‫ﺷﻬﺎﺩﺓ ﺗﺴﺠﻴﻞ ﻟﻠﻀﺮﻳﺒﺔ ﺍﻻﻧﺘﻘﺎﺋﻴﺔ ﻓﻲ ﺍﻹﻣﺎﺭﺍﺕ ﺍﻟﻌﺮﺑﻴﺔ ﺍﻟﻤﺘﺤﺪﺓ‬

Certificate of Registration for Excise Tax in the United Arab Emirates

The Federal Tax Authority certifies that the entity below is a ‫ﺗﺸﻬﺪ ﺍﻟﻬﻴﺌﺔ ﺍﻹﺗﺤﺎﺩﻳﺔ ﻟﻠﻀﺮﺍﺋﺐ ﺃﻥ ﺍﻟﺠﻬﺔ ﺃﺩﻧﺎﻩ ﺧﺎﺿﻌﺔ ﻟﻠﻀﺮﻳﺒﺔ‬
taxable person for Excise Tax in the UAE ‫ﺍﻻﻧﺘﻘﺎﺋﻴﺔ ﻓﻲ ﺍﻹﻣﺎﺭﺍﺕ ﺍﻟﻌﺮﺑﻴﺔ ﺍﻟﻤﺘﺤﺪﺓ‬

Full Arabic legal name
Full English legal name
Registered address
Tax Registration Number
Effective Registration Date
‫ﻡ‬.‫ﻡ‬.‫ﺫ‬.‫ﺍﻟﺼﻤﺎﺩﻱ ﻟﻠﺘﺠﺎﺭﺓ ﺍﻟﻌﺎﻣﺔ ﺵ‬ ‫ﺍﻻﺳﻢ ﺍﻟﻘﺎﻧﻮﻧﻲ ﺍﻟﻜﺎﻣﻞ ﺑﺎﻟﻠﻐﺔ ﺍﻟﻌﺮﺑﻴﺔ‬
Al Samadi General Trading L.L.C ‫ﺍﻻﺳﻢ ﺍﻟﻘﺎﻧﻮﻧﻲ ﺍﻟﻜﺎﻣﻞ ﺑﺎﻟﻠﻐﺔ ﺍﻻﻧﺠﻠﻴﺰﻳﺔ‬
Office# 907, 9th Floor, Regal Tower, Business ‫ﺍﻟﻌﻨﻮﺍﻥ ﺍﻟﻤﺴﺠﻞ‬
Bay, Dubai, Dubai, United Arab Emirates,
390195 , +971555825140
100265460400007 ‫ﺭﻗﻢ ﺍﻟﺘﺴﺠﻴﻞ ﺍﻟﻀﺮﻳﺒﻲ‬
01-December-2018 ‫ﺗﺎﺭﻳﺦ ﺳﺮﻳﺎﻥ ﺍﻟﺘﺴﺠﻴﻞ‬

First Excise Tax return period 01/12/2018 to 31/12/2018 and monthly ‫ﺍﻟﻔﺘﺮﺓ ﺍﻟﻀﺮﻳﺒﻴﺔ ﺍﻻﻭﻟﻰ ﻟﻠﻀﺮﻳﺒﺔ ﺍﻻﻧﺘﻘﺎﺋﻴﺔ‬
thereafter
Excise return due date 15th day of the month following the Excise Tax ‫ﺗﺎﺭﻳﺦ ﺍﺳﺘﺤﻘﺎﻕ ﺍﻹﻗﺮﺍﺭ ﺍﻟﻀﺮﻳﺒﻲ ﻟﻠﻀﺮﻳﺒﺔ‬
return period ‫ﺍﻻﻧﺘﻘﺎﺋﻴﺔ‬

‫ﺣﺼﻠﺖ ﻓﻴﻬﺎ ﻋﻠﻰ ﺭﻗﻢ ﺍﻟﺘﺴﺠﻴﻞ‬. ‫ ﻳﺠﺐ ﺇﺑﻼﻍ ﺍﻟﻬﻴﺌﺔ ﺍﻻﺗﺤﺎﺩﻳﺔ ﻟﻠﻀﺮﺍﺋﺐ ﻓﻲ ﺣﺎﻝ ﺗﻐﻴﻴﺮ ﺍﻷﺳﺲ ﺍﻟﺘﻲ‬،‫ﻳﺮﺟﻰ ﺍﻟﺘﺄﻛﺪ ﻣﻦ ﺻﺤﺔ ﺗﻔﺎﺻﻴﻞ ﺍﻟﺸﻬﺎﺩﺓ‬.
‫ﺍﻟﻀﺮﻳﺒﻲ ﺍﻟﺨﺎﺹ ﺑﻚ‬
Please check that the details on this certificate are correct. You must inform the Federal Tax Authority of any change on the
basis of which you obtained your Tax Registration Number.

Issuing Date: 26/11/2018 ‫ﺗﺎﺭﻳﺦ ﺍﻹﺻﺪﺍﺭ‬