PUBLIC

ISO 9001:2015 CERTIFIED

Acknowledgement and Commitment Form1

(For eTIMS client for Windows and Android devices & eTIMS Software Integration)
1. Company/Business Information – (carefully read the contents of this document)

Company Name/
Business Name
PIN
Address
E-mail
Telephone
2. Details of the Owner/ Director/ Legal Representative of the business or company

Name
Position
Address
Mobile Number
Email
ID/Passport No:
3. Select the device you want to use and provide the required details (Check One)

o LAPTOP Device Details

o DESKTOP
o TABLET
o PDA Device Serial Number: ……………………………………………………………….
o POS Device Model Name:……………………………………………………………….
oSMARTPHONE
4. Select the suitable Integration & provide Integrator details (only applicable for those
intending to use a certified system to system integration)
o VSCU Certified Integrator (Third Party Vendor/ Self) details:
o OSCU PIN: ………………………………………………………………………………
NAME:……………………………………………………………………………
Applicable invoicing system requiring integration:
NAME: ……………………………………………………………………………
VERSION:…………………………………………………………………………
5. Commitment of the taxpayer receiving eTIMS Software

o I hereby confirm that I am ready to receive the eTIMS software and I shall use it properly.
o I will not proceed with formatting/resetting the device in which the eTIMS is installed until I get
written authorization from KRA upon an officially submitted request.
o I understand that this computing device cannot be formatted without KRA written authorization.
Otherwise, this action will be considered a violation of provisions of the Tax ProceduresAct 2015,
and VAT Act 2013 and penalties provided in the same laws will be applicable.

Date of Application (dd/mm/yy): / /

Names and signature of the Owner/ Director /Legal Representative of the Business or
Company and Stamp:

…………………………………………………………………………………….
 PUBLIC

ISO 9001:2015 CERTIFIED

1
Read carefully the contents of this document
2
For foreigners only passport is required
3
For persons intending to undertake system to system as self-integrators
or act as third party vendors, certification is required prior to the
integration. Visit KRA Website for more information.
4
For persons intending to use third party vendors for system to system
integration kindly refer to the KRA Website for the list of certified vendors.