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TPIN Form-1

ZAMBIA REVENUE AUTHORITY

DOMESTIC TAXES DIVISION

APPLICATION FOR TPIN AND TAX REGISTRATION / AMENDMENT IN REGISTRATION DETAILS

(Complete this form in block letters)

(In case of amendment tick the boxes on the top left corner of each detail that apply in order to indicate all items that are being changed by this amendment form and then complete the appropriate portion of the form. All dates must be entered as dd/mm/yyyy)

PART A – TAX REGISTRATION

1a *PURPOSE i) INITIAL REGISTRATION

iii) AMENDMENT OF DETAILS

ii) TAX TYPE ADDITION (Only for PTT, TOT, Medical Levy, IT)

(Tick boxes on the top left of each detail to indicate items that are being changed)

1b *WHAT ARE YOU REGISTERING FOR? (Tick applicable box. Not required if amending TPIN registration details.) (Please

complete separate annexures for Registration details required under VAT, Excise, Mineral Royalty, PAYE, Withholding Tax, Presumptive Tax and Base Tax)

TPIN TOT

WHT

PAYE		INCOME TAX


PTT	MINERAL ROYALTY

PRESUMPTIVE TAX		MEDICAL LEVY
PRESUMPTIVE TAX		MEDICAL LEVY

VAT

EXCISE

BASE TAX

INDICATE TPIN IF REGISTERED

PART B – TPIN REGISTRATION

2 *TYPE OF TAXPAYER (Tick appropriate box)
Company (Resident)	Company (Other)	Partnership
Company (Resident)	Company (Other)	Partnership


Individual (Resident)	Individual (Other)	Govt. Ministry or
		Agency or Diplomatic
		Agency or Diplomatic
		Missions

Club, Association,

Society etc.

Others

If Others, Please specify

3* WHY DO YOU NEED A TPIN? (*for VAT Refund Entitlements) (#for PAYE/Unemployment Refund Entitlements)

IMPORT/EXPORT

MOTORVEHICLE REGISTRATION/TRANSFER

*DIPLOMAT

*COMMERCIAL EXPORTER

BUSINESS

#EMPLOYMENT

*TOURIST

PUBLIC BENEFIT ORGANISATION

DIRECTOR

PARTNER

DIPLOMATIC MISSIONS

OTHER

IF OTHER, PLEASE SPECIFY

TPIN Form-1

Effective date of change

Indicate only if amending detail

SECTION A – PERSONAL DETAILS (This Section applies to individual applicants)

*TITLE _________

*FORENAME _____________________________

MIDDLE NAME_______________________

*SURNAME _______________________

5 a)

*GENDER

*MARITAL STATUS (SINGLE/ MARRIED/ WIDOW/

WIDOWER/SEPERATED/DIVORCED)

6 *CITIZENSHIP (Tick appropriate box)

ZAMBIAN

NON ZAMBIAN

7 *DATE OF BIRTH

8 *COUNTRY OF RESIDENCE (IF NON-ZAMBIAN)

9 a) *NRC (For individual Citizens & Residents)		b)*PASSPORT No. (For non-Citizens& Residents)
(Attach copy of NRC)		(Attach copy of Passport)

c) WORK PERMIT NO. (For non-Citizens & Residents, Refugees)		d) DIPLOMATIC FOREIGN AFFAIRS ID (For Diplomat)
	(Attach copy of Work Permit)		(Attach copy of Diplomat ID)

SECTION B – BUSINESS DETAILS (If you are in business, fill this Section)

Effective date of change

Indicate only if amending detail

*BUSINESS NAME

Effective date of change

Indicate only if amending detail

*TRADING NAME

12 a)*BUSINESS REGISTRATION NUMBER

b)*DATE OF COMMENCEMENT OF BUSINESS

(Attach copy of Certificate Registration/Incorporation)

Effective date of change

Indicate only if amending detail

13 a) *DETAILS OF BUSINESS ACTIVITIES

SR.

ADD/

CATEGORY

NATURE OF BUSINESS

TYPE OF BUSINESS

DESCRIPTION OF

NO.

REMOVE/

OF BUSINESS

ACTIVITY(Select from the

ACTIVITY

BUSINESS ACTIVITY

CHANGE

ACTIVITY

list given at the end of this

form)

CHANGE

PRINCIPAL

ADD

ANCILLIARY

REMOVE

CHANGE

ADD

ANCILLIARY

REMOVE

CHANGE

TPIN Form-1

Effective date of change	D	D	/	M	M	/	Y	Y	Y	Y
Indicate only if amending detail			/			/	2	0

b) *SOURCES OF INCOME

EMPLOYMENT *a) PRINCIPAL EMPLOYER’S TPIN

*b) PRINCIPAL EMPLOYER’S NAME RENTAL INCOME

OTHER INCOME (ROYALTY, INTEREST, DIVIDEND, ANNUITY ETC.)

BUSINESS/PROFESSION INCOME

14 *ESTIMATED TURNOVER PER ANNUM

*Mandatory Fields that must be filled

SECTION C – GENERAL DETAILS (All applicants, Individual and Business to complete this Section)

Effective date of change	D	D	/	M	M	/	Y	Y	Y	Y

Indicate only if amending detail			/			/	2	0

15*ADDRESS DETAILS (Attach a sketch map of physical address) (If you are a foreign incorporated company, please quote the address of your permanent establishment here)

PHYSICAL ADDRESS

PLOT/HOUSE NO.

STREET

*AREA

P.O.BOX

*TOWN

*PROVINCE

*COUNTRY

LANDLINE NUMBER

*MOBILE NUMBER

EMAIL ID

IS YOUR MAILING ADDRESS SAME AS YOUR PHYSICAL ADDRESS ABOVE? YES IF NO, PROVIDE BELOW YOUR MAILING ADDRESS DETAILS

MAILING ADDRESS

*PLOT/HOUSE NO.

*STREET

*AREA

*P.O.BOX

*TOWN

*PROVINCE

*COUNTRY

LANDLINE NUMBER

*MOBILE NUMBER

EMAIL ID

TPIN Form-1

Effective date of change

Indicate only if amending detail

16 a) *DETAILS OF YOUR PRINCIPLE CONTACT PERSON

*TITLE

*FORENAME

MIDDLE NAME

*SURNAME

*POSITION

PLOT/HOUSE NO.

STREET

*AREA

P.O.BOX

*TOWN

*PROVINCE

*COUNTRY

LANDLINE NUMBER

*MOBILE NUMBER

EMAIL ID

b) ALTERNATE CONTACT DETAILS

*TPIN

*TITLE

*FORENAME

MIDDLE NAME

*SURNAME

*RELATIONSHIP

WITH APPLICANT

PLOT/HOUSE NO.

STREET

*AREA

P.O.BOX

*TOWN

*PROVINCE

*COUNTRY

LANDLINE NUMBER

*MOBILE NUMBER

EMAIL ID

Effective date of change

Indicate only if amending detail

c)GUARDIANSHIP DETAILS (APPLICABLE ONLY IN CASE YOU ARE HAVING GUARDIANSHIP FOR ANY INCAPACITATED PERSON I.E. MINOR, PERSON OF UNSOUND MIND, LUNATIC, IDIOT OR INSANE PERSON)

SR.N	ADD/	IDENTITY	*FULL NAME	*SOURCE OF	*RELATIONSHIP
O.	REMOVE/	NUMBER(NRC		INCOME (excluding
	CHANGE	OR TPIN)		employment)
1.	ADD
	REMOVE
	CHANGE
2.	ADD
	REMOVE
	CHANGE
3.	ADD
	REMOVE
	CHANGE
4.	ADD
	REMOVE
	CHANGE

17 DO YOU HAVE ANY ADDITIONAL PLACE OF BUSINESS?

YES

(If Yes, Please complete the separate annexure for additional place of business)

Effective date of change

Indicate only if amending detail

TPIN Form-1

18 * LIST BELOW BUSINESSES OFFICIALS (DIRECTORS/PARTNERS)(Compulsory for Companies and Partnerships)

(use separate paper to add more)

SR.

ADD/

*IDENTITY

*FULL

*BUSINESS

*MAILING

PROFIT/LOSS

NO.

REMOVE/

TYPE

NUMBER

NAME

POSITION

ADDRESS

SHARING RATIO

CHANGE

(FOR PARTNERS)

ADD

TPIN

DIRECTOR

REMOVE

CHANGE

ADD

PASSPORT

PARTNER

REMOVE

CHANGE

ADD

NRC

REMOVE

CHANGE

ADD

WORK

REMOVE

PERMIT

CHANGE

Effective date of change

Indicate only if amending detail

19 LIST BELOW ANY OTHER BUSINESSES ASSOCIATED WITH THIS APPLICATION (use separate paper to add more)

SR.NO.	ADD/ REMOVE/	TPIN	BUSINESS NAME	ASSOCIATION TYPE
	CHANGE

1	ADD			HOLDING COMPANY
	REMOVE
	CHANGE
2	ADD			SUBSIDIARY COMPANY
	REMOVE
	CHANGE
3	ADD			PARTNERSHIP/DIRECTO
	REMOVE			RSHIP
	CHANGE
4	ADD			COMMON
	REMOVE			SHAREHOLDERS/
	CHANGE			COMMON DIRECTORS

TPIN Form-1

Effective date of change	D	D	/	M	M	/	Y	Y	Y	Y
Indicate only if amending detail			/			/	2	0

20LIST VALUE OF ASSETS OF THE BUSINESS (ESTIMATES) (K) *(Compulsory for Income Tax & Turnover Tax Registration)

MOTOR VEHICLES

PLANT AND MACHINERY

FURNITURE AND FITTINGS

OFFICE EQUIPMENT

LAND AND BUILDINGS

STOCK OF FINISHED GOODS

SHARES IN COMPANIES

TREASURY BILL AND GOVT. BONDS

CASH AT BANK

CASH IN HAND

STOCK OF MATERIALS FOR MANUFACTURE

OF GOODS FOR RESALE

OTHER(PLEASE SPECIFY)

21 DETAILS OF SOURCE OF CAPITAL AND AMOUNT OF CAPITAL

SR.

SOURCE OF CAPITAL

AMOUNT OF

NO.

CAPITAL(K)

Effective date of change

Indicate only if amending detail

22BUSINESS PROPERTY (Tick appropriate box)

OWNED

RENTED

Effective date of change

Indicate only if amending detail

23 a) AMOUNT OF RENT PAID (K)

b) WITHHOLDING TAX DEDUCTIBLE?

YES

TPIN Form-1

Effective date of change	D	D	/	M	M	/	Y	Y	Y	Y

Indicate only if amending detail			/			/	2	0

24DETAILS OF THE LANDLORD AND ADDRESS OF RENTED PROPERTY, IF RENTED (use separate papers if you rent more than one property)

*TPIN

*TITLE	*FORENAME	MIDDLE NAME	*SURNAME

PLOT/HOUSE NO.		STREET

*AREA		P.O.BOX

*TOWN		*PROVINCE

*COUNTRY

LANDLINE NUMBER		*MOBILE NUMBER

EMAIL ID

PART C – TAX AGENT DETAILS (Attach Authorization Letter)

Effective date of change

Indicate only if amending detail

25 IF YOU HAVE A TAX AGENT TO CONDUCT YOUR TAX AFFAIRS, FILL IN THEIR DETAILS BELOW

*TPIN

*INCOME TAX

ACCOUNT NAME

*TITLE

*FORENAME

MIDDLE NAME

*SURNAME

PLOT/HOUSE NO.

STREET

*AREA

P.O.BOX

*TOWN

*PROVINCE

*COUNTRY

LANDLINE NUMBER

*MOBILE NUMBER

EMAIL ID

PART D – DECLARATION (To be completed by an authorized person i.e. Proprietor, Partner, Director, Company Secretary)

I _________________________________________(Full name in block letters) declare that the information given in this

application is true and complete.

SIGNATURE: ________________________________ DATE: ___________________________________________

CAPACITY OF SIGNATORY: _______________________________________________________________________

TPIN Form-1

INSTRUCTIONS

•Select your business activity from the details below;

Nature of Activity

A.	Agriculture, forestry and	H.	Transportation and storage	O.	Public administration and
	fishing				defense; compulsory social
					security
B.	Mining and quarrying	I.	Accommodation and food	P.	Education
			service activities
C.	Manufacturing	J.	Information and	Q.	Human health and social
			communication		work activities
D.	Electricity, gas, steam and	K.	Financial and insurance	R.	Arts, entertainment and
	air conditioning supply		activities		recreation
E.	Water supply; sewerage,	L.	Real estate activities	S.	Other service activities
	waste management and
	remediation activities
F.	Construction	M.	Professional, scientific and	T.	Activities of households as
			technical activities		employers;
					undifferentiated goods-
					and services-producing
					activities of households for
					own use
G.	Wholesale and retail trade;	N.	Administrative and support	U.	Activities of
	repair of motor vehicles		service activities		extraterritorial
	and motorcycles				organizations and bodies

Question	Answer
Form Name	Zra Tpin Online Application Form
Form Length	8 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	2 min
Other names	tpin registration, zra tpin, tpin certificate download, tpin certificate

Zra Tpin Online Application Form – Fill Out and Use This PDF

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