Shareholder Equity Confirmation Audit Form
Company Name
Financial Year Ended
Shareholder Name
Shareholder Address
Number of Shares Held
Class of Shares
Nominal Value per Share
Total Shareholding Value
Date of Shareholding
Reconciliation of Share Capital
Description
Amount
Balance at Beginning of Year
Additions During Year
Deductions During Year
Balance at End of Year
Remarks
Shareholder Signature
Date
Auditor/Company Representative
Date