ClosureDetails:

PRECHECK
FollowingprechecktobedonebeforesendingtherequestsforClosureof(DPand Trading accounts) to enable us to process the requests expeditiously and to avoid possiblerejections. 1. Ledger Balance in your account (should have Nil/ Credit balance), It should nothaveDebitBalance. 2. SignaturesofalltheholdersshouldmatchwithSSLrecords.

3. Existingdetailsi.e.NameandAddressshouldbematchwithSSLrecords.

4. NostockofyoursisheldinourPoolaccount.

5. Youarerequestedtounmarkthelienonfundsandsecuritiescreatedinfavor ofSBICAPSecuritiesltdbeforeapplyingforclosureoftheAccount.

6. Incaserequestisreceivedforclosurecumtransferrequest,DPclientmaster oftargetDPCMLcopyrequiredalongwithsealandstampofDP.

7. Allholdersarerequiredtosigntheclosurerequestform.

(To be submitted in Duplicate)

Closure Initiated by :
To,

BO

Depository Account

CDSL
Client Name ____________________________________________________ Address ________________________________________________________ _________________________________________________________________ Submission Date: D D M M Y Y Y Y

SBICAP Securities Ltd.

A Wing 2nd Floor Mafatlal Chamber, N. M. Joshi Marg, Lower Parel (East), Mumbai 400 013. DP ID 12047200 & SEBI REGN. No.: IN-DP-CDSL-370-2006

Re: Account Closure Request Form

Dear Sir / Madam, I / We the Sole Holder / Joint Holders / Guardian (in case of Minor) request you to close my / our account with you from the date of this application. The details of my/our account are given below: (Please tick appropriate option) CLOSURE TO BE EFFECTED IN: Trading Code.: Name of 1st Holder Name of 2nd Holder Name of 3rd Holder Trading Account Depository Account BO ID: 1 2 0 4 7 2 Trading + Depository Account 0 0

____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________

DETAILS OF REMAINING BALANCES IN THE ACCOUNT (IF ANY)

Reasons for Closing the Account: __________________________________________________________________________________________________ Balance remaining in the BO account (if any) to be : ________________________________________________________________________________ Partly rematerialised and partly transferred. Transferred to another account (Number given below) Rematerialised Not applicable

DP ID : _________________________________ Balance present in a/c for (To be filled by DP, if applicable): Pledged Frozen Lock-in

Client ID : _________________________________ Pending for Dematerialisation Pending for Rematerialisation Ear - marked

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. I undertake to indemnify and keep you indemnified against all losses, claims, damages, demands, charges and proceedings incurred or suffered by you in consequence of my failure to perform any of my obligations as laid down in the duly executed Member Client / Tripartite Agreement and to provide all necessary information & co-operation if required even after the closure of my trading account. Further please note that the POA given to SBICAP Securities Ltd. for operating the BO Account No. ____________________________________________ stands revoked on closure of the account. I request you to make full and final settlement of my account and credit the funds and securities due to me, if any, to my designated Demat a/c. _________________________________________________ and Bank a/c ______________________________________________________

Holder Signature* Holders Name

SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd.

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SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd.

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SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd.

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Instructions to Account Holder(s) Submit a duly-filled RRF if the balance 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 * If DP or CDSL initiates account closure, Signature(s) of account holder(s) not required. Note: The client should unmark the lien on funds and securities created in favour of SBICAP Securities Ltd. before applying for closure of the Trading Account

For Office Use Only

Scrutiny By Name EMP Code Data Entered By Verified By Reference No.

Demat

Trading BRANCH STAMP HO STAMP

D:\Murli\DP & Trading Combine Closure Request Form.p65