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Account Closure Request Form

The document is a Trading and Demat Account Closure Request Form submitted by Ashok Kumar to Paytm Money Limited, requesting the closure of his account due to stopped trading. The account details, including Trading Client ID and DP ID, are provided, with a declaration confirming the authenticity of transactions. An acknowledgment receipt is included, confirming the receipt of the closure request subject to verification.

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154 views1 page

Account Closure Request Form

The document is a Trading and Demat Account Closure Request Form submitted by Ashok Kumar to Paytm Money Limited, requesting the closure of his account due to stopped trading. The account details, including Trading Client ID and DP ID, are provided, with a declaration confirming the authenticity of transactions. An acknowledgment receipt is included, confirming the receipt of the closure request subject to verification.

Uploaded by

ashokumar.scb
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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TRADING and DEMAT ACCOUNT CLOSURE REQUEST FORM

Application No. 2DNGQ5SEPw3M Date 2 5 0 6 2 0 2 4


Closure Initiated By ✔ BO DP CDSL
(To be filled by the BO. Please fill all the details in Block Letters in English)
To,
Paytm Money Limited
THE HUB, 3RD FLOOR,
SY No 8 & 8/2 Ambalipura Village, Varthur Hobli Sarjapura Main Road Bangalore, Karnataka - 560103
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
Trading Client ID H C 5 9 4 1 5 6
DP ID 1 2 0 8 8 8 0 0 Client ID 1 9 7 9 8 2 4 9
Name of the First / Sole Holder ASHOK KUMAR
Name of the Second Holder NA
Name of the Third Holder NA
Address for Correspondence S/O LAKHI PRASAD BHALOTIA,RAMPUR RAUT,KUSHESHWAR
ASTHAN,DARBHANGA,BIHAR

City SAMASTIPUR State BIHAR PIN 8 4 8 2 1 3

Details of remaining security balances in the account (if any)


Reasons for Closing the Account STOPPED TRADING
Balance remaining in the account (if any) to be: NIL
Partly rematerialized and partly transferred Rematerialized
Transferred to another account (Number given below) ✔ Not applicable
Trading Client ID H C 5 9 4 1 5 6
DP ID 1 2 0 8 8 8 0 0 Client ID 1 9 7 9 8 2 4 9
Ear - marked Pledged
Balance prsent in a/c for
Pending for Dematerialization Frozen
(To be filled by DP, if applicable)
Pending for Rematerialization 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 ASHOK KUMAR NULL NULL
Signature*

*If DP or CDSL initiates account closure, Signature(s) of account holder(s) not required
=========================("Please Tear Hear")=========================
Acknowledgement Receipt
Application No.: 2DNGQ5SEPw3M Date: 25 / 06 / 2024
We hereby acknowledge the receipt of your instruction for Closing the following Account subject to verification : -
Trading Client ID H C 5 9 4 1 5 6
DP ID 1 2 0 8 8 8 0 0 Client ID 1 9 7 9 8 2 4 9
Name of the First / Sole Holder ASHOK KUMAR
Name of the Second Holder NA
Name of the Third Holder NA
Reason for Closure STOPPED TRADING

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 transder form (off market instruction sip) if the balances are to be transaferred to another A/c.

Paytm Money Limited, The Hub, 8/2, Sarjapur Main Road, Ambulipura Village, Varthur Hobli, Bengaluru - 560103

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