ClosureDetails:

PRECHECK
FollowingprechecktobedonebeforesendingtherequestsforClosureof(DPand
Tradingaccounts)toenableustoprocesstherequestsexpeditiouslyandtoavoid
possiblerejections.

1. Ledger Balance in your account (should have Nil/ Credit balance), It should
nothaveDebitBalance.

2. SignaturesofalltheholdersshouldmatchwithSSLrecords.

3. Existingdetailsi.e.NameandAddressshouldbematchwithSSLrecords.

4. NostockofyoursisheldinourPoolaccount.

5. Youarerequestedtounmarkthelienonfundsandsecuritiescreatedinfavor
ofSBICAPSecuritiesltdbeforeapplyingforclosureoftheAccount.

6. Incaserequestisreceivedforclosurecumtransferrequest,DPclientmaster
oftargetDPCMLcopyrequiredalongwithsealandstampofDP.

7. Allholdersarerequiredtosigntheclosurerequestform.

(To be submitted in Duplicate)

Closure Initiated by :

BO

Depository Account

To,

CDSL
Client Name ____________________________________________________

SBICAP Securities Ltd.

Address ________________________________________________________

A Wing 2nd Floor Mafatlal Chamber,

N. M. Joshi Marg, Lower Parel (East), Mumbai 400 013.
DP ID 12047200 & SEBI REGN. No.: IN-DP-CDSL-370-2006

_________________________________________________________________
Submission Date: D

D M M

Re: Account Closure Request Form

Dear Sir / Madam,
I / We the Sole Holder / Joint Holders / Guardian (in case of Minor) request you to close my / our account with you from the date of this
application. The details of my/our account are given below: (Please tick appropriate option)
CLOSURE TO BE EFFECTED IN:

Trading Account

Depository Account

Trading Code.:

BO ID:

0 4

Trading + Depository Account

7

Name of 1st Holder

____________________________________________________________________________________________________

Name of 2nd Holder

____________________________________________________________________________________________________

Name of 3rd Holder

____________________________________________________________________________________________________

DETAILS OF REMAINING BALANCES IN THE ACCOUNT (IF ANY)

Reasons for Closing the Account: __________________________________________________________________________________________________
Balance remaining in the BO account (if any) to be : ________________________________________________________________________________
Partly rematerialised and
partly transferred.

Transferred to another
account (Number given below)

DP ID : _________________________________

Frozen

Not applicable

Client ID : _________________________________

Balance present in a/c for (To be filled by DP, if applicable):

Pledged

Rematerialised

Lock-in

Pending for Dematerialisation

Ear - marked

Pending for Rematerialisation

DECLARATION : In case of Account Closure due to SHIFTING OF ACCOUNT:

I/We declare and confirm that all the transactions in my/our demat account are true/ authentic.
I undertake to indemnify and keep you indemnified against all losses, claims, damages, demands, charges and proceedings incurred or
suffered by you in consequence of my failure to perform any of my obligations as laid down in the duly executed Member Client / Tripartite
Agreement and to provide all necessary information & co-operation if required even after the closure of my trading account.
Further please note that the POA given to SBICAP Securities Ltd. for operating the BO Account No. ____________________________________________
stands revoked on closure of the account.
I request you to make full and final settlement of my account and credit the funds and securities due to me, if any, to my designated
Demat a/c. _________________________________________________ and Bank a/c ______________________________________________________

Holder
Signature*

SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP

Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd.
SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP
Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd.
SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP
Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd.

FH

SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP

Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd.
SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP
Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd.
SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP
Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd.

SH

SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP

Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd.
SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP
Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd.
SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP
Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd.

TH

Holders Name
Instructions to Account Holder(s)
Submit a duly-filled RRF if the balance are to be rematerialized.
Submit a duly-filled Delivery Instruction Slip (DIS) (off market instruction slip) if the balances are to be transferred to another Account .
This requirement is not applicable in the case of SHIFTING OF ACCOUNT
* If DP or CDSL initiates account closure, Signature(s) of account holder(s) not required.
Note: The client should unmark the lien on funds and securities created in favour of SBICAP Securities Ltd. before applying for closure of
the Trading Account

For Office Use Only

Demat

Trading

Scrutiny By Name EMP Code

Data Entered By

BRANCH STAMP

HO STAMP

Verified By
Reference No.

D:\Murli\DP & Trading Combine Closure Request Form.p65