Schedule “B” The Federal Democratic Republic Of Ethiopia Addis Ababa/Dire Dawa Administration Application To Be Submitted By A Sole Business Person For Principal Or Summary Registration | GOALGOOLE | Because you need Information for your goals !
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Schedule “B” The Federal Democratic Republic Of Ethiopia Addis Ababa/Dire Dawa Administration Application To Be Submitted By A Sole Business Person For Principal Or Summary Registration

(for those whose capital is less than Birr 5,000)

Note

  1. Where the declaration and information submitted in this application are found out to be false, the ensuing penalty shall be administrative measures and imprisonment from seven up to ten years pursuant to the Proclamation.
  2. Where the space provided in the form is not adequate to fill the particulars of the application, additional sheets of paper may be used and attached to the form by referring to the number of the particular.
  3. The applicant shall sign at the bottom of each page of the application form and the additional pages to be attached.

Particulars of the Application

  1. The applicant’s

(a)    Full name __________________________________

(b)   Nationality _________________________________

(c)    Date of birth ________________________________

(d)   Residential address

–    If it is in Ethiopia

Region                                   Zone

Woreda                                 City

Kebele                                   House No.

Tel. No.

–    If it is in another country

______________________

______________________

______________________

  1. Business purposes

________________________________________________________

________________________________________________________

________________________________________________________

  1.  The amount of capital invested or allocated for the business

_______________________________________________________

  1. Where the applicant has an established business, by whom established:

(a)    By the applicant _________________________

(b)   If purchased, from whom __________________

(c)    If taken on lease, from whom _______________

(d)   The former owner:      ¨   registered

¨    not registered

If he was registered

Place of registration __________________________

Number of registration ________________________

Declaration

  1. I hereby declare that all the statements I made herein and in the additional __ pages I have attached hereto are true and correct.

(a)    Applicant’s name ____________ Signature ______________

(b)   ___________________ day ____________________ year

  1. Declaration by the registry regarding the acceptance of the application (The same declaration shall also appear on the copy to be retained by the applicant)

(a)    Date of receipt of application ________________________

(b)   Number of pages attached ___________________________

(c)    Name or receiving officer _________ Signature __________

For Office Use Only

  1. Declaration by the head of the registry

(a)    Application for registration          ¨    Accepted

¨     Not accepted

(b)   If it is not accepted

–    Reasons    ________________________

_______________________

________________________

–    Reference number of the letter stating the decision communicated to the applicant

________________________ Date ___________________

(c)    If it is accepted

–    Date of decision _______________________

–    Registration date _______________________

–    Registration number ______________________

(d)   Head of the registry

Name _________________ Signature ____________

  1. Declaration by the head of the central commercial registry

(a)    The applicant is registered under central commercial

Registration number _________________

(b)   Date of registration __________________

(c)    Head of the registry

Name ___________ Signature ____________

Form 2

SCHEDULE “B”

THE FEDERAL DEMOCRATIC REPUBLIC OF

ETHIOPIA ADDIS ABABA/DIRE DAWA

ADMINISTRATION APPLICATION TO BE

SUBMITTED BY A SOLE BUSINESS PERSON

FOR PRINCIPAL OR SUMMARY REGISTRATION

(for those whose capital is more than Birr 5,000)

Note

  1. Where the declaration and information submitted in this application are found out to be false, the ensuing pernality shall be administrative measures and imprisonment from seven up to ten years pursuant to the Proclamation.
  2. It is not necessary to fill Nos. 1(c), (d) and (f), 7,9 and 11 of this form, in the case of summary registration.
  3. Where the space provided in the form is not adequate to fill the particulars of the application, additional sheets of paper may be used and attached to the form by referring to the number of the particular.
  4. The applicant shall sign at the bottom of each page of the application form and the additional pages to be attached.

Particulars of the Application

  1. The applicant’s

(a)    Full name ______________________________

(b)   Nationality _____________________________

(c)    Date of birth ____________________________

(d)   Place of birth ___________________________

–    If it is in Ethiopia

Region                                      Zone

Woreda                                    City

Kebele

–    If it is in another country

Country _________________ City _____________

(e)      Residential address

–    If it is in Ethiopia

Region                                      Zone

Woreda                                    City

Kebele                                      H. No.

Tel. No.

–    If it is in another country

______________________________________________

______________________________________________

______________________________________________

(f)    Marital status

Married ¨             Single     ¨

Date of marriage ______________ Place ________________

Whether or not there is a contract of marriage     ¨ Yes     ¨ No

If yes, the place where the contract of marriage is kept, or the person who is keeping it.

Name ______________________________________________

  1. Where the applicant is a minor, the date on which the document of authorization to carry on business was drawn by the family council (to be attached to the application) ______________________________________________
  2. Type of application ________________________________________

¨  Principal registration

¨  Summary registration

  1. Where it is summary registration

(a)    The place of principal registration _________________

(b)   The number of principal registration _______________

  1. Business purposes

________________________________________________

________________________________________________

  1. The amount of capital invested or allocated for the business

_________________________________________________

  1. Where the applicant has an established business, by whom established:

(a)    By the applicant _________________________

(b)   If purchased, from whom __________________

(c)    If taken on lease, from whom _______________

(d)   The former owner:                                ¨   registered

¨  not registered

–    If he was registered

Place of registration __________________

Number of registration ________________

  1. Trade name/names and registration number. (If the trade name is not registered in the trade name register it is not necessary to include it in this form, as the trade name is not a valid one).

(a) Trade name                                           (b) Registration number

___________________                               ____________________

___________________                               ____________________

___________________                               ____________________

  1. The applicant has a special designation (distinguishing mark) under which he carries on his business.

(a)    Yes   ¨

(b)   No     ¨

(c)    If yes, a copy thereof is:

¨     attached

¨     not attached

To this application

  1. Where there is an established business, it’s address.

Region                                   Zone

Woreda                                 City

Kebele                                   House No.

P.O.Box                                Tel. No

Fax. No.

  1. Address of branches or agencies, if any;

(a)    In Ethiopia

Region                                      Zone

Woreda                City                        Kebele _____

H.No.               P.O.Box                     Tel.No. _____

(b)   If in another country

__________________________________________

__________________________________________

__________________________________________

__________________________________________

  1. Name of the mangers, if any

__________________________________________

__________________________________________

__________________________________________

(Whether the power of the managers is limited to the administration of branches or agencies or not should be stated in front of their names)

  1. Where the applicant has a business licence.

(a) Type of licence    (b) No. of licence     (c) Date of issue

_____________          _______________       _____________

_____________          _______________       _____________

Declaration

  1. I hereby declare that all the statements I made herein and in the additional _______ pages I have attached hereto are true and correct.

(a)    Applicant’s name ___________________ Signature ___________

(b)   Date _________________________________________________

  1. Declaration by the registry regarding the acceptance of the application (The same declaration shall also appear on the copy to be retained by the applicant)

(a)    Date of receipt of application __________________________

(b)   Number of pages attached _____________________________

(c)    Name of receiving officer ___________ Signature __________

For office use only

  1. Declaration by the head of the registry

(a)    Application for registration                   ¨   Accepted

¨   Not accepted

(b)    If it is not accepted

–    Reasons _________________________________

_________________________________

__________________________________

–    Reference number of the letter stating the decision communicated to the applicant

Date ______________________________

(c)    If it is accepted

–    Date of decision ______________________

–    Registration date ______________________

–    Registration number ___________________

(d)   Head of the registry

Name _______________ Signature _____________

  1. Declaration by the head of the central commercial registry

(a)    The applicant is registered under central commercial

registration number _____________________________

(b)    Date of registration ______________________________

(c)    Head of the registry ______________________________

Name _________________ signature ________________

Form 3

SCHEDULE “B”

FEDERAL DEMOCRATIC REPUBLIC OF ETHIOPIA

ADDIS ABABA/DIRE DAWA ADMINISTRATION

APPLICATION TO BE SUBMITTED BY BUSINESS

ORGNAIZATIONS FOR PRINCIPAL

REGISTRATION/SUMMARY REGISTRATION

Note

  1. Where the declaration and information submitted in this application are found to be false, the ensuing pernality shall be administrative measures and imprisonment from seven up to ten years pursuant to the Proclamation.
  2. It is not necessary to fill numbers 2,4,5,9,10,11,12 and 14 of this form, in the case of summary registration.
  3. Where the space provided in the form is not adequate to fill the particulars of the application, additional sheets of paper may be used and attached to the form by referring to the number of the particular.
  4. The applicant shall sign at the bottom of each page on the application form and the additional pages to be attached.

Particulars of the Application

  1. Name of the firm ___________________________________
  2. Status of the firm

–    Share company  ¨

–    Private limited company   ¨

–    General partnership   ¨

–    Cooperative     ¨

–    Other   ¨    (Specify) __________________________________

  1. Address of the head office

Region                                Zone

Woreda                              City

Kebele ___________ House No. _______________

Tel. No. ___________ Fax _________ P.O.Box ____

  1. Address of Branches, if any

–    If it is in Ethiopia

Region                                      Zone

Woreda                                    City

Kebele ___________ House No. _______________

Tel. No. ___________ Fax _________ P.O.Box ____

–    If it is in another country ____________________

__________________________________________

__________________________________________

__________________________________________

  1. Members
 

No.

 

Name

 

Nationality

 

Address

Amount of Shares
1
2
3
4
5

 

  1. Business purposes of the firm ___________________

___________________

___________________

___________________

 

  1. Subscribed capital ______________________________
  2. Paid up capital _________________________________
  3. Shares:

(a)    Amount ____________________________________

(b)   Class ______________________________________

(c)    Par value ___________________________________

  1. Contribution in kind:

(a)    Their object _________________________________

(b)   Price _______________________________________

(c)    Method of valuation ___________________________

(d)   Amount of shares _____________________________

  1. Number of directors* _____________________________
  2. Where it is a partnership, the services required from

partners who contribute skills only __________________

______________________________________________

______________________________________________

______________________________________________

  1. manager or managers of the firm

(a)    ____________________________________________

(b)   ____________________________________________

  1. Auditors of the firm ______________________________
  2. Duration of the firm ______________________________

Declaration

  1. I hereby declare that all the statements I made herein and in the additional_pages I have attached hereto are true and correct.

(a)    Applicant’s name ____________ Signature ___________

(b)   ____________________ day ___________________ year.

  1. Declaration by the registry regarding the acceptance of the application (The same declaration shall also appear on the copy to be retained by the applicant.)

(a)    Date of receipt of application _______________

(b)   Number of pages attached __________________

(c)    Name of receiving officer __________________

Signature _____________

For Office Use Only

  1. Declaration by the head of registry

(a)    Application for registration is :          ¨   accepted

¨   not accepted

(b)   Where it is not accepted

– Reasons _________________________________

_________________________________

__________________________________

– Reference number of the letter stating the decision communicated to the applicant

Date ______________________________

(c)    Where it is accepted

–    Registration date ______________________

–    Registration number ___________________

(d)   Head of the registry

Name _______________ Signature _____________

(e)    Date of decision _____________________________

  1. Declaration by the head of central commercial registry

(a)    The applicant is registered under central commercial

registration number ________________________________

(b)   Date of registration  _________________________________

(c)    Head of registry ______ Name _______ Signature ________

Form 4

SCHEDULE ‘B’

THE FEDERAL DEMOCRATIC REPUBLIC OF

ETHIOPIA ADDIS ABABA/DIRE DAWA

ADMINISTRATION APPLICATION TO BE

SUBMITTED BY PUBLIC ENTERPRIES OF

REGIONAL GOVERNMENT FOR

PRINCIPAL/SUMMARY REGISTRATION

Note

  1. Where the declaration and information submitted in this application are found out to be false, the ensuing pernality shall be administrative measures and imprisonment from seven up to ten years pursuant to the Proclamation.
  2. It is not necessary to fill No. 3 of this form, in the case of summary registration.
  3. Where the space provided in this form is not adequate to fill the particulars of the application, additional sheets of paper may be used and attached to the form by making reference to the number of the particular.
  4. The applicant shall sign at the bottom of each page of the application form and additional pages to be attached.

Particulars of the Application

  1. name of the enterprise ______________________
  2. Address of the enterprise

Region                                      Zone

Woreda                                    City

Kebele ___________ House No. _______________

Tel. No. ___________ Fax _________ P.O.Box ____

  1. Address of Branch office, if any

Region                                      Zone

Woreda                                    City

Kebele ___________ House No. _______________

Tel. No. ___________ Fax _________ P.O.Box ____

  1. Business sector _______________________________
  2. Type of business ______________________________
  3. Authorized capital of the enterprise (if any) _________

____________________________________________

  1. Paid up capital ________________________________
  2. Supervising authority of the enterprise _____________

Declaration

  1. I hereby declare that all the statements I made herein and in the additional _______ pages I have attached hereto are true and correct

(a)    Applicant’s name ______________ Signature ____________

(b)    _____________________ day __________________ year.

  1. Declaration by the registry regarding the acceptance of the application (The same declaration shall also appear on the copy to be retained by the applicant.)

(a)    Date of receipt of application _____________________

(b)   Number of pages attached ________________________

(c)    Name of receiving officer ________________________

signature _____________

__________________________________________________________________

For Office use Only

  1. Declaration by the head of registry

(a)    Application for registration is:     ¨ accepted

¨  not accepted

(b)   Where it is not accepted

Reasons ______________________________

______________________________

______________________________

Reference number of the letter stating the decision communicated to the applicant.

Date ____________________________________

(c)    Where it is accepted

Date of decision ___________________________

Registration date ___________________________

Registration number ________________________

(d)   Name ___________ Signature ________________

  1. Declaration by the head of central commercial registry

(a)    The applicant is registered under central commercial

registration number ________________

(b)   Date of registration _________________

(c)    Name of head of registry, ____________

Signature _________________________

Form 5

SCHEDULE ‘B’

THE FEDERAL DEMOCRATIC REPUBLIC

OF ETHIOPIA

ADDIS ABABA-DIRE DAWA ADMINISTRATION

APPLICATION FOR ALTERATION/MODIFICATION

OF REGISTRATION

Note

  1. Where the declaration and information submitted in this application are found out to be false, the ensuing pernality shall be administrative measures and imprisonment from seven up to ten years pursuant to the Proclamation.
  2. Where the space provided in this form is not adequate to fill the particulars of the application, additional sheets of paper may be used and attached to the form, by referring to the number of the particular.
  3. The applicant shall sign at the bottom of each page of the application form and additional pages to be attached.

Particulars of the Application

  1. Applicant’s name _____________________
  2. Nationality __________________________
  3. Address of the office

Region                                      Zone

Woreda                                    City

Kebele ___________ House No. ________________

Tel. No. _________________ Fax _______________

  1. Principal registration number ____________________
  2. Description of the entries in the principal registration affected by alteration

1)      _________________________________________

_________________________________________

2)      _________________________________________

_________________________________________

3)      _________________________________________

_________________________________________

  1. Where there is an additional document or information used in the alteration/modification, type of the document or information (attach the document)

__________________________________________________

__________________________________________________

__________________________________________________

  1. Name of the manager ________________________________

Declaration

  1. I hereby declare that all the statements I made herein and in the additional ______ pages I have attached hereto are true and correct.

(a)    Applicant’s name ________ Signature __________

(b)   ___________ day of __________ 19 ____________

  1. Declaration by the registry regarding the acceptance of the application (The same declaration shall also appear on the copy to be retained by the applicant.)

(a)    Date of receipt of the application ________________

(b)   Number of pages attached ______________________

(c)    Name of receiving officer ______________________

Signature __________________________________

__________________________________________________________________

For Office Use Only

  1. Declaration by the head of registry

(a)    The application for alteration/modification is:

¨   accepted                                             ¨    not  accepted

(b)   If it is not accepted

Reasons ______________________________

______________________________

______________________________

Reference number of the letter stating the decision communicated to the applicant.

Date ____________________________________

(c)    If it is accepted

Date of decision ___________________________

(d)   Head of the registry Name ______ Signature ____

(e)    Date of alteration/modification made on the principal registration _____________

  1. Declaration by the head of central commercial registry

(a)    The applicant is registered under central registration number _______________

(b)   Date of registration ________________________

(c)    Head of registry _______ Name _______ Signature __________

Form 6

SCHEDULE “B”

THE FEDERAL DEMOCRATIC REPUBLIC OF

ETHIOPIA ADDIS ABABA/DIRE DAWA

ADMINISTRATION APPLICANTION FOR TRADE

NAME REGISTRATION

Note

  1. Where the declaration and information submitted in this application are found out to be false, the ensuing pernality shall be administrative measures and imprisonment from seven up to ten years pursuant to the Proclamation.
  2. Where the space provided in this form is not adequate to fill the particulars of the application, additional sheets of paper may be used and attached to the form by referring to the number of the particular.
  3. The applicant shall sign at the bottom of each page of the application form and additional pages to be attached.

Particulars of the Application

  1. Applicant’s name __________________________
  2. Address

Region                                      Zone

Woreda                                    City

Kebele ___________ House No. ________________

P.O.Box _________________ Tel.No.____________

  1. Form of business

¨      Sole business person     ¨    Other (specify) ___

  1. Business address

Region                                      Zone

Woreda                                    City

Kebele ___________ House No. ________________

P.O.Box _________________ Tel.No.____________

Fax                                           E.mail _____________

  1. Business sector  ______________________________
  2. Filed of business _____________________________
  3. Trade name intended to be registered _____________

Declaration

  1. I here by declare that all the statements I made here in and in the additional _____ pages I have attached hereto are true and correct.

(a)    Name of the applicant ____________ Signature _________

(b)   ________________ day ___________________ year.

  1.  Declaration by the registry regarding the acceptance of the application (The same declaration shall also appear on the copy to be retained by the applicant.)

(a)    Date of receipt of the application _________________

(b)   Number of pages of the enclosures attached _________

(c)    Name of the receiving officer _______ Signature _____

__________________________________________________________________

For Office Use Only

  1. Declaration of head of the registry

(a) The request for registration is:     ¨ accepted

¨  not accepted

(b) If it is not accepted

– Reasons ______________________________

______________________________

– Reference number of the letter stating the decision communicated to the applicant.

Date ____________________________________

(c) It is accepted

Date of decision ___________________________

Date of Registration ________________________

Registration number ________________________

(d) Name of the head of registry _____ Signature ____

  1. Declaration of the head of the central registry

(a)    The applicant is registered under central registration number ________

(b)   Date of registration ___________________________

(c)    Head of the registry ___________ signature _______

Form 7

SCHEDULE “B”

THE FEDERAL DEMOCRATIC REPUBLIC OF

ETHIOPIA ADDIS ABABA/DIRE DAWA

ADMINISTRATION

Principal Registration Certificate

  1. Name _____________________________________
  2. Business address

Region                                      Zone

Woreda                                    City

Kebele ___________ House No. ________________

P.O.Box _________________ Tel.No.____________

  1. Capital _____________________________________
  2. We hereby certify that ______ engaged in _____ business at the above address has duely been principally registered under Registration No. ________________

This principal registration certificate is issued in _____________

this _________________ day of ___________ 19 ____________

Name of official _______________________________________

Signature _____________________________________________

Form 8

SCHEDULE ‘B’

THE FEDERAL DEMOCRATIC REPUBLIC OF

ETHIOPIA ADDIS ABABA/DIRE DAWA

ADMINISTRATION

Principal Registration No. _________

Business Licence No. _____________

Summary Registration Certificate

  1. Name ___________________________________
  2. Address of head office

Region                                Zone

Woreda                              City

Kebele ___________ House No. ________________

P.O.Box _________________ Tel.No.____________

Fax   _________________

  1. We hereby certify that the branch opened at:

Region                                Zone

Woreda                              City

Kebele ___________ House No. ________________

by the business person carrying on business at the address mentioned in No. 2 above has duely been summarily registered.

This summary registration certificate is issued in _______

this ____________ day of _______________ 19 _______

Official’s name __________________________________

Signature _______________________________________

Form 9

SCHEDULE “B”

THE FEDERAL DEMOCRATIC REPUBLIC OF

ETHIOPIA ADDIS ABABA/DIRE DAWA

ADMINISTRATION

Trade Name Registration

Certificate Number __________

Principal Registration No. _____

Business Licence No. _________

Trade Name Registration Certificate

  1. Name ___________________________________
  2. Business sector ___________________________
  3. Field of business ___________________________
  4. Business address

Region                                Zone

Woreda                              City

Kebele ___________ House No. ________________

P.O.Box _________________ Tel.No.____________

  1. Trade name _________________________________
  2. We certify that the above mentioned trade name has been registered. Since no one has come forward with an objection to the registration of the same trade name,

with in 30 days from _________________________ to _______________ after a notice was issued in the ____ newspaper, year (vol.) __________________ No. _____________ This trade name registration certificate is issued in __________this __________day of ________ 19 __________ Name of official ______________ Signature _________