ANNEXURE Q APPLICATION FOR CLOSING AN ACCOUNT (For Beneficiary Account only) To, HDFC Bank Limited Date D D M M Y Y Y Y
Depository Services, Lodha-I Think Techno Campus, Kanjurmarg (E), Mumbai 400042.
DP ID: IN300126 / IN301151 / IN301549 / IN300476 / IN300601 / IN301436. Instructions to the Applicant 1. Closure request needs to be signed by ALL the account holders. POA holder (if any) cannot sign the closure request. 2. Certified True Copy of Board resolution required in case of Corporate account closure. 3. Corrections (if any) have to be authenticated by ALL the holders 4. Closure request would be rejected in case of any outstanding charges & account would be suspended for debit & credit. 5. Please strike-off as NA for details which are not applicable. 6. In case of transfer cum closure please ensure the following: a. At least one of the account holder visits the branch b. He/she carries a valid original identity proof for verification c. Additionally, for obtaining waiver of charges please note: i. The target account should be in same combination of names and of same type/sub type as source account ii. Submit Client Master List (in crystal format) duly stamped and signed by an official of target DP
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. 3. Reason/s for Closure of depository account: Client ID (of account to be closed) DP ID (of the account to be closed) 4. Please tick the applicable option(s) I N _____________________________________________________________________________________
Option A [There are no balances / holdings in this account ] Option B [Transfer the balances / holdings in this account as per details given] . Transfer to my / our own account Target Account Details (Provide target account details and enclose Client Master Report of Target Account DP ID duly stamped and signed). NSDL Transfer to any other account Client (Submit duly filled Delivery ID CDSL Instruction Slip signed by all holders). Option C [Rematerialise / Reconvert (Submit duly filled Remat / Reconversion Request Form-for mutual fund units)] I / We confirm to have surrendered all unutilized delivery instruction slips I / We confirm to have exhausted all delivery instruction slips / misplaced / not traceable 5. Signature(s) Sole / First Holder Second Holder Third Holder
Signature of one of the account holders in the presence of Bank Staff Name of the account holder Signature of account holder Signature of bank official Name, Emp Code & Stamp
= = = = = = = = == = = = = = = = == = = = = = = = == = = = = = = = == = = = = = = = == = = = = = = = == = = = = = = = ============================ Acknowledgement We hereby acknowledge the receipt of the your request for closing the following Account subject to verification: DP ID Name of Sole / First Holder Name of Second Holder Name of Third Holder Signature of the Authorised Signatory Date Seal/ Stamp of Participant I N Client ID
