IDBI Midcap Fund(An open-ended equity scheme)

Mafatlal Centre, 5th Floor, Nariman Point, Mumbai - 400 021.

APPLICATION SUPPORTED BY BLOCKED AMOUNT (ASBA) FORMInvestors must read the Key Information Memorandum and Instructions before completing this Form.

New Fund Offer Opens on: 5th January, 2017 • New Fund Offer Closes on: 19th January, 2017Scheme re-opens for continuous sale and repurchase on 2nd February, 2017

Offer for Units of Rs.10 each (at par) during the New Fund Offer period and continuous offer for Units of NAV based prices.

This product is suitable for investors who are seeking*:• Long term capital growth.• Investment predominantly in equity & equity related instruments of Midcap

companies.

Riskometer

Investors understand that their principal will be at Moderately High risk*Investors should consult their financial advisors if in doubt about whether the product is suitable for them.

(The Application Form should be completed in English and in BLOCK LETTERS only.) ASBA Application No.KEY PARTNER / AGENT INFORMATION

Name and AMFI Reg. No. (ARN)

Sub Agent’s Name and Code / Bank Branch Code EUIN@

FOR OFFICE USE ONLYDate of Receipt Folio No. SCSB Branch Stamp & Code SCSB Branch Sr. No.

Upfront commission shall be paid directly by the investor to the ARN Holder (AMFI registered Distributor) based on the investors’ assessment of various factors including the service rendered by the distributor.@ I/We hereby confirm that the EUIN box has been intentionally left blank by me/us as this transaction is executed without any interaction or advice by the employee/relationship manager/sales person of the above distributor/sub broker or notwithstanding the advice of in-appropriateness, if any, provided by the employee/relationship manager/sales person of the distributor/sub broker.

1a. UNIT HOLDER INFORMATION (Names should be in the same sequence as appearing in your demat account. In case of discrepancies, the Application is liable to get rejected)

DATE OF BIRTH(Mandatory in case of Minor)

DD MM YYYY NAME OF FIRST / SOLE APPLICANT Resident Individual NRI [Mandatory Please tick (ü)]

Mr. Ms. M/s.

Nationality PAN#NAME OF GUARDIAN (in case of First / Sole Applicant is a Minor. Should be in the same sequence as appearing in your demat account.) / NAME OF CONTACT PERSON – DESIGNATION (in case of non-individual Investors)

Mr. M/s.

Nationality Designation Contact No.

PAN#NAME OF THE SECOND APPLICANT Resident Individual NRI [Mandatory Please tick (ü)]

Mr. Ms. M/s.

Nationality PAN#NAME OF THE THIRD APPLICANT Resident Individual NRI [Mandatory Please tick (ü)]

Mr. Ms. M/s.

Nationality PAN#MAILING ADDRESS OF FIRST / SOLE APPLICANT

CONTACT DETAILS OF FIRST / SOLE APPLICANT STD Code

Telephone : Off. Res. Mobile

Fax Email# Please attach PAN Proof.

1b. POWER OF ATTORNEY (PoA) HOLDER DETAILSNAME OF PoA

Mr. Ms. M/s.

PAN# [Please tick (ü)]

ACKNOWLEDGEMENT SLIP FOR SCSB (Self Certified Syndicate Bank)

Mafatlal Centre, 5th Floor, Nariman Point, Mumbai - 400 021.

IDBI Midcap FundTO BE RETAINED BY THE SCSB

(To be filled by the Sole/First Applicant)

Date________________________ASBA

Application No.

Received from Mr./Ms. _________________________________________

Address _____________________________________________________

SCSB Account Details Total Amount to be blockedBank Account No. ____________________________Bank Name & Address ___________________________________________________________________

(Rs. in figures) ___________________________(Rs. in words) ___________________________________________________________________

Tele./Fax Mobile No.

E-mail:

__________________________________First / Sole Applicant / Guardian / PoA

__________________________________Second Applicant

__________________________________Third Applicant

ACKNOWLEDGEMENT SLIP FOR APPLICANT

Mafatlal Centre, 5th Floor, Nariman Point, Mumbai - 400 021.

IDBI Midcap Fund(To be filled by the Sole/First Applicant)

Date________________________

ASBA Application No.

Received from Mr./Ms. _____________________________________

Address _________________________________________________

SCSB Account Details Total Amount to be blocked SCSB Stamp, Signature, Date & Time of Form SubmissionBank Account No. _______________________

Bank Name & Address ___________________________________________________________

(Rs. in figures) ______________________(Rs. in words) ________________________________________________________

Tele./Fax Mobile No.

E-mail:

2. INVESTMENT DETAILSName of Scheme: IDBI Midcap Fund - Plan Regular Direct - Option Growth Dividend - Mode of Dividend Payout Re-investment Sweep

Subscription Amount Rs. in figures Rs. in words

3. SCSB / ASBA ACCOUNT DETAILS OF THE APPLICANT (Application Money to be blocked from this Account)Account No. Name of the BankBranch Bank CityAccount Type [Please tick (ü)] SAVINGS CURRENT NRE NRO FCNR OTHERS_______________ (please specify)

Total Amount to be blocked Amount in figures ( ` ) ______________________________ in words (Rupees) _____________________________________________________________IFSC Code The 9 digit MICR Code number of my/our Bank & Branch is4. BANK ACCOUNT DETAILS OF FIRST / SOLE APPLICANT Fill in these details only if the ASBA Account details provided in Section 3 are different from the Bank Account details linked with the Demat Account as mentioned under Section 5 below.

Account No. Name of the BankBranch Bank City

Account Type [Please tick (ü)] SAVINGS CURRENT NRE NRO FCNR OTHERS_______________ (please specify)

Total Amount to be blocked Amount in figures ( ` ) ___________________________________ in words (Rupees) _________________________________________________________________________________IFSC Code The 9 digit MICR Code number of my/our Bank & Branch is(Please note that as per SEBI Regulations it is mandatory for investors to provide their bank account details)

5. DEMAT ACCOUNT DETAILS

Please (ü) NSDL CDSL

DP ID Beneficiary Account No./Client ID DP Name

The details of the Bank Account linked with the Demat account as mentioned above be provided under Section 4.

6. NOMINATION DETAILS [Minor / HUF / POA Holder / Non Individuals Cannot Nominate] PLEASE REGISTER MY/OUR NOMINEE AS PER BELOW DETAILS OR I/WE DO NOT WISH TO NOMINATION

No. Nominee(s) Name Date of Birth (in case of Minor)

Name of the Guardian (in case of Minor)

% of Share Signature of Nominee/Guardian

1 D D M M Y Y Y Y

2 D D M M Y Y Y Y

3 D D M M Y Y Y Y

7. DECLARATIONS & SIGNATURE/SGeneral Declaration: I/We have read and understood the contents of the Scheme Information Document (SID), Key Information Memorandum (KIM) of IDBI Midcap Fund and Statement of Additional Information (SAI) and information requirements of this Form and hereby confirm that the information provided by me/us on this Form is true, correct and complete. /We hereby apply to IDBI Mutual Fund for allotment of units of the Scheme, as indicated above and agree to abide by the terms, conditions, rules and regulations of the Scheme. I /We hereby confirm and certify that the source of these funds is not directly / indirectly a result of proceeds of crime” as defined in “The Prevention of Money Laundering Act, 2002” and I/we undertake to provide all necessary proof / documentation, if any, required to substantiate the facts of this undertaking. I/We have not received nor been induced by any rebate or gifts, directly or indirectly in making this investment. I / We authorize the Fund to disclose details of my/our account and all my/our transactions to Registrar and Transfer Agent whose stamp appears on the application form. I/We also authorize the Fund to disclose details as necessary, to the Fund’s and investor’s bankers for the purpose of effecting payments to me / us.ASBA Authorisation : 1) I/We hereby undertake that I/We am/are an ASBA Investor as per the applicable provisions of the SEBI (Issue of Capital and Disclosure Requirements), Regulations 2009 (‘SEBI Regulations’) as amended from time to time. 2) In accordance with ASBA process provided in the SEBI Regulations and as disclosed in this application, I/We authorize (a) the SCSB to do all necessary acts including blocking of application money towards the Subscription of Units of the Scheme, to the extent mentioned above in the “SCSB / ASBA Account details” or unblocking of funds in the bank account maintained with the SCSB specified in this application form, transfer of funds to the Bank account of the Scheme/IDBI Mutual Fund on receipt of instructions from the Registrar and Transfer Agent after the allotment of the Units entitling me/us to receive Units on such transfer of funds, etc. (b) Registrar and Transfer Agent to issue instructions to the SCSB to remove the block on the funds in the bank account specified in the application, upon allotment of Units and to transfer the requisite money to the Scheme’s account / Bank account of IDBI Mutual Fund. 3) In case the amount available in the bank account specified in the application is insufficient for blocking the amount equivalent to the application money towards the Subscription of Units, the SCSB shall reject the application 4) If the DP ID, Beneficiary Account No. or PAN furnished by me/us in the application is incorrect or incomplete or not matching with the depository records, the application shall be rejected and the IDBI Mutual Fund or IDBI Asset Management Limited or IDBI MF Trustee Company Limited or SCSBs shall not be liable for losses, if any.Applicable to NRIs only : II/We confirm that I am/we are Non-Resident of Indian Nationality/Origin and I/we hereby confirm that the funds for subscription have been remitted from abroad through approved banking channels or from funds in my/our Non-Resident External / Ordinary Account / FCNR /NRSR Account. Investment in the Scheme is made by me / us on: Repatriation basis Non Repatriation basis.Applicable to Non Direct Investors only (investments routed through ARN Holders): The ARN holder has disclosed to me/us all the commissions (in the form of trail 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.

DD MM YYYY

SIGN

ATUR

E/S

__________________ First / Sole

Applicant / Guardian

__________________ Second

Applicant

__________________ Third

Applicant

INSTRUCTIONS FOR FILLING ASBA APPLICATION FORM1. An Application Supported by Blocked Amount (ASBA) investor shall submit a duly filled up ASBA Application form, physically or electronically, to the Self

Certified Syndicate Bank (SCSB) with whom the bank account to be blocked, is maintained.

l In case of ASBA application form in physical mode, the investor shall submit the ASBA Application Form at the Bank branch of SCSB, which is designated for the purpose and the investor must be holding a bank account with such SCSB.

l In case of ASBA application form in electronic form, the investor shall submit the ASBA Application Form either through the internet banking facility available with the SCSB, or such other electronically enabled mechanism for subscribing to units of Mutual Fund scheme authorising SCSB to block the subscription money in a bank account.

2. Investors shall correctly mention the Bank Account number in the ASBA Application Form and ensure that funds equal to the subscription amount are available in the bank account maintained with the SCSB before submitting the same to the designated branch.

3. Upon submission of an ASBA Application Form with the SCSB, whether in physical or electronic mode, investor shall be deemed to have agreed to block the entire subscription amount specified and authorized the Designated Branch to block such amount in the Bank Account.

4. On the basis of an authorisation given by the account holder in the ASBA Application Form, the SCSB shall block the subscription money in the Bank Account specified in the ASBA Application Form. The subscription money shall remain blocked in the Bank Account till allotment of units under the scheme or till rejection of the application, as the case may be.

5. If the Bank Account specified in the ASBA Application Form does not have sufficient credit balance to meet the subscription money, the ASBA application shall be rejected by the SCSB.

6. The ASBA Application Form should not be accompanied by cheque, demand draft or any mode of payment other than authorisation to block subscription amount in the Bank Account.

7. All grievances relating to the ASBA facility may be addressed to the BANK/AMC / RTA to the Issue, with a copy to the SCSB, giving full details such as name, address of the applicant, subscription amount blocked on application, bank account number and the Designated Branch or the collection centre of the SCSB where the ASBA Application Form was submitted by the Investor.

8. ASBA facility extended to investors shall operate in accordance with the SEBI guidelines in force from time to time.

9. Name of the First accountholder in bank to be the first unitholder in folio. If the name is not matched the application will be rejected and amount to be refunded if any.

10. In case of investors holding demat accounts, no separate KYC forms are required to be submitted and the KYC performed by Depository Participant (DP) will be considered compliance with applicable requirements specified in this regard in terms of SEBI circular ISD/AML/CIR-1/2008.

11. The acknowledgement for receiving the application by the designated Branches of the SCSBs does not guarantee that the Mutual Fund units shall be allotted either by the SCSB or the Mutual Fund. The Application shall be further processed by the Registrar & Transfer agent appointed by the Mutual Fund and units shall be allotted after deducting the blocked amount, only if the application is complete in all respect.

12. Where investor desires to hold units in dematerialised form, demat statement given by depository participant would be deemed to be adequate compliance with requirements for account statement prescribed by SEBI

13. Transaction Charges

In order to enable people with small saving potential and to increase reach of Mutual Fund products in urban areas and smaller towns, SEBI has vide Cir/IMD/ DF/13/ 2011 dated August 22, 2011 stipulated that a transaction charge per subscription of Rs.10,000/- and above be allowed to be paid to the distributors of the Mutual Fund products from the date of this circular. However, there shall be no transaction charges on direct investments. The transaction charge shall be subject to the following:

i. For existing investors in a Mutual Fund, the distributor may be paid Rs. 100/- as transaction charge per subscription of Rs. 10,000/- and above.

ii. The distributor may be paid Rs.150/- as transaction charge for a first time investor in Mutual Funds.

iii. The transaction charge, if any, shall be deducted by the AMC from the subscription amount and paid to the distributor; and the balance shall be invested.

iv. The AMCs shall be responsible for any malpractice/mis-selling by the distributor while charging transaction costs.

v. There shall be no transaction charge on subscription below Rs.10,000/-

vi. In case of SIPs, the transaction charge shall be applicable only if the total commitment through SIPs amounts to Rs. 10,000/- and above. In such cases the transaction charge shall be recovered in 3-4 installments.

vii. There shall be no transaction charge on transactions other than purchases/ subscriptions relating to new inflows.

viii. The statement of account shall clearly state that the net investment as gross subscription less transaction charge and the number of units allotted against the net investment.

ix. Distributors shall be able to choose to opt out of charging the transaction charge. However, the ‘opt-out’ shall be at distributor level and not investor level i.e. a distributor shall not charge one investor and choose not to charge another investor. Further, Distributors shall have also the option to either opt in or opt out of levying transaction charge based on type of the product.

It is also clarified that as per SEBI circular no. SEBI/IMD/CIR No. 4/ 168230/09, dated June 30, 2009, upfront commission to distributors shall continue to be paid by the investor directly to the distributor by a separate cheque based on his assessment of various factors including the service rendered by the distributor.

LIST OF SELF CERTIFIED SYNDICATE BANKS (SCSBs) TO ACCEPT ASBA APPLICATION FORMS (During NFO period)

Sr. No. Name of the Bank 1 Axis Bank2 Bank of Baroda3 Bank of India4 Bank of Maharashtra5 Barclays Plc.6 BNP Paribas7 Canara Bank8 Central Bank of India9 CITI Bank

10 DBS Bank Ltd.11 Dena Bank12 Deutsche Bank AG13 Dhanlaxmi Bank Limited14 HDFC Bank Ltd.15 HSBC Ltd.16 ICICI Bank Ltd.17 IDBI Bank18 Indian Overseas Bank Ltd.19 Indusind Bank Ltd.20 J. P. Morgan Chase, Bank, N.A. 21 Janata Sahakari Bank Ltd22 Karnataka Bank23 Karur Vasya Bank Ltd.24 Kotak Mahindra Bank Ltd.25 Mehsana Urban Co-operative Bank Limited26 Nutan Nagarik Sahakari Bank Ltd27 Oriental Bank of Commerce28 Punjab National Bank29 Rajkot Nagarik Sahakari Bank Ltd30 South Indian Bank31 Standard Chartered Bank32 State Bank of Bikaner & Jaipur33 State Bank of Hyderabad34 State Bank of India35 State Bank of Mysore36 State Bank of Patiala37 State Bank of Travancore38 Syndicate Bank39 Tamilnad Mercantile Bank Ltd.40 The Ahmedabad Mercantile Co-Op. Bank Ltd41 The Kalupur Commercial Co-operative Bank Ltd.42 The Lakshmi Vilas Bank Ltd.43 The Saraswat Co-operative Bank Ltd.44 The Surat Peoples Co-op Bank45 Union Bank of India46 United Bank of India47 Vijaya Bank48 Yes Bank Ltd.49 TJSB Sahakari Bank Ltd50 RBL Bank Ltd 51 The Allahabad Bank52 UCO Bank

Investor may approach any of the above banks for submitting their ASBA Application forms during this NFO. The above list is subject to change from time to time. For the updated list of Self Certified Syndicate Banks (SCSBs) and their Designated Branches (DBs) and their details, please refer to the website of SEBI, BSE or NSE.

MUTUAL FUND INVESTMENTS ARE SUBJECT TO MARKET RISKS, READ ALL SCHEME RELATED DOCUMENTS CAREFULLY.