Dividend distribution statement, gross, TDS and net per shareholder

Statement of dividend distribution — to be signed and retained with the Board minutes

[ABC PRIVATE LIMITED]
CIN: [Company's CIN] · PAN: [Company's PAN] · TAN: [Company's TAN]

Dividend: [Final / Interim] dividend for the financial year [2025-26]
Declared on: [Date the dividend was declared] by [the Members in general meeting / the Board of Directors]
Record date: [Record date for the dividend] · Rate: Rs [Dividend per equity share (Rs)] per equity share of Rs [Face value of each equity share (Rs)] each
Separate account under s.123(4): A/c No. [Separate dividend account no. under s.123(4)] with [bank], credited on [Date dividend credited to separate account] [being within five days of declaration]
Last date for payment or despatch under s.127: [Last date for payment or despatch (s.127)] · Last date for transfer to the Unpaid Dividend Account under s.124(1): [Last date to transfer to Unpaid Dividend Account]