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In Block Letters in English) To, SSJ Finance & Securities Pvt Ltd 1st Floor, Merchant Chamber, Opp. Patkar Hall, 41, New Marine Lines, Mumbai 400 020. 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 Holder s Details DP ID Name of the First / Sole Holder Name of the Second Holder Name of the Third.

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