Form for Updation of Investor EUIN Declaration

I/We request you to update the EUIN declaration for below mentioned transaction:

Financial Advisor Code* A R N -
Sole/First Applicant Name*
Application No.^
Folio No.^
Transaction Date*
Scheme & Plan*
Investment Amount*
* Mandatory
^ Any one Mandatory
TICK*
“I/We hereby confirm that the EUIN box has been intentionally left blank by me/us as this is an “execution-only”
transaction without any interaction or advice by the employee/relationship manager/sales person of the above distributor or
notwithstanding the advice of in-appropriateness, if any, provided by the employee/relationship manager/sales person of the
distributor and the distributor has not charged any advisory fees on this transaction”.
Signature of 1st Applicant/Guardian/Authorized
Signatory
Signature of 2nd Applicant/Authorized Signatory Signature of 3rd Applicant/Authorized Signatory
Guidelines & Checklist
 Please fill the form in CAPITAL LETTERS
 Please provide folio no. and/or Application no. , any one is MANDATORY
 Form to be filled completely in all required aspects
 The form is signed by all the applicants in the same order as in Application Form/Transaction Slip
Duly filled and signed forms to reach us at below mentioned address:
To,
UTI Brokerage Team,
Karvy Computershare (P) Ltd
UTI MF Unit, No. 1-90/2/10 E, Narayani Mansion,
Madhapur, Hyderabad – 500081
Ph No’s 040-44655346/5373,
Email:uti [at] karvy [dot] com