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DP Closing Form

This document is an account closure request form for Shriram Insight Share Brokers Ltd. It contains fields for the applicant's details like name, address, DP ID, client ID. It allows the applicant to specify the reason for closure, whether to rematerialize or transfer any remaining security balances. The applicant needs to declare if the closure is due to shifting of account. On receipt, the DP will issue an acknowledgement and provide instructions regarding submitting forms to rematerialize or transfer balances.

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mohan
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326 views

DP Closing Form

This document is an account closure request form for Shriram Insight Share Brokers Ltd. It contains fields for the applicant's details like name, address, DP ID, client ID. It allows the applicant to specify the reason for closure, whether to rematerialize or transfer any remaining security balances. The applicant needs to declare if the closure is due to shifting of account. On receipt, the DP will issue an acknowledgement and provide instructions regarding submitting forms to rematerialize or transfer balances.

Uploaded by

mohan
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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Shriram Insight Share Brokers Ltd.

Admin Office: CK-15, Sector- II, Salt Lake City, Kolkata- 700 091,Phone: 2358-8258/ 2358 7188
AdminOffice:
Regd. Office:Mookambika
CK-15, Sector- II, Salt4th
Complex, Lake City,
Floor, Kolkata-
4 Lady 700 091,Phone:
Desikachary 2358-8258/
Road Mylapore, 2358 7188
Chennai- 600 004
Regd. Office: Mookambika Complex,
38400 4th
andFloor,
SEBI 4 LadyNo.
Regn. Desikachary Road Mylapore, Chennai- 600 004
(IN-DP-CDSL-293-2005)
SEBI
SEBI Registration
Registration No.No. (NSE):
DP
(NSE):ID INB/INF
No.38400
INB/INF 231348633, SEBI
and SEBISEBI
231348633, Regn. Registration
No. No.No. (BSE):
(IN-DP-CDSL-19-2015
Registration (BSE): INB/INF 011348639
) 011348639
INB/INF 011348639
SEBI Registration No. (NSE): INB/INF 231348633, SEBI Registration No. (BSE): INB/INF 011348639
Account Closure Request Form

Application No. Date D D M M Y Y Y Y


Closure Initiated by [ ]O [ ] DP [ ] CDSL
(To be filled by the BO (in case of BO-initiated closure). Please fill all the details in Block Letters in English)

To,
Shriram Insight Share Brokers Ltd.
CK-15, Sector- II, Salt Lake City,
Kolkata- 700 091

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 Client ID
Name of the First / Sole Holder
Name of the Second Holder
Name of the Third Holder
Address for Correspondence

City State PIN

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 Client ID
Balance present in account for [ ] Ear - marked []Pledged
(To be filled by DP, if applicable) [ ] 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 Hear)==============================
Acknowledgement Receipt
Application No. Date :-

We hereby acknowledge the receipt of the your instruction for Closing the following Account subject to verification: -
DP ID Client ID
Name of the First / Sole Holder
Name of the Second Holder
Name of the Third Holder
Reason for Closure

Depository Participant Seal and Signature


Instructions to Account Holder(s)
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 ”.

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