Al cures Series Limited ILAFS House, Plot No. 14, Raheja Vihar, Chandival, Andheri East, Mumbai 400 072 Phone:- 42493000 Fax:- 28570948/49 Email I: isl-jp@issl.co.in ‘ANNEXURE Q {CATION FOR CLOSING AN ACCOUNT AP (For Beneficiary Account only) To, Date Ty 7 NL&FS Securities Services Limited DP ID :iNg00095 N&FS House, Plot No 14, Raheja Vihar, Chandival. Andheri East, Mumbai 400 072 1. 1/ We hereby request you to close my/our account with you as per following details: Name of the holders) Sole First Holder Second Holder Third Holder 2, Reasonls for Closure of depository account 3. Client ID (of account to be closed) 4. Please tick the applicable option(s) [5 Option A [There are no balances /holdings in this account | [J Transfer to my/our own accom (Provide target account details and Target Account Details [Transfer the | enclose Client Master Report of Balances | _ Target Account) DPID holdings in this [[—] Transfer to any other account Do nsot account as per | (Submit duly filled Delivery Grew details given] Imrton Sse yal O os | [1 Option € [Rematerialise/ Reconvert (Submit duly filled Remat | Recomoersion Request Former mutual and writs] 5. Signaturels) Sole / First Holder Second Holder Third Holder ‘Acknowledgement We hereby acknowledge the receipt of the your request for closing the following Account subject to verification: DPID Client 1D Name of Sole /First Holder Name of Second Holder Name of Third Holder ‘Signature of the Authorised Signatory Seall Stamp of Participant Date Tnstractions = 1, Relevant portion to be filled in 2, Please strike of as NVA, whatever is not applicable