[Share Holding Position]
Impam Bangladesh Ltd. Existing Shareholders information
Sl. No. | Name | Father's Name | Mother's Name | Permanent Address | Phone No. | Email Address | NID/Passport No. | Nationality | Date of Birth | TIN (If Any) | Position | Date of Appointment or Change | Occupation | Number of Subscribed Shares | Folio Number | Distinctive Number | Photo | Remarks
1 | 451-12, Kurata, Naka ku, Okayama City, Okayama Prefecture, Japan. | 819064184423 | fujio-i@impam.co.jp | TR4882484 | Japanses | Chairman | 16 June, 2016 | Business | 6,963
2 | 31, Gareeb-E-Newaz Avenue, Sector-11, Uttara, Dhaka. | 819064374128 | higashihira@impamseal.com | TR4644611 | Japanses | Managing Director | 16 June, 2016 | Business | 1
Impam Bangladesh Ltd. New Shareholders information
Sl. No. | Name | Father's Name | Mother's Name | Permanent Address | Phone No. | Email Address | NID/Passport No. | Nationality | Date of Birth | TIN (If Any) | Position | Date of Appointment or Change | Occupation | Number of Subscribed Shares | Folio Number | Distinctive Number | Photo | Remarks
1
2
3
Name of Transferor | Name of Transferee | Number of Share
Impam Seal Corporation Ltd. Represented By: Fujio Iwata
Higashihira Izumi
Details of the Witness: Please provide Japanese person's name
Details of the Witness-1
Name of Witness
Passport No.
Mobile Number
Nationality
Occupation
Current address
Details of the Witness-2
Name of Witness
Passport No.
Mobile Number
Nationality
Occupation
Current address
[Information]
バングラデシュにおける株式譲渡関連業務情報シート Information sheet for Share Transfer Related in Bangladesh
Sl. No. | Particulars | Remarks
商号変更手続き Trade Name Change Procedure
1 | Corrent Company Name | （旧）商号
Impam Bangladesh Ltd.
Choose the Name of the Proposed Company. | （新）商号 希望の会社名が既に登録されていた場合を考え 第3希望までご記入ください。
代表者変更及び株式譲渡手続き Change of Company Representative & Share Transfer
2 | Authorized capital (in BDT) | 授権資本枠（この枠内で増資が可能です
10,000,000
3 | Paid up capital (in BDT) | 払込資本金
696,400
4 | Per Shere Price | 1株当たりの金額
100BDT
5 | Current Shareholder Information | （旧）株主情報
Shareholder's name | Representative Name of Shareholder | Number of Shares | Ratio
Impam Seal Corporation Ltd. | Fujio Iwata | 6,963 | 99.99%
Higashihira Izumi | Higashihira Izumi | 1 | 0.01%
Total | 6,964 | 100%
6 | Details of the Current shareholder | （旧）株主詳細
i. | ii. | iii.
Name of shareholder:株主名 | Impam Seal Corporation Ltd. | Name of shareholder: | Higashihira Izumi | Name of shareholder:
Address: 住所 | 451-12, Kurata, Naka ku, Okayama City, Okayama Prefecture, Japan. | Address: | 31, Gareeb-E-Newaz Avenue, Sector-11, Uttara, Dhaka. | Address:
Country of Origin:国籍 | Japanses | Country of Origin: | Japanses | Country of Origin:
TEL: 電話番号 | 819064184423 | TEL: | 819064374128 | TEL:
E-mail:メールアドレス | fujio-i@impam.co.jp | E-mail: | higashihira@impamseal.com | E-mail:
Represented By: 代表者名 | Fujio Iwata | Represented By: | Higashihira Izumi | Represented By:
NID/Passport No.: パスポートナンバー | TR4882484 | NID/Passport No.: | TR4644611 | NID/Passport No.:
Father Name:父親の名前 | Iwata Fumio | Father Name: | Higashihira Yutaka | Father Name:
Mother Name:母親の名前 | Iwata Ayako | Mother Name: | Higashihira Midori | Mother Name:
Date of Birth生年月日 | 21-December, 1949 | Date of Birth | 05-August,1955 | Date of Birth
TIN (if any)納税者番号（あれば） | 390754202161 | TIN (if any) | 39047825807 | TIN (if any)
Position 役職 | Chairman | Position 役職 | Manaing Director | Position 役職
Date of Appointment or Change 就任日 | Date of Appointment or Change 就任日 | Date of Appointment or Change 就任日
Occupation 職業 | Occupation 職業 | Occupation 職業
Folio Number | Folio Number | Folio Number | 株券に記載の番号
Distinctive Number | Distinctive Number | Distinctive Number | 株券に記載の番号
7 | Details of the Old Directors' | 取締役情報（2名もしくは3名以上）
i. | ii. | iii.
Name of Director's名前 | Fujio Iwata | Name of Director's | Fujio Iwata | Name of Director's
Designation:役職 | Chairman | Designation: | Manaing Director | Designation:
Nominee of Company:？ | Nominee of Company: | Nominee of Company:
Father Name:父親の名前 | Iwata Fumio | Father's Name | Higashihira Yutaka | Father's Name
Mother Name:母親の名前 | Iwata Ayako | Mother's Name | Higashihira Midori | Mother's Name
Spose's Name 配偶者の名前 | Iwata Mihoko | Spouse Name (If any) | Higashihira Yuuko | Spouse Name (If any)
Mobile No.携帯電話番号 | +81 90 6418 4423 | Mobile No. | +81 90 643 4128 | Mobile No.
Email IDメールアドレス | fujio-i@impam.co.jp | Email ID | higashihira@impamseal.com | Email ID
Passport No. パスポートナンバー | TR4882484 | Passport No. | TR4644611 | Passport No.
National ID Number:IDナンバー | National ID Number: | National ID Number:
Date of Birth生年月日 | 21-December, 1949 | Date of Birth | 05-August,1955 | Date of Birth
Place of Birth 出身地 | Place of Birth | Place of Birth
Gender 性別 | male | Gender | male | Gender
Nationality 国籍 | Japanses | Nationality | Japanses | Nationality
Present Address 住所 | 451-12, Kurata,Naka-Ku,Okayama-City,Okayama-Prefecture,Japan | Present Address | 262-36, Masunomachi,higashi-ku,Okayama-City,Okayama-Prefecture,Japan | Present Address
Parmanent Address本籍地 | Okayama-Prefectture,Japan | Permanent Address | Okayama-Prefectture,Japan | Permanent Address
Office Address会社住所 | 201,Saidaiji Shinchi,Higashi-ku,Okayama-City,Okayama-Prefecture,Japan | Office Address | 201,Saidaiji Shinchi,Higashi-ku,Okayama-City,Okayama-Prefecture,Japan | Office Address
Office Tel. No. 会社電話番号 | +81 86 944 5661 | Office Tel. No. | +81 86 944 5661 | Office Tel. No.
Office Email 会社メールアドレス | fujio-i@impam.co.jp | Office Email | higashihira@impamseal.com | Office Email
TIN (if any)納税者番号（あれば） | TIN (if any) | TIN (if any)
8 | Details of how to transfer | 譲渡情報
Old Shareholder | → | New Shareholder | Representative Name of New Shareholder | Number of Shares
Impam Seal Corporation Ltd. | → | DR. MD. ALAMGIR KABIR | 6,963
Higashihira Izumi | → | MRS. NAZMA PARVIN | 1
新代表者情報 New Responsibility Person Information
1 | New Shareholder Information | （新）株主情報
Shareholder's name | Representative Name of Shareholder | Number of Shares | Ratio
DR. MD. ALAMGIR KABIR | 6,963 | 99.99%
MRS. NAZMA PARVIN | 1 | 0.01%
Total | 6,964 | 100%
2 | Details of the New shareholder | （新）株主詳細
i. | ii. | iii.
Name of shareholder:株主名 | DR. MD. ALAMGIR KABIR | Name of shareholder: | MRS. NAZMA PARVIN | Name of shareholder:
Address: 住所 | 36/1/A, East Ahmednagor, Mirpur-1, Dhaka | Address: | 36/1/A, East Ahmednagor, Mirpur-1, Dhaka | Address:
Country of Origin:国籍 | Bangladesh | Country of Origin: | Bangladesh | Country of Origin:
TEL: 電話番号 | +88-01746-652904 | TEL: | +88-01789-378905 | TEL:
E-mail:メールアドレス | kabirmalamgir@yahoo.com | E-mail: | impambd@gmail.com | E-mail:
Represented By: 代表者名 | Represented By: | Represented By:
NID/Passport No.: パスポートナンバー | NID: 3764959593 | NID/Passport No.: | NID: 6455518297 | NID/Passport No.:
Father Name:父親の名前 | Md. Eusop Ali | Father Name: | Md. Rafiqul Islam | Father Name:
Mother Name:母親の名前 | Mst. Asiya Begum | Mother Name: | Taslima Parvin | Mother Name:
Date of Birth生年月日 | 23-01-1977 | Date of Birth | 16-06-1984 | Date of Birth
TIN (if any)納税者番号（あれば） | 884754279422 | TIN (if any) | TIN (if any)
Position 役職 | Managing Director | Position 役職 | Chairman | Position 役職
Date of Appointment or Change 就任日 | Date of Appointment or Change 就任日 | Date of Appointment or Change 就任日
Occupation 職業 | Occupation 職業 | Occupation 職業
Folio Number | Folio Number | Folio Number
Distinctive Number | Distinctive Number | Distinctive Number
3 | Details of the Directors' | 取締役情報（2名もしくは3名以上）
i. | ii. | iii.
Name of Director's名前 | Name of Director's | Name of Director's
Designation:役職 | Designation: | Designation:
Nominee of Company:？ | Nominee of Company: | Nominee of Company:
Father Name:父親の名前 | Father's Name | Father's Name
Mother Name:母親の名前 | Mother's Name | Mother's Name
Spose's Name 配偶者の名前 | Spouse Name (If any) | Spouse Name (If any)
Mobile No.携帯電話番号 | Mobile No. | Mobile No.
Email IDメールアドレス | Email ID | Email ID
Passport No. パスポートナンバー | Passport No. | Passport No.
National ID Number:IDナンバー | National ID Number: | National ID Number:
Date of Birth生年月日 | Date of Birth | Date of Birth
Place of Birth 出身地 | Place of Birth | Place of Birth
Gender 性別 | Gender | Gender
Nationality 国籍 | Nationality | Nationality
Present Address 住所 | Present Address | Present Address
Parmanent Address本籍地 | Permanent Address | Permanent Address
Office Address会社住所 | Office Address | Office Address
Office Tel. No. 会社電話番号 | Office Tel. No. | Office Tel. No.
Office Email 会社メールアドレス | Office Email | Office Email
TIN (if any)納税者番号（あれば） | TIN (if any) | TIN (if any)
4 | Bank Account information | 銀行口座情報
Name of Bank Signatory
5 | Trade Lincese | 営業許可名義人情報
Applicant Name:
Applicant's Father's Name:
Mother name of the applicant:
Husband / wife name:
Applicant's relationship with the organization:
Permanent address of the applicant
Applicant's residence address:
National Identity Card Number/ Passport no.
Nationality of the applicant
Date of Birth
Applicant's Mobile Phone No:
Applicant Email ID:
6 | Taxpayer Identification Number (TIN) Registration | 納税番号情報
Authorized Person Name
Date of Birth
Father's Name
Mother's Name
Spose's Name 配偶者の名前
Parmanent Address本籍地
Visa Number
Visa Issue Date
Visa Expired Date
NID/Passport Number
Passport Issue Date
Passport Expired Date
Unique Mobile Number
7 | Business Identification Number (BIN) Registration | BIN（VATコード）情報
Authorized Person Name
Date of Birth
Father's Name
Mother's Name
Spose's Name
Parmanent Address
Work Permit ref. no.
Work Permit Effective Date
Work Permit Expired Date
Visa Number
Visa Issue Date
Visa Expired Date
NID/Passport Number
Passport Issue Date
Passport Expired Date
Unique Mobile Number
8 | Details of the Witness | 立会人情報 立会人からの署名が必要になります。 どなたでも構いません。 日本にいる方からの署名が必要になります。
i . Witness information | ii. Withness information
Name | Name
Address | Address
Nationality | Nationality
NID/ Passport No.: | NID/ Passport No.:
Occupation | Occupation
Phone Number | Phone Number
Email ID | Email ID
[Required information ]
`
List of Required Documents: | Individual Information List of Shareholders
1 | Notice for Sale by Shareholder | 1 | Name
2 | Notice for Disposal of Share to the existing shareholders | 2 | Father's Name
3 | Refusal Letter from the existing shareholder | 3 | Mother's Name
4 | Offering Letter to the new shareholder | 4 | Present Address
5 | Acceptance Letter from the existing shareholder | 5 | Permanent Address
6 | Acceptance Letter | 6 | Phone No.
7 | Notice and minutes of Board Meeting | 7 | Email Address
8 | Certificate of Transfer | 8 | NID/Passport No.
9 | Form - 117 | 9 | Nationality
10 | Affidavit | 10 | Date of Birth
11 | Forwarding Letter | 11 | TIN
12 | Intimation Letter | 12 | Position
13 | Authorization Letter | 13 | Date of Appointment or Change
14 | Occupation
15 | Number of Subscriber Shares
16 | Photo