PASCHIM BANGAL MAHESHWARI SEWA TRUST

ESTD-2020

Annexure –I

BENEFICIALOWNER DECLARATION-
Company/Partnership/LLP/AOP/BOI/Trust/Societies
(To be obtained on the letterhead of the client)

Please fill the Form in BLOCK LETTERS ONLY. All fields marked "*" are MANDATORY.Please
ensure that all mandatory fields have been filled correctly else the form is liable to be rejected.

*Date of declaration: 01/02/2022(DD/MM/YYYY)

Entity type: Company LLP Partnership Trust

AoP (Association of Persons) Society

Whether Company is listed* No Yes.

If yes, Name of Stock Exchange: _____________________________________________________________

Entity Name: PASCHIM BANGAL MAHESHWARI SEWA TRUS

Section I (a): We declare that no individual person holds directly **Controlling ownership in the
captioned Company/Firm/LLP/AoP/BoI/Trust above the prescribed threshold limit.
Below are the details of Natural Person who holds the position of Senior Managing Official
( inCompany/Firm/LLP/AoP/BoI ) / all Trustees ( in Trust )

1 Name of Senior Managing JAY KISHAN MAHESWARI

position/ Trustee
Date of Birth / 25/01/1948
Date of Incorporation*
Designation PRESIDENT
Please paste
PAN/CINNumber* AELPM2612R photograph of
Individual
Beneficial Owner
Address SARJU PRASAD ROAD, NORTH BALUCHAR, MALDA, MALDA, ENGLISH BAZAR, MALDA, MALDA,
WEST BENGAL, 732101 here

2 Name of Senior Managing MANGILAL TAPARIA

position/ Trustee
Date of Birth / 008/03/1964
Date of Incorporation*
Designation SECRETARY Please paste
photograph of
PAN/CINNumber* ABLPT4444K Individual
Beneficial Owner
here
Address SHRINIKETAN ROAD, BANDHGORA, BOLPUR, BOLPUR, BIRBHUM, WEST BENGAL, 731204
 PASCHIM BANGAL MAHESHWARI SEWA TRUST
ESTD-2020

Section II: I/We the undersigned hereby declare the below details of beneficial owners holding
**Controlling ownership in the captioned Company/LLP/Firm/AoP/BoI above the prescribed threshold
limit

1 Name of trustees, settlers, grantors&

Beneficiaries / Name of Shareholders /
Partner / Beneficial holders
Date of Birth /Date of Incorporation*
Mention if trustee, settler, grantor,
protector or beneficiary or Please paste
Designation(In case of Companies) photograph of
Individual
PAN/CINNumber*
Beneficial Owner
Address here

% of Ownership/Capital /Profits

2 Name of trustees, settlers, grantors&

Beneficiaries / Name of Shareholders /
Partner / Beneficial holders
Date of Birth /Date of Incorporation*
Mention if trustee, settler, grantor, Please paste
protector or beneficiary or photograph of
Designation(In case of Companies) Individual
Beneficial Owner
PAN/CINNumber*
here
Address

% of Ownership/Capital /Profits

(For Trusts: Pls provide details of trustees, Settlors, Grantors, Protectors, beneficial owners holding 15% and above
beneficial interest in the captioned Trust)

Section III: Applicable only if there is/are non-individual Beneficial owner(s) holding Controlling**
ownership as declared in Sec II.

The following individual person(s), directly or indirectly, holds **Controlling ownership in the above
captioned Company/Firm/LLP/AoP/BoI/Trust

1 Name of trustees, settlers, grantors&

Beneficiaries / Name of Shareholders /
Partner / Beneficial holders
Date of Birth /Date of Incorporation*
Mention if trustee, settler, grantor,
protector or beneficiary or Please paste
Designation(In case of Companies) photograph of
Individual
PAN/CINNumber*
Beneficial Owner
Address here
 PASCHIM BANGAL MAHESHWARI SEWA TRUST
ESTD-2020
% of Ownership/Capital /Profits

2 Name of trustees, settlers, grantors&

Beneficiaries / Name of Shareholders /
Partner / Beneficial holders
Date of Birth /Date of Incorporation*
Mention if trustee, settler, grantor, Please paste
protector or beneficiary or photograph of
Designation(In case of Companies) Individual
Beneficial Owner
PAN/CINNumber*
here
Address

% of Ownership/Capital /Profits

Name of Director/Partner/Member/Trustee
_____________________
(Signatures &seal of the any of the Directors/Partners/Trustees/Members)

*Important Points to Note:

 Pan Number to be provided for Resident. In absence of it, valid ID document to be submitted. If
minor, then age proof to be provided.In case of Foreign National/NRI, copy of Passport to be
additionally provided.
 Copy of Officially Valid Document i.e. ID & Address proof of beneficial owner / Senior Managing
Official to be submitted as applicable to Individuals.
 CIN No. to be mentioned for Companies registered under ROC. For other Non-individual entities,
registration no to be mentioned.
 Address mentioned should be of Residence for Individuals and Registered Office for Non-
Individuals entity.
 Date of Incorporation should be the date when entity was registered/formed.

In case of listed Companies, no further details of beneficial owners to be obtained

**Definition of Controlling Ownership

Definition of Beneficial owners: The term "beneficial owner" has been defined as the natural person who
ultimately owns or controls a client and/or the person on whose behalf the transaction is being conducted, and
includes a person who exercises ultimate effective control over a juridical person.
Percentage allocation as per RBI guidelines for identification of Beneficial owners
 Company: 25% and above of Equity shares***.
 Partnership firm/LLP/BOI/AOP: 15% and above of the property or capital or profits*
 Trust: 15% and above of the property or capital or profits****

*** Where no natural person is identified for Company / Partnership/ Unincorporated association or Body of
individual , the identity of the relevant natural person who holds the position of senior managing official

**** Where the customer is a trust, the identification of beneficial owner(s) shall include identification of the
author of the trust, the trustee, the beneficiaries with 15% or more interest in the trust and any other natural
person exercising ultimate effective control over the trust through a chain of control or ownership.“
$ Association of Persons : AOP includes Unregistered Trusts / Partnership firms
# Body of Individuals : BOI includes Societies
PASCHIM BANGAL MAHESHWARI SEWA TRUST
ESTD-2020