Form No.

14b

THE UNITED REPUBLIC OF TANZANIA BUSINESS REGISTRATIONS AND LICENSING AGENCY,

(Particulars of Beneficial Owners)

((Pursuant to sections 14(2) of Companies Act, Cap 212))

Details of the Company

Name of the Company
Type of the Company
(Public/Private/Company Limited
by shares/guarantee)
Incorporation Number
Address of the Registered Office
PAMAJA TRUST LIMITED
PRIVATE COMPANY LIMITED
150735580
Region Mwanza, District Sengerema, Ward Nyampulukano,
Postal code 33303, P.O.BOX 328, MWANZA SENGEREMA
DISTRICT, NYAMPULUKANO WARD, BUSISI ROAD NEAR
TRA OFFICE AND NMB BANK

To the Registrar of Companies,

The above named Company hereby lodges particulars of beneficial owners in accordance with section 14(2)(b) of
the Companies Act, Cap 212 and regulation 3(1) of the Companies (Beneficial Ownership) Regulations, 2020 as
follows:

Date that the person became a beneficial owner 29./12/2021 dd/mm/yyyy)

(a) Beneficial Owner

Full Name (state any former or other GRACE PHAUSTINE MALIMI

name(s))
Date and place of Birth 5/2/1994
Gender FEMALE
Place of work and position held NOT
State whether or not Beneficial Owner NOT
is a Politically Exposed Person (PEP)
(Please attach a legally executed Oath
or Affirmation)
Nationality and Nationality TANZANIAN
Identification Identification NIDA 19940205-41208-00005-13
Type and
Number
Validity/Expiry 2025
Date
Issuing NIDA
Authority and
Country
Residential and Building
postal address, email Name/Plot
and phone number Number
Street LUBANDA
Ward KAHUMULO
District SENGEREMA
Region MWANZA
Country TANZANIA
Postcode
Email -
Postal Address 328
Phone Number 0682616619
Date of declaration (DD/MM/YYYY) 29/12/2021
Date of receipt of declaration by the 30/12/2021
company (DD/MM/YYYY)

(b) Nature of ownership or control the Beneficial Owner has in the Company
The percentage Direct ……………20………..% of Shares
of shares a
person holds in Indirect …………20…………..% of Shares
the company
The percentage Direct …………20…………..% of voting rights
of voting rights
a person holds Indirect ………20……………..% of voting rights
in the company
A person holds Direct 20
a right to
appoint or
remove a
majority of the
board of Indirect 20
Directors of the
company; and /
or

A person Direct 20
exercises
significant
influence or
control over the
Indirect 20
company

(c) Link of beneficial owner with the company in indirect ownership

Name of shareholder holding PASCHAL MAKOYE JAMES
shares on behalf of the beneficial
owner of the Company
 Name of Director appointed by the PASCHAL MAKOYE JAMES
beneficial owner

List of Attachments (if any):

Declaration:

The information given in this form and attachments is correct and complete to the best of my knowledge
and belief.

Lodged on behalf of the Company by:

Name: PASCHAL MAKOYE JAMES
Capacity: (indicate whether DIRECTOR
Director or Secretary)
Signature:

Source: (Indicate whether the A

information obtained was
(a) provided by the beneficial
owners or their authorized
representatives (b) taken from an
official register; or (c) provided by
a third party not directly related to
the beneficial owner)
Date: 30/12/2021

(Note: Please enter particulars of every beneficial owner in a separate form)