Sharekhan Limited

A 206, Phoenix House, Phoenix Mill Compound, S. B. Marg,

Lower parel, Mumbai- 13, Tele: 91-22 5662 1111. Fax: 91-22 2498 8321,
DP ID : IN 300513 email: dpcall@sharekhan.com

APPLICA TION FOR CL

APPLICATION OSING AN A
CLOSING CCOUNT
ACCOUNT

Date
To,

Sharekhan Limited
A-206, 2nd Floor, Phoenix House, Senapati Bapat Marg,
Lower Parel, Mumbai 400 013.
DP ID: IN 300513

(For Beneficiary Account only)

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______________________________________

Client-ID. Name(s) of the holders

First/Sole Holder

Second Holder

Third Holder

Client-ID. 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

Instructions:
1. Relevant portions to be filled in
2. Please strike off as N.A. whatever is not applicable
To be submitted in duplicate.