United Republic of Tanzania

Business Registrations and Licensing Agency

Government Bill

Control Number : 991351188323

Payment Ref : 104125
Service Provider Code : SP135
Payer Name : PHOENIX COMPANY
LIMITEDT
Payer Phone : 0621898411
SCAN & PAY by MPESA or
Bill Description : Payment for Business Licence TIGO PESA APPs

Billed Item (1) :Business licence fee : 2,000.00

Total Billed Amount : 2,000.00 (USD)
Amount in Words : Two thousand USD only
Expires on : 29-Jul-2024
Prepared By : SYSTEM
Collection Centre : Head Quarters
Printed on : 15-Jul-2024
Jinsi ya Kulipa How to Pay
1. Kupitia Benki: Fika tawi lolote au wakala 1. Via Bank: Visit any branch or bank agent of
wa benki ya CRDB, NBC, NMB. Namba ya CRDB, NBC, NMB. Reference
kumbukumbu: 991351188323. Number:991351188323.
2. Kupitia Mitandao ya Simu: 2. Via Mobile Network Operators (MNO): Enter
Ingia kwenye menyu ya mtandao to the
husika respective USSD Menu of MNO
Chagua 4 (Lipa Bili) Select 4 (Make Payments)
Chagua 5 (Malipo ya Serikali) Select 5 (Government Payments)
Ingiza 991351188323 kama namba Enter 991351188323 as reference
ya kumbukumbu number
Business Registrations and Licensing Agency © 2024 All Rights Reserved (BRELA)
 United Republic of Tanzania
Business Registrations and Licensing Agency
Order Form for Electronic Funds Transfer for CRDB

(a). Remitter/Tax payer

details :-
Name of Account :..............................................................................................................................................
Holder(s)
Name of Commercial :..............................................................................................................................................
Bank
Bank Account Number :..............................................................................................................................................
Signatories :.................................................................. | .........................................................................
signature of the Transfer one | signature of the Transfer two
(b). Beneficiary details Business Registrations and Licensing Agency
:-
Beneficiary Bank : CRDB
Account Number : 0250270344200
SWIFT Code : CORUTZTZ
Control Number :991351188323
Payer Name :PHOENIX COMPANY LIMITEDT
Beneficiary Account : / 0250270344200
(Field 59 of MT103)
Payment Reference : /ROC/991351188323
(Field 70 of MT103)
Transfer Amount : 2,000.00 ( USD )
Amount in Words : Two thousand USD only
Being payment for :Business Licence
Billed Item (1) :Business licence fee
: 2,000.00

Expires on : 29-Jul-2024

Prepared By : SYSTEM

Collection Centre : Head Quarters

Printed on : 15-Jul-2024

Note to Commercial Bank:

1. Please capture the above information correctly.Do not change or add any text, symbols or digits on the information
provided.
2. Field 59 of MT103 is an "Account Number" with value: :/ 0250270344200 . Must be captured correctly.
3. Field 70 of MT103 is a "Control Number" with value: /ROC/991351188323. Must be captured correctly.

Business Registrations and Licensing Agency © 2024 All Rights Reserved (BRELA)
 United Republic of Tanzania
Business Registrations and Licensing Agency
Order Form for Electronic Funds Transfer for NMB

(a). Remitter/Tax payer

details :-
Name of Account :..............................................................................................................................................
Holder(s)
Name of Commercial :..............................................................................................................................................
Bank
Bank Account Number :..............................................................................................................................................
Signatories :.................................................................. | .........................................................................
signature of the Transfer one | signature of the Transfer two
(b). Beneficiary details Business Registrations and Licensing Agency
:-
Beneficiary Bank : National Microfinance Bank
Account Number : 20410002044
SWIFT Code : NMIBTZTZ
Control Number :991351188323
Payer Name :PHOENIX COMPANY LIMITEDT
Beneficiary Account : / 20410002044
(Field 59 of MT103)
Payment Reference : /ROC/991351188323
(Field 70 of MT103)
Transfer Amount : 2,000.00 ( USD )
Amount in Words : Two thousand USD only
Being payment for :Business Licence
Billed Item (1) :Business licence fee
: 2,000.00

Expires on : 29-Jul-2024

Prepared By : SYSTEM

Collection Centre : Head Quarters

Printed on : 15-Jul-2024

Note to Commercial Bank:

1. Please capture the above information correctly.Do not change or add any text, symbols or digits on the information
provided.
2. Field 59 of MT103 is an "Account Number" with value: :/ 20410002044 . Must be captured correctly.
3. Field 70 of MT103 is a "Control Number" with value: /ROC/991351188323. Must be captured correctly.

Business Registrations and Licensing Agency © 2024 All Rights Reserved (BRELA)
 United Republic of Tanzania
Business Registrations and Licensing Agency
Order Form for Electronic Funds Transfer for NBC

(a). Remitter/Tax payer

details :-
Name of Account :..............................................................................................................................................
Holder(s)
Name of Commercial :..............................................................................................................................................
Bank
Bank Account Number :..............................................................................................................................................
Signatories :.................................................................. | .........................................................................
signature of the Transfer one | signature of the Transfer two
(b). Beneficiary details Business Registrations and Licensing Agency
:-
Beneficiary Bank : National Bank of Commerce
Account Number : 011105017693
SWIFT Code : NLCBTZTX
Control Number :991351188323
Payer Name :PHOENIX COMPANY LIMITEDT
Beneficiary Account : / 011105017693
(Field 59 of MT103)
Payment Reference : /ROC/991351188323
(Field 70 of MT103)
Transfer Amount : 2,000.00 ( USD )
Amount in Words : Two thousand USD only
Being payment for :Business Licence
Billed Item (1) :Business licence fee
: 2,000.00

Expires on : 29-Jul-2024

Prepared By : SYSTEM

Collection Centre : Head Quarters

Printed on : 15-Jul-2024

Note to Commercial Bank:

1. Please capture the above information correctly.Do not change or add any text, symbols or digits on the information
provided.
2. Field 59 of MT103 is an "Account Number" with value: :/ 011105017693 . Must be captured correctly.
3. Field 70 of MT103 is a "Control Number" with value: /ROC/991351188323. Must be captured correctly.

Business Registrations and Licensing Agency © 2024 All Rights Reserved (BRELA)