TIN Registration Form

Tax Representative Details

Name

TIN

Rep.Type

Reason

Representative Details

State

LGA

Ward

City/Town/Area

Street Name

House No.

Phone Number (1)

Phone Number (2)

Email Address

Source Of Income

Are you an employee? Yes

Are you self employed? Yes

Are you an organisation owner/partner? Yes

No Income? Yes

Employer Name

Employer TIN

Start Date Of Employment

Self Employment Details

fill this section only if you are self employed

Name

Commencement Date

State

LGA

Ward

City/Town/Area

Street Name

House Number

Sector

Line of Business

Number of employees

Ownership Details

fill this section only if you are a full or part owner of a registered business

Ownership Name

TIN

Shareholding (%)

Date

Assets Details

Type Of Asset

Location Of Assets

Market value (₦)

Start Date of Ownership

	Type of Asset	Location of Asset	Market Value	Start Date Of Ownership

Dependent/Children/Spouse

fill this section only if you have a dependant or spouse

Dep/Child SurName

First Name

Middle Name

State of Origin

DOB

TIN

Relationship Type

	Dep/Child SurName	First Name	Middle Name	State of Origin	DOB	TIN	Relationship Type

Spouse

Surname

First Name

Middle Name

Start Date

TIN

I accept that the above information is true and correct

Register For TIN

TAX IDENTIFICATION NUMBER REGISTRATION

All fields with are required

Direct Financial Cost (License Fee)

Residential Address

Identification Card

Tax Assessment/Payment Details

Total Income for the Past Three Years