የወኪል መመዝገቢያ ቅፅ

Agent Registration Form

የወኪል/ዝርዝር መረጃ/AGENT’S BUSINESS DETAIL

ድርጅቱ የተመዘገበበት የንግድ ስም/Registered Business Name _________________________________________

የግብር ከፋይ መለያ ቁጥር/TIN Number _________________________________
የንግድ ሥራ ዘርፍ /Business Sector ____________________________________
የንግድ ሥራ አይነት / Business Type____________________________________
ክልል/ከተማ አስተዳደር/Region/Administration City______________ ዞን /ክፍለ ከተማ/Zone /Sub-city ____________
ከተማ/City/Town____________ ወረዳ/Woreda _____________ ቀበሌ/Kebele ______________የቤት ቁጥር/House No.
________ ልዩ ስም/ Specific Location_____________
ኢሜይል/Email _______________________________ ስልክ ቁጥር/Contact Number _______________________
አማራጭ የመደበኛ ስልክ ቁጥር/Alternative Fixed Line Number_____________________
ፖ.ሳ.ቁ. /Postal code፡ _____________________

የንግዱ ባለቤት ዝርዝር መረጃ / Business Owner Detail

የንግዱ ባለቤት ሥም/Business owner Name የ አባት ሥም/ Father’s Name የአያት ሥም/ Grand Father’s Name
_______________________________ ___________________________ ___________________________
ክልል/ከተማ አስተዳደር/Region/Administration City______________ ዞን /ክፍለ ከተማ/Zone /Sub-city ____________ ወረዳ/Woreda
_____________ ቀበሌ/Kebele ______________የቤት ቁጥር/House Number _________________
ስልክ ቁጥር/Contact Number _______________________ኢሜይል/Email _______________________________

የባንክ መረጃ /Bank details

የባንኩ ሥም/ Bank Name ______________________________የባንክ አካውንት ቁጥር/Bank account number

__________________________________ የባንኩ ቅርንጫፍ ሥም / Bank Branch Name___________________ መነሻ ተቀማጭ የገንዘብ
መጠን/ Initial Deposit Amount ___________በአሃዝ (In words) ______________________________________________________________
በጥሬ ገንዘብ/In Cash ከባንክ አካውንት ማስተላለፍ/Account Transfer
ለውስጥ አገልግሎት/ For Office Use Only

እኔ አመልካች ከላይ በቅፁ ውስጥ የቀረበው መረጃ ትክክልና የተሟላ መሆኑንና ከዚህ ቅፅ ጋር አባሪ በሆነው የቴሌ ብር ወኪል ስምምነት የተስማማው እንደሆነ እያረጋገጥኩ ፤ የቴሌ
ብር ወኪል ስምምነት ድንጋጌዎችን ትኩረት ለመስጠት፣ ለማክበር እና ለሟሟላት ያለቅደመ ሁኔታና ያለማቅማማት ተስማምቼያለሁ፡፡ በተጨማሪም ህግ በሚፈቅድው መሰረት፣
በኢትዮ ቴሌኮም ወይም በዋና ወኪል ፍፁም ውሳኔና ፍላጎት፤ ወኪሉን የሚመለከት ማንኛውንም ተጨማሪ መረጃ ይፋ ለማድረግ ቃል እገባለሁ፡፡

I hereby declare that all KYC information furnished herein is true and complete to my knowledge. I also agree to be bound by the
Telebirr Agent’s Agreement, which is found attached to this registration form. I hereby irrevocably and unconditionally agree to
observe, fulfil and comply with the provisions of the Telebirr Agent’s Agreement and to the extent permitted by law

ስም/Name ፊርማ/Signature ቀን/Date

ለውስጥ አገልግሎት/For Office Use Only

የወኪል ዓይነት/Agent Type የከተማ/Urban የገጠር/Rural

የወኪል ቁጥር/ Agent’s Number ____________________ ዋና ወኪል/Master Agent _______________________
የኢትዮ ቴሌኮም ዞን/ሪጅን/Ethiotelecom Zone/Region__________ የአካባቢ ስም/Specific location _______________________
የጂ ፒ ኤስ አድራሻ/GPS Location: Latitude _____________ Longitudes _______________________

ቅፁን የሞላው /Submitted by ያረጋገጠው /Verified by ወደ ሲስተም ያስገባው/Captured by

_______________________ __________________________ _________________________
TERMS AND CONDITIONS
1. DEFINITIONS
For the purpose of this Contract, the following terms and abbreviations shall have the meaning herein assigned to them
Account Means any account operated, or managed by ethio telecom and which belongs to the customer
Cash in Means the process by w/c a customer exchanges cash for electronic value. Cash-in transactions usually result in increase in the users’ electronic money account balance;
Cash-out Means the process by which a user exchanges electronic money for cash and transactions resulting in a decrease in the users' electronic money account balance.
Electronic account means an account that belongs to a user but held with ethio telecom for the use of electronic money;
Electronic money Means: a monetary value represented by a claim on its issuer with the following attributes (i) issued up on receipt of Ethiopian Birr, (ii) it is accepted as a means
of payment by persons other than the issuer, (iii) it has equal value with other electronic money issued in Ethiopian Birr, (iv) stored on an electronic device;
Mobile money means a type of electronic money that is transferred electronically using mobile networks & subscriber identification module (SIM)-enabled devices, like mobile phones;
Outlet Shall mean place of business which is established by the Master Agent and/or its agents or ethio telecom point of sales that serve as point of mobile money business
Person Means natural or juridical person;
Anti-Money Laundering Rules and Regulations means A set of procedures laws or regulations designed to stop the practice of generating income through illegal action which is
issued by the National Bank of Ethiopia.
Cash Float means the cash to be maintained by the Agent at the Outlet for the provision of the relevant Agent Services
Master-Agent Is a legal person which has an overarching agreement with ethio telecom to contract and manage its agents (including outlets) that provide agent service to customers
on behalf of a ethio telecom. The Master- agent enters into contract with the agents for the provision of agent service on behalf of ethio telecom. The Master- agent may or may
not, in addition to this management capacity, serve the financial institution in an agent capacity through National Bank of Ethiopia.
Subscriber Means a person who has an electronic money account or uses an electronic money service;
Know Your Customer (KYC) Means a set of due diligence measures undertaken by a financial institution or a payment instrument issuer, including policies and procedures, to
identify a user and the motivation behind his financial activities.
Transaction (Log) book Means a written record of Transactions performed by the Agent at each Outlet and against which each Customer is required to sign upon successful
completion of a Transaction
2. APPOINTMENT OF AGENT
2.1.The master-agent hereby appoints the Agent, and the Agent accepts such appointment, to offer Mobile Money service services to customers as the agent of master agent on
non-exclusive basis for the duration of this Agreement on the terms set out in this Agreement
2.2.The Agent's authority to act as agent for Master agent in providing the Mobile Money service is strictly Limited to the performance of the tasks set out in this Agreement and
shall not extend to any other matter or thing. The agent shall have no authority or power to bind the Master-agent except as expressly authorized by this Agreement.
2.3.The Mobile Money master Agent contract signed between ethio telecom and the Master Agent along with its Annexes and Amendments thereto shall be deemed to form and be
read and taken as part of this Contract.
2.4.The Agent shall comply with aIl applicable Iaws, rules, regulations and statutory requirements existing in Ethiopia from time to time, including aII applicable anti- money
Laundering (''AML'‘) requirements of National Bank of Ethiopia
3. RIGHTS AND OBLIGATIONS OF THE AGENT
3.1.Agent shall offer the Mobile Money Services to customers on a non-exclusive basis for the duration of this agreement
3.2.Agent shall use its best endeavors to register new customers for the Mobile Money Service
3.3.The agent shall use every effort to make sure applicants have necessary awareness with respect to the registration process & initial operation of their Mobile Money Accounts
3.4.In undertaking Cash-out Transactions, the agent must ensure that any cash payments are only made
 Upon sufficient sums being available in its cash float,
 Upon checking the accuracy and completeness of the relevant confirmation SMS, and
 Upon being satisfied that the recipient of the cash payments is the owner of the mobile phone by verifying the Customer’s ID against the details provided in the
confirmation SMS
3.5.Agent shall maintain adequate balance in its Mobile Money account and cash float to undertake electronic money related financial service involving cash in and cash out
transactions
3.6.ln the event that there are insufficient sums available in the Mobile Money float at the relevant outlet to effect the transaction, the agent must decline to carry out the
transaction and should contact Master-agent under their hierarchy or any other Master agents
3.7. Agent shall handle user transactions against prefunded Mobile Money accounts
3.8. Agent shall undertake Proper and fair handling of customers
3.9.All Equipment’s supplied to the Agent by the Master-agent shall remain the property of ethio telecom and shall be returned during termination of the retail Contract.
3.10.The Agent shall not be entitled to cede or assign any rights granted under this Agreement to any other person
3.11.Agent shall not relocate, transfer or close its agency business service premises without the 30 days’ prior written notification to Master
3.12.The agent shall comply with any instructions and/or directions that Master Agent may give the agent from time to time in connection with the provisions of the Agent services
and/or the Mobile Money services
3.13.The Agent shall comply with the territorial boundaries set by ethio telecom
3.14.The Agent shall fulfill and maintain the requirements as defined under Annex 3 of this contract, for effective and efficient performance of its obligation under this contract
3.15.The agent shall have dedicated customer care telephone numbers (toll free 894) to lodge their complaints
3.16.The Agent shall ensure that all customer complaints that could be solved at agent level are resolved within a reasonable time
4. RIGHTS AND OBLIGATIONS OF THE MASTER AGENT
Master agent:
4.1.Shall recruit potential agents for the provision of Mobile Money service
4.2.Shall provide appropriate Training and Support to Mobile Money agents under their hierarchy
4.3.Shall make sure float management at recruited outlets are maintained
4.4.Shall nurture and maintain relationships with agents under their hierarchy to ensure retention
4.5.Shall put in place a mechanism to manage, monitor and coordinate agents and the agency business service;
4.6.Shall ensure marketing of the MM services and branding of the agent premises are done according to company guideline
4.7.Shall Terminate its relationship with an agent that fails to comply with this contract or any other operating conditions specified by ethio telecom & the National Bank of Ethiopia
4.8.Shall makes sure that product & operational manuals, accounting procedures & system developed & communicated by ethio telecom are effectively implemented by their agents
4.9.Shall provide agents with sufficient trainings: including those related to the know your customer (KYC) requirements, customer service, anti-money, laundering and /or counter
financing terrorism (CFT) confidentiality of the information, cash security, record keeping and financial education; to enable the agents to perform the operations and provide the
service agreed upon, adequately
4.10.Shall grant Materials free of charge in reasonable quantities necessary for the proper advertising and promotion it gets the from ethio telecom for free

5. CUSTOMER IDENTIFICATION GUIDELINE

5.1.When registering a customer or updating the customer KYC information in the Mobile Money system, an agent should ensure Due Diligence requirements depending on the level
of accounts
• for Level 1 accounts name, date of birth, residential address, telephone number, recent photo of the subscriber and the subscriber shall be introduced by another person who
already maintains Mobile Money account with Ethio telecom.
• for Level 2 accounts name, date of birth, residential address, telephone number and recent photo and identity card of the subscriber and shall be captured in the system.
• for Level 3 accounts name, date of birth, residential/business address, telephone number, a photo and identification card of the account holder shall be captured in the
system whichever is appropriate for individuals and entities
5.2.An agent shall scan and upload the scanned copy of the customer's certificate to the Mobile Money system. The following renewed ID are acceptable for individuals Mobile
Money subscription:
• Valid kebele ID
• Valid passport
• Valid tax payer’s ID
• Valid Driver’s license
5.3.An agent shall decline to perform the transaction if he/she, based on sufficiency of information provided in the ID, is not satisfied with the proof of the customer’s identity
5.4.The agent shall ensure the ID is original, readable, comprehensive and shall ensure that the customers ID is not expired
6. PROHIBITIONS
The agent shall not:
a) Undertake agency business service beyond its designated geographical area;
b) Undertake transactions in the absence of system or network connectivity;
c) Charge or collect any fees from users directly;
d) Break down transactions to earn more commission
e) Provide customers less money than what is due to them
f) Withdraw customer float without their consent
g) Falsely register to earn undeserving commissions
h) Registration not dully filled and signed and not using ID when registering customers
i) Open regular accounts, grant loans, or carry out any appraisal function for purposes of opening an account or granting of a loan or any other facility except as may be
permitted by any other written law to which the agent is subject;
j) Undertake cheque deposit and encashment of cheque;
k) Transact in foreign currency;
l) Impose separate terms and conditions apart from those provided by ethio telecom;
m) Perform against or beyond the agency contract; and
n) Undertake other activities that are prohibited by the National Bank
7. FEES AND COMMISSIONS
7.1.Applicable fees and commissions are set out in Annex 2 below. All agents shall adhere strictly to the approved fees
8. RECORD KEEPING
8.1.The Agent shall keep proper records in relation to its provision of the Mobile Money Services, and shall ensure that the registration particulars of each Customer on the
transaction (Log Book) are promptly sent to its respective Master agents upon request
9. CHECKING AND INSPECTION
9.1.Parties to this Contract acknowledged and agreed that ethio telecom shall have the right to access the premises of master agents and agents, and the right to inspect their
outlets’, documents and records and any other related documents covering all transactions relating to the undertakings of this contractual Contract, during ordinary business hours
9.2.The Master agent shall have the same right to access the premises and any documents of its agents for checking and inspection, during ordinary business hours
10. BRANDING, PROMOTIONAL MATERIAL AND INTELLECTUAL PROPERTY
10.1.Ethio telecom shall provide to master agents and master agents in turn provide the agents with branding and advertising material at no cost but which shall at all times remain
the property of ethio telecom returnable on demand or upon termination of this agreement
10.2.The Agent shall erect, display and use all such branding and advertising material in such manner agreed upon by both parties
10.3.The Agent shall promptly notify Master of any actual, threatened or suspected infringement or improper or wrongful use of any ethio telecom Trademarks & Trade names or
other intellectual property rights belonging to ethio telecom which comes to the Agent’s attention or notice
11. RISK MANAGEMENT
11.1.In the event of any Ioss or theft of any equipment by the Agent or its staff, an immediate written report or email of such Ioss or theft must be forwarded to Master agent by
the Agent, Master agents shall report same to ethio telecom so that ethio telecom will freeze or immobilize the effective use of the same
11.2.The Agent shall, for its own protection, keep confidential all personal identification or Security numbers used with the Equipment for the provision of the Mobile Money Services
and ensure that they are not disclosed to any one
11.3.Ethio telecom shall monitor the safety, security and efficiency of electronic equipment being used by both master agent’s and their agents, including IT platform, to prevent any
tampering or manipulation by any person
11.4.Ethio telcom shall ensure that proper anti –money laundering (AML) and/or counter Financial terrorism(CFT) monitoring processes are existed and managed
12. TERMINATION
12.1. This Agreement may be terminated as follows:
 by either Party giving not Iess than thirty (30) days prior notice of termination;
 Immediately by ethio telecom if an agent:
 Ceased main commercial activity
 Is guilty of a criminal offence involving fraud, dishonesty or other financial impropriety
 Sustain a financial loss or damage to such degree which, in the opinion of ethio telecom, makes it impossible for the agent to gain its financial soundness within three
months from date of the loss or damage
 Is being dissolved or wound up through court or otherwise
 Dies or mentally becomes incapacitated, in case of natural person
 Relocates or closes its premises without prior written consent of ethio telecom
12.2. Upon termination of the contract,
 All logos and promotional materials used for the promotion of the agent shall be removed from the premises of the agent
 The Agent shall no longer hold itself out as being an agent of ethio telecom for the supply of MM Services and shall immediately cease providing MM Services
 The Agent shall cease forth with to use the Equipment, the Trade names and Trademarks
13. CONFIDENTIALITY
Each party undertakes & warrants that it will treat as confidential all information related to & received from the other party, which it acquires as a result of the operation of this
Agreement
14. DISPUTE RESOLUTION
14.1.Any dispute arising out of and/or related to this Contract shall be settled by the Parties amicably through negotiation
14.2.Should Parties fail to reach an agreement, both parties agreed to submit their case only before the competent federal courts to which ethio telecom is registered & conducts its
business
16. NOTICES
All notices of this Contract shall be send by e-mail, fax or written letter, by the addresses defined in the application form