Please select status
Full name, address of the Representative or Agent
[Please refer to the instructions (as specified in Rule 114 of I.T. Rules, 1962) for list of mandatory certified documents to be submitted as applicable]
["Control" as defined under SEBI (Substantial Acquisition of Shares and Takeovers) Regulations,1997 "Beneficial owner" as defined in the para 5.1 of SEBI circular dated December 31, 2010 on Anti Money Laundering.]
(a) In case of Individuals check here
(b) In case of Non Individuals here
(c) Gross Annual Income INR *
Net Worth(Assets less liabilities) in INR
(d) In case of a Public Company, whether listed on a stock exchange
(e) In case of Non‐individuals
Does it have few persons or persons of the same family holding beneficial ownership and control.
["Control" :Control shall include the rights to appoint majority of the directors or to control the management or policy decisions exercisable by a person or persons acting individually or in concert, directly or indirectly, including by virtue of their shareholding or management rights or shareholders agreements or voting agreements or in any other manner. "Beneficial owner" means the natural person who ultimately owns or controls the applicant and/or the person on whose behalf a transaction is being conducted, and includes a person who exercises ultimate effective control over a juridical person]
(f) Is the entity involved providing any o the following services
(g) Whether the applicant or the applicant's authorised signatories/trustees bearers is
[For definition of politically exposed person refer to guidelines issued under the Prevention of Money Laundering Act (PMLA)]
(h) Taxpayer identification Number in the country of residence
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