GOVERNMENT OF THE PEOPLE'S REPUBLIC OF BANGLADESH

NATIONAL BOARD OF REVENUE

ONLINE ACCOUNT REGISTRATION APPLICATION

1. Name of the taxpayer:

2. Date of birth (In case of individual):

3. Income year ending on (Where applicable):

4. 12-digit TIN:

5. National ID/Corporate ID:

6. Date of registration (where applicable):

7. Telephone number:

8. E-mail address:

9. Present/Business address:

10. Assessment location: Zone: Circle:

Date:

Signature of the taxpayer