FEXCO TAX RECLAIM APPLICATION FORM

Is this the first refund application through FEXCO?  YES___________NO_______________________
Company Name ____________________________________________________________________           
Company Address __________________________________________________________________
Post Box No.       ____________________________________________________________________
City : __________________________                   Country: _________________________________
Telephone : _____________________                   Fax Number: ______________________________
 Nature of Business : ________________________________________________________________
At which Chamber of Commerce is your company registered ( City) : _________________________
Please list all the business travellers included in this application:

Name of Employee:

(List of Business Traveller to be drafted to company letterhead with signature and company stamp)

Purpose of business trip (Meeting, Conference etc) _______________________________________

AUTHORITY

 I (We) hereby authorize FEXCO Middle East to act as sole agent until further notice on my ( our) behalf in all matters pertaining to the reclaim of VAT from the relevant refunding authorities under the provision of the 8th/ 13th Directives and all in the particulars, to:

  •  Submit and sign applications for refunds.

  • Receive tax refunds on behalf of my company, and deduct their commission therefrom

  • Lodge appeals to the relevant authorities.

FEXCO Middle East shall not be responsible for any loss, damage, or late payment caused by delay in delivery by third parties or by any  other cause whatsoever which is unavoidable or beyond its control.

Signature of Authorized Company Signatory : ____________________________________________

Name in Block Letters: _______________________________________________________________

Company stamp: ___________________________________________________________________

Position/Title in Block Letters : ________________________________________________________

(Please ensure you attach your original VAT invoices and the Certificate of Statusof  Business / Business person)