.: - Tanzania Revenue Authority - Online Taxpayer Registration

ORA-01031: insufficient privileges

ITX101.01.B

TANZANIA REVENUE AUTHORITY

INDIVIDUAL/MTU BINAFSI

APPLICATION FOR TAXPAYER REGISTRATION OR CHANGE OF REGISTERED PARTICULARS

MAOMBI YA USAJILI WA MLIPA KODI AU KUBADILI TAARIFA ZA USAJILI

Note: Furnishing false or misleading information is punishable by law/Kumbuka:Kutoa taarifa ya uongo au isiyo sahihi ni kosa kisheria.

Before filling the form, please read the attached notes at the end of the form carefully./Kabla ya kujaza fomu hii, tafadhali soma kwa makini maelekezo mwisho wa fomu hii.

Where registered details have changed, the applicant must only fill the taxpayer TIN and detail that have changed/Pale taarifa zinapokuwa zimebadilika,unatakiwa kujaza TIN na taarifa zilizobadilika tu.
Use capital letter and where applicable, mark with ( √ )/Tumia Herufi Kubwa, weka alama ( √ ) inapohitajika
Item marked with asterisk (*) are Mandatory/ Sehemu iliyowekewa alama ya nyota (*) ni lazima.

1:General Information / Taarifa ya Ujumla

1. * Apply for

First Application/Usajili wa mara ya Kwanza
Amendment Application (Please indicate your TIN)/ TIN Kwa maombi ya mabadiliko(Tafadhali jaza TIN)

TIN

2. * Name of Applicant/Jina la Mwombaji:

MR.MRS.Ms.

First Name/ Jina la Kwanza

Middle Name/ Jina la Pili

Surname/ Jina la Ukoo

* Date of Birth/ Tarehe ya Kuzaliwa (DD/MM/YYYY)

3. * Please provide one of following ID/ Tafadhali ambatanisha kitambulisho moja wapo katika hivi

National ID/Kitambulisho cha Utaifa or/au Zanzibar ID/Kitambulisho cha Mzanzibari

Passport No /Namba ya hati ya kusafiria

Country of issue/Nchi kilipotolewa

Place of issue/Mahali kilipo tolewa

Date of issue/Tarehe ya kutolewa (DD/MM/YYYY)

Date of Expiry/Tarehe ya mwisho (DD/MM/YYYY)

Letter of LGA/Barua ya Serikali za Mitaa

Voters’ Card/ Kadi ya Kupigia kura

Driving license/ Leseni ya Udereva

4. * Nationality/ Uraia

Tanzanian/MtanzaniaOthers, Specify

If others, Provide working Permit No./Kama nyingine eleza namba ya kibali cha kazi

Permit Expiry Date/Tarehe ya mwisho wa kibali cha kazi (DD/MM/YYYY)

5. * Reason for Taxpayer Registration/Sababu ya kujisajili::

BusinessNon-Business (eg. Driving License, Motor Vehicle ,Sale of Land, Property rate, Personal effects)

6. Spouse Informations/Taarifa za Mwenza

Is Spouse doing business ? / Je Mume au Mke anafanya biashara ?

Yes/ NdiyoNo /Hapana

If Yes, fill in the Taxpayer Spouse Information / Kama Ndiyo, Jaza Taarifa za Mume au Mke

Spouse TIN

7. Business/ Residential Location / Eneo la Biashara/Makazi:

Is the Business/ Residence located in a surveyed area? / Je, Biashara/ Makazi yapo kwenye eneo lililopimwa?

Yes/ NdiyoNo /Hapana

Plot number / Office/Shop/Flat / Namba ya kiwanja

Block number/Namba ya Kitalu

Lane/ Plaza/ House/ Floor/ Village/Eneo Maarufu/Jengo/Kijiji

* Street or Location/ Jina la Mtaa au Eneo

* Local Government Name / Jina la Serikali Ya Mtaa

* Region or City/ Mkoa au Jiji

* District or Town/ Wilaya au Mji

Postcode

8. Postal Address/ Anuani ya Posta

P. O. Box / S.L.P.

Postal City / Jina la Mji

9. Contact Numbers / Namba za Mawasiliano

Landline / Namba ya Simu ya Mezani

* Mobile Phone / Simu ya Kwanza ya Mkononi

Second Landline / Namba ya Simu ya Mezani

Mobile Phone / Simu ya Pili ya Mkononi

Fax Number / Nukushi

Mobile Phone / Simu ya Tatu ya Mkononi

Email Address / Anuani ya Barua Pepe

10. * Employment Status/ Hali ya Ajira:

EmployedSelf EmployedForeign MissionNot Employed

11. Employer Details/ Taarifa za Mwajiri

Provide TIN of Employer/Taja TIN ya mwajiri

Name of Employer/ Jina la Mwajiri

P.O. Box / S.L.P.

Postal City / Jina la Mji

12. If the business is a Succession of an already existing Enterprise, Please state Previous TIN/ Kama biashara inaendeleza biashara nyingine iliopo tayari, Tafadhali Taja TIN ya zamani.

TIN:

TAXPAYER NAME:

13. Have you registered your business name with BRELA? /Je, umesajili jina lako la biashara BRELA?

Yes/NdiyoNo/Hapana

If Yes, State your Trading Name/ Kama ndio, Taja Jina la biashara

Registration Number/Namba ya Usajili

14. Particular of Business Premises /Taarifa ya Sehemu ya Biashara

For Taxpayer Landlord/ Mwenye Nyumba:Is Business’s premises rented ? /Je sehemu ya biashara imekodishwa ?

Yes/ NdiyoNo/ Hapana

TIN of the Landlord, if any/TIN ya Mwenye Nyumba kama ipo

Name if Individual/ Jaza Jina kama ni Mtu binafsi: Title:

MR.MRS.Ms.

First Name/ Jina la Kwanza

Middle Name/ Jina la Pili

Surname/ Jina la Ukoo

Name if Non-Individual/ Jaza Jina kama ni Kampuni

National ID No. if any/ Namba ya Kitambulisho cha Taifa kama kipo

15. * Business Commencement Date / Tarehe ya kuanza biashara (DD/MM/YYYY)

* No of employees/ Idadi ya wafanyakazi

*Estimated Annual Turnover (TZS)/ Mauzo Ghafi yaliyokadiriwa(TZS)

16. * List your economic activity (ies) in descending order of turnover/ Orodhesha shughuli zako za kiuchumi, ukianza na biashara ya kipato kikubwa zaidi ya zote

a) Main Economic activity with higher turnover/ Shughuli kuu ya kiuchumi yenye mauzo ghafi makubwa

Economic Activity

17. Bank Account Information/ Taarifa ya Akaunti ya Benki

Bank Name/Jina la Benki

Branch Name/ Jina la Tawi

Account Number/ Akaunti ya Benki

Account Name/Jina la Akaunti

18. Taxpayer Representative/Wawakilishi wa Mlipakodi

TIN

FULL NAME

Tax Consultant

Advocate/Lawyer

Auditor / Accountant

Agent

19. * Required attachment tick appropriate/Viaombatisho muhimu, chagua kinachohusika

National ID/Kitambulisho cha Utaifa
Letter from Local Government Authority/Barua kutoka Serikali za Mitaa
Voters’ Card/Kadi ya kupiga kura
Passport / Hati ya kusafiria
Birth Certificates/ Cheti cha kuzaliwa

2:Applicant’s Declaration/ Uthibitisho wa Mwombaji

20. I, the undersigned, do hereby declare that the particulars given above are correct and complete to the best of my knowledge/ Nathibitisha kwamba taarifa zilizopo hapo juu ni kamili na sahihi kwa kadri ya ufahamu wangu.

Note:Any changes of details of Taxpayer Identification Number Certificate shall be communicated to Commissioner in writing within thirty days from the date of change. / Zingatia:Mabadiliko yeyote ya taarifa ulizotoa lazima yafikishwe kwa Kamishna katika kipindi kisichozidi siku thelalithini kuanzia mabadiliko yalipo tokea.

Title:

MR.MRS.Ms.

First Name/ Jina la Kwanza

Middle Name/ Jina la Pili

Surname/ Jina la Ukoo

Position/ Cheo

Signature of the Applicant/ Saini ya Mwombaji……………………………………

Date/ Tarehe(DD/MM/YYYY)