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Account Closure Form

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0% found this document useful (0 votes)
35 views2 pages

Account Closure Form

Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Request for closure of Trading and Demat Account

Date 14/06/2024

Closure initiated by Beneficial Owner Depository Participant CDSL

To,
PhonePe Wealth Broking Private Limited
Stock Broking – Operations,

Office - 2, No. 80/1, 81/1 and 81/2, Floor 3,4,5,6 and 7,


Wing A, Block A, Salarpuria Softzone, Service Road, Green Glen
Layout, Bellandur, Bengaluru South, Bengaluru, Karnataka – 560103

Dear Team,
I Tushar Rateria (Client Name) hold the below trading and DEMAT account with
PhonePe Wealth Broking Private Limited.

Trading Account Number (UCC) FB888380

Demat Acc No
DP ID 12096000 (please refer to profile page for last 1209600002863519
8 Digits of demat A/C number)

S O Pawan Rateria Radhika Residency Jute Mill Road Kabir Chowk Odisha Road
Address for correspondence
(as address registered with House No 304 3rd Floor Raigarh Raigarh Raigarh Chhattisgarh
Share.Market) 496001 ,landmark: ,Raigarh, CHHATTISGARH,INDIA,496001

I wish to close the above-mentioned account. I understand and agree that my closure request is subject to:
1. Fulfillment of all my dues and obligations towards PhonePe Wealth Broking Private Limited
2. Closure of all open positions in my trading account

Reason for closure of


I don't want to invest or trade
Trading / Demat account:

Balance remaining in To be partly rematerialised and partly transferred Not applicable


demat account (if any) Rematerialized

Transferred to following account

Demat Acc No
DP ID: (last 8 Digits)

Balance present in account Ear-marked Pending for Dematerialisation Pending for Rematerialisation
for (To be filled by DP, if
applicable) Pledged Frozen Lock-in

1
DECLARATION: In case of Account Closure due to Shifting of Accounts I/We declare and confirm that all the transac-
tions in my/our demat account are true/ authentic. Notwithstanding any such closure of Trading / Demat account, all
rights, liabilities and obligations the parties arising out of or in respect of transactions entered prior to the closure of
Trading / Demat account shall continue to subsist and vest in / be binding on the respective parties or his / its
respective heirs, executors, administrators, legal representatives or successors, as the case may be.

Signature of Holder:

Instructions to Account Holder(s)


1) Submit a duly filled RRF if the balances are to be rematerialized.
2) For online closure cum transfer of securities, upload scan copy of Signature along with Client Master Report (CMR)
of the target account digitally signed by the official of the target DP. E-sign the account closure form along with the
documents and submit the same for further processing.
3) Submit a duly filled 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”.

Acknowledgement Receipt (For Office use only)

We hereby acknowledge the receipt of your instruction for closing the following account subject to verification:

Demat Acc No
DP ID: 12096000 (last 8 Digits) 1209600002863519

Trading Account Number (UCC) FB888380

Name of the First Holder Tushar Rateria

Reason for closure of


I don't want to invest or trade
Trading / Demat account:

PhonePe Wealth Broking Private Limited


[Seal & signature]

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