Application for Registration BIR Form 1901

Application for Registration - BIR Form No. 1901

For Self-Employed (Single Proprietor/Professional), Mixed Income Individuals, Marginal Income Earner, Non-Resident Alien Engaged in Trade/Business, Estate and Trust

Fill in all applicable white spaces. Mark all appropriate boxes with an "X".

Part I - Taxpayer Information

1. Registering Office: Head Office Branch Office Facility

2. BIR Registration Date:

3. Taxpayer Identification Number (TIN):

4. RDO Code:

5. Taxpayer's Name:

6. Gender: Male Female

7. Date of Birth/Organization Date:

8. Place of Birth:

9. Mother's Maiden Name:

10. Father's Name:

11. Citizenship:

12. Other Citizenship:

13. Identification Details:

14. Preferred Contact Type: Phone Number Mobile Number Fax Number Email Address

15. Local Residence Address:

16. Business Address:

17. Foreign Address:

18. Municipality Code:

19. Purpose of TIN Application:

20. Taxpayer Type:

Single Proprietorship Only (Resident Citizen) Mixed Income Earner

Resident Alien - Single Proprietor Resident Alien - Professional

Professional - Licensed Non-Resident Alien Engaged in Trade/Business

Estate Trust Professional and Single Proprietor

21. Primary/Secondary Industries:

Primary:

Secondary:

22. Facility Details:

22A Facility Code:

22B Facility Type:

22C Facility Address:

23. Incentives Details:

23A Investment Promotion Agency:

23B Legal Basis:

23C Incentives Granted:

23D Number of Years:

23E Incentive Start Date:

23F Incentive End Date:

Part II - Personal Exemption/Spouse Information

24. Details of Registration/Accreditation

24A Registration/Accreditation Number:

24B Effectivity Date:

24C Date Issued:

24D Registered Activity:

24E Tax Regime:

24F Activity Start Date:

24G Activity End Date:

25. Tax Types:

Registration Fee Value-Added Tax Percentage Tax Income Tax

Withholding Tax Excise Tax Documentary Stamp Tax Others

26. Registration of Books of Accounts:

Date Registered:

Books Registered: Quantity:

27. Relationship Name (For Authorized Representative):

27B Non-Individual Registered Name:

28. Relationship Type: Administrator Trustee Tax Agent Employer Agent

29. TIN of Authorized Representative:

30. Relationship Start Date:

31. Address Type: Residence Employer Address Place of Business

32. Address:

33. Preferred Contact Type: Phone Number Mobile Number Fax Number Email Address

Part III - Additional Exemption

41. Name of Qualified Dependent Children:

Part IV - For Employee with Two or More Employers (Multiple Employments) Within the Calendar Year

42. Type of Multiple Employments: Successive employments Concurrent employments

43. Declaration:

I declare, under the penalties of perjury, that this application has been made in good faith, verified by me and to the best of my knowledge and belief, is true and correct, pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.

Part V - Primary Employer Information

44. Type of Registered Office: Head Office Branch Office

45. TIN:

46. RDO Code:

47. Employer's Name:

48. Employer's Address:

49. Relationship Start Date:

50. Contact Number:

51. Municipality Code:

52. Effectivity Date of Exemption:

53. Declaration:

I declare, under the penalties of perjury, that this application has been made in good faith, verified by me and to the best of my knowledge and belief, is true and correct, pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.

Documentary Requirements

1. Photocopy of Mayor's Business Permit and/or PTR; and NSO Certified Birth Certificate of applicant.

2. For Non-residents - Working Permit.

3. For Franchise Holders/Franchisees - photocopy of Franchise Agreement.

4. For Trusts - photocopy of trust agreement.

5. For Estates - photocopy of Death Certificate and judicial settlement.

6. For branches/facility types - additional requirements as applicable.