheme/Mutual Fund, due diligence certificate by the AMC, Key Personnel, investors’ rights & services, risk
factors, penalties & pending litigations etc. investors should, before investment, refer to the Scheme Information Document and Statement of Additional Information available free of cost at any of the Investor Service Centres or distributors or
from the website www. religaremf.com
The Scheme particulars have been prepared in accordance with Securities and Exchange Board of India (Mutual Funds) Regulations, 1996, as amended till date, and filed with Securities and Exchange Board of India (SEBI). The units being offered
for public subscription have not been approved or disapproved by SEBI, nor has SEBI certified the accuracy or adequacy of this KIM.
Disclaimer of National Stock Exchange of India Ltd. (NSE)
“It is to be distinctly understood that the permission given by NSE should not in any way be deemed or construed that the Scheme Information Document has been cleared or approved by NSE nor does it certify the correctness or completeness of any of the contents of the draft Scheme
Information Document. The investors are advised to refer to the Scheme Information Document for the full text of ‘Disclaimer Clause of NSE’.”

Investment To generate returns which closely correspond to the returns defensive measures. The AMC does not attempt to Minimum During New Fund Offer Period:
Objective generated by securities as represented by S&P CNX Nifty Index, individually select stocks or take defensive positions in Application Rs. 10,000/- per application and in multiples of Re.1/- thereafter.
subject to tracking error, if any. declining markets. Amount/ Number In case of investors opting to switch into the Scheme from
• “Tracking Error” is defined as the standard deviation of the of Units existing scheme(s) of Religare Mutual Fund (subject to
However, there is no assurance or guarantee that the investment
objective of the Scheme will be achieved. The Scheme does not difference between daily returns of underlying Index and completion of lock in period, if any) during the NFO period, the
assure or guarantee any returns. NAV of Units of the Scheme. The fund manager may not minimum amount is Rs. 10,000/- per application and in multiples
be able to invest corpus of the Scheme in securities exactly of Re. 0.01/- thereafter.
Asset Allocation Instruments Indicative Allocation Risk Profile in the same proportion as in the underlying Index due to On Ongoing Basis:
Pattern of the (% of total assets) certain factors such as rounding off, fees and expenses of
Scheme Subscription / Redemption of Units directly with
High/ the Scheme, corporate actions, cash balance, changes to Mutual Fund
the underlying Index and regulatory policies which may
Minimum Maximum Medium / Authorized Participants and Large Investors can subscribe or
affect AMC’s ability to achieve close correlation with the
Low Underlying Index. The Scheme’s returns may therefore redeem the Units of the Scheme directly with Mutual Fund only
Securities deviate from those of its Underlying Index. in Creation Unit size. The number of units of the Scheme that
covered by investors can subscribe/redeem directly with Mutual Fund in
95 100 High • Risks associated with investing in fixed income and money exchange of Portfolio Deposit and Cash Component is 10,000
S&P CNX market instruments involve interest - rate risk, credit risk, Units and in multiples thereof at NAV based prices.
Nifty* liquidity or marketability risk, re-investment risk etc.
In addition to above, Authorized Participants and Large Investors
Debt and • Risks associated with the use of derivatives are different from can also subscribe or redeem the Units of the Scheme in Creation
Low to
Money Market 0 5 or possibly greater than, the risks associated with investing Unit size for cash directly with the Mutual Fund.
Medium directly in securities and other traditional investments.
Instruments Each Creation Unit consists of 10,000 units of Religare Nifty ETF.
*Exposure to equity derivatives of the index itself or its Derivative products are leveraged instruments and can
The Mutual Fund may from time to time change the size of the
constituent stocks may be undertaken when equity shares are provide disproportionate gains as well as disproportionate
Creation Unit in order to equate it with marketable lots of the
unavailable, insufficient or for rebalancing in case of corporate losses to the investor. Other risks include risk of mispricing
underlying instruments.
actions for a temporary period. The maximum derivative position or improper valuation and the inability of the derivative to
will be restricted to 10% of the net assets of the Scheme. The correlate perfectly with underlying assets, rates and indices, If there are no quotes on the secondary market on NSE for 5
cumulative gross exposure through equity, debt and derivative illiquidity risk whereby the Scheme may not be able to sell or consecutive trading days, the Unit holder can redeem Units
positions shall not exceed 100% of the net assets of the Scheme, purchase derivative quickly enough at a fair price. of Religare Nifty ETF directly with the Mutual Fund subject to
subject to provisions of SEBI circular dated August 18, 2010 w.r.t. payment of exit load of 1%.
• Risks associated with trading of Units on Stock Exchange(s)
investment in derivatives. However, fully hedged positions in the involve absence of prior active market, trading in Units Further, if the average discount of the bid price to the indicative
same security will be excluded while calculating aggregate asset on Stock Exchange(s) may be halted because of market NAV over a period of 30 trading days is greater than 3%, the Unit
allocation of the Scheme. conditions or for other reasons, the Units of the Scheme holder can redeem Units of Religare Nifty ETF directly with the
The Scheme may engage in short selling of securities in may trade above or below their NAV etc. Mutual Fund for a period of 3 consecutive trading days subject
accordance with the framework relating to short selling and to payment of exit load of 1%. The intimation of the same will be
Risk Mitigation Strategies: displayed on our website (www.religaremf.com).
securities lending and borrowing specified by SEBI from time to
time. Type of Risk Measures to mitigate risk Purchase / Sale of Units on NSE
Volatility The Scheme is a passively managed scheme There is no minimum investment, although Units are purchased /
Investment The Fund will follow a passive investment strategy and will and hence, volatility risk will be lesser as sold in round lots of 1 Unit at the price quoted on NSE.
Strategy of the invest in companies comprising the S&P Nifty Index in the compared to actively managed schemes. Despatch of Within 10 working days of the receipt of the redemption request
Scheme same weights as in the Index with an endeavor to track the Concentration The Scheme will invest in securities which Repurchase at the authorised centre of Religare Mutual Fund.
benchmark index with as low tracking error as possible. The are constituents of underlying Index in (Redemption)
Fund may, for a temporary period, take exposure to derivatives the same proportion as the securities Request
of the index or its constituent stocks when equity shares are Benchmark Index S&P CNX Nifty Index
have in the underlying Index. Hence,
unavailable, insufficient or for rebalancing in case of corporate Dividend Policy The Trustees may declare the dividend subject to availability of
actions and when it makes economic benefit for the fund. The concentration risk will be the same as that
of underlying index, subject to tracking distributable surplus calculated in accordance with SEBI Regulations.
Fund in order to meet liquidity and expense requirements The actual declaration of dividend and frequency thereof will
may also invest in debt and money market instruments. error.
inter-alia, depend on availability of distributable surplus calculated
• Equity and Equity Related Instruments: Equity share is a Liquidity The Scheme will invest in securities which in accordance with SEBI (MF) Regulations and the decisions of
security that represents ownership interest in a company. are constituents of S&P CNX Nifty Index in the Trustees shall be final in this regard. There is no assurance or
It is issued to those who have contributed capital in setting the same weightage as that of Index. As per guarantee to the Unit holders as to the rate of dividend nor that the
up an enterprise. Equity Related Instruments are securities data from NSE, constituents of Index have dividend will be paid regularly. On payment of dividend, the NAV of
which give the holder of the security right to receive Equity good liquidity in the market. Therefore, the the Units under the Scheme will fall to the extent of the dividend
Shares on pre agreed terms. It includes convertible bonds, Scheme does not envisage liquidity risk. payout and applicable statutory levies, if any.
convertible debentures, equity warrants, convertible Name of the Fund Mr. Pranav Gokhale
preference shares, etc. Options None. Manager
• Exchange Traded Fund: A scheme whose units are listed on Applicable 1. Subscription / Redemption of Units directly with Name of the Religare Trustee Company Limited
the Exchange and can be bought/sold at a price, which may NAV (after the Mutual Fund Trustee Company
be close to the NAV of the scheme. Scheme opens for Cut off timing for subscriptions: Performance of the This Scheme is a new scheme and does not have any performance
• Security selection criteria: In terms of investment objective repurchase and 1. In respect of valid applications received upto 3.00 p.m. scheme track record.
and asset allocation pattern of the Scheme, the fund sale) on a Business Day by the Fund along with a local cheque Expenses of the (i) Load Structure
manager will invest 90% and more of net assets of the or a demand draft payable at par at the Official Points Scheme During the New Fund Offer Period and an Ongoing Offer Period:
Scheme in the securities which are constituents of S&P Entry Load: Nil
CNX Nifty Index in the same proportion as the securities of Acceptance where the application is received, the
closing NAV of the day on which application is received In terms of SEBI Circular No. SEBI/IMD/CIR No. 4/168230/09
have in the underlying Index. dated June 30, 2009, no entry load will be charged on purchase /
shall be applicable.
Risk Profile of the Mutual Fund Units involve investment risks including the additional purchase / switch-in.
2. In respect of valid applications received after 3.00 The upfront commission, if any, on investment made by the
Scheme possible loss of principal. Please read the SID carefully for details
p.m. on a Business Day by the Fund along with a local investor shall be paid by the investor directly to the Distributor,
on risk factors before investment. Scheme specific Risk Factors
are summarized below: cheque or a demand draft payable at par at the Official based on his assessment of various factors including the service
Points of Acceptance where the application is received, rendered by the Distributor.
• Equity and equity related instruments by nature are
volatile and prone to price fluctuations on a daily basis the closing NAV of the next Business day shall be Exit Load: Nil*
due to macro and micro economic factors. The value of applicable. * For redemption in Creation in Unit Size
equity and equity related Instruments may fluctuate due 3. In respect of valid applications with an outstation However, if there are no quotes on the secondary market on
to factors affecting the securities markets such as volume cheques or demand drafts not payable at par at the NSE for 5 consecutive trading days, the Unit holder can redeem
and volatility in the capital markets, interest rates, currency Official Points of Acceptance where the application is Units of Religare Nifty ETF directly with the Mutual Fund subject
exchange rates, changes in law/policies of the Government, to payment of exit load of 1%.
received, the closing NAV of day on which the cheque Further, if the average discount of the bid price to the indicative
taxation laws, political, economic or other developments, or demand draft is credited shall be applicable.
which may have an adverse impact on individual securities, NAV over a period of 30 trading days is greater than 3%, the Unit
Cut off timing for redemption: holder can redeem Units of Religare Nifty ETF directly with the
a specific sector or all sectors. Consequently, the NAV of the
1. In respect of valid applications received at the Official Mutual Fund for a period of 3 consecutive trading days subject
Units issued under the Scheme may be adversely affected.
Equity and equity related instruments listed on the stock Points of Acceptance upto 3.00 p.m. on a Business to payment of exit load of 1%. The intimation of the same will be
exchange carry lower liquidity risk but they run a settlement Day by the Fund, the closing NAV of the day on which displayed on our website (www.religaremf.com).
risk and also the risk of inability to sell securities held in the application is received shall be applicable. (ii) Recurring expenses (maximum as a % of average
Scheme’s portfolio. 2. In respect of valid applications received at the Official daily net assets)
Points of Acceptance after 3.00 p.m. on a Business Day 1.50%
• The Scheme would invest in the securities which are
constituents of underlying Index in the same proportion as by the Fund, the closing NAV of the next Business day Waiver of Load for Not Applicable
the securities have in the underlying Index. Hence, the risk shall be applicable. Direct Applications
associated with the corresponding underlying Index would 2. Purchase / Sale of Units on NSE Tax treatment for Resident Investor Mutual Fund
be applicable to the Scheme. An investor can buy/sell Units on a continuous basis on the the Investors (Unit Tax on Dividend Nil Nil
• The Scheme is passively managed scheme. The Scheme’s National Stock Exchange of India Ltd. (NSE) on which the holders)
Capital Gain
performance may be affected by a general decline in the Units will be listed, during the trading hours like any other Long Term Nil Nil
Indian markets relating to its underlying Index. The Scheme publicly traded stock. The price of the Units on NSE will Short Term 15% Nil
invests in securities which are constituents of its underlying (plus applicable surcharge
depend on demand and supply at that point of time and
Index regardless of its investment merit, research, without and education cess)
taking a view of the market and without adopting any underlying NAV. Therefore, the provisions of cut off timing
for purchase / sale of Units on NSE are not applicable.
Notes: Contd... For Investor Name and Address of Religare Asset Management Annual Financial Results: The annual report or an abridged
1. Religare Mutual Fund is a Mutual Fund registered Grievances Please Registrar Company Ltd. (Investment summary thereof will be mailed (e-mailed if opted / requested)
with Securities and Exchange Board of India (SEBI) Contact Karvy Computershare Manager for Religare Mutual to all Unit holders not later than four months from the date of
and hence the entire income of the Mutual Fund will Pvt. Ltd. Fund) closure of the relevant accounting year (i.e. 31st March each
be exempt from income tax in accordance with the Unit: Religare Mutual Fund, 3rd Floor, GYS Infinity,
year) and full annual report shall be available for inspection at
provisions of Section 10 (23D) of the Income-tax Act, 1961. Karvy Plaza, H No. 8-5-296, Paranjpe ‘B’ Scheme,
the Head Office of the Mutual Fund and a copy shall be made
2. The Scheme being an equity oriented scheme, no additional Street no.1, Banjara Hills, Subhash Road, Vile Parle (East),
tax under section 115R of the Income-tax Act, 1961 is payable Hyderabad - 500 034. Mumbai - 400 057. available to the Unit holders on request on payment of nominal
on income distribution, if any, made by the Scheme. Tel No.: +91 040 2331 2454 Tel. No.: +91-22-67310000 fees, if any. The annual report of the Scheme can also be viewed
3. As per Section 10(38) of the Income-tax Act, 1961, any long Email: religare.care@ Fax No.: +91-22-28371565 on www.religaremf.com and www.amfiindia.com.
term capital gain arising from the sale of units of an equity karvy.com E-mail : mfservices@religare.com Half Yearly Disclosures: The Mutual Fund and AMC shall
oriented fund where such transaction of sale is chargeable Website: www.religaremf.com before the expiry of one month from the close of each half
to STT, is exempt from tax. Unit holders’ Accounts Statement: The account statement/ allotment year i.e. 31st March and on 30th September, publish a complete
4. Unit holders of the Scheme will be charged securities Information advice reflecting new or additional subscription and / or statement of the Scheme portfolio and unaudited financial
transaction tax (STT) @ 0.25% on value of redemption of redemption / switch of Units will be sent by post / courier /
results in one national English daily newspaper and in a regional
units. electronic mail to the Unit holder within 5 Business Days from
newspaper published in the language of the region where the
the date of closure of NFO and from the date of transaction.
Further, investors are advised to refer to the details in the Head Office of the Mutual Fund is situated. The Mutual Fund
However, during ongoing offer period, the Mutual Fund shall
Statement of Additional Information and also independently may opt to send the portfolio to all Unit holders in lieu of the
endeavour to despatch the account statement / allotment
refer to their tax advisors. advertisement (if applicable). The portfolio statement and
advice within 3 Business Days from the date of transaction.
Daily Net Asset The NAV will be declared on all the Business Days and will be In addition to allotment advice, unitholders will also receive the unaudited financial results will also be displayed on www.
Value (NAV) published in 2 newspapers. NAV can also be viewed on www.
Publication demat statement from Depository Participant reflecting his/her religaremf.com and www.amfiindia.com.
religaremf.com and www.amfiindia.com. Investors can also call holding of Religare Nifty ETF.
at 1800 209 0007. Date: May 03 , 2011

INSTRUCTIONS TO FILL THE FORM


1. GENERAL INSTRUCTIONS possess his / her own PAN, the PAN of his / her father or mother or the guardian, as the acknowledged copy of the instruction to bank stating the account number to be
(a) Please read the Statement of Additional Information, Key Information case may be, should be quoted. In the absence of this, your application will be rejected. debited.
Memorandum and the Scheme Information Document (SID) containing the However, applicants resident in the state of Sikkim, Central Government, State Demand draft, pay order, banker’s cheque purchased against cash of Rs. 50,000/-
terms of offer carefully before investing. In the SID, your attention is particularly Government, officials appointed by the courts e.g. official liquidator, court receiver etc. or more will not be accepted. Such purchase application (for amount less than Rs.
drawn to the risk factors of investing in the scheme and also the sections “Who (under the category of Government) are exempted from the mandatory requirement 50,000) should be accompanied with a banker’s certificate stating the investor’s
cannot invest” and “Important note on anti-money laundering, KYC & investor of PAN for transacting in securities market. This would be subject to collecting Name, bank account number and PAN as per bank record, if available, is a must.
protection”. necessary documentary evidence by the AMC / Fund to verify the veracity of the claim. The bank account number mentioned in the certificate/ instructions must be
(b) All applicants are deemed to have accepted the terms subject to which the offer is 5. BANK ACCOUNT DETAILS the bank account which is registered with the Fund or the first named applicant
being made and bind themselves to the terms upon signing the Application Form As per SEBI Guidelines, it is mandatory for the Sole / First Applicant to provide the bank /investor should be one of the holders of the said bank account.
and tendering the payment. account details in the application form. Please refer to Statement of Additional Information for a facility of multiple Bank
(c) Application Form should be filled legibly in ENGLISH in BLOCK letters using The bank details should be same as those registered with the DP. In case of any Accounts registration in a folio.
Black or Dark Blue ink. Incomplete application forms are liable to be rejected. discrepancy, the bank details as per the depository records will be final. Applications Certificate from Bank should be signed by the authorised person of the issuing
Please refer to the checklist to ensure that the requisite details and documents received without the bank details will be deemed to be incomplete and liable for bank mentioning his name, employee code, contact details and bank seal.
have been provided in order to avoid unnecessary delays and / or rejection of your rejection. The Mutual Fund reserves the right to hold the redemption proceeds in case 8. E-MAIL COMMUNICATION
application. the requisite details are not submitted. Account Statement/Allotment Advice, Annual Report, other information etc. can be
(d) Please strike out any section that is not applicable. Cancellation/ white-ink on any To enable verification of the bank mandate details and ensure expeditious clearing, the sent to unitholders by e-mail. If you have an e-mail address you can choose to receive
of the mandatory information should be countersigned. 9-digit MICR (Magnetic Ink Character Recognition) number appearing to the right of e-mail communication from us in lieu of printed documents.
(e) Applicant can make application by filling in “Application Form” and submitting the cheque number on the bottom white strip of the cheque leaf should be provided. Please furnish your e-mail ID and indicate the nature of communication you wish to
the Application Form at any of the Official Points of Acceptance (as per list IFSC is a 11 digit alpha numeric character set given by some of the banks on the cheques. receive over email.
provided in the application form) OR Applicant can make application by filling in IFSC will help to secure transfer of redemption and dividend payouts via the various When an investor has communicated his / her e-mail address and has provided
“Application Supported by Blocked Amount Form” (‘ASBA Application Form’) electronic mode of transfers that are available with the banks. consent for sending communication only through email, the Fund / Registrars are not
and submitting the same at the designated SCSB Branches. In addition to the above, investors are also requested to enclose a cancelled cheque leaf responsible for email not reaching the investor and for all consequences thereof. The
(f) Incomplete Applications are liable for rejection, either at the collection point (or copy thereof) where investment instrument is not from the same bank account as is investor shall from time to time intimate the Fund / its transfer agents about any changes
itself or subsequently after detailed scrutiny/ verifi cation at the back offi ce of mentioned in the Application Form. in the email address. In case of a large document, a suitable link would be provided and
the Registrars. The Bank Account details of the investors making application through ASBA facility investor can download, save and print these documents. However, investor always has
2. APPLICATION THROUGH ASBA FACILITY shall be same as available in the records of their Depository Account linked to investors a right to demand for a physical copy of any or all of the service deliverables and the fund
Pursuant to SEBI circular vide ref no. SEBI/IMD/CIR No. 18/198647/2010 dated March 15, Demat Account. would arrange to send the same to the investor.
2010, an investor in addition to existing method of application for units of the Scheme 6. INVESTMENT DETAILS 9. SWITCH TRANSACTIONS DURING NFO
can subscribe to the units of the scheme during New Fund Offer (NFO) through ASBA (a) Investors applying through ASBA should ensure that the amount of application Investors opting to switch into this scheme from existing schemes of Religare Mutual
facility. ASBA is an application containing an authorization given by the investor to matches with the amount to be blocked in the Bank Account. Fund are required to fill this form and submit the same along with switch transaction slip
block the application money in his specified bank account towards the subscription of (b ) For minimum application amount please refer to the Scheme Features. at any of the OPA of RAMC.
units offered during NFO of scheme(s) of Religare Mutual Fund. For an investor who 7. MODE OF PAYMENT 10. NOMINATION DETAILS
applies through ASBA facility, the application money towards the subscription of units Payment can be made in any of the following modes : Since the units of the Scheme will be issued in electronic (demat) mode, nomination
will be debited from his specified bank account only if his/her application is selected for (a) Payment should be made by way of a single cheque / demand draft* (multiple details provided to the DP shall be applicable.
allotment of units. Investor can submit the ASBA Application Form with Self Certified cheques will not be accepted) and must be payable locally at the Official Point(s) 11. DEMATERIALIZATION
Syndicate Bank (SCSB). SCSB are banks which offers the facility of applying through of Acceptance where the application is lodged. The cheque / demand draft should As the units of the Scheme will be issued in Demat form, applicants must ensure that
ASBA process. The list of SCSBs with details of controlling branches is available on be drawn favouring the Scheme e.g. Religare Nifty Exchange Traded Fund , and the sequence of names as mentioned in the application form matches with that of the
http://www.sebi.gov.in, http://www.nseindia.com and http://www.bseindia.com. The crossed “Account Payee Only”. Please mention the application no. and applicant benificiary account held with the Depository Participant. Names, address, PAN and
Applicant intending to invest in the scheme through ASBA Application Form must name on the reverse of the Cheque/Draft tendered with the application. KYC details mentioned in the application form will be verified agianst Depository data.
have beneficiary account with the Depository Participant of NSDL/ CDSL and will be In order to avoid fraud and prevent misuse of payment instruments, investors Only those applications where the details are matched with the depository data will be
required to mention the same in application form. Only those applications where the are advised to draw payment instrument (i.e. cheque, demand draft, pay order treated as valid applications. If the details mentioned in the application ( other than ASBA
details are matching with the Depository records will be treated as valid applications etc.) favouring either “Religare Nifty Exchange Traded Fund A/c First Investor Applications) are incomplete/incorrect, not matched with the depository data, the
and allotted units accordingly. If the details mentioned in ASBA Application Form are name” or “Religare Nifty Exchange Traded Fund Permanent Account application shall be treated as invalid and shall be liable to be rejected.
incorrect / incomplete or are not matching with the Depository records the application Number of the First investor”.
will be rejected. 12. DIRECT CREDIT OF REDEMPTION/DIVIDEND PROCEEDS
*Units will be allotted for amount net of DD charges, at Rs. 10/- per unit. The Fund / The Fund will give direct credit for redemption/dividend proceeds into the investor’s
(a) Self Certified Syndicate Bank (SCSB): SCSB is a bank which offers the facility of applying AMC will not entertain any request for refund of DD charges.
through the ASBA process. The current list of SCSB’s as available on SEBI website is as follows: bank account linked to the beneficiary account with the Depository Participant and such
Payment can also be made by Electronic Funds Transfer (EFT) by way of direct instruction will be adequate discharge of the Fund towards the said payment. In case
• Axis Bank Ltd • State Bank of Hyderabad • Corporation Bank • State Bank of Travancore credit / RTGS / NEFT to Scheme Collection Account by clearly mentioning the the credit is not effected by the Unit holder’s banker for any reason, the Fund reserves
• IDBI Bank Ltd • State Bank of Bikaner and Jaipur • Yes Bank Ltd • Punjab National Bank name of the investor and application number. the right to make the payment by a cheque/Demand Draft. If the direct/electronic credit
• Syndicate Bank • Deutsche Bank • Union Bank of India • HDFC Bank Ltd • Bank of (b) Outstation Cheques or Outstation Drafts/Cash/Money Order/Postal Order/ Post is delayed or not effected or credited to a wrong account, on account of incomplete/
Baroda • ICICI Bank Ltd. • Vijaya Bank • Bank of Maharashtra • State Bank of India • Andhra dated Cheques will not be accepted. incorrect information, the Fund will not be held responsible. If however, you wish to
Bank • HSBC Ltd. • Kotak Mahindra Bank Ltd. • Bank of India • Citi Bank • IndusInd Bank (c) The Fund is not obliged to represent dishonoured cheque or inform the investor / receive a cheque payout, please tick in the space provided in the application.
• Allahabad Bank • Karur Vysya Bank Ltd • The Federal Bank • Indian Bank • Central Bank investor’s agent about it.
of India • Oriental Bank of Commerce • Standard Chartered Bank • J P Morgan Chase Bank, (d) NRI / FII / PIO Investors : 13. PREVENTION OF MONEY LAUNDERING AND KNOW YOUR CUSTOMER (KYC)
N.A • Nutan Nagrik Sahakari Bank Ltd. • UCO Bank • Canara Bank. • United Bank of India • South Repatriation Basis To ensure appropriate identification of the investor and with a view to monitor
Indian Bank • Indian Overseas Bank • Tamilnad Merchantile Bank Ltd.• City Union Bank Ltd. • BNP Payments by NRIs / Persons of Indian Origin (PIO) residing abroad / FII may be transactions for the prevention of money laundering as prescribed by the Prevention
Paribas • The Kalupur Commercial Co. op Bank Ltd. made either by way of Indian Rupee drafts or cheques by means of (i) inward of Money Laundering Act, 2002, the AMC reserves the right to:
remittance through normal banking channels; or (ii) out of funds held in NRE / (a) Scrutinize and verify the identity of the investor, Unitholder, person making the
For the complete list of SCSBs with details of controlling/designated branches please
FCNR account payable at par and payable at the cities where the Official Points of payment on behalf of the investor and the source of the funds invested / to be
refer to websites : http://www.sebi.gov.in , http://www.nseindia.com and http://www.
Acceptance are located. invested in Religare Mutual Fund;
bseindia.com.
In case of Indian Rupee drafts purchased abroad or subscription through NRE/ (b) Reject any application;
(b) Investors Demat Account details: (c) Prevent further transactions by a Unitholder;
• It is mandatory to provide Demat Account details in ASBA Applicantion Form FCNR Account, an account debit certificate from the bank issuing the draft
confirming the debit / Foreign Inward Remittance Certificate (FIRC) should also (d) To mandatorily redeem the units held by the Unitholder at the applicable NAV
as the units will be credited in the Demat Account specified in ASBA Application prevalent at the time of such redemption and;
Form. be enclosed.
In case the debit certificate / FIRC is not provided, the AMC reserves the right to (e) Report cases to the Specified Director appointed by the Central Government,
• Applicant should ensure that the Demat Accounts specified in the ASBA pertaining to a single transaction exceeding Rs.10 lacs or series of transactions
Application Form are active i.e. not frozen or suspended. reject the application of the NRI investors.
Non Repatriation Basis integrally connected or remotely connected or related to each other which are
• Applicant to note that in case the DP-ID, beneficiary account no. or PAN provided valued below the prescribed value of Rs. 10 lacs within a month.
NRIs or people of Indian origin residing abroad investing on a non-repatriable basis
in the ASBA Application Form are incorrect or do not match with the records of 14. KNOW YOUR CUSTOMER (KYC) REQUIREMENTS
may do so by issuing cheques / demand drafts drawn on Non-Resident Ordinary
Depositories (NSDL or CDSL), the applications will be rejected. KYC is mandatory for applicants for subscription in the schemes of Religare Mutual
(NRO) account payable at the cities wher e the Official Points of Acceptance are
(c) Bank Account details: located. Fund
• Applicants should provide Bank Account details from which the application (e) Restrictions on acceptance of Third Party Payment for subscription to units of The applicants for the purpose of KYC Compliance shall include (a) their constituted
amount is to be blocked alongwith Bank & Branch name and application amount. scheme. Power of Attorney (PoA) holder in case of investments through a PoA; (b) each of the
• Applicant should maintain sufficient balance is the Bank Account in which Application with Third Party Payments for subscriptions to Scheme will not be applicants in case of investments in joint names; and (c) guardian in case of investments
application amount is to be blocked. In case of insufficient funds in the specified accepted except in following cases: on behalf of minor.
Bank Account the application is liable to be rejected. a) Payment by Parents/Grand-Parents/Related Persons on behalf of a minor The applicants residing in Sikkim shall not be required to submit KYC Acknowledgement
• Applicant can make application for maximum upto 5 ASBA Applications from a in consideration of natural love and affection or as gift for a value not alongwith application. Such applicants should submit proof of address of the Sikkim
single Bank Account with a Bank. exceeding ` 50,000/- . However, this restriction will not be applicable for state to the AMC and such address should be mentioned in the application form as
3. APPLICANT INFORMATION payment made by a guardian whose name is registered in the records of address of the applicant. The address proof submitted to AMC should be self attested
(a) Name should be written in full and in the same sequence as it appears in your Mutual Fund in that Folio. by the investor or attested by the ARN holder mentioning the ARN number or attested
demat account / depository records. b) Payment by employer on behalf of employee(s) through payroll deductions; by any competent authority.
(b) In case investment is ‘On behalf of Minor’: c) Custodian on behalf of a Foreign Institutional Investor (FII) or a client. CDSL Ventures Limited (‘CVL’) has been appointed by the mutual fund industry to
I. Name of the Guardian must be mentioned if the investments are being * ‘Related Person’ means any person investing on behalf of a minor in complete KYC formalities on their behalf and hence investors need to submit their
made on behalf of the minor. Guardian in the folio on behalf of minor should consideration of natural love and affection or as a gift. details only once for completion of KYC formalities across these mutual funds. KYC
either be a natural guardian (i.e. father or mother) or a Court appointed legal ‘Third-Party Payment’ means a payment made through instruments issued from requirements can be completed by filling up the prescribed form and submitting the
guardian. A document evidencing the relationship should be submitted if a bank account other than that of bank account of first named applicant/investor same along with the other requisite documents / proofs to CVL through a designated
the same is not available as part of the documents stated in point 3 below. or a joint bank account where the first named unit holder/investor is not a one of Point of Service (PoS). For detailed process and list of PoS, please visit our website www.
II. The minor shall be the first and sole holder. There shall not be any joint the joint holders of bank account from which payment is made. religaremf.com. Any subsequent change in address, Pin Code, Country, Nationality,
holder where minor is the first holder. In each of the exceptions mentioned above, investors is required to attach Occupation, Income Details, Date of Birth, Proof of Identity must be communicated
III. Date of birth of minor along with the photocopy of following supporting following mandatory documents without which application for subscription to to CVL through a PoS. KYC Compliant investors need to ensure that any change of
documents shall be mandatory while investing on behalf of minor: units will be rejected: address details is registered with CVL before redeeming units. Registrar will not act
(a) Birth certificate of the minor; or a) KYC of all the investors (guardian in case of minor) and KYC of person making the upon address change requests directly received from KYC Compliant investors. The
(b) School leaving certificate / Mark sheet issued by Higher Secondary payment i.e. parent, related person, employee, custodian. existing investor data for investor address (both Indian and foreign), pin code, country,
Board of respective states, ICSE, CBSE etc.; or b) Third Party Declaration from the investors and the person making the payment nationality, occupation, income details, date of birth, document provided as proof
(c) Passport of the minor; or (Third Party) of identity will be overwritten by the Registrar with data obtained from CVL. A folio in
(d) Any other suitable proof evidencing the date of birth of the minor. It is mandatory for investor to mention details of bank account from where which any one or more of the holders are found to be non KYC compliant, in such folios
(c) Name of the Contact Person, email and telephone no. should be mentioned in payment for subscription is made in point 3 of application form. Further the further subscriptions/systematic purchases will not be permitted except for micro SIP (s).
case of investments by Company, Body Corporate, Trust, Society, FII and other name of first unit holder/ applicant should be pre-printed as on of the holder on All Investors must attach their KYC Acknowledgement along with the Investment
non-individual applicants. payment cheque. In case, name of first unit holder/ applicant is not pre-printed on Application Form(s) / Transaction Slip(s) while investing in the schemes of Religare
(d) Your complete postal address should be stated. P.O. Box address alone is not cheque, the investor should submit copy of bank statement or pass book showing Mutual Fund, irrespective of amount of purchase. Application Forms / Transaction Slips
sufficient. NRIs / FIIs should necessarily state their overseas address failing which account number, account holders’ name and address or a original letter from not accompanied by KYC Acknowledgement are liable to be rejected. KYC Compliance
application will be rejected. In addition, Indian address (if available) may be stated the bank certifying that the investor maintains a bank account with the bank and status will be updated for all folios in which investor is a holder in any capacity.
for correspondence. It should be noted that NRI residents in any Financial Action mentioning the details like bank account number, branch address, account type KYC status will be validated with the records of CVL before alloting units. Applications
Task Force non-compliant countries or territories cannot invest in the scheme. and IFSC code, if any, of the branch. Originals of the bank statement / pass book without valid KYC compliance will be rejected.
(e) In case of NRI / FII investors, the Account Statements / Allotment Advice / other should be produced for verification and the same will be returned across the 15. DECLARATION AND SIGNATURE
correspondence will be sent to the mailing address mentioned. counter after verification; (a) All the applicants must sign the application form. Signatures should be in English
(f) Please fill in your date of birth as this may be required for validating your identity In case payment is made through pay order, demand draft, banker’s cheque etc., or in any Indian language. Thumb impression should be from the left hand for
for certain transactions / communications. an investor should submit a certificate (in original) from issuing bank as a proof males and the right hand for females and in all cases be attested by a Magistrate,
(g) If you have an email ID, please provide the same, this will help us send investment / of debit of investor’s bank account with details of account holders’ name, bank Notary Public or Special Executive Magistrate. In case of HUF, the Karta will sign on
product related communication and resolve any queries more promptly. account number which has been debited for issue of payment instrument and behalf of the HUF.
4. PAN (Permanent Account Number) PAN as per bank records, if available or a copy of the acknowledgement from the (b) The original Power of Attorney or a duly notarized copy of the Power of Attorney
It is mandatory for all existing and prospective investors irrespective of the amount of bank, wherein the instructions to debit carry the bank account details and name shall be required to be submitted where applications are made under a Power of
purchase (including joint holders, guardians of minors and NRIs) to enclose a copy of of the investor as an account holder are available or a copy of the passbook/bank Attorney.
PAN card duly self certified along with the original PAN Card. The original PAN Card will statement evidencing the debit for issuance of a DD.
be returned immediately across the counter after verification. In case minor does not In case of RTGS, NEFT, ECS, bank transfer etc., the investor should submit an
$ $

Religare Nifty Exchange Traded Fund appLicatiOn fOrM


(An Open Ended Exchange Traded Fund) Please read instructions before filling the Form
NFO Opens : 23rd May, 2011 Closes : 6th June, 2011
Key Partner / Agent Information Application No :
Distributor / Broker ARN Sub-Broker Code
For Office Use Only

ARN - 25682
Upfront commission shall be paid directly by the investor to the AMFI registered Distributors based on the investors’ assessment of various factors including the service rendered by the distributor.
Important: Applicant must ensure that the sequence of the names as mentioned in the application form matches with that of beneficiary account held with the Depository Participant. In case of
discrepancy, the application is liable to get rejected.

1. Applicant’s Personal Details


First / SOLe AppLicant Date of Birth dd MM YYYY *** (Mandatory for Minor)

Name Mr. / Ms. / M/s.

PAN** Enclosed copy of (please 3) PAN Card KYC Compliance Proof*

Guardian (if Sole / First applicant is a Minor) COntact PersOn (in case of Non-individual Investors only)
Name Mr. / Ms. / M/s.

PAN** Enclosed copy of (please 3) PAN Card KYC Compliance Proof*


Nationality Date of Birth
Country of Residence dd MM YYYY
*** Relation Father Mother Court appointed Guardian
Mailing Address [Please provide full address. P.O. Box Address is not sufficient. Indian Address in case of NRIs / FIIs] Overseas Address (Mandatory in case of NRI / FII)

City PIN City PIN

State State Country


Contact Details
Phone Office Residence Fax
I/We wish to receive updates via SMS on my mobile (Please 3)
Mobile
I/we wish to receive Account Statements/Allotment Advice, Annual Reports and other statutory as
E-mail well as other information documents by email in lieu of physical documents Yes No
(Where the investor has not specified any choice or has applied for both the choices, the application will be processed
as if the investor has opted for default choice i.e. Yes )
Status (please 3) Individual Partnership Company Society / Club HUF NRI / FII
Trust Minor Body Corporate Others (Please specify)
Occupation Private Sector Service Public Sector / Government Service Business Professional Agriculturist Retired
(please 3)
Housewife Politically Exposed Person Forex Dealer Others (Please specify) ____________________________

SecOnd AppLicant (No joint holder where minor is First holder) Date of Birth dd MM YYYY

Name Mr. / Ms. / M/s.


PAN** Enclosed copy of (please 3) PAN Card KYC Compliance Proof*

THird AppLicant (No joint holder where minor is First holder) Date of Birth dd MM YYYY
Name Mr. / Ms. / M/s.

PAN** Enclosed copy of (please 3) PAN Card KYC Compliance Proof*

POA HOLder DetaiLs (If the investment is being made by a Constituted Attorney please furnish the details of POA Holder)
Name Mr. / Ms. / M/s.
PAN** Enclosed copy of (please 3) PAN Card KYC Compliance Proof*
* KYC through CVL is mandatory for all investors except for investors residing in Sikkim (Please refer instruction no. 14) ** Copy of PAN Card is mandatory for all investors (including Joint Holders, Guardian in case of Minor and NRIs). Please
submit photocopy of PAN Card (along with the original) for verification, which will be returned across the counter. (Please refer instruction no. 4) *** For documentation please refer instruction no. 3.

Acknowledgement Slip (To be filled by the Applicant) Application No :


Received from Mr. / Ms. / M/s.

an application for Units of Religare Nifty Exchange Traded Fund Date ddMMYYYY

Amount (Rs.) Along with Cheque / DD No.

Dated ddMMYYYY Drawn on Bank / Branch


Please Note : All purchases are subject to realisation of cheques / demand drafts. Signature, Stamp & Date

ARN-25682
2. Investment Details (Cheque / DD should be drawn in favour of the Scheme)

Scheme Name Religare Nifty Exchange Traded Fund


(Refer Instruction no. 7)
3. Payment Details
Investment Amt. (Rs.) Mode of Payment (3) Cheque DD Fund Transfer

DD charges, if any (Rs.) Date dd MM YYYY Cheque / DD No.

Net Amt. (Rs.) Account Type (3) Current Savings NRE NRO FCNR Others ___________

A/c. No. Bank / Branch

Applicable in case of Third Party Payment: Payment on behalf of. Please ( 3) Minor Client Employee
Name of the Person making Payment

PAN Enclosed copy of KYC Compliance Proof ( Please refer instruction no. 7 )

4. Demat Account Details (Mandatory) (Refer Instruction no. 11)

Please ( 3) NSDL CDSL

DP ID # DP Name Beneficiary Account No.


I N
(# Not applicable in case of CDSL).

5. Bank Account Details (Mandatory As Per Sebi Guidelines) (Refer Instruction no. 5)

Investors are requested to provide Bank Account details linked with the Demat account. In case of discrepancy, bank details as per depository records will be final.

Account No. Account Type (please 3) Current Savings NRE NRO FCNR Others

Bank Name

Branch Address City

MICR Code NEFT/RTGS/IFSC Code Pin


(9 digit No. next to your Cheque No.) (11 digit character code appearing on cheque leaf)

6. Declaration & Signature(s)


The Trustees, Religare Mutual Fund
Having read and understood the contents of the Statement of Additional Information / Scheme Information Document
of the Scheme , I / We hereby apply to the Trustees of Religare Mutual Fund for units of the Scheme as indicated above Sole / First
and agree to abide by the terms, conditions, rules and regulations of the Scheme. I / We have understood the details of Applicant /
the Scheme and I / We have not received nor have been induced by any rebate or gifts, directly or indirectly, in making this Guardian / POA
investment. The Distributor 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 hereby authorise Religare Mutual Fund, its Investment Manager and its Agents to disclose
details of my / our investment to my / our bank(s) / Religare Mutual Fund’s Bank(s) and / or Distributor / Broker/ Investment
Advisor and to verify my / our bank details provided by me / us. I / We hereby declare that the particulars given above are
correct. If the transaction is delayed or not effected at all for reasons of incomplete or incorrect information, I/We would
not hold Religare Asset Management Company Ltd. (Investment Manager to Religare Mutual Fund), their appointed service Second
providers or representatives responsible. I / We hereby declare that the amount being invested by me/us in the Scheme of Applicant
Religare Mutual Fund is derived through legitimate sources and is not held or designed for the purpose of contravention of
any Act, Rules, Regulations or any statute or legislation or any other applicable laws or any Notifications, Directions issued by
any governmental or statutory authority from time to time.
Applicable to NRIs only :
I/We confirm that I am / we are Non-Residents of Indian Nationality /Origin and that the funds are remitted from abroad
through approved banking channels or from my /our NRE / NRO / FCNR Account. I / We confirm that the details provided by
me / us are true and correct. Third
(Please 3) Yes No If NRI (Please 3) Repatriation basis Non-Repatriation basis Applicant
Date ddMMYYYY Place

Get in Touch
Religare Mutual Fund
3rd Floor, GYS Infinity, Paranjpe ‘B’ Scheme, Subhash Road,
Vile Parle (East), Mumbai - 400 057.
T +91 22 67310000 F +91 22 28371565
call : 1800-209-0007 > sms ‘Invest’ to 56677 > www.religaremf.com
$ $

CHECKLIST (Please ensure the following)


Please ensure that :
Application Form is complete in all respect. Name, address & contact details are mentioned in full and signed by all applicants.
Bank account details are entered completely and correctly and are same as registered with DP.
Permanent Account Number (PAN) for all applicants is mentioned and necessary documents are enclosed, otherwise your application will be rejected.
The cheque / demand draft should be drawn favouring the name of the scheme & crossed as “Account Payee Only”, dated and duly signed.
Application Number and applicant’s name is mentioned on the reverse of each cheque / Demand Draft.
Demat A/C details are filled correctly in the form.
Details of applicants provided matches exactly with those in the Depository.
Accompanying documents
Please submit the following documents with your application (where applicable). All documents should be original / true copies by a Director / Trustee / Company Secretary / Authorised Signatory.

Documents Individuals Companies Societies Partnership Investments Trust NRI Fll(s)*


Firms through PoA
Resolution / Authorisation to invest 3 3 3 3 3
List of Authorised Signatories with Specimen signature(s) 3 3 3 3 3 3
Memorandum & Articles of Association 3
Trust Deed 3
Bye - Laws 3
Partnership Deed 3
Overseas Auditors’ Certificate 3
Notarised Power of Attorney 3
Foreign Inward Remittance Certificate, in case payment is made by
DD from NRE / FCNR a/c, where applicable
3
Certified True Copy of PAN 3$ 3 3 3 3 3 3 3
KYC Acknowledgement 3$ 3 3 3 3 3 3 3
Demat Account Details 3 3 3 3 3 3 3 3
* For FII’s, copy of the SEBI registration certificate should be provided. $ Compulsory except for residents of Sikkim.
List of Collection Centres / Official Points of Acceptance
RELIGARE ASSET MANAGEMENT COMPANY LIMITED - For NFO and Ongoing Basis
n Agra: Block No.30, Shop No.126, Sanjay Place, Agra - 282002. Tel. No.: 0562 - 6459171. n Ahmedabad* : Jamshedpur -831011. Tel. No.: 0657-2756186. n Kanpur* : 1st Floor, KAN Chambers, 14/113 Civil Lines,
Unit No.201, 2nd Floor, Megha House, Mithakali Six Roads, Law Garden, Ellisbridge, Ahmedabad - 380006. Kanpur-208001. Tel. No.: 0512-6451658. n Kochi: Door No. CC 40/377,3rd Floor, Jos Annexe, Jos Junction,
Tel. No.: 079 - 40231500. n Allahabad: Shop No. 4, Anant Raj Plaza, Main M. G. Road, Civil Lines, Allahabad M.G.Road, Kochi-682016. Tel. No.: 0484-6453727. n Kolkatta* : 124, LORDS, 1st Floor, 7/1Lord Sinha Road,
- 211001. Tel. No.: 0532 - 6455816. n Bangalore* : 305, 3rd Floor, Prestige Meridien II, Citibank, 30, M. G. Road, Kolkata-700071. Tel. No.: 033-44031000. n Kota: 315, Old Dhan Mandi, Gandhi Chowk, Kota - 324006. Tel. No.:
Bangalore - 560001. Tel No.: 080 - 42941000. n Baroda: Unit No.101/102, 1st Floor, Siddharth Complex, R. 9983349808. n Lucknow* : 403, 4th Floor. Ratan Square, 20-A Vidhan Sabha Road, Lucknow - 226001.
C. Dutta Road, Baroda-390019. Tel. No.: 0265 - 6643386. n Bhopal: MF- 6, A Block, Mansarovar Complex, Tel. No.: 0522-3292022. n Ludhiana* : 301, 3rd Floor, SCO No.18, Feroze Gandhi Market, Opp.Ludhiana
Hoshangabad Road, Bhopal - 462016. Tel. No.: 0755 - 4289632. n Bhubaneshwar (Orissa): 3rd Floor Varha Stock Exchange, Ludhiana 141001. Tel. No.: 0161- 6543354. n Madurai: Shop No. I, 1st Floor, 16 & 17,
Complex, Plot no-111, Master Canteen Square,Unit-3, Bhubaneshwar - 751001. Tel. No.: 0674 - 6532062. North Veli Street, A. R. Plaza, Madurai-625001. Tel. No.: 0452-6460114. n Mumbai (Nariman Point)* :
n Chandigarh* : Second Floor, SCO No. 359 - 360,Near G K International Hotel, Sector 35-B, Chandigarh Office No. 17, 1st floor,Jolly Maker Chambers II, Nariman Point, Mumbai 400021. Tel. No.: 022-43416000.
-160 022. Tel. No.: 0172 - 6451315. n Chennai* : “Challa Mall”, 11 & 11A, 3rd Floor, Sir Thegaraya Road, T. n Mumbai (Vile Parle)* : 3rd Floor, GYS Infinity,Paranjpe”B” Scheme, Subhash Road, Vile Parle (E), Mumbai
Nagar, Chennai – 600017. Tel. No.: 044 - 64502422. n Coimbatore: Aiswarya complex, Door No: - 400 057. Tel. No.: 022-67310000. n Mumbai (Ghatkopar)* : Sai Infotech, 408, 4th Floor, Patel Chowk,
196/8, Ground Floor, T V Samy Road West, R S Puram, Coimbatore - 641002.Tel. No.: 0422 - 6457815. Ghatkopar (E), Mumbai 400 077. Tel. No.: 022-67417465 n Nagpur: C/o Religare Securities Limited, Jain
n Dehradun: EBD Business Centre,Post Box-248,49,Rajpur Road,Dehradun 248 001. Tel. No.: 0135 House, Opp. Patwardhan High School, Sitabuldi, Nagpur-440012 Tel. No.: 712-6463962 . n Nasik: Suyojit
- 6453212. n Delhi* : Vanadana Building, 10th Floor, 11, Leo Tolstoy Marg, Connaught Place, New Modern Point, Shop No. SF 18, Sharanpur Road, Opposite Police Parade Ground, Nashik - 422 005. Tel. No.:
Delhi - 110 001. Tel. No.: 011 - 43789000. n Goa: Advani Business Centre, Office No. CU2, Neelkamal 0253-3012050. n Patna*: 306, 3rd Floor, “Grand Plaza” Fraser Road, Patna - 800 001. Tel. No.: 0612-6550315. n
Arcade, Atmaram Borkar Road, Above Federal Bank, Panjim - 403001. Tel. No.: 0832-6650402. Pune*: 6th Floor, Matrix IT Park, CTS No. 4/1, Final Plot No. 64/A of the Town Planning Scheme, Sangamwadi,
n Guwahati: Religare Insurance Broking, Office No. 6, Ground Floor, Mayur Gardens, G. S. Road, A Shivaji Nagar, Pune-411005. Tel. No. : 020-30513994.. n Raipur: Shop No. T, 2nd Floor, DM Plaza, Near Fire
B C Bus Stop, Guwahati – 781005. Tel. No.: 0361 2343050 n Hyderabad* : TSR Towers,Tower B-1, Brigade Chowk, Chotapara, Raipur- 492001. Tel. No.: 0771-4056046. n Surat: 110, Jolly Plaza, Athwa Gate
Plot No.6-3-1090, Raj Bhavan Road, Somajiguda, Hyderabad - 500082. Tel. No.: 040 - 66468863. Circle, Govt. Near Girls Polytechnic College, Athwagate Circle, Surat 395 001. Tel. No.: 0261-6450848.
n Indore: Room No. 216, 2nd Floor, Starlit Tower, Y. N. Road, Indore - 452001. Tel. No.: 0731 - 4257351. n Varanasi: 3rd floor, Kubner Complex, D-58/2, Rathyatra, Varanasi-221010. Tel. No.: 0542-3270020.
n Jaipur: 2nd Floor, ‘Brij Anukampa’, Ashok Marg, C-Scheme, Jaipur - 302 001. Tel. No.: 0141 - 6451086. n Vijaywada: 3rd Floor,Vasantha Plaza,40-1-126,M.G.Road,Benz Circle, Vijaywada - 520010. Tel. No.:
n Jalandhar: 514-A ,5th Floor, Grand Mall, BMC Chowk, Adjoining Radisson Hotel, Jalandhar 144001. 0866 - 6454945
Tel. No.: 0181- 4686870. n Jamshedpur: Shop No - 16, Bharat Business Centre, Ground Floor, Bistupur,
*For NFO & On going Sales for large investors and Authorized Participants.
KARVY COMPUTERSHARE PVT. LTD. – Collection Centres For NFO Only
n Ajmer: 1-2, II Floor, Ajmer Tower, Kutchary Road, Ajmer - 305 001. Tel. No:. 0145-2628055, 0145-2628065. Ajdacent A.D. Girls Inter College, Bank Road, Gorakhpur- 273 001. Tel. No.: 0551-3200444, 0551-3246793,
n Aligarh: 1st Floor, Kumar Plaza, Aligarh - 202001. Tel. No.: 0571-3200210. n Bhagalpur: 2nd Floor, 0551-2346519. n Jabalpur: 43, Naya Bazar, Opposite Shyam Talkies, Jabalpur (M.P.) 482 001.Tel No. 0761
Chandralok Complex, Ghantaghar, Radha Rani Sinha Road, Bhagalpur - 812001. Tel. No.: 0641-3200584. - 3204376. n Jamnagar: 108 Madhav Plaza, Opp SBI Bank , Near Lal Bangalow, Jamnagar - 361001.Tel No.
n Bokaro: B-1, 1st Floor, Near Sona Chandi Jewellers, City Centre, Sector - 4, Bokaro Steel City - 827 004 0288-2556260, 0288-2556562. n Meerut: 1st Floor, Medi Centre Complex, Opp. ICICI Bank, Hapur Road,
(Jharkhand).Tel. No . 06542 - 233330/32/30. n Cuttack: Dargha Bazar, Opp. Dargha Bazar Police Station, Meerut - 250 002Tel No. 0121-3202163, 0121-3252943. n Ranchi: Commerce Towers, 3rd Floor, Room No.
Buxibazar, Cuttack - 753001. Tel. No. 0671-2613906. n Durgapur: MWAV-16, Bengal Ambuja Complex, 307, Beside Mahabir Towers, Main Road, Ranchi - 834 001Tel no. 0651 - 2331320.
2nd Floor, City Centre, Durgapur - 713 216. Tel. No.: 0343 - 6512111. n Gorakhpur: Above V.I.P. House,
For list of Official Points of Acceptance of Karvy for Ongoing Transactions, please refer our website: www.religaremf.com

KoTAk MAHInDRA BAnk - Collection Centres For NFO Only


n Agra: Shriram Hospital M.G.Road, Agra - 282003. n Ahmedabad: Ground Floor, Chandan House Extension, City Survey No. 11127, E Ward, Raja Rampuri Road, Kolhapur - 416001. n Kolkatta: Apeejay
Opp. Abhijeet III, Near Mithakali Six Roads, Navrangpura, Ahmedabad - 380006. n Allahabad: 2. House15, Parkstreet, Kolkatta - 700016. n Lucknow: 3GF, Speed Building, Shahanazaf Road, Lucknow
Sardar Patel Marg Civil Lines Allahabad - 211001. n Amritsar: 10 , Kennedy Avenue, The Main Mall - 226001. n Ludhiana: SCO 120, Ground Floor, Feroze Gandhi Market, Ludhiana - 141001. n Madurai:
Road, Amritsar - 143001. n Anand: P.M.Chambers, Mota Bazar, Vallab Vidya Nagar, Anand - 388120. 1-AWest Perumal Maistry Street, Madurai - 625001. n Mehsana: Rajendra Estate, Opp. Gayatri Temple,
n Ankleshwar: Shop # 11,12, 12 A ,  Narmada Arcade, Old Naitonal Highway, No. 8, Ankleshwar - 393002. State Highway, Mehsana - 384002. n Moradabad: Sri Ganapati Complex, Near Ekta Dwar, Opp Mission
n Aurangabad: CTS No. 12995, Kandi Towers, Near Rokadiya Hanuman Colony, Jalna Road, Aurangabad
School, Civil Lines, Moradabad - 244001. n Morbi: Shop No 5-8, Ground Floor, Silver Plaza, Ram Chowk,
- 431001. n Bangalore: 10/7 , Umiya Land Mark, Next to Chancery Hotel, Lavelle Road, Bangalore - 560001. Savsar Plot, Morbi - 363641. n Mumbai: 5 C/ II, Mittal Court 224, Nariman Point, Mumbai - 400001.
n Baroda: Panorama Building, R.C. Dutt Road, Alkapuri, Vadodara - 390015. n Bhavnagar: Bhavna n Nagpur: Ground Floor, 345 Shree Mohini Complex, Kingsway, Nagpur - 440001. n Nashik: Shop
Construction Company, Plot No. 2108/A, G.R.Sterling Centre, Waghwadi Road, Bhavnagar - 364001. No.1, Payas, Opp. B Y K College, Thatte Nagar Road, Nasik - 422005. n New Delhi: Ground Floor,
n Bhopal: 214, Bhagwan Complex, Zone 1 , M P Nagar, Bhopal - 462016. n Bhubaneshwar: 184,
Ambadeep,14, K.G. Marg, New Delhi-110001 n Panjim: Ground Floor, Hotel Park Plaza, Opp Azad
Ground Floor, Janpath, Bhubaneswar - 751001. n Chandigarh: SCO 153-154-155, Madhya Marg, Sector
Maidan, Panjim - 403001. n Patiala: Ground Floor, SCO 116-119, New Leela Bhavan, Patiala1 - 47001.
9 - C, Chandigarh - 160009. n Chennai: ‘Capitale’, Ground Floor, 555, Anna Salai, Chennai - 600018. n Patna: Shop No 3,4,5, Ahmad Husain Complex, Exhibition Road , Gandhi Maidan, Patna - 800001. n Pune:
n Cochin: Ground Floor, Kumarapillai Estate, M G Road, Cochin - 682031. n Coimbatore: 727, Avinashi
Road, Skanda Square, Coimbatore - 641018. n Dhanbad: Ground Floor, Ward No. 18, Ramson Arcade, Bakre Avenue, FP NO 226/3, Bhandarkar Road, Pune - 411004. n Rajkot: Nath Complex, Ground Floor, Near
Shastri Nagar, Dhanbad - 826001. n Guwahati: 4th Floor, Ganapati Enclave, G S Road, Uluvari, Opp. Race Course, Dr. Yagnik Road, Rajkot - 360007. n Salem: Plot No 12 , S No. 98, Bharathi Street, Alagapuram,
Bura Service Station, Guwahati - 781007. n Hyderabad: Pavani Jewel Tower, Ground Floor, Somajiguda, Salem - 636001. n Surat: Ground Floor, Kotak House, KG Point, Ghod Dod Road, Surat - 395007. n Trichy
Hyderabad - 500089. n Indore: 580 ,  M.G.Road, Indore - 452001. n Jaipur: 57, Krishna Tower, Sardar B-17, Aishwaryam Building, Sasthiri Road, Thillai Nagar,Trichy - 620017. n Trivandrum S I Properties, Ground
Patel Marg, C-Scheme, Jaipur - 302001. n Jalandhar: Midas Corporate Park, G T Road, Jalandhar - 144001. Floor, White Haven Vellayambalam,Trivandrum - 695010. n Valsad: Shop Nos. 3-6, Sai KevalJalaram Road
n Jamshedpur: Gayatri Enclave, K. Road, S. Town, Bistupur, Jamshedpur - 831001. n Jodhpur: Bombay Valsad - 396001. n Varanasi: D-37/37 Spice, KCM Cineplex Complex, Godowlia Chowk, Varanasi - 221001.
Motor Building, Bombay Motor Circle, 87/B-2 Chopasani Road, Jodhpur - 342003. n Jorhat : Dr. KC n Vijayawada: 40-1-48/1, M.G.RoadLabbipet, Vijayawada - 520010. n Visnagar: 1st Floor, Rajkamal Complex,
Dey's Building, Gar Ali Road, Junction of Rupahi Ali and Gar Ali Road, Jorhat - 785001. n Kanpur: 17/03, Near Railway Station, Visnagar - 384315. n Udaipur: Trimurti Heights, 8-C Bank Street , Madhuban,
The Mall, Meghdoot Hotel Building, Kanpur - 208001. n Kolhapur: Shop No. B4-B8, Royal Prestige, Sai Udaipur - 313004.
$
Religare Nifty Exchange Traded Fund Application supported by
(An Open Ended Exchange Traded Fund) blocked amount (ASBA) Form
NFO Opens : 23rd May, 2011 Closes : 6th June, 2011 Please read instructions before filling the Form
Application No :
Distributor / Broker ARN Sub-Broker Code SCSB Branch Stamp & Code SCSB Branch Serial No.
ARN - 25682
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Upfront commission shall be paid directly by the investor to the AMFI registered Distributors based on the investors’ assessment of various factors including the service rendered by the distributor.

1. Applicant’s Personal Details


(in BLOCK LETTERS)
SOLE/FIRST AppLicant SecOnd AppLicant THIRD AppLicant
Name

PAN
Applicants must ensure that the sequence of the names as mentioned in the application form matches with that of beneficiary account held with the Depository Participant.

2. Details of Bank Account for Blocking of Funds


Bank Account Number Bank Name

Bank Address
Amount to be blocked Amount to be blocked
(Rs. in figures) (Rs. in words)

3. Investment Details
Amount^ (in Rs.) ISIN
INF205K01DA9
^Amount must be equal to the amount to be blocked as mentioned in point 2 above.

4. Demat Account Details (Mandatory)


Please ( 3) NSDL CDSL
DP ID # DP Name Beneficiary Account No.
I N
(# Not applicable in case of CDSL).
The investors shall receive payments of Dividend/Redemption proceeds in the Bank Account linked to the Demat A/c as mentioned above.

5. Declarations & Signatures


General Declaration:
The Trustees, Religare Mutual Fund
Having read and understood the contents of the Statement of Additional Information / Scheme Information Document of the Scheme , I / We hereby apply to the Trustees of Religare Mutual Fund for units of the Scheme
as indicated above and agree to abide by the terms, conditions, rules and regulations of the Scheme. I / We have understood the details of the Scheme and I / We have not received nor have been induced by any rebate or
gifts, directly or indirectly, in making this investment. The Distributor 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 hereby authorise Religare Mutual Fund, its Investment Manager and its Agents to disclose details of my / our investment to my
/ our bank(s) / Religare Mutual Fund’s Bank(s) and / or Distributor / Broker/ Investment Advisor and to verify my / our bank details provided by me / us. I / We hereby declare that the particulars given above are correct. If the
transaction is delayed or not effected at all for reasons of incomplete or incorrect information, I/We would not hold Religare Asset Management Company Ltd. (Investment Manager to Religare Mutual Fund), their appointed
service providers or representatives responsible. I / We hereby declare that the amount being invested by me/us in the Scheme of Religare Mutual Fund is derived through legitimate sources and is not held or designed for the
purpose of contravention of any Act, Rules, Regulations or any statute or legislation or any other applicable laws or any Notifications, Directions issued by any governmental or statutory authority from time to time.
ASBA Authorizations:
1) I/We hereby undertake that I/We am/are an ASBA applicant(s) as per the applicable provisions of the SEBI (Issue of Capital and Disclosure Requirements) Regulations, 2009. 2) In accordance with ASBA process provided
in the SEBI (Issue of Capital and Disclosure Requirements) Regulations, 2009, I/We authorize (a) the SCSB to do all acts as are necessary to make an application in the NFO of the Scheme of Religare Mutual Fund, including
uploading of application details, blocking the amount to the extent mentioned above in the “Details of Bank Account for Blocking of Funds” or unblocking of funds in the bank account maintained with the SCSB specified in the
form, transfer of funds to the nominated Religare Mutual Fund Bank Account on receipt of instruction from the Registrar to the New Fund Offer after finalisation of allotment entitling me/us to receive Units on such transfer
of funds. (b) Registrar to the Religare Mutual Fund to issue instructions to the SCSB to remove the block on the funds in the bank account specified in the ASBA Form, upon allotment and to transfer the requisite money to
Religare Mutual Fund’s nominated Bank account. 3) In case the amount available in the bank account specified in the ASBA Form is insufficient for blocking the amount equivalent to the application money, the SCSB shall reject
the application. 4) If the DP ID, Beneficiary ID or PAN furnished by me/us in the ASBA Form is incorrect or incomplete, the appliacation shall be rejected and Religare Asset Management Company Ltd. (Investment Manager to
Religare Mutual Fund), their appointed service providers and the SCSBs representatives shall not be liable for losses, if any.
Applicable to NRIs only :
I/We confirm that I am / we are Non-Residents of Indian Nationality /Origin and that the funds are remitted from abroad through approved banking channels or from my /our NRE / NRO / FCNR Account. I / We confirm that the
details provided by me / us are true and correct.

Date ddMMYYYY Place

Signature of Applicant Signature of Bank Account Holders

? ? ? ?
(To be signed as per mode of operation of the Bank Account mentioned in point 2 above)

Acknowledgement Slip (To be filled by the applicant)


Religare Nifty Exchange Traded Fund

ARN-25682
$

(An Open Ended Exchange Traded Fund)


NFO Opens : 23rd May, 2011 Closes : 6th June, 2011 Application No :
Received from Mr. / Ms.
ASBA Form Dated dd MM YYYY Amount to be Blocked (Rs.)

SCSB (Bank & Branch) Bank Account No.

Date of submission dd MM YYYY

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