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Account Closure Request Form - Karvy

Account Closure Request form Application No. Date D D M M Y Y Y Y Closure Initiated by [ ] BO [ ] DP [ ] CDSL (To be filled by the BO (in case of BO-initiated Closure ). Please fill all the details in Block Letters in English) To Karvy Stock Broking Limited, 46, Avenue 4, Street No. 1, Banjara Hills, Hyderabad - 500034 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.

Account Closure Request Form Application No. Date D D M M Y Y Y Y Closure Initiated by [ ] BO [ ] DP [ ] CDSL (To be filled by the BO (in case of BO-initiated closure).

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