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1. Declaration Details: Basic information about the declaring entity and date of declaration
2. Entity Information: Details of the legal entity for which beneficial ownership is being declared, including registration number and jurisdiction
3. Beneficial Owner Information: Personal details of each beneficial owner including full name, ID/passport number, nationality, and residential address
4. Nature of Beneficial Ownership: Description of how beneficial ownership or control is exercised (e.g., shareholding percentage, voting rights, control structure)
5. Ownership Percentage: Declaration of the percentage of ownership or control held by each beneficial owner
6. Source of Funds: Declaration of the origin of funds used to acquire or maintain the beneficial ownership
7. Tax Residency: Information about the tax residency status of the beneficial owners
8. Declarations and Undertakings: Formal declarations of accuracy and completeness of information provided
9. Signature Section: Space for authorized signature, date, and witness details
1. Corporate Beneficial Owner Details: Additional section for when the beneficial owner is a corporate entity rather than an individual
2. Trust Structure Information: Section for cases where beneficial ownership is held through a trust structure
3. Nominee Arrangement Details: Required when shares or ownership rights are held by a nominee on behalf of the beneficial owner
4. Political Exposure Declaration: Additional declarations required for politically exposed persons (PEPs)
5. Complex Ownership Structure: Detailed explanation section for complex ownership structures involving multiple layers
6. Change in Beneficial Ownership: Section for declaring recent changes in beneficial ownership structure
1. Schedule A - Supporting Documentation Checklist: List of required supporting documents (e.g., copies of ID documents, proof of address, company registration documents)
2. Schedule B - Ownership Structure Diagram: Visual representation of the ownership structure showing relationships between entities and individuals
3. Schedule C - Additional Beneficial Owners: Continuation sheet for declaring multiple beneficial owners
4. Schedule D - Definitions and Guidelines: Detailed definitions of terms used and guidelines for completing the form
5. Appendix 1 - Regulatory Requirements: Summary of relevant regulatory requirements and thresholds for beneficial ownership declaration
Control
Direct Ownership
Indirect Ownership
Legal Entity
Natural Person
Politically Exposed Person (PEP)
Ultimate Beneficial Owner
Controlling Interest
Voting Rights
Corporate Entity
Trust
Partnership
Nominee
Close Family Member
Associate
Ownership Threshold
Chain of Ownership
Significant Control
Senior Managing Official
Shareholding
Controlling Stake
Corporate Vehicle
Company Register
Foreign Entity
Domestic Entity
Legal Arrangement
Register of Members
Board Resolution
Source of Funds
Source of Wealth
Material Interest
Dominant Influence
Complex Ownership Structure
Verification Documents
Information Disclosure
Personal Information Protection
Consent
Change Notification
Supporting Documentation
Verification Rights
Data Processing
Regulatory Compliance
Tax Compliance
Updates and Amendments
False Declaration Consequences
Record Keeping
Information Sharing
Document Retention
Privacy Protection
Third Party Disclosure
Regulatory Reporting
Authentication
Certification
Governing Law
Signature Requirements
Witness Provisions
Supporting Evidence
Representations and Warranties
Financial Services
Banking
Insurance
Investment Management
Legal Services
Corporate Services
Real Estate
Mining
Manufacturing
Professional Services
Telecommunications
Healthcare
Retail and Consumer
Energy and Utilities
Compliance
Legal
Risk Management
Corporate Governance
Company Secretariat
Due Diligence
Know Your Customer (KYC)
Anti-Money Laundering
Regulatory Affairs
Corporate Services
Finance
Operations
Compliance Officer
Legal Counsel
Company Secretary
Risk Manager
Due Diligence Officer
KYC Analyst
Corporate Governance Officer
AML Specialist
Financial Director
Chief Risk Officer
Regulatory Affairs Manager
Corporate Services Manager
Board Director
Managing Director
Chief Executive Officer
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