NBFC Registration Cancellation Request Form

NBFC Registration Cancellation Request Form
Submit your request to cancel your NBFC registration. All information provided will be used solely for processing your cancellation request.
Full Name of Applicant
First NameLast Name
Organization Name
NBFC Registration Number
Official Email Address
example@example.com
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Registered Office Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Reason for Cancellation
Proposed Date of Cancellation
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Upload Supporting Documents (if any)
Cancelof
Additional Comments or Explanation
Authorized Signatory Name
Should be Empty: