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 JESCON DECORATORS CO LTD
Type of the Company PRIVATE LIMITED COMPANY BY SHARES
(Public/Private/Company Limited
by shares/guarantee)
Incorporation Number 90339
Address of the Registered Office TANZANIA REGION : DAR ES SALAAM ILALA CBD
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 ………../………………/…......................(dd/mm/yyyy)
(a) Beneficial Owner
Full Name (state any former or other
name(s))
Date and place of Birth
Gender
Place of work and position held
State whether or not Beneficial Owner
is a Politically Exposed Person (PEP)
(Please attach a legally executed Oath
or Affirmation)
Nationality and Nationality
Identification Identification
Type and
Number
Validity/Expiry
Date
Issuing
Authority and
Country
Residential and Building
postal address, email Name/Plot
and phone number Number
Street
Ward
District
Region
Country
Postcode
Email
Postal Address
Phone Number
Date of declaration (DD/MM/YYYY)
Date of receipt of declaration by the
company (DD/MM/YYYY)
(b) Nature of ownership or control the Beneficial Owner has in the Company
The percentage Direct ……………………..% of Shares
of shares a
person holds in Indirect ……………………..% of Shares
the company
The percentage Direct ……………………..% of voting rights
of voting
rights a person Indirect ……………………..% of voting rights
holds
in the company
A person holds Direct
a right to
appoint or
remove a
majority of the Indirect
board of
Directors of the
company; and /
or
A person Direct
exercises
significant
influence or
control over the Indirect
company
(c) Link of beneficial owner with the company in indirect ownership
Name of shareholder holding
shares on behalf of the beneficial
owner of the Company
Name of Director appointed by
the 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:
Capacity: (indicate whether
Director or Secretary)
Signature:
Source: (Indicate whether the
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:
(Note: Please enter particulars of every beneficial owner in a separate form)