Get Union Bank Account Closure Form

Annexure 10. 1 Account Closure Request Form Application No. Date D D M M 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 UNION BANK OF INDIA BRANCH 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 Client ID Name of the First / Sole Holder Name of the Second Holder Name of the Third Holder Address for Correspondence City State PIN Details of remaining security balances in the account if any Reasons for Closing the Account Balance remaining in the account if any to be partly rematerialised and partly transferred. Rematerialised Transferred to another account Number given below Not applicable Balance present in account for Ear - marked To be filled by DP if applicable Pending for Dematerialisation Pledged Frozen Lock-in DECLARATION In case of Account Closure due to SHIFTING OF ACCOUNT I/We declare and confirm that all the transactions in my/our demat account are true/ authentic. First / Sole Holder Second Holder Third Holder Name Signature If DP or CDSL initiates account closure Signature s of account holder s not required. Please Tear Hear Acknowledgement Receipt Date We hereby acknowledge the receipt of the your instruction for Closing the following Account subject to verification DP ID Depository Participant Seal and Signature Instructions to Account Holder s o Submit a duly-filled RRF if the balances are to be rematerialized. CDSL DP Operating Instructions December 2010 Page 1 of 2 Reference Communiqu no. Annexure 10. 1 Account Closure Request Form Application No* Date D D M M 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 UNION BANK OF INDIA BRANCH 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 Client ID Name of the First / Sole Holder Name of the Second Holder Name of the Third Holder Address for Correspondence City State PIN Details of remaining security balances in the account if any Reasons for Closing the Account Balance remaining in the account if any to be partly rematerialised and partly transferred* Rematerialised Transferred to another account Number given below Not applicable Balance present in account for Ear - marked To be filled by DP if applicable Pending for Dematerialisation Pledged Frozen Lock-in DECLARATION In case of Account Closure due to SHIFTING OF ACCOUNT I/We declare and confirm that all the transactions in my/our demat account are true/ authentic* First / Sole Holder Second Holder Third Holder Name Signature If DP or CDSL initiates account closure Signature s of account holder s not required* Please Tear Hear Acknowledgement Receipt Date We hereby acknowledge the receipt of the your instruction for Closing the following Account subject to verification DP ID Depository Participant Seal and Signature Instructions to Account Holder s o Submit a duly-filled RRF if the balances are to be rematerialized* CDSL DP Operating Instructions December 2010 Page 1 of 2 Reference Communiqu no.