PAGE 1
DT 02 DT 02
(EXCLUDES ORGANISATIONS REGISTERED BY THE REGISTRAR-GENERAL'S DEPARTMENT)
COMPLETE FORM IN BLOCK LETTERS AND BLACK / BLUE INK ONLY
A B C D SEE PAGES 3 AND 4 FOR INSTRUCTIONS
ARE YOU A REGISTERED TAXPAYER?
YES NO
ORGANISATION TYPE (Tick one)
MDA MMDA FOREIGN MISSION TRUST
CO-OPERATIVE PUBLIC INSTITUTION OTHER
If OTHER Specify:
ORGANISATION NAME
RESIDENT (tick one)
YES NO
OTHER INFORMATION (tick applicable ones) IMPORTER EXPORTER TAX CONSULTANT
NATURE OF BUSINESS
TURNOVER IN GH¢
No OF EMPLOYEES
SECTION 4: PREVIOUS TAX REGISTRATION INFORMATION (Complete this section if you are a registered taxpayer )
CURRENT TAX OFFICE
OLD TIN NUMBER
IRS TAX FILE #
HOUSE NUMBER BUILDING NAME
STREET NAME / PROMINENT LANDMARK
TOWN / CITY
LOCATION / AREA
POSTAL CODE
COUNTRY
REGION
DISTRICT
SECTION 6: POSTAL ADDRESS
Prefix Number
POSTAL TYPE (tick APPLICABLE)
P. 0. BOX PMB DTD POSTAL NUMBER
BOX TOWN
BOX REGION
BOX LOCATION/AREA
SECTION 7: CONTACT METHOD
PHONE NUMBER MOBILE NUMBER
FAX
E-MAIL
WEBSITE
PREFERRED CONTACT METHOD (tick one)
MOBILE EMAIL LETTER
SECTION 5: BUSINESS ADDRESS
SECTION 2: ORGANISATION CATEGORY
SECTION 3: ORGANISATIONAL DETAILS
GHANA REVENUE AUTHORITY
TAXPAYER REGISTRATION FORM - ORGANISATION
SECTION 1: PRIOR REGISTRATION (THIS FORM IS NOT FOR SALE)
NOT APPLICABLE
PAGE 2
DT 02 DT 02
SECTION 8: BRANCHES
NAME LOCATION ADDRESS
TIN NAME ADDRESS
NAME ADDRESS
I, declare that the information given above is correct and complete
_____/_____/_________
(DD/MM/YYYY)
ORIGINATING TAX OFFICE ASSIGNED TAX OFFICE
VETTING OFFICER ISIC CODE
DATE OF SUBMISSION ____/____/_______ (DD/MM/YYYY)
IRS TAX FILE #
DATA ENTRY OFFICER DATE OF DATA ENTRY ____/____/_______ (DD/MM/YYYY)
REMARKS ISSUED TIN
SECTION 12: OFFICE USE
full name of applicant
SIGNATURE DATE
SECTION 9: ASSOCIATED BUSINESS DETAILS
POSITION
SECTION 11: DECLARATION
SECTION 10: TRUSTEES/OFFICERS
TIN
Page 3
TAXPAYER REGISTRATION FORM ORGANISATION
(REGISTRATION FORM IS FOR ORGANISATIONS NOT REGISTERED BY THE REGISTRAR GENERAL’S DEPT)
COMPLETION NOTES
SECTION NOTES
GENERAL
Complete Form in BLOCK characters in Black or Blue ink only. Spell out all words - Do not use
Abbreviations.
All dates are formatted as dd/mm/yyyy. For example 04/06/2011 is 4th June, 2011.
If FIELD information is Not Applicable please enter N/A.
All applications should be supported by a letter or certificate.
SECTION 1
PRIOR REGISTRATION
1.Tick YES, if you are a registered taxpayer and / or have a TIN, otherwise tick NO
SECTION 2
ORGANISATION
CATEGORY
ORGANISATION TYPE: Tick appropriate check box.
MDA - Ministries, Departments and Agencies
MMDA - Metropolitan, Municipal and District Assemblies
FOREIGN MISSION - Includes embassies, UN Agencies and other international and
sub-regional ORGANISATIONs
TRUSTOrganisations registered under the Trusteeship Act
CO-OPERATIVES- Organisations registered by the Department of Co-operatives
PUBILC INSTITUTIONS-Government institutions not registered as MDAs (such as the
Universities, and other educational institutions)
OTHER all other ORGANISATIONs outside the above listed. Provide a brief
description/clarification
SECTION 3
ORGANISATIONAL
DETAILS
ORGANISATION NAMEProvide name of the ORGANISATION as registered by an
Appropriate authority e. g. Ghana Revenue Authority.
Documentary proof of this registration will be required.
RESIDENTTick No if not resident in Ghana (Default is Yes)
An organization is resident if
a. it is established in Ghana,
b. has a resident person as a manager at any time during the organisation’s fiscal year or is
controlled directly or indirectly by a resident person or persons at any time during the fiscal
year.
OTHER INFORMATION: Tick as applicable
IMPORTER, EXPORTER, TAX CONSULTANT
NATURE OF BUSINESS: Provide a brief description of business activities or nature of business
TURNOVER: Annual turnover for the past calendar year or twelve months; or projected
annual turnover if applicable.
No. OF EMPLOYEES: Number of employees or projected number of employees.
SECTION 4
PREVIOUS TAX
REGISTRATION
If you are already a registered taxpayer specify:
Current Tax OfficeCurrent Tax Office
TIN - Old Taxpayer Identification Number and
IRS tax file number.- file number assigned by erstwhile IRS Tax Office
Page 4
SECTION 5
BUSINESS ADDRESS
HOUSE NUMBER - this is the number of the house on the street. For example for 250 Ako
Adjei street the house number is 250 and Ako Adjei street is the street name
BUILDING NAME: Conspicuously and recognizably labelled building, for example VAT HOUSE
STREET NAME - Name of street including description of landmark(s) that could aid in
locating the building e.g. Ring Road, 50m from Kwame Nkrumah Circle.
POSTAL CODE: Applicable to only applicants with foreign postal addresses
LOCATION / AREA - Name of location e.g. suburb and description of area within a city or
town. For example DANSOMAN (AKOKOFOTO) or NORTH KANESHIE (LAST STOP)
OWNERSHIP
: Indicate whether business premises are RENTED, OWNED BY THE BUSINESS, or
FREE USE.
If premise is rented, provide LANDLORD’S NAME and PHONE NUMBER
If premise is owned by business, indicate whether part of premise is rented out by ticking Yes
or No checkbox.
SECTION 6
POSTAL ADDRESS
Provide Postal address.
POSTAL TYPE: Select the Postal type applicable.
I. P. O. Box: Normal Post box
II. P.M.B: Private Mail Bag
III. DTD: “Door To Door” delivery
IV.
POSTAL NUMBER: Enter Prefix and number e.g. P.O. Box GP2002: tick P. O. Box, prefix is GP
and the number is 2002; for PMB TUC : tick PMB only. The location/Area identifies PMB
location TUC.
BOX LOCATION / AREA - Name of post office area - e.g. Cantonments, TUC or Accra-North.
SECTION 7
CONTACT
METHOD
Provide details of method of contact - Phone Number, Mobile Number etc and
Select the preferred method of contact by ticking one of the following checkboxes:
Letter, Email, Mobile.
S
ECTION
8
BRANCH
Provide details of branches and business. Attach additional forms when necessary
SECTION 9
ASSOCIATED
BUSINESS
Provide required details of all associated businesses. Use additional forms when necessary.
SECTION 10
TRUSTEES /
OFFICERS
Provide required details of all trustees/Officers with the ORGANISATION
SECTION 11
DECLARATION
The person applying on behalf of the organisation must provide full name and sign. The
Signatory will be held liable for any false declaration.
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