Form for Change of Bank Account Details

To:
UTI Mutual Fund
A Unitholder’s information:
1. Folio Number :
2. Name of the sole / first holder
3. Scheme / Plan / Option UTI -
I/we wish to change the bank account details of the 1st holder as below: (to be treated as default bank account)
Existing Bank details New Bank details
Name of the Bank
Branch
Account number
Account type  Saving  Current  NRE  NRO  Saving  Current  NRE  NRO
MICR (9 Digit)
IFS Code (11 Character)
Branch address
Branch City
Branch Pin code
B. COPIES/ORIGINAL DOCUMENTS SUBMITTED TOWARDS PROOF
For the bank account currently registered with UTI Mutual Fund*
(any one of the following)
For the new bank account (any one of the following)
 Cancelled original/copy of cheque leaf**
 Copy of bank passbook or bank statement
 Letter from the bank stating the account number and name
of the holders
 Cancelled original/copy of cheque leaf**
 Copy of bank passbook or bank statement#
 Letter from the bank stating the account number and name
of the holders#
* In case the bank account is already closed, a duly signed and stamped original letter from such bank on the letter head of bank,
confirming the closure of said account.
** Cheque leaf with printed Account number and name of the 1st Unit Holder to be submitted.
#Pertaining to Previous 3 months from the date of submission.
C. Please update my following details also:-
Mobile No PAN Please attach PAN Card Copy
Email ID
DECLARATION AND SIGNATURE OF UNITHOLDER/S (To be signed as per the mode of holding)
I/we have read and understood the guidelines printed on the reverse of this Form and agree to abide by the same.
Sole/First Unit holder Second Unit holder Third Unit holder
UTI Mutual Fund - Acknowledgement for Form for Change of Bank Account Details – (to be filled in by the investor)
Received, subject to verification, form for Change of Bank Account Details
from Mr/ Mrs/ Ms : _____________________________________________________________
Folio No : _____________________________________________________________________ Receiving UFC/ Registrar’s official stamp
with date and signature
Form for Change of Bank Account Details
(Please read the guidelines and documents requirement on the reverse of the form carefully.
Please fill in the form in CAPITAL LETTERS)
 
Registrar: Karvy Computershare Pvt. Ltd., Unit: UTI Mutual Fund, Narayani Mansion, H.No.1-90-2/10/E, Vittalrao Nagar, Madhapur, Hyderabad - 500 081 • E-mail: uti [at] karvy [dot] com
Date:
d d m m y y y y
Guidelines
1. In order to protect the interest of the investors, following documents are requested for Changing the Bank Details:
A] Proof of New bank account
B] Proof of Existing/currently registered bank account
(Please refer to Para B of the Form on the reverse)
2. Please carry the original documents of the copies you wish to submit towards the proof. The original will be returned to
you after verification, across the counter.
3. Please fill in the Form in CAPITAL LETTERS.
4. Please inform us the change of Bank account details as and when necessitated and in any case atleast 10 working days
prior to contemplated redemption request, if any.
5. The change of bank account details will be processed subject to verification of signature and subject to receipt of all the
required documents.
6. In case you wish to register more than one bank account (upto 5), please fill up “Multiple Bank Account Registration
Form”.
7. In case of any assistance, please contact nearest UTI Financial centre.
Check list
 The Form is complete in all respects
 The form is signed by the holders as per the holding basis
 The copy of proof of new Bank account is attached.
 The copy of proof of Existing/currently registered bank account is attached
*********