Ghana Revenue Authority Taxpayer Registration Form - Individual Page 2
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4SECTION 7: POSTAL ADDRESS
C/O
Number
Prefix
P. 0. BOX
PMB
DTD
POSTAL NUMBER
POSTAL TYPE (tick as applicable)
BOX REGION
BOX TOWN
BOX LOCATION/AREA
SECTION 8: CONTACT METHOD Indicate purpose of contact within the thick outlined box provided (P - Personal; B - Business; H - Home)
PHONE/LANDLINE NUMBER
MOBILE NUMBER
FAX NUMBER
E-MAIL
WEBSITE
PREFERRED CONTACT METHOD (tick one)
MOBILE
EMAIL
LETTER
FAX
SECTION 9: BUSINESS (
COMPLETE THIS SECTION IF YOU ARE SELF EMPLOYED)
NATURE OF BUSINESS
TURNOVER IN GH¢
NO. OF EMPLOYEES
DO YOU HAVE A REGISTERED BUSINESS NAME(S) WITH RGD?
YES
NO
(IF YES, PROVIDE DETAILS BELOW)
BUSINESS NAME
OLD TIN
RGD NUMBER
BUSINESS ADDRESS
HOUSE NUMBER
BUILDING NAME
STREET NAME/PROMINENT LANDMARK
TOWN / CITY
LOCATION / AREA
POSTAL CODE
COUNTRY
REGION
DISTRICT
DO YOU HAVE ANY BRANCHES YOU OPERATE FROM?
YES
NO
IF YES, ATTACH A LIST OF ALL BRANCHES WITH LOCATION ADDRESSES
SECTION 10: DECLARATION
declare that the information given above is
I,
correct and complete
full name of applicant
RIGHT
THUMB
PRINT
SIGNATURE
DATE _____/_____/_________
(DD/MM/YYYY)
NOTE: THUMB PRINTING SHOULD ONLY BE DONE IN THE PRESENCE OF A REGISTRATION OFFICER
SECTION 11: OFFICE USE ONLY
ORIGINATING TAX OFFICE
ASSIGNED TAX OFFICE
VETTING OFFICER
ISIC CODE
IRS TAX FILE #
DATE OF SUBMISSION ____/____/_______
(DD/MM/YYYY)
DATA ENTRY OFFICER
DATE OF DATA ENTRY ____/____/_______
(DD/MM/YYYY)
REMARKS
ISSUED TIN
PAGE 2
DT 01
DT01
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