BIR 1904 NEW

REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF FINANCE

BUREAU OF INTERNAL REVENUE
APPLICATION FOR REGISTRATION

Enter all information in CAPITAL LETTERS using black ink. Mark all applicable boxes with an "X". One copy must be filed with the BIR and one held by the taxpayer.
For one-Time Taxpayer and Person Registering under E.O 98

( Securing a TIN to be able to transact with any government office )
BIR Form No.

1904

January 2018 (ENCS)
1. PhilSys Number (PSN) ( if applicable )
2. Taxpayer Identification Number (TIN ) *
3. Date of Registration

Month Day Year
( MM/DD/YYYY )
4. RDO Code
PART I - Taxpayer Information
5. Taxpayer Type *

E.O. 98 ( Filipino Citizen ) One-Time Transaction- Filipino Citizen Non-Resident Foreign Corporation E.O. 98 ( Foreign National ) One-Time Transaction - Foreign National Non-Resident Foreign Partnership Passive Income Earner Only
6. Foreign TIN
7. Country of Residence
8. Taxpayer's Name *

Prefix First Name Middle Name Last Name Suffix
9. Taxpayer's Name (If Non Individual, Registered Name)
10. Taxpayer's Name If ESTATE, ESTATE of (First Name, Middle Name, Last Name, Suffix)] If TRUST, FAO: (First Name, Middle Name, Last Name, Suffix)]
11. Local / Registered Address *

Unit / Room / Floor / Building No.

Building Name Tower

Lot / Block / Phase / House No. Street Name

Subdivision / Village / Zone
Barangay

Province

Municipality / City Province

ZIP Code
12. Principal Foreign Address ( indicate complete foreign address )
13. Date of Birth / Organization *

Month Day Year
Date
14. Contact Number

Area Code Phone Number
15. Date of Arrival in the Philippines

Month Day Year
Date
16. Municipality Code
17. Mother's Maiden Name
18. Father's Name
19. Gender *

Male Female
20. Email Address
example@example.com
PART II - Transaction Details
21. Purpose of TIN Application

A. Dealings with Banks B. Dealings with Gov't Agencies Tax Treaty Relief
PART III - Withholding Agent/ Accredited Tax Agent Information
22. Taxpayer Identification Number
23. RDO Code
24. Withholding Agent/Accredited Tax Agent's Name (Last Name, First Name, Middle Name for ndividual)/(Registered Name for Non Individual) (if different from taxpayer)
25. Registered Address ( Sub-Street, Building/ Street, Barangay, City / Municipality, Province
26. Contact Number ( Phone / Mobile No. )

Area Code Phone Number
27. Email Address
example@example.com
I declare, under the penalties of perjury, that this application has been made in good faith, verified by me and to the best of my knowledge and belief, is true and correct, pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof. Further, give my consent to the processing of my information as contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes.
TAXPAYER / AUTHORIZED REPRESENTATIVE ( Signature ) *

Clear
TAXPAYER / AUTHORIZED REPRESENTATIVE ( SPRINTED NAME )
Title / Position of Signatory
28. Declaration

I declare under the penalties of perjury, that this application has been made in good faith, verified by me and to the best of my knowledge and belief, is true and correct, I pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof. Further, I give my consent to the processing of my information as contemplated under the *Data Privacy Act of 2012 ( R.A. No. 10173 ) for legitimate and lawful purposes.

*Note : The BIR Privacy Policy is in the BIR website ( www.bir.gov.ph )

Required Attachments/Documents :

A. For Individual - Any identification issued by an authorized government body (e.g. Birth Certificate, Passport, Driver's License) that shows the name, address and birthdate of the applicant

- Passport (in case of Non-Resident Alien not engaged in trade or business)

B. For Non-Individual - Any official document issued by an authorized government body (e.g. government agency (tax authority) thereof, or a municipality) that includes the name of the non-individual and the address of its principal office in the jurisdiction in which the non-individual was incorporated or organized (e.g. Articles of Incorporation, Certificate of Residency)
Should be Empty:

PART I - Taxpayer Information

PART II - Transaction Details

PART III - Withholding Agent/ Accredited Tax Agent Information