Page 385 - Tata Chemical Annual Report_2022-2023

Name of the Director Mr. N. Chandrasekaran Mr. R. Mukundan Form ISR – 1
(Non-Executive, Non-Independent Director) (Managing Director & CEO)
(see SEBI Circular No. SEBI/HO/MIRSD/MIRSD-PoD-1/P/CIR/2023/37 dated March 16, 2023 on Common and Simplified Norms for
Membership/ 1. Tata Sons Private Limited 1. Rallis India Limited processing investor’s service request by RTAs and norms for furnishing PAN, KYC details and Nomination)
Chairpersonship of - Nomination and Remuneration Committee (Member) - Audit Committee (Member)
Committees in other - CSR & ESG Committee (Chairman) - Stakeholders Relationship Committee
companies (excluding - Risk Management Committee (Chairman) (Member) REQUEST FOR REGISTERING PAN, KYC DETAILS OR CHANGES / UPDATION THEREOF
foreign companies) 2. Tata Consultancy Services Limited - Corporate Social Responsibility Committee [For Securities (Shares / Debentures / Bonds, etc.) of listed companies held in physical form]
- Nomination and Remuneration Committee (Member) (Chairman) A. I / We, request you to Register / Change / Update the following (Tick P relevant box) Date : / /2022
- Corporate Social Responsibility Committee
(Chairman) - Nomination and Remuneration Committee
- Executive Committee (Chairman) (Member) PAN Bank details Signature
- Safety, Health, Environment and Sustainability
3. Tata Steel Limited Committee (Member) Mobile number E-mail ID Address
- Nomination and Remuneration Committee (Member) B. Security Details:
- Executive Committee of the Board (Chairman) 2. Tata International Limited
- Stakeholders Relationship Committee Name of the Issuer Company Folio No(s).
4. Tata Motors Limited (Member) Name(s) of the Security holder(s) as per the 1.
- Nomination and Remuneration Committee (Member)
- Corporate Social Responsibility Committee Certificate(s) 2.
5. The Indian Hotels Company Limited
- Nomination and Remuneration Committee (Member) (Chairman) 3.
- Committee of Directors (Member) Number & Face value of securities
6. Tata Consumer Products Limited
- Nomination and Remuneration Committee (Member) Distinctive number of securities (Optional) Form To
7. The Tata Power Company Limited C. I/We are submitting documents as per Table below (Tick P as relevant, refer to the instructions):
- Executive Committee of the Board (Chairman)
- Nomination and Remuneration Committee (Member) No. P Document/Information/Details Instruction/Remark
1 PAN of (all) the (joint) holder(s) PAN shall be valid only if it is linked to Aadhaar by March 31, 2023*
8. Air India Limited
- Corporate Social Responsibility & Sustainable Whether it is Valid (linked to For Exemptions / Clarifications on PAN, please refer to Objection Memo in Page 6 & 7
Development Committee (Chairman) Aadhaar): Yes No
- Nomination and Remuneration Committee (Member) 2 Demat Account Number (Optional) Also provide Client Master List (CML) of your Demat Account, provided by the Depository
Listed entities from which None None Participant.
the Director has resigned 3 Proof of Address of the Any one of the documents, only if there is change in the address:
from directorship in last first Holder
three (3) years: Unique Identification Number (UID) (Aadhaar)
Valid Passport / Registered Lease or Sale Agreement of Residence / Driving License
No. of Board Meetings Attended all 6 Board Meetings held during Attended all 6 Board Meetings held during Flat Maintenance bill accompanied with additional self-attested copy of Identity Proof
attended during FY 2022-23 the period the period of the holder/claimant.
Inter-se relationship with None None Utility bills like Telephone Bill (only landline), Electricity bill or Gas bill - Not more than
other Directors and Key 3 months old.
Managerial Personnel Identity card / document with address, issued by any of the following:
No. of shares held: Central/State Government and its Departments, Statutory / Regulatory Authorities,
(a) Own 1,00,000 500 Public Sector Undertakings, Scheduled Commercial Banks, Public Financial Institutions
(b) For other persons on a Nil Nil duly attested by the employer with date and organisation stamp.
beneficial basis For FII / sub account, Power of Attorney given by FII / sub-account to the Custodians
* Listed Entities (including entities whose debt is listed on a Stock Exchange) (which are duly notarized and / or apostilled or consularised) that gives the registered
address should be taken.
# As a policy, Mr. N. Chandrasekaran, Chairman of the Board has abstained from receiving commission from the Company
Proof of address in the name of the spouse accompanied with self- attested copy of
^ Commission relates to FY 2022-23, which will be paid during FY 2023-24 Identity Proof of the spouse.
Client Master List (CML) of the Demat Account of the holder / claimant, provided by the
Depository Participant.
4 Bank details Account Number: _____________________________________ #

(to be updated for first holder Bank Name: _____________________________________
in case of joint holding)
Branch Name: _____________________________________
IFS Code: _____________________________________
Provide the following:
Original cancelled cheque bearing the name of the security holder; OR
Bank passbook/statement attested by the Bank;

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