Stock Holding Corporation of India Limited
Regd. Office: 301, Centre Point, Dr. Babasaheb Ambedkar Road, Parel, Mumbai - 400 012.
Phone: 91-22-6177 9400 to 99 Fax: 91-22-6177 9058 Website; www.shcil.com CIN : U67190MH1986GOI040506
FORM 34
APPLICATION FOR CLOSING AN ACCOUNT
(For Beneficiary Account only)
Date D D M M Y Y Y Y
To,
DP Name:
DP Address:
DP ID:
1. I / We hereby request you to close my/our account with you as per following details:
Name of the holder(s)
Sole/ First Holder
Second Holder
Third Holder
2. Reason/s for Closure of depository account _________________________________________________
3. Client ID (of account to be closed)
4. Please tick the applicable option(s)
□Option A [There are no balances / holdings in this account ]
□ Option B □Transfer to my / our own account
Target Account Details
[Transfer the (Provide target account details
DP ID
balances /holdings and enclose Client Master Report □NSDL
In this account as of Target Account)
per details given]
□ Transfer to any other account □CDSL Client ID
(Submit duly filled Delivery
Instruction Slip signed by all
holders)
□ Option C [Rematerialise / Reconvert (Submit duly filled Remat / Reconversion Request Form-for mutual fund
units)]
5. Signatures
Sole//First Holder x
Second Holder x
Third Holder
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Acknowledgement
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
Signature of the Authorised Signatory Seal/Stamp of Participant
Date