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ANNEXURE Q

India Infoline Ltd., IIFL House, Sun Infotech Park, Road No. 16V, Plot No. B-23, MIDC,
Thane Industrial Area, Wagle Estate, Thane - 400 604 Tel: (91-22) 2580 6650 • Fax: (91-22) 2580 6654

APPLICATION FOR CLOSING AN ACCOUNT- (NSDL)


DP ID : IN 302269
To, Date
India Infoline Limited
Universal Knitting Mills Pvt. Ltd,
Mehra Estate, Asha Usha Compound,
LBS Marg, Vikhroli (West), Mumbai - 400 079.

Login ID (Trading A/C): Client ID (Demat A/C):

I/We hereby request you to close my/our account with you.


I/ We request you to transfer the balances of securities to my/our account with DP Name __________________________
Bearing my Client-ID _____________

Name(s) of the holders Signature(s)

First/Sole Holder
Second Holder
Third Holder

(For Clearing Member Account only)

I / We hereby request you to close my/our account with you .


Client Name
Client ID
CM-BP-ID
CC-CM-ID

Authorised Signatories
Names Signatures

Note:
1. Please note that incase of accounts opened in the name of Proprietorship/ Partnership/ HUF/ Corporates/ Trusts stamp of the respective entity has to
be affixed along with the signature.
2. All the necessary details along with the signature should be filled in with Black or Blue ink only.If the form is filled & signed with other ink or pencil,
the same will be rejected.

*Client's contact number

*Contact number of RM/ Franchisee


Note: RM means Relationship Manager

For DP Use Only:

SI Instruction id : SI Release Date :


Closure Instruction Id : Closure Release Date :
Maker Name : Checker Name :

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