INDIA INFOLINE LIMITED DIINDIA INFOLINE COMMODITIES LIMITED I Ir Hous, Sun nfotecr Pak odd No, 164, Pot No. 8-23, Regd Off: 143, MGA Road, Porungua,chenna Ww IGE, Trane mesial res, Wage nate, Tone 400 68 “ami Nady 600 096, ci ‘CDSL DP 1D: 12044700 + NSDL DP 1D: INS02269 MCX No: 10470 + NCDEX No.: 00378 ACCOUNT CLOSURE REQUEST FORM NCDEX Spot No.: 10051 » NSEL No,’ 10350, Closure Initiated by C1 BO 0 DPX CDSLO NSDL {9 be fled by the 80 (incase of BO-ntiated closure. Please fil all he details in BLOCK LETTERS in English ‘CLOSURE FOR 1 Only Trading Alc C1 Only Demat A/c Cl Both (Pe Application No. SEGMENT 1 Cash & F&O 0 Currency Ci Commodities 0 Spot (Please Tick () whichever is applicable # LOGIN ID (For Trading A/C) bate LED PPE Eh ick (V) whichever is a # CDSL BO ID: 12044700 - J NSDL CLIENT ID: (For Demat A/C) I/We the Sole Holder Joint Helders Guardian (in case of Miner) / Clearing Member request you to clase my/ eur account with you from the date of thisapplication, Thedetails of my/our account are given below ACCOUNT HOLDER'S DETAILS: For Clearing Member Account only - NSDL Name of the Fist / Sole Holder client Name Name of the Second Holder client 1 Name of the Third Holder fclv-BPD, ‘Address for Correspondence Ca [Address for Correspondence: City State PIN DETAILS OF REMAINING SECURITY BALANCES IN THE ACCOUNT (IF ANY) Reasons for Closing the Account| Balance remaining inthe account (ifany) to be 1 Partly rematerialised and parly transferred 1 Remateralsed 1 Tansterred to another account (Number given below) Not applicable DPD. Ghent 1D Balance present ina/e for (To be filled by DP, applicable] CO Ear - marked [1 pledged C1 Pending for Dematerialisation L] Frozen L] Pending for Rematerialisation L] Lock-in DECLARATION: In case of Account Closure due to SHIFTING OF ACCOUNT: (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 INSTRUCTIONS TO ACCOUNT HOLDER(S): > Suomita duly filed RRFitthe balances areto berematerializ > Submita duly-flled Delvery Instruction Sip [D5] (of market instruction sip if thebalancesareto be transferred to another Account. Thisrequitement isnotapplicablein tnecasect SHIFTING OF ACCOUNT” > AccountsopenedinthenameofProprietoship/Parnership/ HUF/Corporates/Tusts stampof therespectveentityhastobeaffxed along withthesignature > Al the necessary details along with thesignature should be led in with Black o lue inkoniy. I the armisilled& signedw'th other inkor pene, the samewillberejected > Incascof SHIFTING OF ACCOUNT, reason or closing the account should be’ SHIFTING OF ACCOUNT > Incase of SHIFTING OF ACCOUNT, Client Master Report ulystamped signed by official of thenew DPisrequired + HDPorCDSLinitiatesaccountclosure, Signatures) of account holders) not required *Client’s contactnumber *Contact number of RM/Franchise Note: RM means Relationship Manager 7 For DP use only © Closure Instruction ID Closure Release Di Maker Sign Checker Sign TRERNOWLEDGEMENT RECEIPT ‘Application No. ste Weherebyackronias therscentftheyourinsructonforosng shefallowing Account subjestoverfeation ‘PID: CDSU-120447007 NSDLINSOZESS cent Tar ofthe i Soe ede Narn ofthe Second Hale Depository Participant Seal and Signature