Destimoney Securities Pvt. Ltd.
6th Floor, A Wing, Tech Web Centre,, New Link Road,
Oshiwara, Jogeshwari - West
Mumbai, Maharashtra 400102
Account Closure Request Form
Application No.
Closure Initiated by
Trading Account Code
Date
BO
(To be filled by the BO (in case of BO-initiated closure). Please fill all
DP
CDSL
( Kindly mentioned trading client code Mandate )
the details in Block Letters In-complete request will be not process )
To ,
Destimoney Securities Pvt Ltd .
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:
For Trading & DP Accounts
I/We hereby request you to also close my/our trading account with you ( - Tick Mandate )
I/We hereby request you to also close my/our DP account with you ( - Tick Mandate )
Account Holders Details
DP ID
Name of the First / Sole Holder
Name of the Second Holder
Name of the Third Holder
Address for Correspondence
Client ID
State
City
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 :
Rematerialised
partly rematerialised and partly transferred.
Transferred to another account (Number given below)
Not applicable
DP ID
Client ID
Balance present in account for
Ear - marked
(To be filled by DP , if applicable)
Pending for Dematerialisation
Pending for Rematerialisation
First/ Sole Holder
Second Holder
Pledged
Frozen
Lock-in
Third Holder
Name
Signature
DECLARATION : In case of account closure due to SHIFTING OF ACCOUNT
I/We declare and confirm that all transaction in my/our demat account are true/authentic.
*If DP or CDSL initiates account closure, Signature(s) of account holder(s) not required.
----------------------------------------------------------------------------------------------------------------------------------Acknowledgement Receipt ( For Office Use )
Application No. ________________
Received Account Details Addition/Modificaition/Deletions request as per details given below:
DP ID: 1204550
Name of First/ Sole Holder
Name of Second Holder
Name of Third Holder
Reason for closure
Date : / /
Client ID:
Depository Participant Seal and Signature
Instructions to Account Holder(s)
Submit a duly-filled RRF if the balances are to be rematerialized.
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