These rules shall not be made applicable to the extent the share of the reporting company is held by,
(a) the authority constituted under sub-section (5) of Section 125 of the Act;
(b) its holding reporting company:
Provided that the details of such holding reporting company shall be reported in Form No. BEN-2.
(c) the Central Government, State Government or any local Authority;
(d) (i) a reporting company, or
(ii) a body corporate, or
(iii) an entity,
controlled by the Central Government or by any State Government or Governments, or partly by the Central Government and partly by one or more State Governments;
(e) Securities and Exchange Board of India registered Investment Vehicles such as mutual funds, alternative investment funds (AIF), Real Estate Investment Trusts (REITs), Infrastructure Investment Trust (In VITs) regulated by the Securities and Exchange Board of India,
(f) Investment Vehicles regulated by Reserve Bank of India, or Insurance Regulatory and Development Authority of India, or Pension Fund Regulatory and Development Authority.]
ANNEXURE
5[Form No. BEN-1
Declaration by the beneficial owner who holds or acquires significant beneficial ownership in shares
[Pursuant to Section 90(1) of the Companies Act, 2013 and Rule 2-A, 3]
To
Name of the company: Registered office address:
1. Purpose of filing the form (choose any one)
For declaration of Significant Beneficial Ownership under Section 90
For Change in Significant Beneficial Ownership under Section 90
ID of the Significant Beneficial Owner
2. Particulars of the holder of the significant beneficial interest:
| Name of the Significant Beneficial Owner (Given name and last Name) |
|
| Address and Email id |
|
| Date of Birth/Age |
|
| Father's/Mother's/Spouse's name |
|
| Occupation |
|
| Nationality |
|
| Passport No. (in case of foreign national) |
|
3-A. Nature of indirect holding or exercise of right in the reporting company through member of the reporting company (where more than one repeat this para of the Form)
(a) Type of Member (Company/LLP/Any other Body Corporate/HUF/Partnership Firm/Discretionary Trust/Charitable trust/Specific Trust/Revocable Trust/Pooled Investment vehicle (PIV)/Entity controlled by PIV)
(b) Corporate Identity number(CIN) or Limited Liability Partnership Identification number(LLPIN) or any other registration number allotted by the regulator established under the Act
(c) Name of the Member
(d) Address
Line I
Line II
City State
CountryPin Code
(e) Nature of indirect holding or exercise of right in the reporting company:
By virtue of shares %
By virtue of voting rights in shares %
By virtue of rights on distributable dividend or any other distribution %
By virtue of exercise of control (attach copy of agreement)
By virtue of exercise of significant influence (attach copy of agreement)
(f) Status of significant beneficial owner in the member of the reporting company (choose any one)
Individual in case of company or any other body corporate
Partner in case of partnership firm or LLP
Karta in case of HUF
Trustee in case of a discretionary trust or charitable trust
Beneficiary in case of a specific trust
Author or settlor in case of a revocable trust
General Partner, Investment Manager or CEO in case of pooled investment vehicle or entity controlled by pooled investment vehicle
(g) In case the member is a partnership firm or LLP, specify whether significant beneficial owner:
is a partner
holds majority stake in the body corporate partner
holds majority stake in the ultimate holding company of the body corporate partner
(h) In case the member is a company or any other body corporate, specify whether significant beneficial owner holds:
majority stake in such company or body corporate
majority stake in the ultimate holding company of such company or body corporate
(i) Whether Significant Beneficial Owner has any direct holding or right in the reporting company
Yes No
If yes, enter details below:
By virtue of shares %
By virtue of voting rights in shares %
By virtue of rights on distributable dividend or any other distribution %
By virtue of exercise of control (attach copy of agreement)
By virtue of exercise of significant influence (attach copy of agreement)
Date:
Place:
Signature of the holder of the significant beneficial interest
Attachments:
Form No. BEN-2
.png)
Form language o English o Hindi
Refer the instruction kit for filing the form.
1. (a) *Corporate Identity Number (CIN) of company Pre-fill
2. (a) Name of the company
(b) Registered Office Address
(c) *email Id
3. *Purpose of filing the form
For declaration of Significant Beneficial Ownership under Section 90
Number of Significant Beneficial Owners for whom the form is being filed
For Change in Significant Beneficial Ownership under Section 90
ID of the Significant Beneficial Owner
For declaration of holding reporting company
CIN of the holding reporting company
4. (A) Number of Members through whom indirect holding or right in reporting company is being exercised
(B) Details of the Member
I. * Manner in which significant beneficial interest is being held or exercised either indirectly or together with any direct holding or right (select one or more as may be applicable)
By virtue of shares %
By virtue of voting rights in shares %
By virtue of rights on distributable dividend or any other distribution %
By virtue of exercise of control (attach copy of agreement)
By virtue of exercise of significant influence (attach copy of agreement)
Particulars of the Member
(a) Type of Member
(b) Corporate Identity number(CIN) or Foreign Company Registration Number (FCRN) or Limited liability partnership Identification number(LLPIN) or any other registration number Pre-fill
(c) Name of the Member
(d) Address
Line I
Line II
City State
CountryPin Code
(e) Email ID of the Member
(f) Date of entry of name in register u/s 88 (DD/MM/YYYY)
(C) Status of the SBO
(D) Whether individual (SBO) has majority stake in the
Member of the Reporting Company
Ultimate Holding Company of the member of the reporting company
Corporate Identity number (CIN) or FCRN or any other registration number Pre-fill
Name of the ultimate holding company
(E) Whether the individual (SBO):
is a Partner of the member
holds majority stake in the body corporate partner
holds majority stake in the ultimate holding company of the body corporate partner
Corporate Identity number(CIN) or FCRN or any other registration number Pre-fill
Name of the body corporate partner/ultimate holding company
(F) Particulars of the Significant Beneficial Owner
(a) Name
First name
Last name
Middle name
(b) Father's Name (Even married women must give father's name)
First name
Last name
Middle name
(c) Date of birth (DD/MM/YYYY)
(d) Nationality
(e) Whether a citizen of India Yes No
(f) Income Tax PAN Verify Income-tax PAN Details
(g) Passport Number
(h) Address
Line I
Line II
City State
Country Pin Code
(i) Email ID of the Significant Beneficial Owner
(j) Date of acquiring Significant Beneficial Interest
(DD/MM/YYYY)
(k) Date of declarations under sub-section (1) of Section 90
(DD/MM/YYYY)
(l) Date of receipt of the declaration by the company
(DD/MM/YYYY)
(m) Whether Significant Beneficial Owner has any direct holding or right in the reporting company
Yes No
If yes, enter details below:
By virtue of shares %
By virtue of voting rights in shares %
By virtue of rights on distributable dividend or any other distribution %
By virtue of exercising control (attach copy of agreement)
By virtue of exercising significant influence (attach copy of agreement)
| Attachments: |
List Of |
| 1. |
*Declaration under Section 90 |
Attach |
|
| 2. |
Optional attachments, if any |
Attach |
| |
|
|
Remove attachment |
Declaration
To the best of my knowledge and belief, the information given in this form and attachments is correct and complete. I have been authorized by board of directors' resolution dated* (DD/MM/YYYY) to sign and submit this form.
*To be digitally signed byDSC BOX
*Designation
*Director identification number of the director; or
DIN or PAN of the manager or CEO or CFO; or
Membership number of company secretary.
Certificate by Practicing Professional
It is hereby certified that I have gone through the provisions of the Companies Act, 2013 and Rules thereunder for the subject matter of this form and matters incidental thereto and I have verified the above particulars (including attachment(s)) from the original records maintained by the Company which is subject matter of this form and found them to be true, correct and complete and no information material to this form has been suppressed.
Chartered Accountant (in whole-time practice) or Cost Accountant (in whole-time practice) or
Company Secretary (in whole-time practice)DSC BOX
Whether Associate or Fellow Associate Fellow
Membership Number
Certificate of Practice Number
| Modify |
Check form |
Prescrutiny |
Submit |
| Note: Attention is also drawn to provisions of Section 448 and 449 which provide for punishment for false statement and punishment for false evidence respectively. |
This e-Form has been taken on file maintained by the register of companies through electronic mode and on the basis of statement of correctness given by the Director and professional.
Form no. BEN-3
Register of beneficial owners holding significant beneficial interest
[Pursuant to Section 90(2) of the Companies Act, 2013 and Rule 5(1)]
Name of the company:
Registered office address:
| Sl. No. |
Name of the Beneficial Owner |
Address and E-mail id |
Date of Birth/Age |
Father's/Mother's/Spouse's name |
| (1) |
(2) |
(3) |
(4) |
(5) |
| Occupation |
Nationality |
PAN/UIN |
Passport No. (in case of foreign national) |
Status |
| (6) |
(7) |
(8) |
(9) |
(10) |
| Date of declaration under Section 90 |
Date of cessation |
Date of entry in Register |
Date of filing of BEN-2(SRN wise) |
Any other interest, if any |
| (11) |
|
|
|
|
| Instructions, if any, given by the member |
|
|
|
|
Form no. BEN-4
[Pursuant to Section 90(5) of the Companies Act, 2013, Rule 2-A, 6 and Rule 7]
[<<Insert Company Name>>] (the Company )
<<Insert Date>> [By post/email]
To:
Name and address of significant beneficial owner/any other person
Date:
Subject: Notice under sub-section (5) of Section 90 of the Companies Act, 2013 and rules made thereunder
The Company has reasonable cause to believe that*:
you are a significant beneficial owner of the company;
have knowledge of the identity of significant beneficial owner/another person ..likely to have such knowledge;
being a member hold not less than 10% of the shares/voting rights/rights on dividend or any other distribution in the company
have been a significant beneficial owner of the company during the three years immediately preceding the date of this notice, and
in respect of the above significant beneficial ownership, the return prescribed under Section 90 of the Act has not been filed in compliance with the Act.
You are accordingly advised to give the following information within 30 days of the date of this notice in accordance with the Section 90 of the Companies Act, 2013:
1. Name and Address of the Beneficial Owner
2. PAN of the B.O
3. Name of the person/entity/trust/body etc in whose name the shares/rights are registered/held
4. Date of acquiring beneficial interest
5. Documents, terms and conditions or any other particulars regarding the BO ownership
6. Reason for not filing declaration in Form No. BEN-1.
7. Any other information incidental to or relevant or in your possession or knowledge to enable the company to evaluate this matter.
* A copy of Form No. BEN-1 is attached for compliance.
The abovementioned particulars should be submitted in writing to the registered address of the company not later than 30 days of the date of this notice failing which the company shall proceed in the matter without further notice as per the provisions of the Act.
Name & signature
(Person authorized to issue notice)
*Delete whichever is not applicable
[F. No. 1/1/2018 CL-V]
K.V.R. MURTY, Jt. Secy.]