Account Statement Statement Date : 03 Mar 2023

For the period 04 Oct 2011 to 03 Mar 2023

* Folio No. : 517197394146
* Please quote this folio number for future correspondence / transactions.

Siddhartha Rep By Revathy Santhanakrishnan Old Folio(s) : 501944190 Unique Client Code :MFUTIB0066
Date Of Birth : Registered Category : RESIDENT INDIAN
REP BY U/G : REVATHY SANTHANAKRISHNAN
NO 14 SESHADRIPURAM Mode of Holding : SINGLE Status : MINOR
MAIN ROAD Bank Account No : SB/XXXXXXXXXXXX852 Pay Mode : Electronic
VELACHERY Bank Name : AXIS BANK
CHENNAI
TAMIL NADU MICR No : 000211000 IFS Code : Please Provide
PIN : 600042

Mobile No : Please Provide

Financial Advisor : Integrated Enterprises (India) Pvt Ltd ( ARN-0962 )
(Res)Phone No : 044 22434263 Sub ARN Code : Sub Code : 1002 EUIN :
Email ID : please provide

Nominee : Santhana Krishnan

Please update your records with: Mobile No / Email ID

Holder PAN KYC Status/KIN FATCA

Primary Holder Please Provide No No For subscriptions received w.e.f. June 4th, 2018, applicable Exit load: Redemption / Switch out within 12
2nd Holder months from the date of allotment – (i) NIL for upto 10% of the allotted Units (ii) 1.00 % for beyond 10% of
the allotted Units.Exit load, if any, will be levied on units redeemed/switched-out , basis the rate prevailing at
3rd Holder
the time of allotment of the corresponding units.
Guardian Please Provide

Status as on 31-01-2018: NAV Rs. 20.1673, Units 1522.743, Value Rs.30709.610

UTI Value Opportunities Fund - Regular Plan Payout of IDCW # ISIN : INF789F01AE0
Tr.Date Transaction Type Cost NAV(`) Load Price (`) Number of Units Balance Units
Amount(`) (`)
04/10/2011 Merger In 19,582.47 12.8600 12.8600 1,522.743 1,522.743
Merged from UTI WBF - Series I - 517197394146 (1638.700 Units @ NAV of Rs. 11.95)
19/04/2012 IDCW Pay Out (Rate:0.9000000) 1,370.47 1,522.743
14/05/2013 IDCW Pay Out (Rate:1.0000000) 1,522.74 1,522.743
22/04/2014 IDCW Pay Out (Rate:1.2500000) 1,903.43 1,522.743
23/04/2015 IDCW Pay Out (Rate:1.5000000) 2,284.11 1,522.743
05/05/2016 IDCW Pay Out (Rate:1.0000000) 1,522.74 1,522.743
15/05/2017 IDCW Pay Out (Rate:1.3000000) 1,979.57 1,522.743
09/07/2018 IDCW Pay Out (Rate:1.0624891) 1,617.90 1,522.743
24/07/2019 IDCW Pay Out (Rate:0.9739484) 1,483.07 1,522.743

NAV ` 29.2972 (as on 02 Mar 2023) Cost ` 19,582.00 Total IDCW Paid ` 13,684.03 Current value ` 44,612.11
Local UFC Address : UTI Financial Centre,Capital Tower,Ground Floor,180, Kodambakkam High Road,Nungambakkam,Chennai - 600034,Ph :- 044- 48574545/48574546/48574547

# Income Distribution cum Capital Withdrawal

Folio No. : 517197394146 Sub ARN : PAN KYC Status

Name : Siddhartha Rep By Revathy Santhanakrishnan Code Primary Holder Please Provide No

Mode of Holding : SINGLE Sub Code : 1002

2nd Holder
Bank Details : SB/XXXXXXXXXXXX852 / AXIS BANK / Chennai / ECS - 000211000 EUIN :
3rd Holder
Financial Advisor : Integrated Enterprises (India) Pvt Ltd ( ARN-0962 ) RM code :
Guardian Please Provide

UTI Value Opportunities Fund - Regular Plan Payout of IDCW (If you wish to invest in different scheme, please strike off here and write below)

New Scheme- Plan Option

Purchase / Additional Purchase : I/we would like to purchase units of the above mentioned scheme for Amount ` (in fig) (in words)
Cheque/DD Number dated Drawn on Bank
Branch Bank A/c type (Please tick) Savings Current NRO NRE
Switch : I/we would like to switch All units or Partial units units or ` (amount in figures) (in words)
from above mentioned Scheme to Plan Option Growth IDCW Payout IDCW Reinvestment
Redemption : I/we would like to redeem All units or Partial units units or ` (amount in figures)
(in words) from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.

MICR NO IFSC
I/We have understood the contents of the Offer document and addenda issued till date and apply to the Trustee of UTI Mutual Fund as indicated above. I/ We agree to abide by the terms and conditions, rules and regulations of the scheme as on the date of investment. I/ We undertake to
confirm that the applicant/unit holder is empowered to invest/ disinvest and the signatories have necessary authorization to invest/disinvest on behalf of applicant/ unit holder. I/We undertake to confirm that this investment has been duly authorized by appropriate authorities in terms of all
relevant documents and procedural requirements. I/ We have not received nor been induced by any rebate or gifts, directly or indirectly in making investment. * I/ We confirm than we are Non residents of Indian Nationality/ Origin and that the funds are remitted from abroad through approved
banking channels or from my/ our funds from my/ our NRE/ NRO account. I/ We undertake to provide further details of source of funds and any such other relevant document, if called by UTI Mutual Fund. *Appliable to NRIs.
The ARN holder has disclosed to me/us all the commissions (in the form of trial commission or any other mode), payable to him for the different competing Schemes of various Mutual Funds from amongst which the Scheme is being recommended to me/us.
*EUIN: 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(S)
First Account Holder Second Account Holder Third Account Holder
CA : MD17-1007870-03-03-2023 15:42:59 / LA: 1007870-03.03.23-11 Page 1 of 1
 Account Statement Statement Date : 03 Mar 2023
For the period 30 Oct 2006 to 03 Mar 2023
* Folio No. : 517197394146
* Please quote this folio number for future correspondence / transactions.

Siddhartha Rep By Revathy Santhanakrishnan Old Folio(s) : 501944190 Unique Client Code :MFUTIB0071
Date Of Birth : Registered Category : RESIDENT INDIAN
REP BY U/G : REVATHY SANTHANAKRISHNAN
NO 14 SESHADRIPURAM Mode of Holding : SINGLE Status : MINOR
MAIN ROAD Bank Account No : SB/XXXXXXXXXXXX852 Pay Mode : Electronic
VELACHERY Bank Name : AXIS BANK
CHENNAI
TAMIL NADU MICR No : 000211000 IFS Code : Please Provide
PIN : 600042

Mobile No : Please Provide

Financial Advisor : Integrated Enterprises (India) Pvt Ltd ( ARN-0962 )
(Res)Phone No : 044 22434263 Sub ARN Code : Sub Code : 1002 EUIN :
Email ID : please provide

Nominee : Santhana Krishnan

Please update your records with: Mobile No / Email ID

Holder PAN KYC Status/KIN FATCA

Primary Holder Please Provide No No Entry Load : NilExit Load : Nil, early exit charges would be applicable if redeemed before the expiry of 5
2nd Holder years from the date of allotment.
3rd Holder
Guardian Please Provide

Status as on 31-01-2018: NAV Rs. 11.9500, Units 0.000, Value Rs.0.000

UTI - WEALTH BUILDER FUND - Regular Plan Payout of IDCW #
Tr.Date Transaction Type Cost NAV(`) Load
Amount(`) (`) Price (`) Number of Units Balance Units
30/10/2006 Initial Purchase 16,387.00 10.0000 10.0000 1,638.700 1,638.700
08/06/2009 IDCW Pay Out (Rate:0.8000000) 1,310.96 1,638.700
03/06/2010 IDCW Pay Out (Rate:1.0000000) 1,638.70 1,638.700
27/06/2011 IDCW Pay Out (Rate:1.2000000) 1,966.44 1,638.700
04/10/2011 Merger Out 19,582.47 11.9500 11.9500 1,638.700 0.000
Merged to UTI Opportunities Fund - 517197394146 (1522.743 Units @ NAV of Rs. 12.86)

NAV ` 11.9500 (as on 04 Oct 2011) Total IDCW Paid ` 4,916.10

Local UFC Address : UTI Financial Centre,Capital Tower,Ground Floor,180, Kodambakkam High Road,Nungambakkam,Chennai - 600034,Ph :- 044- 48574545/48574546/48574547

# Income Distribution cum Capital Withdrawal

Folio No. : 517197394146 Sub ARN : PAN KYC Status

Name : Siddhartha Rep By Revathy Santhanakrishnan Code Primary Holder Please Provide No

Mode of Holding : SINGLE Sub Code : 1002

2nd Holder
Bank Details : SB/XXXXXXXXXXXX852 / AXIS BANK / Chennai / ECS - 000211000 EUIN :
3rd Holder
Financial Advisor : Integrated Enterprises (India) Pvt Ltd ( ARN-0962 ) RM code :
Guardian Please Provide

UTI - WEALTH BUILDER FUND - Regular Plan Payout of IDCW (If you wish to invest in different scheme, please strike off here and write below)

New Scheme- Plan Option

Purchase / Additional Purchase : I/we would like to purchase units of the above mentioned scheme for Amount ` (in fig) (in words)
Cheque/DD Number dated Drawn on Bank
Branch Bank A/c type (Please tick) Savings Current NRO NRE
Switch : I/we would like to switch All units or Partial units units or ` (amount in figures) (in words)
from above mentioned Scheme to Plan Option Growth IDCW Payout IDCW Reinvestment
Redemption : I/we would like to redeem All units or Partial units units or ` (amount in figures)
(in words) from above mentioned Scheme . I/We furnish MICR & IFS code to facilitate electronic payments.

MICR NO IFSC
I/We have understood the contents of the Offer document and addenda issued till date and apply to the Trustee of UTI Mutual Fund as indicated above. I/ We agree to abide by the terms and conditions, rules and regulations of the scheme as on the date of investment. I/ We undertake to
confirm that the applicant/unit holder is empowered to invest/ disinvest and the signatories have necessary authorization to invest/disinvest on behalf of applicant/ unit holder. I/We undertake to confirm that this investment has been duly authorized by appropriate authorities in terms of all
relevant documents and procedural requirements. I/ We have not received nor been induced by any rebate or gifts, directly or indirectly in making investment. * I/ We confirm than we are Non residents of Indian Nationality/ Origin and that the funds are remitted from abroad through approved
banking channels or from my/ our funds from my/ our NRE/ NRO account. I/ We undertake to provide further details of source of funds and any such other relevant document, if called by UTI Mutual Fund. *Appliable to NRIs.
The ARN holder has disclosed to me/us all the commissions (in the form of trial commission or any other mode), payable to him for the different competing Schemes of various Mutual Funds from amongst which the Scheme is being recommended to me/us.
*EUIN: 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(S)
First Account Holder Second Account Holder Third Account Holder
CA : MD17-1007870-03-03-2023 15:42:59 / LA: 1007870-03.03.23-2 Page 1 of 1