SHAREHOLDING PATTERN (FOR CORPORATE)

(ON COMPANY’S LETTER HEAD)

SHAREHOLDING PATTERN of _____________________________ (Name of Member) as on _____________________

Paid up capital : ______________________ Rs. _____________________________________________________________

Face value of each equity share (or any other instrument) : _____________________ Rs. _______________________________

Sr. no. Name # Number of Amt paid-up %age of total

shares held (Rs.)
1
2
3
4
5
6
7
8
9
10
Others @
TOTAL 100%

NOTES :
# In case of body corporate, give similar details thereof separately.@ Persons holding 5% or more of the paid up capital
should be shown separately and not clubbed in Others.

1. ____________________________ 2. ______________________________

_____________________________ ______________________________
SIGNATURE(s) SIGNATURE(s)
DESIGNATED DIRECTORS DESIGNATED DIRECTORS
DATE: WITH THEIR NAMES WITH THEIR NAMES

PLACE: Rubber Stamp Rubber Stamp

AUDITOR’S CERTIFICATE

This is to certify that the Shareholding in as given above, based on my/ our scrutiny of the books of accounts, records and
documents is true and correct to the best of my/our knowledge and as per information provided to my/our satisfaction.

Place: ……………………………………………………………….

Date: For (Name of Accounting Firm)

Name of Partner

Chartered Accountant

Membership Number

Rubber Stamp

OR

Company Secretary:

Membership Number :

Rubber Stamp:

Date & Place: