DATA ENTRY MODULE

BIR UPDATING

TIN (Taxpayer Identification Number)

Taxpayer's Name

-
(Last Name) (First Name) (Middle Name) (Suffix)

Gender

Date of Birth

Place of Birth

-
Mother's Maiden Name

Father's Name

Citizenship

Mobile Number

Email Address

Complete Residence Address

Civil Status

With Qualified Dependent (YES/NO)

Employment Status of Spouse (check appropriate box)

Unemployed

Employed Locally

Employed Abroad

Engaged in Business

Practice of Profession

Spouse's TIN

Spouse's Name
-

if wife, indicate Maiden Name (Last Name) (First Name) (Middle Name) (Suffix)

Spouse's Employer's TIN

Spouse's Employer's Name

-
-

Additional Exemptions:
Names of Qualified Dependent Child/ren (refers to a legitimate, or legally adopted child chiefly dependent upon living with the taxpayer; not more
than 21 years of age, unmarried, and not gainfully employed; or regardless of age, is incapable of self-support due to mental or physical defect.
-

Mark 'X' if
Mentally/Phy
Last Name First Name Middle Name Date of Birth
sically
Incapacitated

Please attach the following supporting documents (1 copy

each): o Single – birth certificate
o Solo Parent –birth certificate of child/ren, birth certificate of Employee
o Married – marriage certificate, birth certificate of child/ren, birth certificate of Employee
o Photocopy of one (1) Valid ID (e.g. passport, govt issued ID, etc