NOMINATION FORM (For use only by Individual Unit Holders for regist ering a Nominee or cancelling an existing Nomination) Details to be filled in English, in black / dark-coloured ink and in BLOCK CAPITALS. Please strike out any sections not required. Reliance Capital Asset Management Limited A Reliance Capital Company Folio No. Date of Birth (in case Nominee is a minor) Name and Address of 1st Nomineee Name Address Allocation % D D M M Y Y Y Y City Pin Code State Country Name and Address of 2nd Nomineee Name Address Allocation % D D M M Y Y Y Y City Pin Code State Country Name and Address of 3rd Nomineee Name Address Allocation % D D M M Y Y Y Y City Pin Code State Country do hereby cancel the nomination made by me / us in favour of the under mentioned in respect of Units held by me / us the above referred F olio Date of Birth (in case Nominee is a minor) Date of Birth (in case Nominee is a minor) Guardian details to be furnished in case Nominee is a Minor (strike out if not applicable) Name Address Signature of Guardian (Mandatory) ________________ City Pin Code State Country Guardian details to be furnished in case Nominee is a Minor (strike out if not applicable) Name Address Signature of Guardian (Mandatory) ________________ City Pin Code State Country Guardian details to be furnished in case Nominee is a Minor (strike out if not applicable) Name Address Signature of Guardian (Mandatory) ________________ City Pin Code State Country I / We 1. REGISTRATION OF NOMINATION DETAILS (Please strike out if your request is not for registr ation of Nominee) do hereby nominate the undermentione d Nominee to receive the Units allotted to my / our credit in my folio in the event of my / our death. I / We also understand that all pay- ments and settlements made to such Nominee and Signature of the Nominee aknowledging receipt thereof, shall be a valid discharge by the AMC / Mutual Fund / T rustees. This instruction supercedes all previous nominations made by me in respect of the Folio indicated above. (If the mode of holding is sin gle & the existing nomination(s) is cancelled without any further nomination, it shall be construed as a deemed consent of that investor for not having any nominee in the existing folio.) 2. CANCELLATION OF NOMINATION (Please strike out if your request is not for cancellation of Nomination) Sole/First Unit Holder Second/J oint Unit Holder Third/Joi nt Unit Holder N a m e o f 1 s t U n i t H o l d e r N a m e o f 1 s t U n i t H o l d e r N a m e o f 2 n d U n i t H o l d e r N a m e o f 2 n d U n i t H o l d e r N a m e o f 3 r d U n i t H o l d e r N a m e o f 3 r d U n i t H o l d e r Nominee 1 N a m e o f N o m i n e e Guardian Name Guardian Name Guardian Name I n c a s e N o m i n e e is M i n o r I n c a s e N o m i n e e is M i n o r I n c a s e N o m i n e e is M i n o r Nominee 2 N a m e o f N o m i n e e Nominee 3 N a m e o f N o m i n e e D D M M Y Y Y Y Date 3. UNIT HOLDER(S) SIGNATURE(S) (MANDATORY) (ALL UNIT HOLDERS must sign here) Received from _________________________ ____, ____________________________ __ & ______________ an application for Registration of Nominee Cancellation of Nominee in Folio no. _____________. ACKNOWLEDGEMENT 1st Applicant 2nd Applicant 3rd Applicant N o m i n a t i o n F o r m / 2 9 t h M a y 2 0 1 3 / V e r 1 . 0