ࡱ> rtqy wbjbj 4{{w22Dd9HHHHH###$"%##%%HH%%%%HH%%%%PHDq); 09$,/#/#P/#PT#Z}@%44######9%%%%/##########2 R: TANZANIA REVENUE AUTHORITY APPLICATION FOR REGISTRATION AS TAX CONSULTANT (Made under sections 131, of the Income Tax Act Cap 332 and Income Tax Regulations, 2004) Note:Please read the notes at the end of this form before filling. After filling please return to:-Commissioner, Domestic Revenue Department, P.O. Box 9131, DAR ES SALAAM. 1.APPLICATION I.. (Full Name) Hereby apply for commissioners ruling under Section 131 of the Income Tax Act, 2004 in respect of registration as a Tax Consultant as per Section 134 of the said Act and Income Tax Regulations 2004.2.PERSONAL PARTICULARS: CONTACT ADDRESSES P.O. Box No:......................... Telephone No:.Mobile:.. E-mail...Physical Address: Plot NoBlock Location /Street... RegionDistrict..Date of birth..Nationality:...3.TIN:.VRN..4.Indicate a TRA office where you maintain your tax file Location..Street..Region5.Place of business where service will be rendered/is rendered Premises on Plot No: .Block Location/Street Region/Town 6. ACADEMIC QUALIFICATIONS Name of Schools, Universities or other Institutions From ToName of Examining BodyDegree, Diploma, CertificateClass/Division Attained Year  7. PROFESSIONAL QUALIFICATIONS Name of Examining BodyRegistration No.Section, Stages, Parts PassedDate PassedRemarks  8. PRACTICAL TRAINING AND EXPERIENCE BEFORE QUALIFYING Name and Address of Organization From To Position HeldNature of Training and Experience  I hereby declare that the foregoing statements are true and correct in every respect. Applicants SignatureDate NOTES: 1.The application fee is Tshs. 100,000/= and is payable in favour of Commissioner for Domestic Revenue. The fee is not refundable.2.The application should be routed through your local TRA office.3.Please attach your:- Two recent passport size photographs Detailed curriculum vitae Copy of Pay-In-Slip/receipt evidencing payment of the application fees. Certified copies of your educational and professional Certificates where applicable Original Certificates may be called for when a need arises4.If applicant is an employee a letter of employer should be attached indicating that has no objection for his employee to be engaged in Consultancy. FOR OFFICIAL USE ONLY Date Received:..TRA Regional Managers observations and recommendations ..Date Notification sent:..Registration No:CDR Signature:Date:.....Date Certificate Dispatched:Date Certificate Acknowledged:.Secretarys signature:..Date: TANZANIA REVENUE AUTHORITY DOMESTIC REVENUE DEPARTMENT APPLICATION FOR RENEWAL OF TAX CONSULTANT PRACTISING CERTIFICATE I..do hereby apply for renewal of the Tax Consultant Practicing Certificate last issued onand I hereby further Declare as under:- 1.Name of the firm and address. ..2.Last Certificate Number 3.Location of business premises. *4.(a)I am the sole proprietor of the firm/ in partnership with.. .(b)Operating as partners (state name(s) of partner(s)). .*5.My/our Banker. 6.In the year ending 31st December, 20.I/We* operated on Business License NoIssued on..In the period up to 31st December, 20.I/We dealt with the following clients .. My/Our performance over the last two years is under:- YearObjection raised against Assessment (state reference and Taxpayer)Body that dealt with the dispute and Nature of Decision and Tax Determined Tax paid Tax Balance  7. State whether you have been involved in and/or convicted of any criminal Offences. ..8.I/We* attach herewith a complete list showing employees of the firm and their responsibilities and certify that none of them has been involved in any act of dishonest whatsoever.I/We* hereby certify that all the above information is true to the best of my/our*knowledge and belief.Made atthis..Day of20.Name of Declarant.Signature..Designation..Note(1)Tax Consultants are advised to know the implication of the Income Tax Regulations,2004(2)The renewal application form to be supported with payment of renewal fees Tshs. 100,000/= and a photocopy of the applicants valid certificate of practice from NBAA.(3)*Indicate whichever appropriate. 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