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Statement Date : 29 Mar 2011 Mode of Holding Status Category Bank Account No Bank Name Bank Address MICR No. : EITHER OR SURVIVOR : INDIVIDUAL : RESIDENT INDIAN : SAVINGS \ 2963 : CENTRAL BANK OF INDIA
Not Transferable
Agent/Broker Name : SAMSANG FINANCIAL CONSULTANTS Sub Broker Code : PAN AAEPT4179N No KYC
Sta unt
: 400016054 : Dividend Payout
ent tem
Joint Holder 1
NAV in (`)
No entry load will be charged for Subscriptions/Switch Ins W.E.F August 01, 2009. Exit Load for all subscriptions W.E.F August 24, 2009 is 1% if redeemed/Switched out on or before completion of 1 year from the date of allotment
Please check the account statement for the correctness of the details printed i.e., Name(s), Bank Account Details, PAN, address etc. Should you notice any discrepancy in the account statement, please contact the nearest ISC or write to the Registrars, Karvy Computershare Pvt. Ltd., Hyderabad, within 10 days of the receipt of the account statement requesting for correction. Reliance Mutual Fund, RCAM or its Registrars shall NOT be liable for any discrepancy brought to notice thereafter.
Note: The physical account statement has already been despatched to you vide consignment no.ZA5735756 through FIRST FLIGHT dated 11/03/2011.
End Of Statement
*
No
CA : KARVYMFS--29.03.2011 / LA: --0
Account/Folio No
: 4041174765
Savings \ 2963 \ Central Bank Of India \ S.V.Road Branch \ Santacruz(W) \ Mumbai \ IFSC Code : <<Please Provide>>
AAEPT4179N
Third Holder Guardian Additional Purchase Request | | | | | dated I/We would like to Purchase additional units in the above mentioned scheme.Cheque/DD no. | | | | | | | | | | | | | | | | | Cheque/DD Net Amount (`) DD Charges (`) | | | | | | | | | | | | | | | | Drawn on (bank) | | | | | | | | | | | | | | | | | | City | | | | | | | | | | Branch | | | | | | | | | | | | | | Switch Request Units from the above mentioned Scheme/Plan to Reliance | | | | | | | | | | I/We would like to Switch (`) | | | | | | | | | | | Option. Plan | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Scheme | | | | | | | | | | | | | | | Redemption Request | | | | | | | | | | Units from the above mentioned Scheme/Plan. Please redeem (`) (in fig.) | | | | | | | | | | or Signature(s) Sole / First Unit holder Second Unit holder Third Unit holder
Refno-BB04/1085108018
Reliance Pharma Fund Dividend Plan Isin : Inf204k01935 ( Dividend Payout )( PH-DP ) VARSHA SURESH TANNA
PAN
KYC