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.
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For Branch Use For HO Use HO
Pending bill amount______________________ Instruction No. 1. Closed the A/c &
Cleared by cheque or cash 2. Client Master Generated
There are no pending dues. HO is authorized to close the a/c On:
Reason for closure: ______________________________
Authorised Signatory: Date: