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Declaration Draft

NA

Uploaded by

vijayborge2605
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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DECLARATION FOR BENEFICIAL OWNERSHIP, SENIOR MANAGEMENT OFFICIAL IN COMPANIES, PARTNERSHIP A N D

PRINCIPAL PLACE OF BUSINESS


Date:
*Key Instructions to follow while filling below declaration, please note CIF & KYC is required only where BO is identified or where Senior Managing official identified as BO.
Constitution/ Trust Company Partnership Other Constitution
Section
Section I Mandatory Only if BO identified Only if BO identified with>=15% Only if BO identified
with>=10% Controlling Controlling with>=15% Controlling
ownership ownership ownership
Section II NA Mandatory If BO not identified in Section I NA
Section III Mandatory to be filled in case ownership NA Mandatory to declare all partners in NA
holding is <10% Controlling ownership & firm
where Beneficiary is not Trustee, Settlor,
Author

Section IV NA To be filled if in Exemption NA NA


category
Section V Mandatory Mandatory Mandatory Mandatory

Entity Name: 



Entity Customer ID  Account Number 
(only for existing customers)
SECTION – I I/We hereby declare that following natural person(s) (listed in table below) are Beneficial Owners (BOs)** in the aforementioned entity. In
case of Trusts, mandatory all Trustees, Author, Settlor to be captured as Beneficial Owners and if any natural person /
beneficiary > = 10% Controlling ownership.

Designation of Beneficial Percentage holding as per BO Definition


Sr Name of Beneficial Owner(s) Date of Owner (i.e. Beneficiary/ (In case of Company & Trust > = 10% Controlling ownership; In
No Birth Trustee/Settlers/ Director/ case of Other Constitutions > = 15% Controlling ownership)
Partners etc.)

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3

Does the above listed natural beneficial owners held through multiple layers of shareholding of intermediate shareholder/owner entities. Yes,
(Attach the comprehensive Beneficial ownership structure/tree) No
SECTION - II I/We hereby declare that there are no natural person(s) beneficial owners in terms of the definition of Beneficial Owner ** in the entity,
therefore details of senior managing officials/key managerial persons are mentioned in below table.

*Mandatorily to be filled for all Companies. This Section is not applicable to Trusts

Sr No Name of Senior Managing Official Date of Birth Designation of Senior Managing Official (i.e. MD, CEO etc.)

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2

1401, Rupa Sapphire, Sec-18, Plot No.12, Opp. Sanpada Rly Stn.,on Sion Panvel Highway, Vashi, Navi Mumbai – 400705.
INDIA. TEL. : +91 22 6906 3300 to 3330.
R.O. : Unit No.10, Banking Complex No.II, Sec-19A, Plot No. 9 & 10, Vashi, Navi Mumbai – 400705. INDIA.
CIN : U74999MH2015FTC269228 [email protected] – www.tpfepl.com – www.tpf.eu

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