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Return to the Registrar in respect of declaration under section 90

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....0 [Pursuant to section 90(4) of the Companies Act, 2013 and rule 4 and rule 8 of the Companies (Significant Beneficial Owners) Rules, 2018] Form language English Hindi सत्यमेव जयते Refer instruction kit for filing the form All fields marked in * are mandatory Company Information 1 *Corporate Identity Number (CIN) 2(a) *Name of the Company (b) *Registered office address (c) *email id 3 *Purpose of filing the form For declaration of holding reporting company For change in particulars of existing Significant Beneficial Ownership under Section 90 Change of the existing holding reporting company For declaration of Significant Beneficial Ownership under Section 90 For change of existing Significant Beneficial Ownership under Section 90 4 For declaration of holding reporting company (applicable in case 'For declaration of holding reporting company' is selected in data field 3) (a) CIN of the holding reporting company (b) Name of the holding reporting company 5 (a) For declaration of Significant Beneficial Ownership under Section 90 (applicable in case 'For declaration of Significant Beneficial Ownership un....

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....ght (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) % % % Copy of Agreement By virtue of exercise of significant influence (attach copy of agreement) Copy of Agreement 6B Particulars of the Members (a) Type of Member (b) CIN/FCRN/LLPIN or any other registration number (c) Name of the Member (d) Address of the Member (d)(i) Address Line 1 (ii) Address Line 2 (iii) Country (iv) Pin Code/Zip code (v) Area/Locality (vi) City (vii) District (viii) State/UT (e) Email ID of the Member Choose File Remove Download Choose File Remove Download Page 14 of 18 (f) Date of entry of name in register u/s 88 (DD/MM/YYYY) 6C Other details of the members (a) Status of the SBO (b) Whether individual (SBO) has majority stake in the (c) Corporate Identity number (CIN) or Foreign Company Registration Number (FCRN) or any other registration number (d) Name of the ultimate holding company (e) Whether the individual (SBO): (f) Corporate Identity number (CIN) or Foreign Company Registration....

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....(Director/Manager/CFO/CEO/ Company Secretory/Managing Director) *Director identification number of the director; or DIN or PAN of the manager or CEO or CFO; or Membership number of the Company secretary DSC BOX 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. Category: Chartered accountant (in whole-time practice) or Cost accountant (in whole-time practice) or Company secretary (in whole-time practice) *To be digitally signed by *Whether associate or fellow: â—‹ Associate *Membership number > Fellow Certificate of practice number DSC BOX Page 17 of 18 Save Submit Note: Attention is drawn to provisions of Section 448 and 449 of the Companies Act, 2013 which provide for punishment for false statement/certificate and punishment f....

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....Address Line I Line II City Country (e) Email ID of the Member (f) Date of entry of name in register u/s 88 (C) Status of the SBO (D) Whether individual (SBO) has majority stake in the State Pin Code (DD/MM/YYYY) Pre-fill O Member of the Reporting Company OUltimate Holding Company of the member of the reporting company Corporate Identity number (CIN) or FCRN or any other registration Name of the ultimate holding company (E) Whether the individual (SBO): O is a Partner of the member Pre-fill holds majority stake in the body corporate partner holds majority stake in the ultimate holding company of the body corporate partner Pre-fill Corporate Identity number(CIN) or FCRN or any other registration number 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 (d) Nationality (e) Whether a citizen of India (f) Income Tax PAN (g) Passport Number (DD/MM/YYYY) O Yes O No Verify Income-tax PAN Details (h) Address Line I Line II City C....

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....ofessional. Document 3 FORM NO. BEN-2 [Pursuant to section 90(4) of The Companies Act, 2013 and rule 4 and rule 8 of the Companies (Significant Beneficial Owners) Rules, 2018] Form language o English o Hindi Refer the instruction kit for filing the form. सत्यमेव जयते 1. (a) Corporate Identity Number (CIN) of company 2. (a) Name of the company (b) Registered Office Address 3. • (c) email Id Purpose of filing the form For declaration of holding reporting company CIN of the holding reporting company Return to the Registrar in respect of declaration under section 90 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 Significant Beneficial Owner SBO1 SBO2 SBO3 SBO4 Pre-fill Number of Members through whom indirect holding or right in reporting company is being exercise SBO5 SB06 SB07 SBO8 SB09 (A) Details of the Member * Manner in which significant beneficial interest is being held or exercised either indirectly or together with any di....