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Demat Closure Cum Sign Attestation

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Demat Account Closure Request Form

Application No. Date


Closure Initiated by
 WITH HOLDING  WITH OUT HOLDING

To
CANARA BANK
DP CELL (e-Syndicate), 1ST FLOOR, A-WING, C-14, G BLOCK, Circle Office,
BANDRA KURLA COMPLEX (BKC), MUMBAI-400051.

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 of eSyndicate Bank’s Demat account
DP ID 1 3 0 5 0 6 0 0 Client ID
Name of the First / Sole Holder
Name of the Second Holder
Name of the Third Holder
Address for Correspondence

City : PIN Code : State :


MOBILE / PHONE NO : eMail ID :
Reasons for Closing the Account

TO TRANSFER ALL HOLDINGS TO THE BELOW MENTIONED DEMAT ACCOUNT

DP ID Client ID

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

Depository Participant Seal and Signature

Acknowledgement Receipt
Application No. Date:-

We hereby acknowledge receipt of your instruction for Closing the following Account subject to verification: -
DP ID 1 3 0 5 0 6 0 0 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)
 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”.
TO WHOM SO EVER IT MAY CONCERN

Date: _____________

Sir,

Sub: Specimen Signature(s)-Attestation

I / We request you to record my / our latest signature(s) for Demat closure with eSyndicate Bank.

BO ID (16 digit Demat Account no): ______________________________

Name(s) of the Share Holder(s) Specimen Signature(s) of the Share Holder(s)

1.

2.

3.

Bank Account number of the Demat account holder: __________________________

Attested By Manager / Officer

Signature: _________________________

Employee ID: ___________

Name and Address of the Manager/Officer:

_________________________________

_________________________________

_________________________________

_________________________________

(Seal / Rubber stamp of the Bank)

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