THE REVENUE ADMINISTRATION ACT
FORM 1
APPLICATION FOR TAXPAYER REGISTRATION (INDIVIDUALS)
PLEASE SEE INSTRUCTIONS OVERLEAF BEFORE COMPLETING THIS FORM
JAMAICA
SECTION A
Taxpayer Registration Number (TRN)
Type of application
(Tick appropriate box)
First application
Amended application
(If amended, complete only relevant boxes)
1. Name -
2. Name at Birth -
(If different from 1.)
Last:
Last:
First:
First:
Middle:
Middle:
5. Marital Status
4. Sex
6. Date of Birth
3. Reason for Name Change
Adoption
Marriage
Male
Single
Divorced
Year
Month
Day
Deed Poll
Other
Female
Married
Widowed
9. Place of Birth
8. Parish of Birth
7. Country of Birth
Other
Jamaica
Code
Code
(If Other, Specify)
10. Nationality
11. Telephone Number(s)
Jamaican
Other
Home
Code
Work
(If Other, Specify)
13(a) E-mail Address
12. Home Address
(Apt. No., Street No. & Name, Postal Zone, Parish)
13(b) Mailing Address
(If Different From Home Address)
Code
Code
14. Mother's Name
(MAIDEN)
15. Name of Applicant's Spouse
First, Middle)
(Last, First, Middle)
16. (a) NIS Number:
17. Please provide ONE (1) of the following three (3) identifications (ID):
Driver's Licence No:
(b) Income Tax
(Birth
National ID No:
Reference No.:
Certificate No.
)
(Passport
Code
Passport No.
Type:
)
19. Do you carry on a Trade, Business or Profession ?
18. Occupation/Profession
If y es, complete Sections B and C ov erleaf
Yes
- state number of businesses in box
- complete an additional form for each
Code
No
If no, complete Section C ov erleaf
FOR OFFICIAL USE ONLY
Identification Presented
Documents Presented
Receiving
Remarks
Office:
Passport
NIS Reference Card
Driver's Licence
Date:
Business Name
National ID:
Registration Certificate
Birth
Agency
Code:
Certificate
Old
Status
(Official
New
Stamp)
New
Updated
Other
Processing Officer's Signature
Processing Officer's Name
PLEASE SEE OVERLEAF FOR CONTINUATION OF FORM
Form 1 (Issued 2002/08)
Tax Administration Services Department