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Combined Closure Form

The document is an Account Closure Request Form for Trading and/or Demat accounts, intended for clients to formally request the closure of their accounts with Master Capital Services Limited. It includes sections for account holder details, reasons for closure, account codes, and options for handling remaining balances. The form also contains instructions for submission and an acknowledgment section for the service provider's confirmation of receipt.

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deepak lachhwani
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35 views2 pages

Combined Closure Form

The document is an Account Closure Request Form for Trading and/or Demat accounts, intended for clients to formally request the closure of their accounts with Master Capital Services Limited. It includes sections for account holder details, reasons for closure, account codes, and options for handling remaining balances. The form also contains instructions for submission and an acknowledgment section for the service provider's confirmation of receipt.

Uploaded by

deepak lachhwani
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
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Account Closure Request Form – Trading &/or Demat A/c

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


Closure Initiated by  BO  DP  NSDL  CDSL
(To be filled by the BO (in case of BO-initiated closure). Please fill all the details in Block Letters in English)
To, Master Capital Services Limited
Integrated Backoffice Operations,
C-56, Sector-63,Noida (U.P.) - 201301
SEBI Regn No: INZ000210539 DP ID NSDL – IN301143 & CDSL -12022900
Dear Sir / Madam,

I / We the Trading Account Holder/ Sole Holder / Joint Holders / Guardian (in case of Minor) / Clearing Member
request you to close my / our Trading &/or Demat account with you from the date of this application. The details
of my/our account are given below:
 Trading Account  Demat Account –NSDL/CDSL  Trading & Demat Account – NSDL/CDSL
(Please Tick in appropriate Column)
1. Account Holder’s Details
Name of the First / Sole Holder
Name of the Second Holder
Name of the Third Holder
Address for Correspondence
City: State: Pin:
2. Reasons for Closing the Account
3. Trading Account Code to be closed
Trading Account Name
 NSDL -DP ID –IN 301143
Demat Account Code to be closed BO ID ________________________
 CDSL -DP ID –I2022900
4. Please tick the applicable option(s)
 Option A [There are no balances / holdings in this account]
Target Account Details
 Option B Transfer to my/our own
[Transfer the account (provide target account  NSDL DP ID
Balances/holdi details and enclose Client Master
ngs in this Report of Target Account) Client ID
account as per  CDSL
details given]  Transfer to any other account (Submit duly filled Delivery Instruction slip signed by all holders)
 Option C [Rematerialise / Reonvert (Submit duly filled Remat/Reconversion Request Form-for mutual fund units)]

5. Balance remaining in the account (if any) to be :


 Partly rematerialised and partly transferred.  Rematerialised
Transferred to another account (Details given below)  Not applicable
DP ID _______________________________ Client ID _____________________________________
Balance present in account for (To be filled by DP, if applicable)
 Ear - marked  Pledged  Pending for Dematerialisation
 Frozen  Pending for Rematerialisation  Lock-in
6. I/We declare and confirm that all the transactions in my/our Trading/Demat account are true/ authentic. I/we further
confirm and agree that I/we shall remain liable for any excess payment of funds/transfer of securities to me/us
which may come to your notice after the closure of the above mentioned account. Further, I/we have no
claim/dispute pending with you/sub broker/dealing office of your Company.
Signatures: Sign Verified (For Office Use Only) Tick Status
Trading Account
/Sole/First Holder Yes / No Trading Suspended : Yes / No

Second Holder Ledger Balance : Debit / Credit / Nil


Yes / No
Pledged Securities : Yes / No
Third Holder
Yes / No Checked By : _________________________________

*If DP or CDSL initiates account closure, Signature(s) of account holder(s) not required.
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”.
Acknowledgment
We hereby acknowledge the receipt of your request for closing the following Account subject to verification:

DP ID Client ID
Name of Sole/First Holder

Name of Second Holder

Name of Third Holder

Trading Account Code

Trading Account Name

Signature of the Authorised Signatory

Date
Seal / Stamp of Participant

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