Form for Signature Attestation
Please fill in the information below legibly in English and in CAPITAL LETTERS.

To:
UTI Mutual Fund
A Unitholder’s information:
1. Folio Number :
2. Name of the 1st holder
3. Name of the 2nd holder
4. Name of the 3rd holder
B Details of Registered Bank account in the Folio
Account type  Saving  Current  NRE  NRO
Account number
MICR (9 Digit)
IFS Code (11 Character)
Bank name
Branch Name
Branch City
Branch Pin code
C. Signature/s: (To be signed by the holder/s whose signature is to be attested.)
Signature of 1st holder Signature of 2nd holder Signature of 3rd holder
D. Attestation of signature by the bank :
Above signature/s of Mr/Ms__________________________, _________________________, __________________________ is/are attested:
Name of the authorized signatory: ________________________________________________
Designation: __________________________________________________________________
Employee code: _______________________________________________________________
Name of the bank: ____________________________________________________________
Branch: ______________________________________________________________________
Bank branch email ID: __________________________________________________________
Bank branch Contact number: ____________________________________________________
UTI Mutual Fund – Acknowledgement for Form for Signature Attestation (to be filled by the unit holder)
Received subject to verification, Form for Signature Attestation
from Mr/ Mrs/ Ms : _____________________________________________________________
Folio No : _____________________________________________________________________
 
Receiving UFC/ Registrar’s official stamp
with date and signature
Form for Signature Attestation
Please fill in the information below legibly in English and 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
Signature of the authorized signatory
with Seal of the bank
Guidelines
1. The Form for Signature Attestation may be used for obtaining signature attestation from the Unitholder’s bank registered
in the folio.
2. In case you wish to change the bank account details please use the “Form for Change in Bank Details” separately.
3. Please fill in the Form in CAPITAL LETTERS.
4. In case of any clarification, please contact nearest UTI Financial centre
*********