Misplaced / Lost Dividend / Redemption Warrants

Date: __________________________________
Mutual Fund ______________________________
C/o Karvy Computershare Private Ltd
Karvy Registry House
H.No. 8 2- 596
Street No: 1
Banjara Hills,
Hyderabad 500 034

Dear Sirs,

Sub: Misplaced/lost dividends/redemption warrants
Ref: ______units of ____________________________________Scheme, bearing this Folio
number ________________

I/We ___________________________________ refer to number of units of
__________________________________Scheme, bearing Folio number______________
(hereinafter referred to as the Unit) held by _____________________________________

As I/we have misplaced/lost the dividend/redemption warrants issued to me/us in respect of the
Units, I/we request you to kindly issue a fresh dividend/redemption warrant in lieu of the
misplaced/lost the dividend/redemption warrants.

I/We enclose herewith an indemnity bond indemnifying you from and against all claims and actions
which may arise by your issuing the dividend/redemption warrants in lieu of the misplaced/lost the
dividend/redemption warrants.


Thank you,

Yours sincerely,


__________ ____________ __________
First Holder Second Holder Third Holder

Encl: Indemnity Bond