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Beneficial Owner Declaration Form Template for Indonesia

A comprehensive declaration form required under Indonesian law (Presidential Regulation No. 13/2018) that identifies and documents the ultimate beneficial owners of corporate entities operating in Indonesia. The document captures detailed information about individuals who ultimately own or control a significant portion of a company, either through direct ownership, voting rights, or other means of control. It forms a crucial part of Indonesia's corporate transparency framework and anti-money laundering regime, requiring regular updates and verification to maintain compliance with local regulations.

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What is a Beneficial Owner Declaration Form?

The Beneficial Owner Declaration Form is a mandatory regulatory document required for all corporate entities operating in Indonesia under Presidential Regulation No. 13/2018 and its implementing regulations. This document must be submitted to the Ministry of Law and Human Rights and updated whenever changes in beneficial ownership occur. It serves multiple purposes: ensuring corporate transparency, supporting anti-money laundering efforts, and helping authorities track ultimate company ownership. The form requires detailed information about individuals who own or control at least 25% of the company's shares or voting rights, or who exercise control through other means. It must be accompanied by supporting documentation and verified by an authorized representative of the company. Regular reporting and updating of beneficial ownership information is crucial for maintaining compliance with Indonesian corporate regulations.

What sections should be included in a Beneficial Owner Declaration Form?

1. Declaration Details: Date, place, and reference number of the declaration

2. Declaring Entity Information: Legal name, registration number, address, and business type of the entity making the declaration

3. Authorized Representative Details: Information about the person authorized to make the declaration on behalf of the entity

4. Beneficial Owner Information: Personal details of beneficial owners including full name, identification number, nationality, tax ID, and residential address

5. Nature of Beneficial Ownership: Details of how beneficial ownership is held (shares, voting rights, control) and percentage of ownership

6. Chain of Ownership Structure: Description or diagram of how beneficial ownership is exercised through the corporate structure

7. Declaration of Truth: Formal statement confirming the accuracy of provided information and commitment to update if changes occur

8. Signature Block: Space for signature, name, position of authorized representative and company seal

What sections are optional to include in a Beneficial Owner Declaration Form?

1. Intermediate Entity Details: Information about intermediate companies in the ownership chain, required when beneficial ownership is exercised through multiple entities

2. Multiple Citizenship Declaration: Additional section for beneficial owners holding multiple citizenships

3. Political Exposure Status: Declaration of whether any beneficial owner is a politically exposed person (PEP)

4. Historical Ownership Changes: Details of recent changes in beneficial ownership, if applicable

5. Trust Structure Details: Additional information required when beneficial ownership involves trust structures

What schedules should be included in a Beneficial Owner Declaration Form?

1. Schedule A - Identity Documents: Copies of required identity documents for beneficial owners (passport, national ID, etc.)

2. Schedule B - Corporate Documents: Supporting corporate documents proving ownership structure (share certificates, corporate registry extracts)

3. Schedule C - Ownership Diagram: Visual representation of the complete ownership structure showing all relevant entities and percentages

4. Schedule D - Power of Attorney: If applicable, authorization document for the person signing the declaration

5. Schedule E - Supporting Declarations: Any additional sworn statements or specific forms required by Indonesian authorities

Authors

Alex Denne

Advisor @ GenieAI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents

Jurisdiction

Indonesia

Publisher

GenieAI

Document Type

Declaration Form

Cost

Free to use

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