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    Beneficial Owner (Annexure) - 2017

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    senmuru
    The document declares the beneficial ownership of an entity such as a company, partnership, or trust. It requires identifying any natural persons that own or control more than 25% or 15% of the entity. If no such controlling persons exist, it requires providing details of all partners, trustees, or senior managing officials who are natural persons instead. The entity declares that the information provided about controlling owners or officials is true and complete.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Beneficial Owner (Annexure) - 2017

    Uploaded by

    senmuru
    190 views2 pages
    The document declares the beneficial ownership of an entity such as a company, partnership, or trust. It requires identifying any natural persons that own or control more than 25% or 15% of the entity. If no such controlling persons exist, it requires providing details of all partners, trustees, or senior managing officials who are natural persons instead. The entity declares that the information provided about controlling owners or officials is true and complete.

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    Beneficial owner (Annexure)-2017

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    The document declares the beneficial ownership of an entity such as a company, partnership, or trust. It requires identifying any natural persons that own or control more than 25% or 15% of the entity. If no such controlling persons exist, it requires providing details of all partners, trustees, or senior managing officials who are natural persons instead. The entity declares that the information provided about controlling owners or officials is true and complete.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    190 views2 pages

    Beneficial Owner (Annexure) - 2017

    Uploaded by

    senmuru
    The document declares the beneficial ownership of an entity such as a company, partnership, or trust. It requires identifying any natural persons that own or control more than 25% or 15% of the entity. If no such controlling persons exist, it requires providing details of all partners, trustees, or senior managing officials who are natural persons instead. The entity declares that the information provided about controlling owners or officials is true and complete.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    DECLARATION OF BENEFICIAL OWNERSHIP

    (Company /Partnership/LLP/AOP/Society/Trust/Club/University/Institution)
    *Customer ID:
    *Name of Entity: /
    *Corporate identification No. (CIN No) Registered Number:
    *PAN No
    *Constitution: Pvt Ltd Public Ltd Partnership LLP AOP Society Club University Institution Trust*
    The Customer as stated above hereby confirms and declares that on the below date: (Please tick the correct box)
    A. Listed on _______________________________________________________ (Name of the Stock Exchange)
    Or subsidiary of a listed company: ________________________________ (Name of the listed company).
    OR
    B. The following natural person(s) (listed in Table below) exercise control or ultimately have a controlling ownership
    interest i.e. having ownership/entitlement of more than 25% or 15% of shares/capital/profits /property or controlling
    through voting rights, agreement, arrangement etc.

    *In case of partnership firms the natural persons entitled to more than 15% of capital or profits of the firm. In
    case of unincorporated associations the natural persons entitled to more than 15%of the property or capital or
    profits of the entity. In case of Trusts, the author, trustee, the beneficiaries with 15% & above interest in the trust.
    OR
    C. There are no natural person(s) who exercise control or ultimately have a controlling ownership interest as stated above,
    therefore details of all partner(s)(for partnership)/trustees (for trust) /senior managing officials (for unincorporated
    bodies)who are natural person(s) are stated in the below Table.
    If you have ticked B or C, please complete the Table below before signing the declaration

    Sr Full Name of Beneficial Date Nationality Address Type of KYC Controlling


    No. owner/controlling natural of (with City and Pincode) Documents ownership
    person(s) / Trustee / Settler / Birth Identity Address Interest (%)
    Grantor/Protector /Share
    holder / Senior Management
    1

    Customer Declaration:

    I / We undertake that the facts stated above are true and correct. I/ We undertakes and agrees that it will notify Axis Bank without
    delay of any changes to the controlling shareholders, person exercising control or having controlling ownership interest in the
    Company, as declared in the table above.

    For____________________(Name of Company)

    Signature & Designation


    Date :
    Office Use Only

    Branch Declaration

    Occupation Code: We have made best efforts to identify the beneficial


    owner(s) of the said firm. The details furnished above
    Annual Turnover: <5cr >5-25cr >25-50cr >50-100cr have been verified from information, wherever
    >100-150cr >150-250cr >250-500cr >500-750cr available, in public domain.

    Source of Funds: Business Income Donation / Grant

    Borrowing Equity investment Others:__________

    (Signature of the Branch Head/Branch Operations


    Head)

    Name:

    Employee No.:

    Date:

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