Account Closure/Deactivation Form

✔
Zerodha Broking Limited (Trading account) Application number Dated
✔ Zerodha Broking Limited (Demat account) 02/04/2024
✔
Zerodha Commodities Private Limited (Commodity account)

To be lled by the BO (in case of BO-initiated closure). Please ll all the details in BLOCK LETTERS in English

Dear Sir / Madam,

I/We the Sole Holder/Joint Holders/Guardian(in case of Minor) request you to close my/our account with you from the date of this
application. The details of my/our account are given below:
Account holder details

Trading Client ID CU0737

DP ID 1 2 0 8 1 6 0 0 BO ID 1 5 6 5 4 7 0 2
First/sole holder Second holder Third holder
Name RUSTAM ALI
Address for correspondence recorded in the demat account:
vill-Sernia, P0- Goagaon, Ps- Gaolpokher
Dist- uttar dinajpur pin 733210
City UTTAR DINAJPUR State WEST BENGAL PIN 7 3 3 2 1 0

Details of remaining security balances in the account (if any)

Reasons for closing the account DONT HAVE TIME FOR THIS
Balance remaining in the account (if any) to be: partly rematerialised and partly transferred
rematerialised
transferred to another account (account number given below)
✔

not applicable
DP ID 1 2 0 9 5 5 0 0 Client ID 1 2 2 7 7 4 0 1
Balance present in account for: Ear-marked Pledged
Pending for rematerialisation Frozen
Pending for dematerialisation Lock-in ✔

Declaration: In case of account closure due to shifting of account

I/We declare and conrm that all the transactions in my/our demat account are true/authentic.

First/Sole Holder
or Guardian
F (in case of Minor) S Second Holder T Third Holder

Rustam Ali Name Name Name

If DP or CDSL initiates account closure, signature(s) of account holder(s) not required.

For ofce use only - Please tear here
Acknowledgment
We hereby acknowledge the receipt of the your instruction for closing the following account subject to verication on
DP ID Client ID Application no.
First/sole holder Second holder Third holder
Account holder’s name
Reason for closure

Seal & signature

Instructions to account holder(s)
Submit a duly-lled RRF if the balances are to be rematerialised.
* ln case of demat accounts, deactivation will lead to a freeze being put on all credits and debits on the account.
Submit a duly-lled Delivery Instruction Slip [DIS] (off market instruction slip) if the balances are to be transferred to another account.
This requirement is not applicable in the case of “shifting of account”.