Office Address: 1st floor, Tower B, Mantri Commercio, Outer Ring Road, Near Sakra hospital, Bellandur,Bangalore, Karnataka
- 560103
CDSL SEBI Reg No - IN-DP-CDSL-656-2012
Telephone: +91-76 67 27 3344 | Email: Support@adityatrading.com / Compliance@adityatrading.com, Website: www.adityatrading.com
ACCOUNT CLOSURE REQUEST FORM
Client Code Date (dd/mm/yyyy)
Closure Initiated by BO DP CDSL
To be filled by the BO (in case of BO - initiated closure). Please fill all the details in Block Letters in English.
Dear Sir / Madam,
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 Holder’s details
DP ID 1 2 0 7 4 3 0 0
Name of First / Sole Holder
Name of Second Holder
Name of Third Holder
Address for Correspondence
City State Pin Code
Details of remaining security balances in the account (if any)
Reasons for Closing the Account
Balance remaining in the account (if any) to be :
Partly rematerialised and partly transferred Rematerialised
Transferred to another account (Number given below) Not Applicable
DP ID 1 2 0 7 4 3 0 0
Balance present in account for (To be filled by DP, if applicable)
Ear - marked Pledged
Pending for Dematerialisation Frozen
Pending for Rematerialisation Lock - In
DECLARATION: In case of Account Closure due to SHIFTING OF ACCOUNT:
I/We declare and confirm that all the transactions in my/our demat account are true/ authentic.
First / Sole Holder Second Holder Third Holder
Name
Signature*
*If DP or CDSL initiates account closure, Signature(s) of account holder(s) not required.
(Please Tear Here)
Acknowledgement Receipt
Application No.: Date:
We hereby acknowledge the receipt of the your instruction for Closing the following Account subject to verification:
DP ID 1 2 0 7 4 3 0 0
Name of First / Sole Holder
Name of Second Holder
Name of Third Holder
Reason for Closure
Instructions to Account Holder(s):
- Submit a duly-filled RRF if the balances are to be rematerialised.
- 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”. For ATS SHARE BROKERS PVT LTD