በኢትዮጵያፌዴራሊዊዲሞክራሲያዊሪፐብሉክ
የገቢዎችሚኒስቴር
The Federal Democratic Republic of Ethiopia
Ministry of Revenues
የታክስከፋዮችምዝገባማመሌከቻ (ድርጅት)
NON-INDIVIDUAL TAXPAYERS REGISTRATION APPLICATION
ማሳሰቢያ አዱስ TIN ሰርተፍኬት ሇማውጣት
በምስራቅአ.አ ቅ/ፅ/ቤት የሚስተናገደ ድርጅት አድራሻ ቦሌ: የካ
o በመመዝገቢያ ቅፁ ክፍትቦታዎች በሙለ መሞሊት አሇባቸዉ፣ :ሇሚ ኩራ ክ/ከ የሆኑ የሚስተናገደ
o የተጠየቀው የማይመሇከትዎ ከሆነ "አይመሇከተኝም" ብሇውይግሇጹ፣ የተዘጋጀ የምዝገባ ማመልከቻ ቅፅ መሙላት እና መፈረም
ከንግድ ኢንደስትሪ የተሰጠውን ስም ስያሜ ኦርጅናል
o ኢትዮጵያን የቀንአቆጣጠር ይጠቀሙ፣ መመስረቻ ፅሁፍ በውልና ማስረጃ የፀዯቀ 1 ኮፒ
የዋና ስራ አስኪያጁ የቅርብ ጊዜ 2 ፎቶ
o የኮኮብ ምሌክት (*) የተዯረገበት ግዴታ መሞሊት አሇበት፣
የዋና ስራ አስኪያጁ የታዯሰ የነዋሪነት መታወቄያ 1 ኮፒ
የባሇአክስዮኖች የግል TIN NO.እና ፋይዲ ቁጥር
Instructions
የፀዯቀ የቤት ኪራይ ውል በድርጅት ስም 1 ኮፒ
ከማህበርተኞቹ መካከል የውጭ ዜጋ ካሇማንነቱን የሚገልፅ
o Use CAPITAL letters,
ፓስፖርት ኮፒ እንዱሁም ከኢንቨስትመንት የተሰጠ ማስረጃ
በድርጅቱ ወይም በስራ አስኪያጅ የተከፈተ ኢ . ሜል
o Fill all fields, በውክልና ሇምትስተናገደ ውክልናው በድርጅቱ የተሰጠ መሆን
አሇበት የተወካይ መታወቂያ ኮፒ መያዝ ይኖርባቸዋል፡፡
o Mark “N/A” for not relevant, ባሇ አንድ አባል ተመዝጋዎች በግል ድርጅት ያላችሁ
o Use Ethiopian Calendar, ከሆነ ከታክስ ዕዲ ነፃ መሆኑን የሚገልፅ ክሊራንስ
ማቅረብ
o Retain carbon copy, ማሳሰቢያ፡- በመመስረቻ ላይ የተጠቀሰው የድርጅቱ አድራሻ
ማሇትም ክ/ከተማ ፣ ወረዲ፣ የቤት ቁጥር እና የቢሮ መሇያ ቁጥር
ቀደምሲልተመዝግበውከነ በረ / PAST REGISTRATION DETAILS ከቤት ኪራይ ውል አድራሻ ጋር አንድ መሆን ይኖርበታል፡፡
1. ቀዯምሲሌተመዝግበውነገርግንድርጅትዎንከዘጉበሚከተለትጉዳዮችመረጃእንዲሰጡይጠየቃለ፡፡/ If you were previously
registered, please provide following details:
2. የታክስከፋይመሇያቁጥር/ Taxpayer identification number (TIN)
3. የድርጅቱህጋዊስም
Legal name of registered
organization or business
4. የድርጅቱየንግድስም
Trade name of registered
organization or business
5. የፀናየንግድፈቃድቁጥር
Valid Commercial license no
6. የንግድዋናምዝገባቁጥር(ካሇ)/
Principal registration no (if any)
አ ዲስለሚመዘ ገ ቡአ ስፈላ ጊ መረ ጃዎች / NEW BUSINESS DETAILS
የድርጅቱአቋምዝርዝርመረጃይግሇፁ/Enter business details below:
7. *የድርጅቱህጋዊስም
Legal name ofbusiness
*የድርጅቱህጋዊአቋም/ Select the registered organization or business legal status
ሀሊፊነቱየተወሰነየግሌማህበር/ Private Limited Company
የአክሲዮንማህበር/ Share Company
የጋራየሌማትማህበር/ Joint Ventureየ
ሽርክናማህበር/ Partn a q1qxership
ሆሌዲንግ/ Holding Company
የመንግስትባሇበጀትመ/ቤት/Public Budgetary Org
የመንግስትሌማትድርጅት/ Public Enterprise
የህብረትስራማህበራት/ Cooperative &Society
መንግስታዊያሌሆነተቋም/ Non-Government Org
የሀይማኖትተቋም/ Religious Org
ጥቃቅንናአነስተኛኢንተርፕራይዝ/ Micro &Small Enterprise
ኢንባሲዎችናአሇማቀፍመንግስታዊድርጅቶች/ Diplomatic Missions &International Government
Organizations
ላልች (የድርጅቱህጋዊአቋምይገሇጽ)/ others (specify)/
8. በኢትዮጵያየድርጅቱዋናመ/ቤትየሚገኝበትአድራሻ/Business headquarter address in Ethiopia
የቤትቁጥር/ House Number
የመንገድስምወይምቁጥር (ካሇ)/
Street Name/ Number (if any)
ቀበላ/ Kebele
የገበሬማህበር/ Farmer’s association
*ወረዳ/ Woreda
*ክፍሇከተማ/ Sub-City
ከተማ/ City
ክሌሌ/ከተማአስተዳዯር/
Regional State/ City Administration
ሀገር/country
*ሞባይሌ ቁጥር/ Mobile Number
*ተሇዋጭ ሞባይሌ ቁጥር/ Mobile Number
*ኢ.ሜይሌ/ e-mail Address
*ድርጅቱ ያሇበት ልዩ ቦታ/የሕንፃ ስም………………………………………………………………….
*የበር ቁጥር -------------------- የመንገድ ስም-----------------------
9. ድርጅቱከኢትዮጵያውጭየሚገኝዋናመ/ቤት /ቅርንጫፍመረጃ / Business headquarter/branch officein foreign territory
የቤትቁጥር / Door Number ` ` ` `
የመንገድስምወይምቁጥር/
Street Name/ Number
ከተማ/City
ሀገር/Country
የፖ.ሳ.ቁ/ Postcode
ቢሮየስሌክቁጥር/Office Phone Number
ፋክስቁጥር/ Fax Number
ኢ.ሜይሌ/ e-mail Address
የ ድር ጅቱባለቤትወይምስራአ ስኪያጅዝርዝርመረ ጃ / GENERAL MANAGER’S DETAILS
10. *ስም/ First Name
11. *የአባትስም/ Middle Name
12. *የአያትስም/ Last Name
13. *የግብርከፋይመሇያቁጥር/ Taxpayer Identification Number(TIN)
14. (ሇውጭሀገርዜጎች) ዜግነት/ (For non-Ethiopians) Citizenship
(ሇውጭሀገርዜጎች) የስራፈቃድቁጥር / (For non-Ethiopians) Work Permit No _
የቤትስሌክቁጥር/ Home Phone Number
*ተንቀሳቃሽስሌክ/ Mobile Phone Number
*ኢ.ሜይሌ/ e-mail Address
የተሾመበትቀን D D M M Y Y
Date of Appointment
በድርጅቱውስጥያሊቸውየሼርመጠንበመቶኛ/ . %
Percentage of shares held in business
ድር ጅቱ ወኪል መረ ጃ/PRIMARY CONTACT PERSON DETAILS
ስም/ First Name
የአባት ስም/ Middle Name
የአያት ስም/ Last Name
የግብር ከፋይ መሇያ ቁጥር/ Tax-payer Identification Number (TIN)
(ሇውጭ ሀገር ዜጎች) ዜግነት(For non-Ethiopians) Citizenship
(ሇውጭ ሀገር ዜጎች)የፖስፖርትቁጥር(For non-Ethiopians) Passport Number
(ሇውጭሀገርዜጎች) የስራፈቃድቁጥር(For non-Ethiopians) Work Permit Number
የቤትስሌክቁጥር/ Home Phone Number
ተንቀሳቃሽስሌክ/ Mobile Number
ኢ.ሜይሌ/ e-mail Address
የውክሌናውዓይነት/ RepresentationType
ምዝገባው በወኪሌ የሆነበት ምክንያት/
Reasons of representation
የ ድር ጅቱካፒታልመረ ጃ/ CAPITAL DETAILS
የተመዘገበካፒታሌ/ Registered Capital birr
*የተከፈሇካፒታሌ/ Paid-up Capital
, , , . birr
የ ሂ ሳብመዝጊ ያጊ ዜ/FINANCIAL YEAR DETAILS
*Financial Year End/ ሰኔ 30(ኢ.አ)/ July 7 (GC) ታህሳስ 22 (ኢ.አ)/ December 31 (GC)
የድርጅቱየሂሳብመዝጊያጊዜ ላሊካሇ/ others (specify) _____________________
የ ኢትዮጵያንግድስራፈቃድ
መስጫመደቦች/ESIC CODE
የንግድመዯብመጠሪያኮድይግሇጹ/Please specify the relevant ESIC code here
የንግድመዯብመጠሪያ/ Sector
ግብርና ፣ አዯን ፣ የጅምሊና ችርቻሮ ንግድ፣ የመኪና እና የሞተር ብስክላት
1 የዯንሌማትናአሣማስገር 6 ጥገና፣ የቤት ውስጥ ዕቃዎች፣ የሆቴሌና ሬስቶራንት፣
/ Agriculture, የአስመጪነትና ሊኪነ ትንግድስራዎች፣/ Wholesale and
Hunting, Forestry, retail trade, Repair of motor vehicles,
Fishing/ Motorcycles, Personal and household goods,
Hotels and restaurants, Import and export
የማዕድንቁፋሮናኳሪንግ/ የትራንስፖርት ፣ የመጋዘንናየኮሙኒኬሽንሥራዎች/ /
2 Mining and 7 Transport Storage and Communication
Quarrying
ማኑፋክቸሪንግ/ የፋይናንስ፣ የኢንሹራንስ ፣ የሪሌእስቴትእናንግድሥራዎች/
3 Manufacturing
8 Financial Intermediation, Insurance, Real
Estate and Business Services
የኤላክትሪክ ፣ የማህበረሰብ ፣ ማህበራዊናየግሌአገሌግልቶች/
የጋዝናየውሃአቅርቦት/ 9 Community, Social and Personal services
4 Electricity, Gas
and water supply
ኮንስትራክሽን/ የግሌመኖሪያቤት ፣ የውጭመንግስታዊያሌሆኑድርጅቶች
5 Construction 10 ፣የውጭመንግስታትተወካዮችእናላልችያሌተገሇፁስራዎች/
Private Household Exterritorial, Non-
governmental Organizations Representatives
of Foreign Governments and Other Activities
not Adequately Defined
*የሚሰማሩበት የስራ መስክ ይግሇጹ/ Please describe the main business activity
ማረ ጋገ ጫ/ CERTIFICATION
ዯጋፊሰነድ/ Attachments:
ሰነዶች/Documents
የድርጅቱመመስረቻሰነድ/ Memorandum of association of company
የድርጅቱመተዳዯሪያዯንብ/ Articles of association of company
በኢትዮጵያነዋሪሊሌሆነኩባንያበውጭአገርየተመሰረተበትየምስክርወረቀት/ Authenticated certificate or memorandum of
association by country of origin (non-resident company)
የመመስረቻህግወይምሰነድ/Proclamation,agreement document authenticated by properMinistry
የንግድዋናምዝገባሰርተፍኬት/Trade name registration certificate
የሽርክናማህበርየሽርክናህጋዊስምምነትሰነድ/ Partnership agreement for partnership
ምዝገባውየሚከናወነውበህጋዊወኪሌከሆነበፍ/ቤትወይምበሰነዶችምዝገባኤጀንሲየተመዘገበእናየፀዯቀየውክሌናማስረጃ/Power of
attorneyregistered and authenticated delegation certificate if registration is submitted by
representative
ህጋዊመታወቂያወይምየመንጃፈቃድወይምየሌዯትሰርተፍኬትወይምየኢትዮጵያወይምየላሊአገርፓስፖርትየኢትዮጵያወይምየላሊሀገርመ
ንጃፈቃድወይምየግሇሰቡ የተረጋገጠ የሌዯት የምስክርወረቀት፣ሇውጪሀገርሰጪዎችየስራፈቃድ/Legal identity card, local or
international driving license, birth certificate, Ethiopian or foreign passport, work permit (for
foreigners)
የስራአስኪያጅየምዯባዯብዳቤናየግሌየግብርከፋይመሇያቁጥርካርድኮፒ/General Manager’s Appointment letter
&Personal TIN card copy
ፓስፖርትመጠንፎቶግራፍ/ Onepassport size photograph
በዚህቅጽሊይየሰፈሩትሁለምመረጃዎችትክክሌናየተሟሊመሆኑንአረጋግጣሇሁ፡፡/ I hereby certify that the information given in this
form is true and complete. I understand that any misrepresentation is punishable by law
*ስም ከነአያት/ ፓስ ፖር ትመጠን
Full Name ፎቶግራፍ
የስራሀሊፊነት/ Position: Passport size
photograph
*ፊርማ/ Signature ቀን/Date: D D M M Y Y
በሚኒ ስቴር መ/ቤቱባለ ሙያብቻየ ሚሞላ / TO BE USED BY MINISTRY OF REVENUE ONLY
የታክስከፋዮችምዝገባኦፊሰርሙለስምከነአባት/
REGISTRATION OFFICER’S FULL NAME
D D M M Y Y
ፊርማ/ SIGNATURE: ቀን/DATE:
የሠራተኛመታወቁያቁጥር/ Employee ID
ምዝገባዉንየፈቀዯዉሀሊፊሙለስም/ Authorized by:
D D M M Y Y
ፊርማ/ SIGNATURE: ቀን/DATE:
የሀሊፊመታወቁያቁጥር/ Employee ID
የታክስማዕከለስም/ Name of tax-center
ሇድርጅቱየተሰጠየግብርከፋይመሇያቁጥር/TIN
የፋይሌቁጥር/ File Number
