S. No.

Particulars to be entered

Compliance Check

1.

Folio No./Member identification number

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2.

Name of the member

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3.

Father’s/Mother’s/Spouse’s name, as applicable

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4.

Address of the member

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5.

E-mail ID/contact details, where maintained

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6.

PAN of the member, where applicable

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7.

Nationality

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8.

Occupation, where applicable

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9.

Date of becoming a member

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10.

Date of cessation of membership, where applicable

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11.

Number and class of shares held

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12.

Distinctive numbers of shares held

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13.

Number of shares held in physical form

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14.

Number of shares held in dematerialised form

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15.

Certificate number(s), where applicable

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16.

Amount paid-up on each share

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17.

Amount unpaid/calls in arrears, if any

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18.

Date of transfer of shares

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19.

Name and particulars of transferee

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20.

Date of transmission, where applicable

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21.

Date of nomination, where applicable

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22.

Particulars of nomination/cancellation of nomination

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23.

Details of lien, if any

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24.

Details of forfeiture, if any

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25.

Details of buy-back, redemption or cancellation, as applicable

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26.

Details of shares transferred to IEPF, where applicable

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27.

Details of nominee, in case of nomination

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28.

Details of joint holders, where shares are jointly held

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29.

Beneficial owner details, where applicable

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30.

Changes in particulars of members and shares held

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