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RE-REGISTRATION FORM FOR TAXPAYERS IDENTIFICATION NUMBER

(TO BE FILLED IN BY THE TAXPAYER IN ENGLISH CAPITAL LETTER)

1. (a) Existing TIN (10 digit):

(b) Taxes Circle:

(c) Taxes Zone:

2. Taxpayers Name: (as per National ID Card):

3. National ID Number:

4. Date of Birth: (as per National ID Card):

D D
Day
5. Fathers Name:

M M
Month

Y Y Y Y
Year

6. Mothers Name:

7. Name of the Spouse (Wherever applicable):

8. Mobile Number:

9. E-mail Address:

10. Current Address:

District:

Thana:

Post Code:

11. Permanent Address:

District:

Thana:

Post Code:

I hereby a rm that all information given above is correct & complete

Signature of the assessee