Share Buyers’ Registration Form – Ethiopian Please enable JavaScript in your browser to complete this form.Basic DetailsName *FirstMiddleLastName in Amharic *TIN NumberCountry *Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodePhone *Email *Power of Attorney (only if you are purchasing thourgh POA)NameFirstMiddleLastAddressAddress Line 1Address Line 2CityState / Province / RegionPostal CodeShare Purchase Details Minimum total amount is 35,000 birr.What is the total amount of money (in birr or dollar) 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.Now I am paying only 50% and I agree to settle the remaining 50% amount before Feb 28 2021 to get founders benefitService Charge *I agree to pay the service charge together with the first paymentThe service charge is 1% if you are paying in foreign currency, or 5% if paying in birr.AgreementFull name of Buyer / Agent *Date of Purchase *Identity Document Scan * Click or drag a file to this area to upload. A valid scan / picture of driving license, passport or kebele IDPayment 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 informationAfter 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.Submit