FU /PM

ROYAUME DU MAROC
______________________________

CENTRE REGIONAL DINVESTISSEMENT

DE LA WILAYA DE RABAT-SALE-ZEMMOUR-ZAR

CADRE RESERVE AU CENTRE

Raison sociale ou dnomination
|
|
Date de dpt des pices au Centre
N de dpt
N du Registre du commerce
|
du (tribunal)
|

| | | | | | | | | | | |
| | | | | | | | | | | |
| | | | | | | | | |
| | | | | | | | | | | | |
| | | | | | | | | | | |
| | | | | | | | | | | |

FORMULAIRE UNIQUE

DECLARATION DE CREATION DENTREPRISE

PERSONNES MORALES

Cet imprim constitue une demande dinscription la

patente, une dclaration dimmatriculation au Registre de
Commerce, une dclaration dexistence fiscale et une
demande daffiliation la CNSS

--------------------------------------------------------------------------------------------------------------------------------------------------FU/PM

Numro de dpt
Nom et prnom du dclarant
Cachet du
Raison sociale ou dnomination.
Centre
..
et
Nombre de pices jointes..
signature
de lagent
Date..

FU/PM-1 /4

INFORMATIONS SUR LTABLISSEMENT

Socit commerciale, succursale, reprsentation ou agence commerciale trangre

| |

Succursale ou agence de socit commerciale installe au Maroc | |

Raison sociale ou dnomination : | | | | | | | | | | | | | | | | | | | | | | | | | | | |

| | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | | | | | | | | |
Enseigne :

| | | | | | | | | | | | | | | |

sigle | | | | | | | |

N certificat ngatif

| | | | | | | | | | | dlivr en date du | | | | | | |

Forme juridique de la socit

SA | |

SARL

| |

socit en commandite simple | |

SNC

| |

GIE

| |

socit en commandite par action

| |

Autres | | prciser | | | | | | | | | | | | | | | |
Montant du capital social

| | | | | | | | |

Si capital variable montant minimum

| | | | | | | | |

Dure de la personne morale

| | | Dbut de lactivit ou dinstallation | | |/| | |/| | | | |

au Maroc

Activit principale de la socit

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

Adresse du sige social de la socit inscrire

| | | | | | | | | | | |
| | | | | | | | | | | |
| | | | | | | | | | | |
| | | | | | | | | | | |
| | | | | | | | | | | |
Code postal | | | | |
Commune
Ville
| | | | | | | | | | | |
Prfecture ou province | | | | | |
Wilaya
| | | | | | | | | | | |
Contacts

Tlphone
GSM

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

| | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | ||
| | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | |

| | | | | | | Fax
| | | | | | | | | |
| | | | | | | | e-mail | | | | | | | | | | | | | |

FU/PM-2 /4

SIL SAGIT DUNE SUCCURSALE, AGENCE OU REPRESENTATION COMMERCIALE

Adresse du principal tablissement ou du sige social de la socit mre
|
|
|
Code Postal
|
Ville
|
Pays
|
RC ou tenant lieu

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

| | | | | |
| | | | | |
| | | | | |
Commune
| | | | | |
| | | | | |

| | | |
| | | |
| | | |
| | |
| | | |
| | | |

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

Adresse de la collectivit ou de ltablissement public tranger par laquelle ou pour laquelle

lentreprise est exploite ( article37 du Code de Commerce)

Code Postal
Pays

|
|
|
|
|

|
|
|
|
|

|
|
|
|
|

|
|
|
|
|

|
|
|
|
|

|
|
|
|
|

| | | | | |
| | | | | |
| | | | | |
Ville
| | | | | |

| | | |
| | | |
| | | |
| | |
| | | |

|
|
|
|
|

|
|
|
|
|

|
|
|
|
|

|
|
|
|
|

|
|
|
|
|

|
|
|
|
|

|
|
|
|
|

|
|
|
|
|

|
|
|
|
|

|
|
|
|
|

|
|
|
|
|

|
|
|
|
|

|
|
|
|
|

|
|
|
|
|

|
|
|
|
|

IDENTITE DES DIRIGEANTS(*)

Si le nombre de dirigeants est suprieur un, veuillez noter le surplus dans lintercalaire
ci-joint
Personnes physiques

Personnes morales

Nom/ Prnom

Raison sociale

Date et lieu de naissance

Forme juridique

Qualit

Activit de la socit

Nationalit

Reprsentant permanent

CIN

N du RC/tribunal

Carte dimmatriculation ou passeport

Sige social

Dlivr le
Adresse personnelle

AUTRES ASSOCIES
Si le nombre des autres associs est suprieur un, veuillez noter le surplus dans lintercalaire ci-joint
Personnes physiques

(*)

Personnes morales

identit des associs autres que actionnaires ou commanditaires/ associs ou tierces autoriss administrer, grer et signer pour la
socit/ grants et les membres des organes dadministration, de direction ou de gestion et les directeurs nomms pendant la dure de la
socit.

Nom/Prnom

Raison sociale

Qualit

Forme juridique

Date et lieu de naissance

Activit

Nationalit

Reprsentant permanent

CIN
Carte dimmatriculation ou passeport
Dlivr le
Adresse personnelle

N RC/tribunal

Sige social

FU/PM-3 /4

INFORMATIONS SUR LES PERSONNES LIEES A LETABLISSEMENT

Nombre de salaris de lentreprise ( sil y a lieu)

| | | |

Date dengagement du premier salari ( sil y a lieu)

| | |/| | |/| | | | |

Pour les socits trangres, veuillez indiquer la personne physique ou morale rsidente au
Maroc accrdite auprs de ladministration fiscale.
Raison sociale
ou
Nom
Prnom
Activit
Adresse
Code Postal
Ville
Wilaya

| | | | | | | | | | | | | | | | | | | | | | | | | | | | |
|
|
|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
|

| | | | | |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
| Commune
| | | | | |
| | | | | |

|
|
|
|
|
|

|
|
|
|
|
|
|
| |
| |

|
|
|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
|

SUCCURSALES, AGENCES OU ETABLISSEMENTS SECONDAIRES

Si le nombre est suprieur un, veuillez noter le surplus dans lintercalaire ci-joint
Succursales, agences ou tablissements secondaires au Maroc
Dnomination

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

Code Postal
Ville
Prfecture ou province
Wilaya
N de patente
Taxe ddilit(*)
Activit

|
|
|
|

|
|
|
|

|
|
|
|

|
|
|
|

|
|
|
|

|
|
|
|

Commune
| |
| | | | | | | |
| | | | | | | |
| | | | | | | |

|
|
|
|

|
|
|
|

|
|
|
|

|
|
|
|

|
|
|
|

|
|
|
|

|
|
|
|
|
|
| | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | |
Succursales, agences ou tablissements secondaires ltranger

|
|
|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
|

Dnomination

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

Adresse

Adresse

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

*) pour les socits immobilires disposant de plusieurs immeubles, prire dindiquer larticle de la taxe ddilit pour chaque
immeuble exploit.

Code Postal
Pays
Activit

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

Ville |
| | |
| | |
| | |
| | |
| | |

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

|
|
|
|
|
|

FU/PM-4 /4

OPTIONS RELATIVES A LA TVA article6

Assujettissement la TVA

de plein droit

de la loi 30 -85
| |

sur option

| |

| |

au dbit

| |

Rgime adopt par l'entreprise au regard de la TVA

lencaissement

OPTION POUR LIS ( cas des socits vises larticle 2, I-A, 1er de la loi 24 - 86 )
oui

| |

non

| |

OPTION POUR LIMPOSITION FORFETAIRE ( cas des socits trangres)

article18 de la loi 24-86 .

oui

| |

non

| |

DIVERS

Brevet d'invention dpos le

Marque dpose le

| | |/| | |/| | | | |n de dlivrance

| | |/| | |/| | | | |sous le n

| | | | | |
| | | | | |

CADRE RESERVE AU SECRETARIAT GREFFIER

Numro de dpt.
Dclaration dimmatriculation dpose le ..h
Sous le n ..du registre chronologique
N analytique..
DECLARATION ETABLIE PAR
AGISSANT EN QUALITE DE
ADRESSE PERSONNE
PERSONNELLE.
CHARGEE DE LACCOMPLISSEMENT DES FORMALITES DE CONSTITUTION
.
TEL FAX
GSME-MAIL
Cachet du
FAIT A LE
Centre
et
SIGNATURE
signature
de lagent

FU/PM-I 1

INTERCALAIRES
DIRIGEANTS
Personnes physiques
Nom/Prnom

Qualit
Date et lieu de naissance
Nationalit
CIN
Carte dtranger/
passepor
t
Dlivr le
Adresse personnelle

Personnes morales
Raison sociale

Forme juridique
Activit de la socit

Reprsentant permanent
N du RC/tribunal
Sige social

AUTRES ASSOCIES
Personnes physiques
Nom/Prnom
Qualit
Date et lieu de naissance
Nationalit
CIN
Carte dtranger /
passepor
t
Dlivr le
Adresse personnelle

Personnes morales
Raison sociale

Forme juridique
Activit de la socit

Reprsentant permanent
N du RC/tribunal
Sige social

FU/PM-I 2

AUTRES SUCCURSALES, AGENCES OU ETABLISSEMENTS SECONDAIRES

Succursales, agences ou tablissements secondaires au Maroc
Dnomination

| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |

Adresse

| | |
| | |
| | |
Code Postal
| | |
Ville
| | |
Prfecture ou province
wilaya
N de patente
| | |
Activit
| | |
| | |

|
|
|
|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
|
|

| | | | | |
| | | | | |
| | | | | |
| Commune
| | | | | |
| | | | | |
| | | | | |
| | | |
| | | | | |
| | | | | |

| | | |
| | | |
| | | |
| | |
| | | |
| | | |
| | | |
Taxe
| | | |
| | | |

| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
ddilit(*)
| | | | |
| | | | |

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
| | |
| | |

|
|
|
|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
|
|

|
|
|
|
|
|
|
|
|
|

______________________________________________________________
Dnomination

| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |

Adresse

| | |
| | |
| | |
Code Postal
| | |
Ville
| | |
Prfecture ou province
Wilaya
N de patente
| | |
Activit
| | |
| | |

|
|
|
|
|
|
|
|
|
|

| | | | | | | |
| | | | | | | |
| | | | | | | |
| | Commune
| | | | | | | |
| | | | | | | |
| | | | | | | |
| | | | |
| | | | | | | |
| | | | | | |

| | |
| | |
| | |
| | |
| | |
| | |
| | |
Taxe
| | |
| | |

| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
ddilit(*)
| | | | |
| | | | |

|
|
|
|
|
|
|

|
|
|
|
|
|
|

| | | | | | | |
| | | | | | | |
| | | | | | | |
| | | | | | | |
| | | | | | | |
| | | | | | | |
| | | | | | | |
| | | | | | | |
| | | | | | | | | |
| | | | | | | | |

|
|
|
|
|
|
|
|
|
|

Succursales, agences ou tablissements secondaires ltranger

Dnomination

| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |

Adresse

|
|
|
|

Code Postal
Pays
Activit

|
|
|
|

|
|
|
|

|
|
|
|
|
| | | |
| | | |

|
|
|
|
|
|
|

| | | |
| | | |
| | | |
| Ville
| | | |
| | | |
| | | |

| | | |
| | | |
| | | |
|
| | | |
| | | |
| | | |

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

*) pour les socits immobilires disposant de plusieurs immeubles, prire dindiquer larticle de la taxe ddilit pour chaque
immeuble exploit.
(

|
|
|
|
|
|
|

|
|
|
|
|
|
|

____________________________________________________________________________
Dnomination

| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |

Adresse

|
|
|
|
|
|
|

Code Postal
Pays
Activit

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

| | |
| | |
| | |
Ville
| | |
| | |
| | |

| | | |
| | | |
| | | |
|
| | | |
| | | |
| | | |

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

|
|
|
|
|
|
|

FU/PM-BN

ROYAUME DU MAROC
CENTRE REGIONAL
DINVESTISSEMENT DE LA WILAYA
DE RABAT-SALE-ZEMMOUR-ZAR

BULLETIN DE NOTIFICATION DES IDENTIFIANTS

Raison sociale
Activit..
Adresse.
..
..
.....
IDENTIFIANTS(*)

N
du
N
N
N

du Registre du Commerce
(tribunal)
de patente
didentifiant fiscal
daffiliation la CNSS

| | | | |
| | | | |
|
|
|

|
|
|
|
|

|
|
|
|
|

|
|
|
|
|

|
|
|
|
|

|
|
|
|
|

|
|
|
|
|

Cachet du
Centre

|
|
|
|
|

|
|
|
|
|

important : ces identifiants sont strictement rservs cette socit.

Les actes et documents manant de la socit et destins aux tierces doivent indiquer les
identifiants
signature
du cidessus et ce en application de la rglementation en vigueur.
Directeur du
Centre
(*)