Account Statement

* Folio No. :

510233298361

Application No : 8072520 Date of Birth Category of Investor

Statement Date : 14 Dec 2010

SURESH RAMRAO VIJAYAKAR

D-9, VIKRAMPURI SECUNDERABAD ANDHRA PRADESH INDIA PIN : 500003

: 17/02/1928 : Resident Indian

: Anyone Or Survivor/Individual Holding Basis / Status of Investor Bank Details : Savings / 52001013592 / STATE BANK OF HYDERABAD / P & SB VIKRAMPURI / P & SB
VIKRAMPURI / SECUNDERABAD / ECS - 500004077

Broker Details : BAJAJ CAPITAL LIMITED ( ARN-0010 ) Sub Broker : 94101 PAN Primary Holder 2nd Holder AAVPV7920K ABQPV3700P

KYC Status Complied Complied

Joint Holder1 : Anarkali S Vijayakar Nominee1 : Sameer Suresh Vijayakar

* Please quote this folio number for future correspondence / transactions.

UTI - DIVIDEND YIELD FUND DIVIDEND OPTION - Payout

Transaction Date
24/07/2009 13/11/2009 17/03/2010 27/07/2010

Transaction Type
Opening Balance Dividend Pay Out (0.5000000) Dividend Pay Out (0.5000000) Dividend Pay Out (0.5000000) Dividend Pay Out (0.5000000)

Amount ( Rs. )

NAV ( Rs. ) Load ( Rs. )

0.0000 0.0000 0.0000 0.0000

Price (Rs.)

Number of Units
0.000 0.000 0.000 0.000

Balance Units
7,537.762 7,537.762 7,537.762 7,537.762 7,537.762

3,768.88 3,768.88 3,768.88 3,768.88

W.e.f. 02-09-2009 - Entry load : Nil, Exit load : 1% if redeemed before 1 year from the date of investment. No exit load if redeemed on or after 1 year

NAV as on 13 Dec 2010 Rs. 15.94

Amount Invested : Rs.87,137.00

Current Value Rs. 120,151.93

End Of Statement Investor ID No. / Folio No. : Name Mode of Holding Bank Details Broker Details

: SURESH RAMRAO VIJAYAKAR : Anyone Or Survivor/Individual : Savings / 52001013592 / STATE BANK OF HYDERABAD / P &
SB VIKRAMPURI / P & SB VIKRAMPURI / SECUNDERABAD /

510233298361

Primary Holder 2nd Holder 3rd Holder

PAN AAVPV7920K ABQPV3700P Sub Broker :

KYC Status Complied Complied

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
Nature of Transactions : (Please tick & fill up relevant details)

UTI - DIVIDEND YIELD FUND DIVIDEND OPTION - Payout

ADDITIONAL PURCHASE REQUEST SWITCHOVER I would like to Switch Rs. ..................... (in words) ............................. .................................................................................................. OR All Units OR No. of Units ............................... From above mentioned to ....................................... Scheme ......................................................... Plan ..................................................
CA : AB10-27552-14.12.2010 /

I / We would like to purchase units of the above mentioned scheme for Amount in Rs. ..................... (in words) ............................................................ Cheque/DD Number ..................... dated .................. Drawn on Branch .................................................................................................................. Bank A/c type (Please tick) Savings NRE Current NRO
Local UFC Address: Local Karvy Address:

Option

Growth

Dividend Payout

Dividend Re-Invest
Refno-PJ15/208727039

UTI Financial Centre; 10-2-99/1, Ground Floor, Sterling Grand CVK, Road No. 3, West Marredpally, Secunderabad-500 026, Tel:27711524 ,,KARVY COMPUTERSHARE PRIVATE LIMITED,8-2-596 KARVY PLAZA, AVENUE 4,,STREET NO.1 ,BANJARA HILLS,,HYDERABAD - 500034,Tel : 040 - 23312454

I/We have understood the contents of the Offer document and addenda issued till date and apply to the Trustee of UTI Mutual Fund as indicated above. I/We agree to abide by the terms and conditions, rules and regulations of the scheme as on the date of investment. I/We undertake to confirm that this investment has been duly authorised by appropriate authorities in terms of all relevant documents and procedural requirements. I/We have not received nor been induced by any rebate or gifts, directly or indirectly in making investments. * I/We confirm that we are Non-residents of Indian Nationality/Origin and that the funds are remitted from abroad through approved banking channels or from my/our funds from my/our NRE/NRO account. I/We undertake to provide further details of source of funds and any such other relevant document, if called by UTI Mutual Fund. *Applicable to NRIs. The ARN holder has disclosed to me/us all the commissions (in the form of trail commission or any other mode), payable to him for the different competing Schemes of various Mutual Funds from amongst which the Scheme is being recommended to me/us

SIGNATURE(S)

Account Statement
* Folio No. :

510233298361

Application No : 8072520 Date of Birth Category of Investor

Statement Date : 14 Dec 2010

SURESH RAMRAO VIJAYAKAR

D-9, VIKRAMPURI SECUNDERABAD ANDHRA PRADESH INDIA PIN : 500003

: 17/02/1928 : Resident Indian

: Anyone Or Survivor/Individual Holding Basis / Status of Investor Bank Details : Savings / 52001013592 / STATE BANK OF HYDERABAD / P & SB VIKRAMPURI / P & SB
VIKRAMPURI / SECUNDERABAD / ECS - 500004077

Broker Details : BAJAJ CAPITAL LIMITED ( ARN-0010 ) Sub Broker : 94101 PAN Primary Holder 2nd Holder AAVPV7920K ABQPV3700P

KYC Status Complied Complied

Joint Holder1 : Anarkali S Vijayakar Nominee1 : Sameer Suresh Vijayakar

* Please quote this folio number for future correspondence / transactions.

UTI-WEALTH BUILDER FUND SERIES II - Dividend Plan - Payout

Transaction Date
27/05/2009 08/06/2009 08/06/2009 08/06/2009

Unique Client Code :MFUTIB0080

Amount ( Rs. ) NAV ( Rs. ) Load ( Rs. )
0.0000 12.89 00.13 12.76

Transaction Type
Opening Balance Dividend Pay Out (0.8000000) Gross Lateral Out STT Paid on above Net Lateral Out

Price (Rs.)

Number of Units
0.000 6,845.966

Balance Units
6,845.966 6,845.966 0.000 0.000

5,476.77 87,354.53 218.00 87,136.53

** To DY DP Folio No: 510233298361 W.e.f. 02-09-2009 - Entry load : Nil, Exit load : 1% if redeemed before 1 year from the date of investment. No exit load if redeemed on or after 1 years

NAV as on 13 Dec 2010 Rs. 16.00

Current Value Rs. 0.00

End Of Statement Investor ID No. / Folio No. : Name Mode of Holding Bank Details Broker Details

: SURESH RAMRAO VIJAYAKAR : Anyone Or Survivor/Individual : Savings / 52001013592 / STATE BANK OF HYDERABAD / P &
SB VIKRAMPURI / P & SB VIKRAMPURI / SECUNDERABAD /

510233298361

Primary Holder 2nd Holder 3rd Holder

PAN AAVPV7920K ABQPV3700P Sub Broker :

KYC Status Complied Complied

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
Nature of Transactions : (Please tick & fill up relevant details)

UTI-WEALTH BUILDER FUND SERIES II - Dividend Plan - Payout

ADDITIONAL PURCHASE REQUEST SWITCHOVER I would like to Switch Rs. ..................... (in words) ............................. .................................................................................................. OR All Units OR No. of Units ............................... From above mentioned to ....................................... Scheme ......................................................... Plan ..................................................
CA : AB10-27552-14.12.2010 /

I / We would like to purchase units of the above mentioned scheme for Amount in Rs. ..................... (in words) ............................................................ Cheque/DD Number ..................... dated .................. Drawn on Branch .................................................................................................................. Bank A/c type (Please tick) Savings NRE Current NRO
Local UFC Address: Local Karvy Address:

Option

Growth

Dividend Payout

Dividend Re-Invest
Refno-PJ15/208727039

UTI Financial Centre; 10-2-99/1, Ground Floor, Sterling Grand CVK, Road No. 3, West Marredpally, Secunderabad-500 026, Tel:27711524 ,,KARVY COMPUTERSHARE PRIVATE LIMITED,8-2-596 KARVY PLAZA, AVENUE 4,,STREET NO.1 ,BANJARA HILLS,,HYDERABAD - 500034,Tel : 040 - 23312454

I/We have understood the contents of the Offer document and addenda issued till date and apply to the Trustee of UTI Mutual Fund as indicated above. I/We agree to abide by the terms and conditions, rules and regulations of the scheme as on the date of investment. I/We undertake to confirm that this investment has been duly authorised by appropriate authorities in terms of all relevant documents and procedural requirements. I/We have not received nor been induced by any rebate or gifts, directly or indirectly in making investments. * I/We confirm that we are Non-residents of Indian Nationality/Origin and that the funds are remitted from abroad through approved banking channels or from my/our funds from my/our NRE/NRO account. I/We undertake to provide further details of source of funds and any such other relevant document, if called by UTI Mutual Fund. *Applicable to NRIs. The ARN holder has disclosed to me/us all the commissions (in the form of trail commission or any other mode), payable to him for the different competing Schemes of various Mutual Funds from amongst which the Scheme is being recommended to me/us

SIGNATURE(S)