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Government of the People's Republic of Bangladesh

National Board of Revenue
Application Form for Registration/Enlistment
(VAT/Turnover Tax/Cottage Industry)

Two Copies of
attested Photograph
of the Chairman/
Managing
Director/ Proprietor
and Authorised
Signatory

1. Name of Organization /Individual

2. Type of Organization [ Use Tick mark ]

Corporate(private) Corporate(public) Partnership Proprietorship

3. Name of Corporate or Group (if applicable)

4. Business Address

Phone Fax
E-mail Address

5. Factory Address

Phone Fax
E-mail Address

6. Head Office Address (if any)

Phone Fax
E-mail Address
7. Permanent Address of the Chairman/Managing Director/Director/Proprietor

Phone Fax
E-mail Address
(If needed, please use separate sheet)
8. Bank Account Number of the Company/ Proprietor (If the number of accounts more than one, mention
all accounts, Banks and Branches name)
A/C No.
Bank Name
Branch Name Address
E-mail Address
(If needed, please use separate sheet)
9. Subsidiary Units (if any)
Sl. No. Name Address

10. Taxpayer Classification [Use Tick mark (√) where applicable]

Tax Category Taxpayer Type Other Information
VAT Supplier (Manufacturer) Trade License No. ::
Authority ::
Fiscal Year ::
Supplier (Trader)
Turnover Tax Service Renderer Import Reg. No. ::
(Yearly/Quarterly/Monthl (Put an 'X' if exempted)
y)

Cottage Industry Importer Export Reg. No. ::

(Put an 'X' if exempted)

Other Exporter
11. Type of Registration: Unit Central (Franchise)
12. TIN of the Chairman/Managing Director/Directors/Proprietor :

(If needed, please use separate sheet)

12a. TIN of the Company (if any) :

13. Previous Registration/Enlistment Number (if any)

(If needed, please use separate sheet)

14. National ID Number of the Chairman/Managing Director/ Directors/ Proprietor :

(If needed, please use separate sheet)

15. Item(s) to be produced and/or traded / Service(s) to be rendered :
Name H. S. Code / Service Code Probable yearly Turnover

(If needed, please use separate sheet)

General Instructions
1. Application form must be filled in capital letters.
2. Registration Number (BIN #) cannot be allotted unless this application form is properly filled in.
I hereby declare that the information furnished above is true and complete.

Position / Title Name/Designation of Authorized Officer

Date Signature

For Official Use Only

 Av‡e`bKvixi Rb¨ wb‡`©kbv
µwgK c~i‡Yi welq c~i‡Yi wb‡`©wkKv
bs
1. Name of e¨emvq cÖwZôv‡bi c~Y© bvg wjwL‡Z nB‡e|
organization/
individual
3. Name of cÖwZôvbwU hw` K‡c©v‡iU A_ev e¨emvwqK MÖæc nq Z‡e D³ K‡c©v‡iU A_ev
Corporate/ MÖæ‡ci bvg ¯úófv‡e wjwL‡Z nB‡e|
group (if
applicable)
4. Business Address †h ¯’v‡b Ki‡hvM¨ Kvh©µg Z_v e¨emvq cwiPvjbv Kiv nB‡Z‡Q †mB ¯’v‡bi c~Y©
wVKvbv, B‡gBj A¨v‡Wªm Ges †Uwj‡dvb/d¨v· b¤^i ¯úó A¶‡i wjwL‡Z nB‡e|
evwo ev †nvwìs bs, moK I GjvKvi bvg, WvKNi, _vbv I †Rjvi bvg Ges †cv÷
†KvW D‡jøL Kwi‡Z nB‡e|
5. Factory Address †h ¯’v‡b c‡Y¨i Drcv`b Kvh©µg cwiPvjbv Kiv nB‡Z‡Q †mB ¯’v‡bi c~Y© wVKvbv,
B‡gBj A¨v‡Wªm Ges †Uwj‡dvb/d¨v· b¤^i ¯úó A¶‡i wjwL‡Z nB‡e| evwo ev
†nvwìs bs, moK I GjvKvi bvg, WvKNi, _vbv I †Rjvi bvg Ges †cv÷ †KvW
D‡jøL Kwi‡Z nB‡e|
6. Head Office hw` cÖwZôvbwU GKK gvwjKvbvaxb nq Z‡e Ki‡hvM¨ Kvh©µg cwiPvjbvKvix ev
Address e¨emvqxi ¯’vqx wVKvbv B‡gBj A¨v‡Wªm Ges †Uwj‡dvb/d¨v· b¤^i ¯úófv‡e
wjwL‡Z nB‡e| hw` cÖwZôvbwU K‡c©v‡iU ev e¨emvq MÖæc nBqv _v‡K, Zvnv nB‡j
cÖwZôvbwUi gyj Z_v †iwR÷vW© Awd‡mi c~Y© wVKvbv Ges †Uwj‡dvb/d¨v· b¤^i
¯úófv‡e wjwL‡Z nB‡e|
7. Permanent cÖwZôvbwU e¨w³ gvwjKvbvaxb nB‡j gvwj‡Ki ¯’vqx wVKvbv †hgb: MÖvg, Dc‡Rjv,
Address WvKNi, †Rjv Ges wjwg‡UW †Kv¤úvwbi †¶‡Î †Pqvig¨vb/GgwW/ BwW/
WvB‡i±iM‡Yi ¯’vqx wVKvbv †hgb: MÖvg, Dc‡Rjv, WvKNi I †Rjv D‡jøL
Kwi‡Z nB‡e| cÖ‡qvR‡b c„_K wkU e¨envi Kiv hvB‡e|
8. Bank Account e¨w³ gvwjKvbvaxb ev Askx`vix cÖwZôvb nB‡j gvwjK I Askx`viM‡Yi Ges
No. wjwg‡UW †Kv¤úvwb n‡j †Kv¤úvwbi ZvwjKvfy³ e¨vsK ev e¨vsKmg~‡ni wnmve b¤^i
D‡jøL Kwi‡Z nB‡e|
9. Subsidiary Units GKK gvwjKvbvaxb cÖwZôv‡bi †¶‡Î D³ gvwjK AviI †h mKj cÖwZôv‡bi gvwjK
†mB mKj cÖwZôv‡bi, cÖvB‡fU wjwg‡UW †Kv¤úvwbi †¶‡Î cwiPvjKe„‡›`i
gvwjKvbvaxb/ Askx`vwi‡Z¡i mKj cÖwZôv‡bi Ges K‡c©v‡iU ev cvewjK wjwg‡UW
†Kv¤úvwbi †¶‡Î D³ †Kv¤úvwbi gvwjKvbvaxb mKj cÖwZôv‡bi Z_¨ cÖ`vb Kwi‡Z
nB‡e| cÖ‡qvR‡b Avjv`v wkU e¨envi Kiv hvB‡e|
10. Taxpayer Tax Category-Gi Wvb cv‡k GKwU (√) wPý I Tax payer Type-Gi Wvb
Classification cv‡k GK ev GKvwaK (√) wPý w`b| †UªW jvB‡mÝ b¤^i I A_©eQi Aek¨B
wjwL‡Z nB‡e| Avg`vwb ev ißvwb †iwR‡÷ªkb nB‡Z Ae¨vnwZcÖvß nB‡j
†iwR‡÷ªkb b¤^‡ii Wvb cv‡k GKwU (x) wPý w`‡Z nB‡e|
12. TIN Ki‡hvM¨ Kvh©µg cwiPvjbvKvix ev Ki‡hvM¨ cÖwZôv‡bi †Pqvig¨vb/GgwW/ BwW/
WvB‡i±iM‡Yi AvqKi wefvM cÖ`Ë e¨w³ †kªwYi TIN D‡jøL Kwi‡Z nB‡e| G
Rb¨ 10wU Ni iwnqv‡Q, GK GKwU N‡i GK GKwU msL¨v wjwL‡Z nB‡e| cÖ‡qvR‡b
c„_K wkU e¨envi Kiv hvB‡e|
12a. TIN Ki‡hvM¨ Kvh©µg cwiPvjbvKvix ev Ki‡hvM¨ cÖwZôv‡bi AvqKi wefvM cÖ`Ë TIN
D‡jøL Kwi‡Z nB‡e| G Rb¨ 10wU Ni iwnqv‡Q, GK GKwU N‡i GK GKwU
msL¨v wjwL‡Z nB‡e| cÖ‡qvR‡b c„_K wkU e¨envi Kiv hvB‡e|
14. National ID cÖwZôvbwU e¨w³ gvwjKvbvaxb ev Askx`vix nB‡j gvwj‡Ki RvZxq cwiPqcÎ b¤^i
Number Ges wjwg‡UW †Kv¤úvwbi †¶‡Î †Pqvig¨vb/ GgwW/ BwW/WvB‡i±iM‡Yi RvZxq
cwiPqcÎ b¤^i D‡jøL Kwi‡Z nB‡e| cÖ‡qvR‡b c„_K wkU e¨envi Kiv hvB‡e|
15. Item (s) to be Av‡e`bKvix †h cY¨ Drcv`b K‡ib ev †h c‡Y¨i e¨emvq Kwiqv _v‡Kb A_ev †h
produced and/or †mev cÖ`vb Kwiqv _v‡Kb Zvnv D‡jøL Kwi‡Z nB‡e| †Uwe‡ji Wvb cv‡k¦©
traded/ "Probable Yearly Turnover" N‡i mieivnK…Z cY¨ ev cÖ`Ë †mevi wecix‡Z
Service(s) to be cÖvß/cÖvc¨ †gvU evwl©K weµ‡qi cwigvY wjwL‡Z nB‡e| cÖ‡qvR‡b c„_K wkU
rendered e¨envi Kiv hvB‡e|