New - FA4JR

Business Information

Type of Business *

If other, please specify

Taxpayer Identification Number (TIN) *

Business Registration Number (BRN)

Employer ID *

Other Registration Number

Specify Other Registration Type

License Number

Name of Business *

National Identification Number (NIN) of Authorized Person *

Authorized Person - Surname *

Authorized Person - Names *

Authorized Person - Mobile Number

Postal Address for service of notices *

PO Box

Address where business is conducted *

District *

Business Telephone Number *

Nature of Business as per TIN *

Nature of Business - Description

E-Mail Address *

Employees Information

How many employees does your Organisation have? *

Number of Seychellois employees

Gross Salary of Seychellois Employees for the month

Number of Non-Seychellois employees

Gross Salary of Non-Seychellois Employees for the month

Number of casual employees

Gross Salary of Casual Employees for the month

Total Number of employees

Financial Assistance Details

Total 2019 Turnover (SCR) *

Total Payroll for December 2020 (SCR) *

Assistance requested for * Year *

Month *

Sum of salary assistance being requested (SCR)*

Bank Details for Payment of Support

Bank Name *

Bank Address *

Account Name *

Bank Account Number *

Supporting Documents

Please ensure you use the drop down list to select which document you are uploading

Max file size: 10MB

Allowed file types: Excel (xls,xlsx,xml), Word (docx), PDF (pdf), Image (jpg, png), Text (txt), Zip (zip)

Select the type of file being uploaded

Description

Click here to choose a file to upload :

Required documents for Payroll Assistance application checklist

Note

Assistance under FA4JR is provided only to citizen and permanent resident employees. Please ensure your payroll shows only citizen and permanent resident employees, and upload this payroll in an xls, xlsx or xml format. Should you require a template to complete please follow the link below. Also, please note that any one individual should show on only one submitted payroll as the Scheme covers the primary source of income of any one individual.

Payroll templates can be downloaded from

https://www.src.gov.sc/resources/Forms/2018/PayrollElectronicJune2018_10Employees.zip for up to 10 employees
https://www.src.gov.sc/resources/Forms/2018/PayrollElectronicJune2018.zip for more than 10 employees

Declaration *

(Please tick)

I declare that the particulars shown herein and evidence provided supplementary hereto, are true and correct in every particular.

I am aware that any misleading statement or misrepresentation made may result in penalties including liability for full return of all payroll assistance provided.

I am aware that the information provided within this application form and any documents and information supplementary thereto may be utilized by the Seychelles Revenue Commission and the Ministry responsible for Finance as is necessary for their assessment and follow up analytics.

I hereby authorize the Ministry responsible for Finance to request information from third parties as they may deem necessary for their assessment of the request for payroll assistance being provided hereunder.

I am aware that subject to approval of payroll assistance hereunder, the business name hereunder will be published as having been approved or such payroll assistance via such media as the Ministry responsible for Finance deems appropriate.

I, , declare that I am duly authorized to make this declaration. By submitting this application electronically, this qualifies as my signature. If there is a co-applicant to this application, that co-applicant has authorised the submission of this application.

(Kindly insert your name in the space provided)

Date

27-Jul-2024

For any assistance, kindly contact: tel 190 or email: queries.fa4jr@finance.gov.sc

MINISTRY OF FINANCE, TRADE, INVESTMENT AND ECONOMIC PLANNING

FINANCIAL ASSISTANCE FOR JOB RETENTION

APPLICATION FORM 1

APPLICATION FORM FOR FINANCIAL ASSISTANCE OF PAYROLLS (RENEWAL)

This application form is for completion ONLY by business owners who employ one or more employees and submit a monthly payroll to SRC