Delinking Form
Delinking Form
1. ____________________2.___________________3.____________________4.___________________
I/We understand and agree that delinking of the above account(s) will not affect
my/our liabilities and obligations and I/We shall be liable for satisfactory completion
of all transactions effected prior to the delinking date. I further agree that such
liabilities / obligations shall continue to subsist and vest in /be binding on me/us or
my/our respective heirs, executors, administrators, legal representatives or
successors, as the case may be. I understand that until the delinking of the account,
ICICI Securities shall enjoy the same rights that it currently has, in respect of the
above account(s).
2.Closure of all open positions in my account in the derivatives segment or any other
segment, if any,
3.Transfer out of all my Mutual Fund holdings In view of the above I request you to please
process my/our application for de-linking of the savings bank Account.
Thanking you.
Yours Sincerely,
+
Signature of Applicant
CHECKLIST FOR DELINKING REQUEST
SR no:
MATCH ID :
KEY POINTS
*Delinking is not required for addition or deletion of joint holder in bank account.
*Delinking is required for name change of the customer,conversion of RI to NRI
*In case of addition or deletion of joint holder in bank account., where CM is been routed to ICICI Direct Branch by
ICICI Bank Branch, then RM will add the same in Activity notes of the SR while raising the same.
EMPLOYEE DETAILS :
Name:-
Emp Code:-
Signature :-
Date:-