ACCOUNT CLOSURE REQUEST FORm (CDSL)

Closure Initiated by BO DP CDSL
(To be filled by the BO. Please fill all the details in Block Letters in English)

To
State Bank of India
DPCPC - DPID - 13019300
Mumbai.
Dear Sir / Madam,
I/We the sole Holder/ Joint Holder / 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 :
Address for Correspondence
City State Pin
Reasons for Closing the Account
Balance remaining in the account (if any) to be :
Partly rematerialised & Partly transferred Rematerialised Not applicable
Transferred to another account
Status of balance present in a/c for
(To be filled by DP, if applicable)
Earmarked Pledged
Pending for Dematerialisation Frozen
Pending for Rematerialisation Lock-in
Name
Signature*
First / Sole Holder Second Holder Third Holder
Account Holder’s Details
DP ID 1 3 0 1 9 3 0 0 BO ID
DP ID Client ID
Signature Verified and Certified that all the dues have been recovered Approved for Closure
Branch Name
for State Bank of India Branch Code
*If DP or CDSL initiates account closure, signature (s) of account holder (s) not required
Application No.
We hereby acknowledge the receipt of your instruction for closing the following Account Subject to verification :
Name
First / Sole Holder Second Holder Third Holder
Reasons for Closing the Account :
Name & Signature of Authorised Bank Official Branch Name
Branch Code
Instructions to Account Holder (s)
Submit a duly-filled RRF if the balances are to be rematerialized.
Submit duly-filled transfer form (off market instruction slip ) if the balance are to be transferred to another A/c.
DP ID BO ID
Signature verified
Name & Signature of Authorised Bank Official
INDOC No.
Application No.
State Bank of India
DP Centralised Processing Cell, CMC House, C-18, Bandra-Kurla Complex, Bandra (East), Mumbai 400 051.
• Help Desk: 1800 22 0488 (Toll free for MTNL/BSNL users) / Ph.: 022-26592123 • Fax : 022-26592127 • Email : querydp [at] sbi [dot] co [dot] in
State Bank of India
DP Centralized Processing Cell, CMC Ltd. CMC House, C-18, Bandra-Kurla Complex, Bandra (East), Mumbai 400 051.
• Help Desk: 1800 22 0488 (Toll free for MTNL/BSNL users) / Ph.: 022-26592123 • Fax : 022-26592127 • Email : querydp [at] sbi [dot] co [dot] in
DP ID No. : 13019300
Sebi Regn. No.: IN-DP-CDSL-80-2000
DP ID No. : 13019300
Sebi Regn. No.: IN-DP-CDSL-80-2000
Date D D M M Y Y Y Y
Date D D M M Y Y Y Y
Acknowledgement Receipt