Taxpayer Details

Taxpayer Details
Payment Registration Number *
TIN		Taxpayer Name *
Email Id *
Plot No		Building Name
Street Address		Trade Center *
District/City*	--Select-- ABIM ADJUMANI AGAGO ALEBTONG AMOLATAR AMUDAT AMURIA AMURU APAC ARUA BUDAKA BUDUDA BUGIRI BUHWEJU BUIKWE BUKEDEA BUKOMANSIMBI BUKWO BULAMBULI BULIISA BUNDIBUGYO BUNYANGABU BUSHENYI BUSIA BUTALEJA BUTAMBALA BUTEBO BUVUMA BUYENDE DOKOLO GOMBA GULU HOIMA IBANDA IGANGA ISINGIRO JINJA KAABONG KABALE KABAROLE KABERAMAIDO KAGADI KAKUMIRO KALANGALA KALIRO KALUNGU KAMPALA KAMULI KAMWENGE KANUNGU KAPCHORWA KASANDA KASESE KATAKWI KAYUNGA KIBAALE KIBOGA KIBUKU KIRUHURA KIRYANDONGO KISORO KITGUM KOBOKO KOLE KOTIDO KUMI KWEEN KYANKWANZI KYEGEGWA KYENJOJO KYOTERA LAMWO LIRA LUUKA LUWEERO LWENGO LYANTONDE MANAFWA MARACHA MASAKA MASINDI MAYUGE MBALE MBARARA MITOOMA MITYANA MOROTO MOYO MPIGI MUBENDE MUKONO NAKAPIRIPIRIT NAKASEKE NAKASONGOLA NAMAYINGO NAMISINDWA NAMUTUMBA NAPAK NEBBI NGORA NTOROKO NTUNGAMO NWOYA OMORO OTUKE OYAM PADER PAKWACH PALLISA RAKAI RUBANDA RUBIRIZI RUKIGA RUKUNGIRI SERERE SHEEMA SIRONKO SOROTI SSEMBABULE TORORO WAKISO YUMBE ZOMBO	County/Municipality*	--Select--
Sub county / Town Council/Division*	--Select--	Parish*	--Select--
Village*	--Select--	Local Council
Contact Telephone Number*		Mobile Number*

Fields marked with * are mandatory

Refund Details

Refund Claim Details
Acknowledgement Date *
Amount Claimed *
Reason for Refund Claim *
Name of Bank *	--Select-- ABC Capital Bank Limited ANY ANY Dummy Bank Absa Bank Uganda Limited African Alliance Investment Bank Allied Bank International BRAC UGANDA BANK LIMITED Bank Of Africa Bank Of Baroda Bank Of India Uganda Limited Bank Of Uganda Cairo International Bank Capital Finance Corporation Ltd. Centenary Bank Citibank Co-Operative Bank Commercial Micro Finance Ltd Continental Trust Bank Crane Bank Dfcu Bank Diamond Trust Bank Dyer & Blair Investment Bank ECB Dummy Bank East African Development Bank Eco Bank Equity Bank Uganda Limited Exim Bank Uganda Limited FINANCE TRUST BANK FINCA UGANDA LIMITED Finance Division Finance Trust Bank Limited GTBank Global Trust Bank Limited Gold Trust Bank Greenland Bank Gross Domestic Payment Account Housing Finance Housing Finance Bank Imperial Investment Finance International Credit Bank Ltd KCB Bank Uganda Mengo Teachers T & L Co-Op . Merchant Bank Of East Africa NC Bank Uganda Limited NCBA BANK UGANDA LIMITED National Bank Of Commerce Nile Bank OPPORTUNITY BANK UGANDA LIMITED Orient Bank Post Bank Uganda Limited Premier Building Society Pride Microfinance Uganda LTD Renaissance Capital Investment Bank Stanbic Standard Chartered Stanhope Finance Co. Ltd Teefe Trust Bank Transafrica Bank Tropical Bank Ltd Trust Bank Uganda Development Bank United Bank For Africa Ura
Bank Branch *	--Select--
Account Number(only UGX Accounts) *
Account Holder Name *

Fields marked with * are mandatory

Attachments

Attachment(s)
Type of Attachment *	--Select-- Other attachment Bank Slip
Other

Attachment to be uploaded
FileName View Delete Attachment Type

Enter text from Given the image*	Try Another (Letters are case sensitive)

Fields marked with * are mandatory

Errors

Sr. No.	Error Description