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Demat Account Closure Request Form

This document is an account closure form for closing a demat account with Systematix Shares and Stocks (India) Limited. It requests closure of the account and provides details of the account holder, remaining security balances, and reason for closure. The form can be initiated by the account holder or DP/CDSL. It specifies whether any remaining balance will be rematerialized, transferred to another account, or left as is. The account holders must sign to declare all transactions are true if closure is due to shifting of account. Upon receipt, the DP will provide an acknowledgment and instructions regarding further steps if balances need rematerializing or transferring.

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Manmohan Rathi
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617 views1 page

Demat Account Closure Request Form

This document is an account closure form for closing a demat account with Systematix Shares and Stocks (India) Limited. It requests closure of the account and provides details of the account holder, remaining security balances, and reason for closure. The form can be initiated by the account holder or DP/CDSL. It specifies whether any remaining balance will be rematerialized, transferred to another account, or left as is. The account holders must sign to declare all transactions are true if closure is due to shifting of account. Upon receipt, the DP will provide an acknowledgment and instructions regarding further steps if balances need rematerializing or transferring.

Uploaded by

Manmohan Rathi
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
  • Account Closure Form

Account Closure Form

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


Closure Initiated by  BO  DP  CDSL
(To be filled by the BO. Please fill all the details in Block Letters in English)

To,
Systematix Shares and Stocks (India) Limited.
The Capital, A-Wing, No. 603-606, 6th Floor,
Plot No. c-70, G Block Bandra Kurla Complex,
Bandra (East), Mumbai – 400 051.

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 a/c 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 dully-filled up RRF if the balances are to be rematerialized.
o Submit a duly filled up transfer form (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”.

Account Closure Form Application No. Date D D M M Y Y Y Y Closure Initiated by  BO  DP

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