Office Copy
APPLKATION FOR CLOSING AN ACCOUNT. Sharekhan
‘Sharekhan Ltd
iThi ‘ Ss
Lona Thnk Techno Campus, 1% Foor Bet B49, sans P eens r
Off IVLR, Kanjur Marg, Mumbai - 400 042,
Tel: 022-61151111, Fax: 022 - 6748 1899
DP 1D:N300513
1. []lWe hereby request you to close mylour Trading account with you
2. lal segment (1 Ecuty Currency Desai #60
a
We undertake to indemnity and reimburse Sharekhan for any losses/cost which the company may incur on account of our transactions and it willbe fly binding
on mylourheirs/nominees,
3. [Die hereby request you toc
Name of the holder(s}
SoleFirst Holder
Second Halder
Third Holder
4, Reasons for asure of depository account
5. Please tick the applcable option(s)
[Clonton 4 tThere are n balances /holings inthis account]
LD option 3 Transfer to myfour own account Target Account Detalls
g
Tianser the (Provide target account detals and ence
rere ags | Gctser eet ge eu
in his account
as per deta given||[_] kei athe: aco
(Submit duly filed Delivery Instracton
Slip signed by all Holders) LD ost | cient io
1 ws | oP
TH option Remar /Rcomert (Submit uy fled Renat/ Recomerson Request Form or uta ad ui)
SoleFist Halder ‘Second Helder Third Holder
6. Signatures)
For Office Use
Scrutinizer
Maker
Checker
Signature ofthe Authorised Signatory Seal Stamp of Participant
Date
Note : Please do submit Separate application for Product Deactivation
22-750) ore 320760 arg) wit oe pnt ene
0 [acon elation