Professional Documents
Culture Documents
To,
I / We the Sole Holder / Joint Holders / Guardian (in case of Minor) / Clearing Member 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 Holders Details
DP ID Client ID
Name of the First / Sole Holder
Name of the Second Holder
Name of the Third Holder
Address for Correspondence
Signature
*If DP or CDSL initiates account closure, Signature(s) of account holder(s) not required.
1. Please strike-off as NA for details which are not applicable 5. Kindly ensure that atleast one of the account holder visit the Branch
2. Kindly submit the form in Duplicate to provide acknowledgement to submit the application. He / she is required to submit a copy of a
3. Kindly submit one Delivery Instruction Slip duly signed by ALL valid ID proof alongwith the original for verification
the account holders with target DPID & Client ID and NOT by POA 6. Incase of Transfer-cum-closure-cum-waiver, kindly ensure that the
holder. target a/c is held in the same combination of source DP account and
4. Original Board resolution required In case of Corporate account please provide a Client Master List (CML) of the target a/c duly
closure. stamped & signed by the concerned DP.
7. Duly filled & signed Annexure N to be provided along with the DIS.
========================= (Please Turnover) ==================
I / We confirm to have surrendered/destroyed all unutilized delivery instruction slips.
Dp id Client Id:
Instruction No.
Sr. No. Reason / Purpose (*) (#) Consideration (*)
(To be filled by DP)
We hereby acknowledge the receipt of the your instruction for Closing the following Account subject to verification: -
DP ID Client ID
Name of the First / Sole Holder
Name of the Second Holder
Name of the Third Holder
Reason for Closure