Uganda Revenue Authority

Application for Tax Payer Identication Number for all individuals (This form may be used by all individuals applying for a TIN Form DT-1001)

TAX PAYER IDENTIFICATION PANEL :

Personal Infomation

Identification Type

Indentification Card No:*

Enter Your date of Birth (Use format DD/MM/YYYY)*

Title:*

Marital Status:*

Surname:*

First Name:*

Middle Name:

Enter Gender*

Female

Male

Income Source Details

Source of Income: *

Registered Business

Employment

Rent

Property

Informal Business

Address And Contact Details

Telephone Number: e.g (712300300)*		Email Address:
District/City:*		County/Municipality:*
Sub-County/Town Council/Division:*		Parish:*
Village:*

Application Response

Provisional Certificate