UAE Electronic Invoicing Customer Information Form

Questions 1–9 and 17–21, marked with an asterisk (*), are mandatory.

Information you enter will be submitted to Alba Tower for electronic invoicing purposes.

1. Legal name *

Full legal name of the customer entity (Ex: Alba Tower Aluminium Factory L.L.C)

2. Customer ID/name number registered with Alba Tower *

Number given to the customer by Alba Tower, if available.

3. Electronic address *

Electronic address to which the electronic invoice will be delivered (Ex: 0235:1000007151)

4. Electronic identifier / scheme *

Scheme applicable to the buyer electronic address. For businesses registered in the UAE, this will be a fixed value Ex: 0235.

5. Tax Identification Number (TIN) *

UAE 10-digit TIN, where assigned (Ex: 1000007151)

6. Tax Registration Number (TRN) *

UAE 15-digit TRN, where VAT registered (Ex: 100209638400003)

7. Customer Tax Scheme *

8. Legal registration identifier *

Trade License number (Ex: 208769)

9. Legal registration identifier type *

10. Address line 1

Main registered address line with PO Box #

11. City

City, town or locality (Ex: Dubai, Al Qouz)

12. Country Subdivision - Emirates

13. Country code

Two-letter country code (e.g. AE)

14. Beneficiary ID

When Invoice Transaction-type is Free trade zone, then providing this value.

15. Appointed Accredited Service Provider

Name of ASP (Flick Network L.L.C-FZ)

16. Appointed Accredited Service Provider ID

Ex: 138271

B. Declaration and Authorization

17. B. Declaration and Authorization *

We confirm that the information provided above is complete and accurate for the legal entity that transacts with your organisation. We authorise the use of this information for regulatory compliance, master-data validation and UAE electronic invoicing purposes. We undertake to notify you promptly of any change to the information provided.

18. Authorized signatory name *

19. Authorized Signatory Designation *

20. Authorized Person Email ID *

21. Authorized Person Phone number *

Your details are transmitted securely.