Insert title here Registration Under Bulk Assessment
Form :
Section A - Name and Address*
Taxpayer Identification Number Taxpayer Name
 
Plot Number Building Name
Street Name Trading Center
District/City County/Municipality
Sub county / Town Council/Division Village or Local Council Name
Parish Name Village Name
TIN Registration Date Bulk Assessment Effective Date*   
Section B - Contact Person Details*
Do You Have TIN? Yes          No Contact person TIN
Surname First Name
Middle Name Acquired Name
Family name Designation/ Relationship*
Mobile Number    Landline Number   
Email Address*
Type of Organization*
Banking Institution Insurance Company
Micro Finance Corporation Professional Bodies
Enter text from Given the image*    

(Letters are case sensitive)