CDSL Account Closure Form Sharekhan

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Office Copy

Sharekhan Limited
10th Floor, Gigaplex Building No. 9, MIDC Plot No. 1 I.T 5, Airoli Knowledger Park Road,
TTC Industrial Area,Airoli , Navi mumbai - 400708 Tel :- 022 6115 0000 , Fax No:- 022 6116 9699.
­ DP ID - 12036000 DP SEBI REG. NO. IN-DP-365-2018 ­ For Inquires & Queries email at [email protected]

Application No. Account Closure Request Form Date :


Closure Initiated by BO DP CDSL
( To be filled by the BO, Please fill all the details in Block Letters in English) Client Contact No.
To,
Sharekhan Limited
DP ID - 12036000
Dear Sir/Madam,
I/We the Sole Holder / Joint Holders / Guardian (In case of Minor)/Clearing Member request you to close my / our account with you from the date
of this application. The details account are given below :
Fore Trading & DP Account
I/We hereby request you to also close my/our e Trading account with you._______________________________
All Segment Equity / Currency Derivative / F&O
I/We hereby request you to also close my/our DP account with you._______________________________
ACCOUNT HOLDER’S DETAILS

DP ID 1 2 0 3 6 0 0 0 Client ID
Name of the First/ Sole Holder
Name of the Second Holder
Name of the Third Holder

Address For Correspondence

City State PIN


Details of remaining security balances in the account (if any) :

Reasons for Closing the Account :


Balance remaining in the account (if any) to be :
Party rematerialized and party transferred. Rematerialised
Transferred to another account (Number given below) Not applicable
DP ID Client ID
Balance present in a/c for Ear - marked Pledge Pending for Dematerialisation
(To be filled by DP, if applicable) Frozen Lock-in Pending for Rematerialisation
DECLARATION : In case of Account Closer Due to SHIFTING OF ACCOUNT :
I/We declare and confirm that all the transactions in my/our demat account are true / authentic.
First / Sole Holder Second Holder Third Holder
Name
Signature *
* If DP or CDSL initiates account closure, Signature(s) of account holder(s) not required.

Internal Ref. No.:


Instructions to Account Holder(s)
• Submit a dully - filled RRF if the balances are to be rematerialized.
• Submit a dully - filled Delivery Instruction Silp (DIS) (off market instruction slip) if the balances are to be transferred to another A/c
Note : Please do submit Separate application for Product Deactivation
­ Incase of any clarification, feel free to contact your branch/relationship manager or call on 022 - 25753200/022 - 61151111/022-33054600
write to us at [email protected]/[email protected]
­ Compliance Officer - Ms. Binkle R. Oza - Email [email protected] Contact No. 022 - 6116 9602
­ For Complaints email at [email protected]/[email protected]

BRANCH STAMP HO STAMP

Depository Participant Seal & Signature

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