REGISTER OF BENEFICIAL OWNERS
[Company Name] · Foreign Register / Register of Beneficial Owners kept under Section 88(3) and Section 89 of the Companies Act, 2013 (notice of situation filed in Form MGT-3)
| Sr. No. | Name & Address of Registered Holder | Name, Address & PAN of Beneficial Owner | No. & Class of Shares | Distinctive Nos. / Folio | Date of Declaration (MGT-4 / MGT-5) | Date of Entry | Nature of Beneficial Interest | Remarks |
|---|---|---|---|---|---|---|---|---|
| 1 | [Registered Holder], [Address] | [Beneficial Owner], [Address], PAN [ABCDE1234F] | [2,000] Equity | [2001–4000] / Folio [007] | [DD-MM-YYYY] | [DD-MM-YYYY] | [Dividend & voting rights] | [–] |
| 2 | [..] | [..] | [..] | [..] | [..] | [..] | [..] | [..] |
Entries follow declarations received in Form MGT-4 (registered owner) and MGT-5 (beneficial owner); kept at the registered office and authenticated by an authorised person.