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STFC Beneficial Ownership - Declaration Format 84003

This document declares the beneficial owners of a legal entity applying for services from Shriram Finance Limited. It requires information such as the name and ownership percentage of any natural persons that own more than 10% of a company, 15% of other entities, or are a senior managing official if no one owns over those thresholds. It also requires identity and address proof documents to be attached to verify the beneficial owners. By signing, the legal entity agrees to notify Shriram Finance of any changes to beneficial owners.

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0% found this document useful (0 votes)
115 views3 pages

STFC Beneficial Ownership - Declaration Format 84003

This document declares the beneficial owners of a legal entity applying for services from Shriram Finance Limited. It requires information such as the name and ownership percentage of any natural persons that own more than 10% of a company, 15% of other entities, or are a senior managing official if no one owns over those thresholds. It also requires identity and address proof documents to be attached to verify the beneficial owners. By signing, the legal entity agrees to notify Shriram Finance of any changes to beneficial owners.

Uploaded by

jsmreddy19111987
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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DECLARATION OF BENEFICIAL OWNERSHIP

(Applicable to Company (Other than the company listed on a stock exchange or in case of a subsidiary of such a
company), partnership firm, unincorporated association or body of individuals and trusts)

Name of the Legal Entity: ____________________________________________________________________


Registered Address: _____________________________________________________________________
_____________________________________________________________________

Type of Entity / Legal Constitution (Please tick the correct box)


Company Partnership Firm
Association of Persons (AOP) Body of Individuals (BOI)
Trust Society
Others (Club, University, Institution etc)

The Legal Entity as stated above hereby confirms and declares that on the below date that following natural
person(s) are the Beneficial Owners.

Please fill details of Beneficial Owner holding more than 10% controlling interest (in case of company), 10% or
more in case of trust or more than 15% controlling interest (in case of other entities), if Beneficial Owner is not
identifiable or there are no natural person(s), who are Beneficial Owners, please fill details of Senior Managing
Official.

(Please attach self-attested proof of KYC documents of Beneficial Owner/s or Senior Managing Official)
1 Full Name of Beneficial owner / Senior
Managing Official:
Controlling ownership Interest (%):
Gender: Male Female
Date of Birth:
Address:

PIN Code:
PAN:
Aadhaar Number.:
KYC Documents:
-Identity Proof: Voter ID; Passport; Driving License; Aadhaar; NPR
Letter
-Address Proof: Voter ID; Passport; Driving License; Aadhaar; NPR
Letter
Director Identification Number (if
applicable):
Mobile Number(s):
Residential status: Resident Indian Individual;
Foreign/Non-Resident Indian Individual
Relationship: Shareholder; Partner; Trustee; Promoter Director;
Nominee Director; Independent Director; Other Director;
Chairman/ Member (Society); Member (AoP); Others
2 Full Name of Beneficial owner / Senior
Managing Official:
Controlling ownership Interest (%):
Gender: Male Female
Date of Birth:
Address:

PIN Code:
PAN:
Aadhaar No.:
KYC Documents:
-Identity Proof: Voter ID; Passport; Driving License; Aadhaar; NPR
Letter
-Address Proof: Voter ID; Passport; Driving License; Aadhaar; NPR
Letter
Director Identification Number (if
applicable):
Mobile Number(s):
Residential status: Resident Indian Individual;
Foreign/Non-Resident Indian Individual
Relationship: Shareholder; Partner; Trustee; Promoter Director;
Nominee Director; Independent Director; Other Director;
Chairman/ Member (Society); Member (AoP); Others

In case of more than two beneficial owners, please provide their details as per for the above format

We certify that the facts stated above are true and correct. We undertake and agree that we will notify
“Shriram Finance Limited” of any changes in the controlling persons, person exercising control or having
controlling ownership interest in the Company, partnership firm, unincorporated association or body of
individuals and trusts, as declared in the table above, without any delay.

For and on behalf of -----------------------------------[name of Company, partnership firm, unincorporated


association or body of individuals and trusts]:
Signature of the Authorized Official*: ______________________________________________________
Full Name of the Authorized official: _______________________________________________________
Designation / Position: ____________________________________________________________________

Date:
Place:
(*The declaration should be signed by Authorised Signatories in case of Company, an active/designated
partner in case of Partnership Firm/LLP, a trustee in case of Trust, a senior member in case of AOP, Society,
Club and member of the Managing Committee in case of University and Institution)

For Branch use only


We certify that the beneficial owner(s) of the said Legal Entity has/have been determined on the basis of
declaration made and documents submitted by the abovementioned Company/Partnership
firm/Unincorporated association/Body of individuals/Trusts and the details furnished above have been verified
from documents which are submitted or information wherever available, in public domain.

Signature of the Employee


Employee Name:
Employee Code.:
Date:

*********************************************

As per RBI KYC Master Direction, Beneficial Owner (BO) is defined as:
a. Where the customer is a Company, the beneficial owner is the natural person(s), who, whether acting alone
or together, or through one or more juridical persons, has/have a controlling ownership interest or who
exercise control through other means.
Explanation- For the purpose of this sub-clause-
“Controlling ownership interest” means ownership of/entitlement to more than 10 per cent of the shares or
capital or profits of the company.
“Control” shall include the right to appoint majority of the directors or to control the management or policy
decisions including by virtue of their shareholding or management rights or shareholder’s agreements or voting
agreements.

b. Where the customer is a Partnership firm, the beneficial owner is the natural person(s), who, whether
acting alone or together, or through one or more juridical person, has/have ownership of/entitlement to more
than 15 per cent of capital or profits of the partnership.

c. Where the customer is an Unincorporated association or Body of individuals, the beneficial owner is the
natural person(s), who, whether acting alone or together, or through one or more juridical person, has/have
ownership of/entitlement to more than 15 per cent of the property or capital or profits of the unincorporated
association or body of individuals.
Explanation: Term ‘body of individuals’ includes societies.
Where no natural person is identified under (a), (b) or (c) above, the beneficial owner is the relevant natural
person who holds the position of senior managing official.

d. 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.

*********************************************

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