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Annexure UOS - S13 Page 1 Request for One Way Switch from Tier II to Tier I under NPS Please fill all the details in CAPITAL LETTERS in BLACK INK only. All fields marked with are mandatory. All dates should be in DDMMYYYY format. 2. Only the subscribers having Tier I account under NPS- All Citizens of India or Corporate Sector can request for One Way Switch. For POP-SP use POP-SP Registration No* Receipt No* Entered By Date Verified By Date Reason for Rejection if any Acknowledgement Number by CRA Generated Sir/Madam I hereby submit a request for switch and give below the necessary details PRAN Name of the Subscriber Amount to be Switched from Tier II to Tier I Rs. Amount in rupees hereby declare that Information stated above is true to the best of my information belief* Signature/ Thumb Impression of the Subscriber TO BE FILLED ATTESTED BY POP-SP Rubber Stamp of the POP-SP Name and Signature of the POP-SP ------------------------------------------------------------------------------------------------------------- ------------------------------------------Acknowledgement for Subscriber To be filled by POP/POP-SP Received from Received at Receipt Number To be provided by POP-SP Signature/Stamp of POP/POP-SP Instruction for filling the Form 1. 3. The Subscriber shall submit the application only to the POP-SP with which they are currently associated with for Tier II account 4. The amount invested under Tier I after the execution of the switch request can be different from the requested amount to the extent of difference in NAV of two different days. For POP-SP use POP-SP Registration No* Receipt No* Entered By Date Verified By Date Reason for Rejection if any Acknowledgement Number by CRA Generated Sir/Madam I hereby submit a request for switch and give below the necessary details PRAN Name of the Subscriber Amount to be Switched from Tier II to Tier I Rs. Amount in rupees hereby declare that Information stated above is true to the best of my information belief* Signature/ Thumb Impression of the Subscriber TO BE FILLED ATTESTED BY POP-SP Rubber Stamp of the POP-SP Name and Signature of the POP-SP ------------------------------------------------------------------------------------------------------------- ------------------------------------------Acknowledgement for Subscriber To be filled by POP/POP-SP Received from Received at Receipt Number To be provided by POP-SP Signature/Stamp of POP/POP-SP Instruction for filling the Form 1. 3. The Subscriber shall submit the application only to the POP-SP with which they are currently associated with for Tier II account 4. The amount invested under Tier I after the execution of the switch request can be different from the requested amount to the extent of difference in NAV of two different days.

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