Common Transaction Form

ARN - 14968 SB Code - ___________ EUIN No. - E038752

Please sign below in case the EUIN is left blank/not provided/transaction is "execution-only" in nature. I/We hereby confirm that the EUIN Space has been intentionally left blank by me/us as this is an"execution-only" transaction without any interaction or advice by the employee/realtionship manager/salesperson of the above distributor or notwithstanding the advice of inappropriateness, if any, provided by theemployee/relationship manager/sales person of the distributor and the distributor has not charged any advisoryfees on this transaction.

First/Sole Applicant/Guardian Second Applicant Third Applicant

Investor Name : DEEPAK G

Scheme Name : FRANKLIN INDIA PRIMA PLUS - GROWTH

Folio No : 0379905253755

Switch Request :

I Wish to Switch Rs.10000 from Scheme FRANKLIN INDIA PRIMA PLUS - GROWTH to Scheme FRANKLIN INDIATAXSHIELD - GROWTH .I Understand that if my units/amount balance is inadequate to meet the request, availableunits/amount will be Switched Out.

I/We have read and understood the content of the Offer Document(s), Key Information Memorandum and Addendumsissued of respective schemes. I/We hereby apply to the Trustee of Mutual Fund and agree to abide by Terms andConditions, Rules and Regulations of the relevant schemes(s). I/We neither received nor been induced by any rebate orgifts, directly or indirectly in making this investment.

Signatures : - _________________ _________________ _________________ Holder 1 Holder 2 Holder 3

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ACKNOWLEDGEMENT

Investor Name : DEEPAK GScheme Name : FRANKLIN INDIA PRIMA PLUS - GROWTHFolio No : 0379905253755

Switch Request :

Recieved Switch Request from the scheme FRANKLIN INDIA PRIMA PLUS - GROWTH to scheme FRANKLIN INDIATAXSHIELD - GROWTH for Rs.10000.

Received By ___________________

Date ___________________