Schedule “C” The Federal Democratic Repubic Of Ethiopia Addis Ababa/Dire Dawa Administration Application For Business Licence | GOALGOOLE | Because you need Information for your goals !
7023 Bole Kifle Ketema, Addis Ababa, Ethiopia
0116616179/85 mcc@ethionet.et

Schedule “C” The Federal Democratic Repubic Of Ethiopia Addis Ababa/Dire Dawa Administration Application For Business Licence

Note

  1. Where the declaration and information submitted in this application are found out to be false, the ensuing personality shall be administrative measures and imprisonment from seven up to ten years pursuant to the Proclamation.
  2. This form shall also be used for the application of a person to whom a business is transferred, and for the yearly renewal of business license
  3. The applicant may, upon payment, get a copy of the directive containing the requirements that must be satisfied for the business license, together with the application form.
  4. 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 particulars.
  5. 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. Legal status:

Sole business person  ¨

Other   ¨    Specify

  1. Address of the firm

Region                                Zone

Woreda                              City

Kebele ___________ House No. ________________

Tel.No _________________ P.O.Box ____________

Fax  _________________

  1. Address of the branch, if any

If it is in Ethiopia

Region                               Zone

Woreda                              City

Kebele ___________ House No. ________________

Tel.No _________________ P.O.Box ____________

Fax  _________________

If it is in another country _______________________

___________________________________________

___________________________________________

  1. Type of business _____________________________
  2. Business sector ______________________________
  3. Total capital of the firm ________________________

Subscribed capital _____________________________

Paid up capital ________________________________

Authorized capital _____________________________

Out of the total capital employed in the business:

Shares owned by Ethiopians ________________

Shares owned by foreign citizens ____________

  1. Manager of the firm ____________________________

Name _______________ Nationality ______________

Address

Region                                Zone

Woreda                              City

Kebele ___________ House No. ________________

Tel.No _________________ P.O.Box ____________

  1. Based on the requirements to be met for the requested business licence, the type of information submitted by the applicant together with the application, and list of the names of the institutions which issued the information:
  • ___________________________________________
  • ___________________________________________
  • ___________________________________________
  • ___________________________________________
  • ___________________________________________

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 licencing office 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 additional pages attached _______________

(c)    Name of receiving officer ________________________

Signature ___________________

__________________________________________________________________

 

For office use only

  1. Declaration of head of the licencing office

(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) If it is accepted

Date of decision ___________________________

Date of registration ________________________

Business licnece number ____________________

(d)   Name of head of the licence office _____________

Signature ______________ Date _______________

  1. Name of approving official _______________________

Signature _______________________

Date ___________________________

Form 2

SCHEDULE ‘C’

THE FEDERAL DEMOCRATIC REPUBLIC OF

ETHIOPIA ADDIS ABABA/DIRE DAWA

ADMINISTRATION APPLICATION FOR PRODUCTION

OR SERVICE RENDERING AFTER EXPANSION OR

UPGRADING OF AN INDUSTRY, HOTEL,

EDUCATIONAL INSTITUTION, HEALTH SERVICE

AND AGRICULTURAL DEVELOPMENT

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. The applicant may, upon payment, get a copy of the directive containing the requirements that must be satisfied for the permit together with the application form.
  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 particulars.
  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. Applicant’s name _________________________
  2. Nationality ______________________________
  3. Legal status ______________________________

Sole business person  ¨

Other   ¨    Specify type

 

  1. Address of the firm

Region                             Zone

Woreda                          City

Kebele ___________ House No. ________________

Tel.No _________________ P.O.Box ____________

Fax  _________________

  1. Sector of the business established _________________
  2. The objectives of expansion/upgrading (Specify the change in quality and quantity)

to manufacture new products __________________

to dispense new services ______________________

to expand the existing _________________________

other  ______________________________________

  1. Additional manufacturing or service rendering land

Area of land ____________________________________

Areas of house/building floor ______________________

  1. Additional manpower

Male _________________________________________

Female ________________________________________

  1. Additional capital required for expansion or upgrading

______________________________________________

  1. Based on the requirements to be met for the required ____ expansion/upgrading permit, the type of information submitted by the applicant together with the application and list of the names of institutions which issued the information:

___________________________________________

___________________________________________

___________________________________________

___________________________________________

___________________________________________

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 licencing office 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 additional pages attached ______________

(c)    Receiving officer ___________ Signature __________

For office use only

  1. Declaration of head of the licencing office

(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) If it is accepted

Date of decision ___________________________

Date of registration ________________________

Reference number of letter of permission _______

(d) Name of head of the licence office _____________

Signature ______________ Date _______________

  1. Name f head of licence office _____________________

Signature _________________ Date ________________

Form 3

SCHEDULE “C”

THE FEDERAL DEMOCRATIC REPUBLIC OF

ETHIOPIA ADDIS ABABA/DIRE DAWA

ADMINISTRATION APPLICATION FOR TEMPORARY

LICENCE FOR ESTABLISHING NEW BUSIENSS OR

EXPANDING OR UPGRADING ESTABLISHED

BUSINESS IN INDUSTRY, HOTEL, EDUCATIONAL

INSTITUTION, HEALTH SERVICE AND

AGRICULTURAL DEVELOPMENT

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. The conditions that must be met for temporary licence are based on the Regulations and the directive containing such conditions may be obtained together with the application.
  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 particulars.
  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. Applicant’s name _______________________
  2. Nationality _____________________________
  3. Legal status
  • Sole business person ¨
  • Other ¨  Specify _________
  1. Address of the applicant

Region                                      Zone

Woreda                                    City

Kebele ___________ House No. ________________

Tel.No _________________ P.O.Box ____________

Fax  _________________

  1. If he is a foreign citizen

Residence permit No ______________________________

The year in which it was renewed ______ Passport No. ___

The year in which it was issued _______________________

  1. The place intended for establishing the business ___________
  2. Type of product to be produced/service to be rendered
  3. Amount of capital to be employed ______________________
  4. Based on the requirements to be met for the required _______

Temporary licence, the type of information submitted by

the applicant together with the application and list of the

names of institutions which issued the information.

___________________________________________

___________________________________________

___________________________________________

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 licencing office regarding the acceptance of the application (The same declaration shall appear on the copy to be retained by the applicant.)

(a)    Date of receipt of application __________________

(b)   Number of additional pages attached ______________

(c)    Name & receiving officer  ______________________

Signature ____________________________________

__________________________________________________________________

For office use only

  1. Declaration of head of the licencing office

(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) If it is accepted

Date of decision ___________________________

Date of registration ________________________

Business licnece number ____________________

(d) Name of head of the licence office _____________

Signature ______________ Date _______________

  1. Name of approving official ________________________

Signature ___________________ Date ________________

Form 4

SCHEDULE ‘C’

THE FEDERAL DEMOCRATIC REPUBLIC

OF ETHIOPIA ADDIS ABABA/DIRE DAWA

ADMINISTRATION

File Number _________________

Business Licence Number ______

Date of Issuance ______________

Business Licence

  1. Name of licence holder ___________________
  2. Nationality _____________________________
  3. Trade name, if any _______________________
  4. Address of the firm

Region                                Zone

Woreda                              City

Kebele ___________ House No. _____________

Tel.No _________________ P.O.Box _________

  1. Field of business __________________________
  2. Capital __________________________________

Name of official ___________________________

Signature ________________

Seal Renewal

Renewed for

___________

Signature

 

___________

Seal

Renewed for

___________

Signature

 

___________

Seal

Renewed for

___________

Signature

 

___________

Seal

Renewed for

___________

Signature

 

___________

Seal

Note:- This licence shall be renewed annually in each budget year in accordance with the law.

SCHEDULE ‘C’

THE FEDERAL DEMOCRATIC REPUBLIC

OF ETHIOPIA ADDIS ABABA/DIRE DAWA

ADMINISTRATION

Registration Number_________________

Temporary Licence Number ___________

Date of Issuance _____________________

Temporary Business License

  1. Name of licence holder ________________________

Address:-

Woreda                              City

Kebele ___________ House No. ________________

Tel.No _________________ P.O.Box ____________

Fax  _________________

  1. Business sector ______________________________
  2. Field of the business __________________________
  3. Place of establishment

Address:-

City                                  Woreda

Kebele ___________ House No. ___________________

Tel.No _________________ P.O.Box ____________

Fax  _________________

  1. Objective of the licence: Since the licence is granted for the purpose of construction and completion of a business project, it is prohibited to produce for sale, or render services with this licence.

Name of official ____________________________

Signature _________________

Note:– Where the project is in a position to produce or render services following to the completion of construction works, it is necessary to obtain a permanent business licence.