CHANGE OF SIP BANK DETAILS/CHANGE FROM PDC TO AUTODEBIT
(For Existing Investors Only)

This refers to my / our SIP under the captioned folio, the details of which is as
under:

Folio No.
Name of Sole / First Unit
Holder
SIP Scheme Name
Scheme Plan & Option
PLEASE FILL ABOVE SECTION COMPLETELY BEFORE PROCEEDING FURTHER
*CHANGE OF SIP BANK DETAILS/CHANGE FROM PDC TO AUTO DEBIT
* (Cancel which is not applicable)
Change in Bank Details
(For SIP Registered earlier)
Change from PDC’s to Auto Debit

Kindly change the existing Auto Debit
Bank Mandate and incorporate new
bank Mandate for future Auto Debit
/ECS.

I confirm filling the Auto Debit form
given overleaf & attached a cancelled
cheque/ copy of cheque.

Kindly change the mode of
payment for my future SIPs from
PDCs to Auto Debit & return the
remaining PDCs.

I confirm filling the Auto Debit
form given overleaf & attached a
cancelled cheque/ copy of cheque.
Signature of 1st Holder: _____________
Signature of 2nd Holder: _____________
Signature of 3rd Holder: _____________
Signature of 1st Holder: _____________
Signature of 2nd Holder: _____________
Signature of 3rd Holder: _____________
1. Signature to be affixed as per mode of holding.
2. This form should be submitted at least 30 days prior to the next SIP Date
3. If the form submitted is less than 30 days prior to the next SIP date, Changes
in the form will be considered from the subsequent SIP date.
You may please hand over this form to any of the UTI Financial Center (UFC). The contact
details of UFCs are available on the website - www.utimf.com.