Date:

To, The Manager Religare Finvest Ltd. D3, P3B, District Centre, Saket, New Delhi 110017

Sub: -

Closure of Loan Against Securities Facilities

Dear Sir/Madam, I/We_______________________have been availing LAS facility from RFL under the client code _____________. I/We want to discontinue with the said LAS facility. This is to inform you further that I/We have cleared all my dues in LAS account. Therefore you are kindly requested to close the LAS account and the following bank & demat accounts for which Power of Attorney has been granted by me/us to you: Bank POA Account Number _____________ Demat POA Account Number _____________ Yours Faithfully,

Sign: (Client/Authorised Signatory) Client Code :Client Name:Address:-

For Office Use Only (To be sign By RM) I hereby declare that client is de-activating the LAS facility due to the following reasons. Market Recession Product Features of other Co. more attractive No requirement for Loan Uncompetitive Interest Rates Dissatisfied with Services Others (Please Specify_______________________

Sign (Relationship Manager)

Name of the RM with Emp code.