First name
Middle name
Last name
Taxpayer ID
Social security number Individual tax identification number
ID type BusinessStudent
ID number
State issue Addis AbabaTigrayAmharaOromia
Expiration date
Date of birth
Citizenship [select citizenship "Ethiopian" "Kenyan" "Sudanese" or "Eritrean"]
Email Address
Phone Number
Home address 01
Home address 02(optional)
City Addis AbabaTigrayAmharaOromia
Sub City BoleYekaArada
Zip code
Profession
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