Folio Number : 9141059274

DIVYA AWASTHI Name : Address : 119/363 CHAK NO. - 119 KRISHNA NAGAR KANPUR UTTAR PRADESH INDIA PIN :208012

Statement Date : 25 Jun 2013 Status

(Non Transferable)

: INDIVIDUAL
: HDFC BANK LTD : R K Nagar \ Kanpur \ 208012 : SAVINGS \ 10931870000986 MICR Code : 208240005 : HDFC0001093 : ELECTRONIC : Karvy Stock Broking Limited / S 706057 : ARN-0018 : REGISTERED : SINGLE PAN AKZPA3380L KYC Yes

Default Bank Details :Name Branch

Account Type / No. IFSC Code Mode of Payment Advisor Name Advisor/Sub Advisor Code Nominee Status Mode of Holding

Residential Tel. No.: Please Provide Office Tel. No.: Please Provide Mobile No. : 09098701019 Email ID : aharish@gmail.com Name Primary Joint Holder 1 Joint Holder 2 Guardian DIVYA AWASTHI

Portfolio Summary as on 25/06/2013 Name of Scheme

Quantum Long Term Equity Fund - Growth Option ISIN No. INF082J01036

Unit Balance NAV (`) Current Value(`) Current Investment Cost (`) Dividend Earned(`)
2,104.262 23.53 49,513.28 46,000.00 0

Quantum Long Term Equity Fund - Growth Option Transaction Type Amount (`) NAV (`) 52,949.28 132.00 52,817.28 52,949.28 25.57 Load (`) 856.70 Price (`) 25.16 Number of Units 2,104.262 Balance Units 2,104.262 0.000 0.000 2,104.262

Date 17/12/2012 21/05/2013

21/05/2013

Opening Balance Gross Redemption(NAV Dt : 21/05/2013) STT Paid on above (@0.25%) Net Redemption Full Redemption Rejection

25.57

856.70

25.16

2,104.262

Current Load Structure:

Entry Load - Not Applicable, Exit load - Both for Redemption and Switch out - within 6 months of allotment - 4.00 %, After 6 months but within 12 months of allotment - 3.00 %, After 12 Months but within 18 months of allotment - 2.00 %, After 18 months but within 24 months of allotment - 1.00 %, After 24 months of allotment - NIL

Toll free number: 1800-22-3863/1800-209-3863

Thank you for investing in Quantum Mutual Fund.

Folio No.: 9141059274 First Unit Holder Name : Second Unit Holder Name : Third Unit Holder Name : Mode of Holding : Status : SINGLE
INDIVIDUAL

Email ID: Customercare@QuantumAMC.Com. This is a computer generated statement hence no signature is required.
Option/Facility : Growth

Toll free fax number: 1800-22-3864

End of the Statement.

Advisor /Sub Advisor Code :

Scheme: Quantum Long Term Equity Fund DIVYA AWASTHI

ADDITIONAL PURCHASE REQUEST

Investment Amount(Rs.) Cheque No. Dated. / /

REDEMPTION REQUEST

I/We would like to redeem from the above mentioned Scheme/Option No. Of Units Amount (Rs.) (in figure)

Drawn on Bank Branch & City

SWITCH REQUEST
I/We would like to switch Amount/ Units ( in words)

to scheme
Change Mobile No. Change Email ID

QU
Old Email ID:

All Units

U T AN
OR No.Of Units First Account Holder Place

Amount /Units (in words) Redemption Proceeds should not be Credited to my Default Bank A/C but be Credited to A/C No.: with which is already registered with Quantum Mutual Fund.

L A U T U M M
IFSC Code : HDFC0001093 OR Amount(Rs.) ( in figure) Option New Mobile No.: New Email ID: Second Account Holder

BankDetails Bank Name : HDFC BANK LTD Account No : SAVINGS \ 10931870000986 Branch : R K Nagar \ Kanpur \ 208012

D N FU
All Units OR OR
Bank from the above mentioned Scheme

Old Mobile No.:

I/We have read and understood the contents of the Statement of Additional Information/Scheme Information Document/Key Information Memorandum of the Scheme and Addenda issued till date. I/We have neither received nor been induced by any rebate or gifts, directly in making this transaction.I/We hereby apply to the Trustee of Quantum Mutual Fund for allotment of Unit(s) of the scheme(s) of Quantum Mutual Fund and agree to abide by the terms,conditions,rules and regulations of the relevent Scheme(s)(To be signed by all Unit Holders if mode of holding is joint).

SIGNATURE(S) Date

Third Account Holder

CA : WB99-ADMIN-25.06.2013 / LA: ADMIN-25.06.13-82

Page

1 OF 1