Share Buyers’ Registration Form – Foreign Nationals of Ethiopian Origin

Basic Details

Name *

First

Middle

Last

Name in Amharic *

Nationality (Citizenship). For instance, if you are now US citizen, write USA. *

TIN Number *

Passport Number *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Phone *

Email *

Power of Attorney (only if you are purchasing through POA)

Name

First

Middle

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Share Purchase Details

Minimum total amount is 35,000 birr.

What is the total amount of money (in dollar or birr) that you want to invest in eTech? eTech will calculate the number of shares based on the actual amount deposited to its account. *

Payment Term *

I am paying all (100%) of my investment now.
I am paying partial payment amount and I agree to settle the remaining amount before June 22

Service Charge *

I agree to pay the service charge with the first payment

The service charge is 1% if you are paying in foreign currency, or 5% if paying in birr.

Agreement

Full name of Buyer / Agent *

Date of Purchase *

Identity Document Scan *

Click or drag a file to this area to upload.

A valid passport or driver's license

Ethiopian Origin ID Scan

Click or drag a file to this area to upload.

Yellow card

Payment Receipt Scan *

Click or drag a file to this area to upload.

Power of attorney (if necessary)

Click or drag a file to this area to upload.

Signature Scan *

Click or drag a file to this area to upload.

Prospectus confirmation *

I hereby confirm that the form has been filled with accurate information.

After your submission, you will receive confirmation email within 24 hours. Once the money is deposited to eTech account, you will receive another email with detail like the amount paid, the number of shares, etc. Official shareholder certificates will be provided after all share selling is completed.

Share Buyers’ Calculation Form

Initial investment including service charge

First Payment Percentage

50%
100%

Payment Currency
ETB(5% Service Charge)
USD(1% Service Charge)

service charge amount

Total Subscribed amount

Total Paidup Capital

Remaining amount

Note:

Remaining amount will be paid before Feb 28 2021 to get founders benefit
Ordinary Share Payment last date will be May 30 2021
Please refer today's buying rate from the Commercial bank of Ethiopia