Declaration

Declaration of Significant Beneficial Ownership (BEN-1)

Filed by every individual who is a significant beneficial owner in a reporting company under Section 90 of the Companies Act, 2013.

DECLARATION BY SIGNIFICANT BENEFICIAL OWNER

Form BEN-1 · Section 90(1) read with Rule 3 of the Companies (Significant Beneficial Owners) Rules, 2018

To,
The Board of Directors,
[Reporting Company Name]
CIN: [CIN]

I, [Individual Name], resident of [Address], PAN [PAN], do hereby declare that I am a Significant Beneficial Owner (SBO) in the above reporting company, holding, directly or indirectly, significant beneficial interest as under:

Nature of Significant Beneficial InterestPercentage of HoldingDate of Acquiring SBO Status
[Shares / Voting Rights / Dividend / Control][% (not less than 10%)][DD/MM/YYYY]

The interest is held through the following member(s) of the reporting company: [Registered Member / Chain of Ownership]. I undertake to file a declaration of any change in my significant beneficial ownership within thirty days of such change.

Signature: __________________
Name: [Individual Name]
PAN: [PAN]
Place: [Place]
Date: [DD/MM/YYYY]

Before you use it — fill in / check

  • Reporting Company Name
  • CIN
  • Individual Name
  • PAN
  • Percentage Holding
  • Ownership Chain
  • Place & Date

How to use this template

  1. Read through and replace every [bracketed] or blank placeholder with your actual details.
  2. Delete any clause that doesn't apply and add anything specific to your situation.
  3. Click Print / Save as PDF to download, or Copy text to paste into your letterhead.
  4. Get it signed / stamped / notarised as required, and keep a copy for your records.

This is a general, editable template for convenience only — not legal advice. For anything material, have a professional review it. TaxClue isn't liable for how it's used.