ANNEXURE Q

APPLICATION FOR CLOSING DEMAT & TRADING A/C To, Date: _______________ Karvy Stock Broking Limited 46, Avenue 4, Street No .1, Branch Name:____________________________ Banjara Hills, Hyderabad- 500034. DP ID: IN300394 IN301557 IN301926 IN302470

DEMAT A/C NO:

&

TRADING A/C NO:

I/We hereby request you to close my/our account with you. I/We request you to transfer the balances of securities to my/our Demat Account. With DP Name: ___________________________________________________________bearing my DP Id: _______________________________ Client Id: ___________________________________ Name(s) of the holders First/ Sole Holder Second Holder Third Holder Signature(s) First/Sole Holder Second Holder Third Holder (For Clearing Member Account Only) I/We hereby request you to close my/our account with you. Client Name Client Id CM BP Id CC CM Id Authorised Signatories Names Signatures

We confirm that the balance in the (pool) a/c is nil. Instructions: (1) Relevant portions to be filled in. (2) Please strike-off where ever not applicable. *Client Master Report attested by DP official with seal to be enclosed. --------------------------------------------------------------------------------------------------------------------------------For Branch Use
Pending bill amount______________________ Cleared by cheque or cash There are no pending dues. HO is authorized to close the a/c Reason for closure: ______________________________

For HO Use
Instruction No.

HO
1. Closed the A/c & 2. Client Master Generated On:

Authorised Signatory:

Date: