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RELIANCE SECURITIES LIMITED

Account Closure Request Form (Demat account). 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, RELIANCE SECURITIES LIMITED . Ashar IT Park B-2, B Wing, 4th floor, Jayashri Baug, Road No. 16, Wagle Industrial Estate, Thane (West) 400604, MAHARASHTRA. PHONE -022 39886000. DPID:-13041400 and SEBI Reg. No. IN-DP-CDSL-357-2006. 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 Client ID. Holder's Details DP ID. Name of the First / Sole Holder Name of the Second Holder Name of the Third Holder Address for Correspondence City State PIN.

Account Closure Request Form (Trading account) To, Reliance Securities Limited 11 TH FLOOR, R-Tech IT Park, Western Express Highway, Goregaon (East), Mumbai – …

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