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Form No. BEN-1
Declaration by the beneficial owner who holds or acquires significant beneficial ownership in shares
[Pursuant to section 90(1) of the Companies Act, 2013 and rule 2A, 3]
To
Name of the company: PMC Projects (India) Pvt. Ltd.
Registered office address: AMDC Building, Shantigram,
Near Vaishnodevi Circle, S.G.Highway, Ahmedabad - 382421
1. Purpose of filing the form (choose any one)
O For declaration of Significant Beneficial Ownership under Section 90
O For Change in Significant Beneficial Ownership under Section 90
ID of the Significant Beneficial Owner
2. Particulars of the holder of the significant beneficial interest:
Name of the Significant
Beneficial Owner (Given
name and last Name)
Chang Chien-Ting
Address and Email id 11F-1, No.290 , Xianfu Road, Taoyuan Dist. , Taoyunan city, Taiwan.
pmcinfra.maut@gmail.com
Date of Birth/Age 14-November-1978 / 41
Father’s/ Mother’s/
Spouse’s name
Mr. Chang Chung Ling
Occupation Business
Nationality Republic of China
Passport No. (in case of
foreign national)
316345230
3A. Nature of indirect holding or exercise of right in the reporting company through member of the
reporting company (where more than one repeat this para of the Form)
(a) Type of Member (Company/ LLP/Any other Body Corporate/HUF/ Partnership Firm/Discretionary
Trust/Charitable trust/Specific Trust/Revocable
Trust /Pooled Investment vehicle (PIV) / Entity controlled
by PIV)
(b) Corporate Identity number(CIN) or Limited Liability Partnership Identification number(LLPIN) or
any other registration number allotted by the regulator established under the Act
60486 C1/GBC
(c) Name of the Member
(d) Address
Line I
Line II
City State
Country Pin Code
(e) Nature of indirect holding or exercise of right in the reporting company:
 By virtue of shares
 By virtue of voting rights in share
 By virtue of rights on distributable dividend or any other distribution
Company
PMC Infra Limited
Suite No. 201/2A , 2nd
Floor, 1 Cybercity , Ebene
Mauritius
Mauritius
100 %
%
%
 By virtue of exercise of control (attach copy of agreement)- NA
 By virtue of exercise of significant influence (attach copy of agreement)-NA
(f) Status of significant beneficial owner in the member of the reporting company (choose any one)
o Individual in case of company or any other body corporate
o Partner in case of partnership firm or LLP
o Karta in case of HUF
o Trustee in case of a discretionary trust or charitable trust
o Beneficiary in case of a specific trust
o Author or settlor in case of a revocable trust
o General Partner, Investment Manager or CEO in case of pooled investment vehicle or
entity controlled by pooled investment vehicle
(g) In case the member is a partnership firm or LLP, specify whether significant beneficial owner:-
N.A.
o is a partner
o holds majority stake in the body corporate partner
o holds majority stake in the ultimate holding company of the body corporate partner
(h) In case the member is a company or any other body corporate, specify whether significant
beneficial owner holds:
o majority stake in such company or body corporate
o majority stake in the ultimate holding company of such company or body corporate
(i) Whether Significant Beneficial Owner has any direct holding or right in the reporting company
o Yes
o No
If yes, enter details below:
 By virtue of shares
 By virtue of voting rights in share
 By virtue of rights on distributable dividend or any other distribution
 By virtue of exercise of control (attach copy of agreement)-
 By virtue of exercise of significant influence (attach copy of agreement)-
Date: 28-September-2020
Place:
Signature of the holder of the significant beneficial interest:
Attachments:-
N.A. %
N.A. %
N.A. %

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Declaration Form for Significant Beneficial Ownership in PMC Projects (India) Pvt Ltd

  • 1. Form No. BEN-1 Declaration by the beneficial owner who holds or acquires significant beneficial ownership in shares [Pursuant to section 90(1) of the Companies Act, 2013 and rule 2A, 3] To Name of the company: PMC Projects (India) Pvt. Ltd. Registered office address: AMDC Building, Shantigram, Near Vaishnodevi Circle, S.G.Highway, Ahmedabad - 382421 1. Purpose of filing the form (choose any one) O For declaration of Significant Beneficial Ownership under Section 90 O For Change in Significant Beneficial Ownership under Section 90 ID of the Significant Beneficial Owner 2. Particulars of the holder of the significant beneficial interest: Name of the Significant Beneficial Owner (Given name and last Name) Chang Chien-Ting Address and Email id 11F-1, No.290 , Xianfu Road, Taoyuan Dist. , Taoyunan city, Taiwan. pmcinfra.maut@gmail.com Date of Birth/Age 14-November-1978 / 41 Father’s/ Mother’s/ Spouse’s name Mr. Chang Chung Ling Occupation Business Nationality Republic of China Passport No. (in case of foreign national) 316345230
  • 2. 3A. Nature of indirect holding or exercise of right in the reporting company through member of the reporting company (where more than one repeat this para of the Form) (a) Type of Member (Company/ LLP/Any other Body Corporate/HUF/ Partnership Firm/Discretionary Trust/Charitable trust/Specific Trust/Revocable Trust /Pooled Investment vehicle (PIV) / Entity controlled by PIV) (b) Corporate Identity number(CIN) or Limited Liability Partnership Identification number(LLPIN) or any other registration number allotted by the regulator established under the Act 60486 C1/GBC (c) Name of the Member (d) Address Line I Line II City State Country Pin Code (e) Nature of indirect holding or exercise of right in the reporting company:  By virtue of shares  By virtue of voting rights in share  By virtue of rights on distributable dividend or any other distribution Company PMC Infra Limited Suite No. 201/2A , 2nd Floor, 1 Cybercity , Ebene Mauritius Mauritius 100 % % %
  • 3.  By virtue of exercise of control (attach copy of agreement)- NA  By virtue of exercise of significant influence (attach copy of agreement)-NA (f) Status of significant beneficial owner in the member of the reporting company (choose any one) o Individual in case of company or any other body corporate o Partner in case of partnership firm or LLP o Karta in case of HUF o Trustee in case of a discretionary trust or charitable trust o Beneficiary in case of a specific trust o Author or settlor in case of a revocable trust o General Partner, Investment Manager or CEO in case of pooled investment vehicle or entity controlled by pooled investment vehicle (g) In case the member is a partnership firm or LLP, specify whether significant beneficial owner:- N.A. o is a partner o holds majority stake in the body corporate partner o holds majority stake in the ultimate holding company of the body corporate partner (h) In case the member is a company or any other body corporate, specify whether significant beneficial owner holds: o majority stake in such company or body corporate o majority stake in the ultimate holding company of such company or body corporate (i) Whether Significant Beneficial Owner has any direct holding or right in the reporting company o Yes o No
  • 4. If yes, enter details below:  By virtue of shares  By virtue of voting rights in share  By virtue of rights on distributable dividend or any other distribution  By virtue of exercise of control (attach copy of agreement)-  By virtue of exercise of significant influence (attach copy of agreement)- Date: 28-September-2020 Place: Signature of the holder of the significant beneficial interest: Attachments:- N.A. % N.A. % N.A. %