APPLICATION FOR CLOSING AN ACCOUNT Sharekhan
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Lda Think Techno Campus, 10th Roo, Beta Big, o
Off VLR, Kanjr Marg, Mumbai - 400 042. For Trading and DP Accounts
Tel: 022-61151111, Fax : 022 - 6748 1899
DP 1D:1N300513
1. [the herey request outa hse my/our Trading acount wth you Customen TD - 1535687
2 CopAisegment (1 Euity 1 Currency Derivative / F&O
3. [ete hereby request you to dose myfour DP account wih you: [2TOTRT919 101012)
We undertake to ndemnfy nd reémburse tarethan for ary eset hich the company ayincr on account of cur ransactons anit wi be aly bing
‘on mylour hes/nominees.
Name of the holders)
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- | Second Holder
Third Holder
4, Reasons for Cosute of depostory accont_ Nat Uce the account Gny moze
5, Please tick the applicable option(s)
[Eqn a There are no balances lings in his account]
TD option 8 ‘Transfer to mylour own account Target Account Details
TRanserthe — |[) (Provide tat acco deta anders
rising | Cent Master Report of Target Account)
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Esper deta gen|[] Tanto any ter acount
(Sab dled Dever struction
Slip signed by all Holders) O os
Gient 1D
[1 option (ematerase/ Reconvert (Submit Cu led Remat / Reconversion Request Formfor mutual fund units]
Second Holder Third Holder
6, Signatures)
For Office Use:
Scrutnaer:
Maker:
Ghecker:
‘Signature ofthe Authorised Signatory Seal Stamp of Participant
Date
Note Please do submit Separate application for Product Deactivation
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