Share Buyers’ Registration Form

FOR FOREIGN NATIONALS
(eTHIOPIAN ORIGIN)

Basic Details
Name *
First
Middle
Last
Name in Amharic *
Nationality (Citizenship). For instance, if you are now US citizen, write USA. *
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 thourgh 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 100,000 Ethiopian Birr. Please use only foreign currency accounts at Abyssinia Bank or Abay Bank.
What is the total amount of money (in birr or dollar) that you want to invest in Fiqttor Trading Axion Company? Fiqttor Trading will calculate the number of shares based on the actual amount deposited to its account. *
Please add USD or ETB at the end of the amount.
Payment Terms *
Service Charge *
I agree to pay the service charge together with the first payment
The service charge is 5% of your total subscription
Agreement
Full name of Buyer / Agent *
Date of Purchase *
Identity Document Scan *
A valid scan / picture of driving license, passport or kebele ID
Payment Receipt Scan *
Power of attorney (if applicable)
Signature Scan *
I hereby confirm that the form has been filled with accurate information
I hereby confirm that the form has been filled with accurate information
After your submission, you will receive confirmation email within 48 hours. Once the money is deposited to Fiqttor Trading Axion Company’s account, you will receive another email with detail like the amount paid, the number of shares, etc along with legal cash receiving receipt. Official shareholder certificates will be provided after all share selling is completed.
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