B Account Closure Request Form Sr. Now, (1 need iy the BO Le, Dem ascot Holder. Pee fal the detain Ble Liters in Enis) cost i ‘Application Closure 7 BO [DP | COSI | Date T Nos Initiated by E| , Bank of Baroda, CContral Back Office DP Oparations, ‘Baroda Sun Tower, Ground Floor, Bandra Kusla Complex, (MUMBAI-400 051. ‘oar Sir /Macam, | / We the Sole Hlaer / Jone Holders / Guardian (ra case ef Mina f Caring Member request you to cose my J our account ith you fiom the date of this apnication, 1 We undersigned hereby decare tet al the tlansacuons in my/our demar account sre opening glare sthante. Tho deals cf myjeur account ifara gin below (Account Holder's Decals pero 1[3[0[1[8|7]o[o cre TY [ Tame ofthe Fist | Sole Poder Tame of ie Second Helder Tame of he Tied Welds “area or Coreoponoree cH sae] ex TTT TTT Details of remaining security balances in the account (ifany) |[Ressones for Cesing the Account Balance rearing n the acceurt [Fany) 3 Be arly remateiaized and party wensfested Revstoraleed ‘Transiaas to another aecunt (Nanber ave BGA] Nat appicebie ‘PID Cien€ 1 LI l alanes precark male for ta ae Pieages (Tobe fled by OP if apztcate) Benda for Darateraisaton Froze. Pendng fer Remeteralention Lectin. Fit / Sole Holder T Second WolGer Tard Holder | Signature™ ‘THTGP ay CEL inioten wezourt ceeur, Senatora(e) of account hadara) ave not required Branch verification: 2) BO(s) Signature (5) verified for Bank of Baroda 2) There are no holdings 5S) All charges have been recovered & no dues outstanding. (Branch) Participant Seal: Authorized signatory ate (ease Tear Hear) Apieation No ekeewiedgement Recect Date: - Wey acetone he ex your stun fr Cg Ue lning Aerated ovens OPI PE a] /8]7 [0/0 aeniop || Tame of te Account lca Teaser fer Comune Instructions to Account Halder(s) *Subnita duly filed RF the halarces are to be rratoiahzed * abit duly fle tanefr form (ef rast ncructon slip) ithe balances are to be ranserres W anotier Ne for Bank of Baroca (Branct) Particpant Seat ‘Authorized Signatory