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Beneficial Ownership Declaration Form

The document is a Beneficial Ownership Declaration form for various entities including LLPs, partnerships, companies, trusts, and associations. It requires the identification of individuals holding significant ownership interests and provides guidelines for declaring beneficial owners and senior managing officials. Additionally, it outlines exemptions and signature requirements for different types of entities.

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shivam
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0% found this document useful (0 votes)
218 views2 pages

Beneficial Ownership Declaration Form

The document is a Beneficial Ownership Declaration form for various entities including LLPs, partnerships, companies, trusts, and associations. It requires the identification of individuals holding significant ownership interests and provides guidelines for declaring beneficial owners and senior managing officials. Additionally, it outlines exemptions and signature requirements for different types of entities.

Uploaded by

shivam
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Annexure I

BENEFICIAL OWNERSHIP DECLARATION


FOR LLP / PARTNERSHIP / COMPANY / TRUST / SOCIETIES / ASSOCIATIONS / FOREIGN ENTITY
Customer Name:

Customer ID: Account Number:

Tick the box as applicable.


We hereby declare that following persons owns 10% / 15% (*Refer notes A & B) or more interest in the _______________________________________entity.
Sr. Name and Address of Beneficial Owner Type DOB/ Date of Unique No. of an identification Nationality % of interest/
No. Beneficial Owners** (Refer Note C) Incorporation document (PAN/ Voter ID/ ownership in the
Aadhaar number etc.)* entity

As persons possessing 10% / 15% or more interest in the entity are not identified, or the BO identified above is a non-Individual entity, we hereby declare
that no natural person is identified as beneficial owner. Hence, the details of senior managing official is/are as follows:
Sr. Name and Address of DOB Unique No. of an identification Nationality Designation Percentage of
No. Beneficial Owners/ document ownership/ capital/
Senior Managing Official/s ** (PAN/ Voter ID/ Aadhaar card, etc.) profits

**Note: If the beneficial owner exercises control through other means like voting rights, agreements, arrangement, etc. or Where no natural person is identified, the beneficial owner is the
relevant natural person who holds the position of senior managing official in that entity. This needs to be specified in the BO declaration.

Beneficial Owner Name Beneficial Owner Name Beneficial Owner Name Beneficial Owner Name

Photograph Photograph Photograph Photograph

Beneficial Owner Name Beneficial Owner Name Beneficial Owner Name Beneficial Owner Name

Photograph Photograph Photograph Photograph

*Note: Please submit an Officially Valid Document (Passport / Driving License / Aadhaar / Voter ID / Job card issued by NREGA duly signed
by an officer of the State Government / Letter issued by the National Population Register containing details of name and address) to
identify the beneficial owner/s along with latest photograph. Signature with Stamp
Authorised Signatory/ies (i):

Signature with Stamp


(ii):
(Refer note D for Signature requirement)
Refer # Notes A, B, C and D.

#Notes
A:- Controlling ownership interest means:
I. Ownership of/entitlement to more than 10% of the share capital of the juridical person, where the juridical person is a company
“Control” shall include the right to appoint a majority of the directors or to control the management or policy decisions, including by virtue of their
shareholding or management rights or shareholders agreements or voting agreements.
II. Ownership of/entitlement to more than 10% of the capital or profits of the juridical person where the juridical person is a partnership, LLP;
III. Ownership of/entitlement to more than 15% of the property or capital or profits of the juridical person where the juridical person is an unincorporated
association or body of individuals.
IV. Where the customer is a trust, the identification of beneficial owner(S) shall include identification of the author of the trust, the trustee, the beneficiaries with
10% or more interest in the trust and any other natural person exercising ultimate effective control over the trust through a chain of control or ownership.

Where no natural person is identified under (I) or (II) or (III) or (IV) above, the beneficial owner is the relevant natural person who holds the position of senior managing
official in that entity.

B:- Beneficial Ownership Declaration is not required for the following entities. The exemption from BO identification has been aligned with that provided in
the PML Rules, 2005, such that where the customer or the owner of the controlling interest is:
a) Individual accounts
b) Sole Proprietorship accounts
c) Government Departments
d) Public Sector Undertaking
e) Local Government Bodies (Municipal Corporations, Gram Panchayats etc.)
f ) Company listed on a recognised stock exchange
g) Majority-owned subsidiary of a Company listed on a recognised stock exchange

C:- Beneficial Ownership Declaration to provide details of following


I. In the case of a Partnership Firm/ LLP:- Natural persons / partners
II. In case of Trust:- Trustees / Settlor / Protector / Beneficiary / Author
III. In the case of Foundation:- Founder managers / Directors/ Beneficiary
IV. In the case of Society:- Members/ authorised signatories/ Beneficiary
V. In case of Club:- Members/ authorised signatories/ Beneficiary
VI. In case of association: - Members/ authorised signatories/ Beneficiary
VII. In the case of Pvt Ltd companies and Unlisted Public Ltd Companies:- Shareholder/ Directors / Other Beneficiaries
VIII. In case of Foreign Entity:- Share/ holder/ Director / Other Beneficiaries

Note - Companies/Entities qualifying below criteria need to submit a declaration confirming non-eligibility for beneficial ownership declaration along with supporting
documents confirming the same. .
Where the customer or the owner of the controlling interest is -
1. An entity listed on a stock exchange in India,
2. It is an entity resident in jurisdictions notified by the Central Government and listed on stock exchanges in such jurisdictions,
3. It is a subsidiary of such listed entities; it is not necessary to identify and verify the identity of any shareholder or beneficial owner of such entities.

D:- Signature on the Declaration form


I. In case of Partnership Firm/ LLP /Trust /Foundation Society, Club: - Any two Authorised Signatories or as per Mode of Operations should sign
II. In case of Association: - All Authorised Signatories should sign
III. In the case of Pvt Ltd companies and Unlisted Public Ltd Companies: - Any two Directors or Company Secretary should sign
IV. In case of Foreign Entity: - All Authorised Signatories should sign

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