Kindly ensure that all the information provided are accurate and true.

Note that all field with asterix (*) must be completed.

PART A: PERSONAL PARTICULARS

Click here to create a TIN

If Married, State Spouse's Information

PART B: SOURCE OF INCOME

PART C: INCOME AND TAX FOR THE CURRENT AND PREVIOUS YEARS

PENALTY FOR DEFAULT

Please note that in accordance with the relevant law, making false statement and returns or unlawful to pay tax will attract up to five (5) years imprisonment

DECLARATION

I Hereby declare that information supplied in this form contain a true and correct statement of the amount of my income from all sources.

“In theory, taxes should be like shopping. What I buy is government services. What I pay are my taxes.”

Andrew Ayabam

Executive Chairman