Format for details of Shareholders/Beneficial Ownership
(On the Company/LLP letter head)
Name of the Company: - PAN: -
(A). Shareholding Pattern:
Sr. Name of Shareholders % of share Mention reason
No. if belongs to
exempt entity#
1)
2)
3)
4)
(B). Details of ultimate natural persons ultimately holding 25 % or more shares or
exercising ultimate control over the company or 15% or more shares or capital or profits
or exercising ultimate control over the LLP*
Sr Name Date of Nationality Residentia ID proof Share
No Birth l Address no.** Holding
%
(OR)
(C). We hereby declare that no natural person is holding 25 % or more shares/exercise
control in the company or 15% or more shares or capital or profits or exercising ultimate
control over the LLP* as per (B) above or information about the ultimate shareholders is
not available with the company. The details of senior managing officials (e.g. Managing
Director/Chief Executive Officer, etc) are as under:
Sr Name Designatio Date of Nationality Residentia ID proof
No n Birth l Address no. **
Signature
MYVU Capital Services Pvt Ltd
201 Olive Apts, Shivaji Nagar Road, Vakola, Santacruz E, Mumbai 400055.
www.myvucapital.com : +91 9920033000 : Myvucapital@gmail.com
(Any Director/Authorised Signatory/ Whole-time Company Secretary)
Notes: In Table B, the details of natural person who exercises control over the entity needs
to be furnished. The said natural person may act alone or together, or through one or more
juridical person.
* In case no such natural person is identifiable, indicate” Not identified” in Table B and
provide details required as per Table C.
#
Exempt Category: The details of beneficial owners are not required in case the
company or its shareholder is:
o Government/State Owned Entities/Departments/Offices/Life insurance, General
Insurance and public sector companies showing shareholding of Government
entities of more than 50%
o Diplomatic Missions and Embassies of Foreign Governments
o Provident Funds/Superannuation/Gratuity Funds/Pension Funds etc. of any entity
o Companies listed on any stock exchange whether in India or in FATF member country
o Subsidiary owned 50% or more or controlled by a listed company whether in India
or in FATF member country.
** One of the “officially valid document” (OVD) as per RBI guidelines needs to be
provided as ID proof.
MYVU Capital Services Pvt Ltd
201 Olive Apts, Shivaji Nagar Road, Vakola, Santacruz E, Mumbai 400055.
www.myvucapital.com : +91 9920033000 : Myvucapital@gmail.com