Name of the Firm

Company Secretaries
Address

Name of the
Company/Group
Particulars
Name
DIN
Position (Director /
KMP)
Address
Mobile No.
E-Mail Address
Residential Status

Director 1

Director 2

Name of HUF, if any

HUF Members
Name 1
HUF Members
Name 2
HUF Members
Name 3
HUF Members
Name 4
Add rows for more
members
Relative
Spouse name
Fathers Name
Mothers Name
Son Name
Son/s Wife Name
Daughter Name
Daughter's Husband
Name
Brother Name
Sister Name
Name

Designation Shareholding Name

Interest

Designation Shareholding
Interest

Name

Designation Shareholding Name

Interest

Designation Shareholding
Interest

Companies /bodies corporate/ firms/ association in which your relative is interested

Name
Designation Shareholding Name
Interest
Name of the Relative 1

Designation Shareholding
Interest

Companies /bodies
corporate/ firms/
association in which
you are interested

Companies /bodies
corporate/ firms/
association in which
your spouse is
interested

Name

Designation Shareholding Name

Interest

Designation Shareholding
Interest

Name

Designation Shareholding Name

Interest

Designation Shareholding
Interest

Name of the Relative 2

Name of the Relative 3