Form for Registration of Bank Account Details (First Time)
(The Form is to be used only where the Bank Account Details are not registered under the Folio.)
Please fill in the information below legibly in English and in BLOCK LETTERS

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 register the Bank Account Details in my / our folio as mentioned below :
Bank details
Name of the Bank
Branch
Account number
Account type  Saving  Current  NRE  NRO
MICR (9 Digit)
IFS Code (11 Character)
Branch address
Branch City
Branch Pin code
I enclose herewith self attested copies of the following documents as listed at ‘B’, C’ and ‘D’ below. I/we are aware that the original
documents are required to be produced for verification at the time of submission.
B. Supporting documents for Registration of bank account (any one of the following)
 Cancelled original cheque leaf**  Copy of bank passbook or bank statement#
 Letter from the bank stating the account number and name of the holders#
** 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. PROOF OF IDENTITY : (any one) : (Please tick against the relevant box)
 PAN copy
 Passport copy
 Aadhar Card
 Photo Ration Card
 Voter Identity card
 Driving License
 Photo Debit Card
 Govt. or Defence identification card.
D. INVESTMENT PROOF : (any one) : (Please tick against the relevant box)
All UTI Schemes other than UTI ULIP:  Original SoA/Membership advice/Unit certificate issued prior to 2007*
 Copy of acknowledgement of the application through which investment was made,
 Copy of passbook showing debit entry of the investment in the Scheme
UTI ULIP:  Original membership Advice (applicable only for redemption on maturity)
 Original receipts of Renewal Contributions paid  Original SoA issued prior to 2007*
* Applicable for investment made prior to 2007
E. 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 Registration of Bank Account Details (to be filled in by the investor)
Received, subject to verification, form for Form for Registration of Bank Account Details
from Mr/ Mrs/ Ms : _____________________________________________________________
Folio No : _____________________________________________________________________
 
Receiving UFC/ Registrar’s official stamp
with date and signature
Form for Registration of Bank Account Details (First Time)
(The Form is to be used only where the Bank Account Details are not registered under the Folio.)
Please fill in the information below legibly in English and in BLOCK 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. The Form for Registration of Bank Account Details is to be used only by those Unitholders whose bank details are not
registered in their folio [if the bank details are not printed on the Statement of Account (SoA)]
2. In order to protect the interest of the investors, following documents are requested for Registration of Bank Account
Details:
A] Proof of Bank Account (Please refer to Para B of the Form on the reverse)
B] Proof of identity (Please refer to Para C of the Form on the reverse)
C] Proof of Investment (Please refer to Para D of the Form on the reverse)
3. 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.
4. Please fill in the Form in CAPITAL LETTERS.
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
 Copy of proof of Bank Account is attached
 Copy of proof of identity is attached.
 Copy of proof of Investment is attached
*********