Application for Closing Demat & Trading Account

(For Beneficiary Account only)

Date: D D M M Y Y Y Y

To: Karvy Stock Broking Ltd., Depository Participant, “Karvy House”, 46, Avenue 4, Street No.1, Banjara Hills,
Hyderabad – 500 034 (DP Ids: IN300394; IN301557; IN301926; IN302470)

1. I / We hereby request you to close my/our account with you as per the following details:

Name of the Holder(s)

Sole / First Holder

Second Holder

Third Holder

2. Reason(s) for Closure of Depository Account:______________________________________________________________

3. Select DP Id: IN300394 IN301557 IN301926 IN302470

4. Client ID (of account to be closed)

5. Trading Code (A/c to be closed)

6. Please tick the applicable option(s)

Option A [There are no balances / holdings in this account]

Option B Transfer to my / our own Target Account Details

account
[Transfer the balances (provide target account details and
/ holdings in this enclose Client Master Report of
account as per details Target Account) NSDL DP ID
given]
Transfer to any other
account CDSL Client
(Submit duly filled Delivery ID
Instruction Slip signed by all holders)
Option C [Rematerialize / Reconvert (Submit duly filled Remat / Reconversion Request Form-for mutual fund units)]

I / We confirm to have surrendered all unutilised delivery instruction slips.

I / We confirm to have exhausted all delivery instruction slips / misplaced / not traceable.

Name of the A/c Holder Signature of the A/c Holder

First / Sole Holder

Second Holder

Third Holder

Signature of one of the account holders in presence of DP Staff (Required only in case unused DIS not surrendered)
Signature of DP Official with Name & Emp. Id
Name of the account holder Signature of account holder
who is doing IPV
Name:-
Emp Id:-
Sign:-

====================================================================================================
Acknowledgement
We hereby acknowledge the receipt of your request for closing the following Account subject to verification:

DP ID: ________________Client ID:_____________________, Trading A/c:________________

Client Name:___________________________________________________________________
DP Seal, Sign, Date & Time of Receipt
Instructions:- 1) In case of a joint A/c, all the holders should sign. 2) In case of shifting of account, CML of target DP duly attested (stamped &
signed) by the DP should be submitted in original. 3) All unused DIS should be surrendered. 4) In case unused DIS is not available, one of the
account holders should personally come to any Karvy office & submit the A/c Closure request.