(To be filled out by BIR) DLN: _________________
BIR Form No.
Republic of the Philippines
Application for Registration
Department of Finance
Bureau of Internal Revenue 1902
January 2018 (ENCS)
For Individuals Earning Purely Compensation Income
(Local and Alien Employee)
- - - 0 0 0 0 0
New TIN to be issued, if applicable (To be filled out by BIR)
Fill in all applicable white spaces. Write “NA” for those not applicable. Mark all appropriate boxes with an “X”
Part I - Taxpayer/Employee Information
1 PhilSys Number (PSN) 2 Taxpayer Type 3 BIR Registration Date
(To be filled out by BIR) (MM/DD/YYYY)
Local Resident Alien Special Non-Resident Alien
4 Taxpayer Identification Number (TIN) 5 RDO Code
(For Taxpayer with existing TIN)
- - - 0 0 0 0 0 (To be filled out by BIR)
6 Taxpayer’s Name
Last Name First Name
Middle Name Suffix 7 Gender
Male Female
8 Civil Status Single Married Widow/er Legally Separated
9 Date of Birth (MM/DD/YYYY) 10 Place of Birth
11 Mother’s Maiden Name (First Name, Middle Name, Last Name)
12 Father’s Name (First Name, Middle Name, Last Name)
13 Citizenship 14 Other Citizenship
15 Local Residence Address
Unit/Room/Floor/Building No. Building Name/Tower
Lot/Block/Phase/House No. Street Name
Subdivision/Village/Zone Barangay
Town/District Municipality/City
Province ZIP Code
16 Foreign Address
17 Municipality Code
(To be filled out by BIR) 18 Tax Type ,INCOME1TAX, 19 Form Type ,BIR Form1No. 1700 , 20 ATC II,011.
21 Identification Details (e.g. passport, government issued ID, company ID, etc.)
Type Number Effective Date (MM/DD/YYYY) Expiry Date (MM/DD/YYYY)
Issuer Place/Country of Issue
22 Preferred Contact Type Landline No. Mobile Number
Email Address (required)
Part II - Spouse Information (if applicable)
23 Employment Status of Spouse
Unemployed Employed Locally Employed Abroad Engaged in Business/Practice of Profession
24 Spouse Name
Last Name First Name
Middle Name Suffix 25 Spouse TIN
- - - 0 0 0 0 0
26 Spouse Employer’s Name (Last Name, First Name, Middle Name, If Individual) (Registered Name, If Non Individual)
27 Spouse Employer’s TIN - - -