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Account Closure Request Form

The document is an account closure request form for Sharewealth Securities Limited. It provides fields for the account holder to fill out their details like DP ID, client ID, names and addresses. The form allows the account holder to choose whether to rematerialize or transfer any remaining security balances.

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kushaljp8989
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15 views1 page

Account Closure Request Form

The document is an account closure request form for Sharewealth Securities Limited. It provides fields for the account holder to fill out their details like DP ID, client ID, names and addresses. The form allows the account holder to choose whether to rematerialize or transfer any remaining security balances.

Uploaded by

kushaljp8989
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Sharewealth Securities Limited

4th Floor, Pooma Complex


No.25/469/23, MG Road
Thrissur - 680 001
Ph:0487-2428902 / 2442351 / 52, Email: ho@[Link]
SEBI Regn No: IN – DP – CDSL – 379 – 2006 DP ID 12047600 Ref No:

Account Closure Request Form

Application No. Date


Closure Initiated by θ BO θ DP θ CDSL
(To be filled by the BO. Please fill all the details in Block Letters in English)

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 of my/our account are given below:

□ Depository □ Trading Account □ Both

Account Holder’s Details


DP ID Client ID
Client Code
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 :
θ Partly rematerialised and partly transferred. θ Rematerialised
θ Transferred to another account (Number given below) θ Not applicable
DP ID Client ID
Balance present in a/c for θ Ear - marked θ Pledged
(To be filled by DP, if applicable) θ Pending for Dematerialisation θ Frozen.
θ Pending for Rematerialisation θ Lock-in.

First / Sole Holder Second Holder Third Holder


Name

Signature *

*If DP or CDSL initiates account closure, Signature(s) of account holder(s) not required.

Depository Participant Seal and Signature


Instructions to Account Holder(s)
o Submit a duly-filled RRF if the balances are to be rematerialized.
o Submit a duly-filled transfer form (off market instruction slip) if the balances are to be transferred to another
A/c.

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