Account Closure Request Form Wellworth
Account Closure Request Form Wellworth
Account Closure Request Form Wellworth
501, Akruti Orion, Shraddhanand Road, Vile Parle (E), Mumbai - 400 057.
Tel. : 022 - 6715 9000 / 2610 8803 Fax : 022 - 6715 9090 / 2610 8039
E-mail : cdslgrievance@wellworthshares.com Website : www.wellworthshares.com
CDSL Regn No: IN - DP - CDSL - 149 - 2001
Closure initiated by BO CDSL DP (To be filled by the BO. Please fill all the details in Block Letters in English)
Balance present in account for Ear - marked Ear - marked Pending for Dematerialisation
(To be filled by DP, if applicable) Frozen Lock-in Pending for Rematerialisation
Signature *
*If DP or CDSL initiates account closure, Signature(s) of account holder(s) not required.
Acknowledgement Receipt
Application No.____________________ Date: _____________________
We hereby acknowledge receipt of your instruction for Closing the following Account subject to verification: -
DP ID 1 2 0 2 5 5 0 0 Client ID
Name of the First / Sole Holder
Name of the Second Holder
Name of the Third Holder
Name of Trading Account Holder
Reason for Closure
Instructions to Account Holder(s) For Wellworth Share And Stock Broking Ltd.
o Submit a duly-filled RRF if the balances are to be rematerialized.
o 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. Seal & Signature