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Date D D M M Y Y Y Y

Application For Closing ‘RALLY/OFFLINE’ Trading Account.

I / We hereby request you to close my / our Rally/Offline trading account. Details


of trading account are as under

Client Code: _____________________


Client Name: ________________________________________________________
Other Facilities Availed: LAS MTF Other: __________________________
Address: ___________________________________________________________
___________________________________________________________________
___________________________________________________________________

I / We confirm the ledger balance: Credit / Debit `. ______________ as on date.


Please specify if any financial debit /credit entry pending / discrepancy as per you:
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________

I / We request you to transfer shares lying in broker beneficiary account to

Default demat a/c


Other mapped demat a/c details are Client id: _____________
DP Id: IN___________

Please specify reason for closing the account: ______________________________


___________________________________________________________________
___________________________________________________________________
___________________________________________________________________

Signature:

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