I/We, have a SIP registered for `

for SIP Cycle Date with Monthly frequency.

in Folio No.

Ÿ Under this facility, Investor can have an option to discontinue his SIP temporarily for specific number of instalments. i.e. Minimum 1 instalment and Maximum 6 instalment. SIP would restart upon completion of the period specified by Investor.

Ÿ Investor can request for pause only after 6 SIP instalments are processed. Investor can opt for pause facility only from 7th instalment onwards.

Ÿ Investor can opt for pause facility only twice during the tenure of particular SIP.

Ÿ Under this facility, SIP can be discontinued for minimum 1 instalment and up to a maximum of 6 instalments.

Ÿ If the SIP pause period is coinciding with the Step-Up facility,

the SIP instalment amount post completion of pause period

would be inclusive of SIP Step-up amount. For e.g. SIP

instalment amount prior to Pause period is 5000 and Step-`

up amount is 1000. If he pause period is completed after `

date of Step-up, then the SIP instalment amount post

completion of pause period shall be 6000.`

Ÿ SIP Pause is not eligible for LIC MF Unit Linked Insurance

Scheme and SIP registered through Standing Instructions

at the bank's end.

Ÿ Pause facility shall be available only for SIP registered

under monthly frequency.

Ÿ The minimum gap between the pause request and next SIP

instalment date should be at least 10 days (excluding the

request date and the next SIP instalment date).

Ÿ Pause facility shall get activated from immediate next

eligible instalment from the date of receipt of SIP Pause

request.

Ÿ Investors can request for pause request for SIP amount

`500 and above in LIC MF Tax Plan and for SIP amount

`1000 and above under other schemes.

Ÿ Request for SIP Pause shall be processed only through pre-

printed SIP Pause form.

Received from Mr./Mrs./Ms.

Scheme

Date:_____________To

LIC Mutual Fund

Dear Sir,

Scheme

SIP Debit Bank Name: Bank Account No.

_________________________________ Plan___________________________Option __________________________________

I/We wish to Pause the above SIP for____________________installments.

DD / MM / Y Y Y Y

Electronic Debit (ECS)

NACH

an application for

SIP Pause for ` in Folio No.

for SIP Cycle Date with monthly frequency for ________________ no of installments.

Signature, Date & Stamp

Of receiving office

(Mandatory) (Mandatory) (Mandatory)

(Mandatory)

LIC Mutual Fund Asset Management Ltd.

(Mandatory) (Mandatory)

(Mandatory)

First / Sole Applicant / Guardian Authorised Signatory

Second Applicant

Authorised Signatory SIGN

HERE

SIP Pause Form

Instructions and Terms & Conditions

ACKNOWLEDGMENT SLIP (To be filled by the investor)

Third Applicant

Authorised Signatory

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