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    Ultimate Beneficial Ownership (UBO) Declaration Form: Company Details

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    Tímea Csizmadia
    This document is an Ultimate Beneficial Ownership Declaration Form that collects information about a company's beneficial owners. It requests details about the company name, license number, percentage of company shares held by beneficial owners, and identification information for individual ultimate beneficial owners who hold over 25% of company shares. The form declares that all information provided is accurate and notifies that false information could lead to license termination. Supporting documents are also required from off-shore jurisdictions to confirm the ownership details.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Ultimate Beneficial Ownership (UBO) Declaration Form: Company Details

    Uploaded by

    Tímea Csizmadia
    1K views2 pages
    This document is an Ultimate Beneficial Ownership Declaration Form that collects information about a company's beneficial owners. It requests details about the company name, license number, percentage of company shares held by beneficial owners, and identification information for individual ultimate beneficial owners who hold over 25% of company shares. The form declares that all information provided is accurate and notifies that false information could lead to license termination. Supporting documents are also required from off-shore jurisdictions to confirm the ownership details.

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    This document is an Ultimate Beneficial Ownership Declaration Form that collects information about a company's beneficial owners. It requests details about the company name, license number, percentage of company shares held by beneficial owners, and identification information for individual ultimate beneficial owners who hold over 25% of company shares. The form declares that all information provided is accurate and notifies that false information could lead to license termination. Supporting documents are also required from off-shore jurisdictions to confirm the ownership details.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    1K views2 pages

    Ultimate Beneficial Ownership (UBO) Declaration Form: Company Details

    Uploaded by

    Tímea Csizmadia
    This document is an Ultimate Beneficial Ownership Declaration Form that collects information about a company's beneficial owners. It requests details about the company name, license number, percentage of company shares held by beneficial owners, and identification information for individual ultimate beneficial owners who hold over 25% of company shares. The form declares that all information provided is accurate and notifies that false information could lead to license termination. Supporting documents are also required from off-shore jurisdictions to confirm the ownership details.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    Ultimate Beneficial Ownership (UBO)

    Declaration Form
    Instructions:

     Please fill all sections of the form carefully. Strike-off sections that are not applicable.
     The form must be filled by the legal entity’s authorized signatory.

    Company Details

    Company Name
     
    Company
    License Number  

    Beneficiary Ownership Details


    I/We declare the legal entity stated in the section above is ultimately owned by:

    Percentage of Shares in
    Company Name Registered Office Address
    Company
         
         
         
         
         
     For publicly listed companies, details of the stock exchange or government authority that is
    responsible for the trading of their shares must be listed.
     Trust Companies must provide details of their Owner(s), Beneficiary/Beneficiaries, settlors
    that own more than 25% of the legal entity.

    Ultimate Beneficiary Ownership Details


    I/We declare the following individual ultimately own the above company:

    First Name  
    Middle Name  
    Last Name  
    Company  
    Date of Birth (DD/MM/YYY)  
    Nationality  
    Passport Number  
    Residential Address (Detailed)  
    Percentage of Shares in Company  
    The table in this section must be filled separately for each Ultimate Beneficial Owner (UBO) of the
    company.
    OR
     I/We declare that the individual partner/shareholder mentioned in the table above is the only
    individual who holds 25% or more of the company directly or indirectly.
    Supporting Documents for Off-shore Jurisdictions
    Supporting documents for confirming the information given above must be attached with this
    form. The following documents must be attached:
     Share Certificates
     Registry Extract
     Memorandum and Articles of Association
     Confirmation from an Auditor Lawyer or Government Authority

    I/We declare that all information provided in this form is accurate and true. If any information
    provided in this form changes, I/We shall notify the Licensing Authority of the changes in accordance
    to Cabinet Resolution No.58/2020. I/We understand that if any of the provided information is
    inaccurate, untrue, or misleading, mine/our company license and registration will be terminated. The
    Licensing authority has mine/our consent to make enquiries regarding this declaration with anyone
    they deem necessary. I/We agree to the fact that the Licensing Authority may decline our application
    without providing any reason.

    This form’s signatory has/have the authority needed to provide this declaration on behalf of the legal
    entity they represent.

    Name:   Name:  
    Signature:   Signature:  

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