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{"sheet":"TIN Form","index":0,"n_rows":124,"n_cols":14,"rows_kept":124,"cut":false,"hidden":false,"merged":[[8,1,8,14],[1,10,1,12],[1,13,1,14],[2,13,2,14],[6,1,6,14],[7,1,7,14],[9,1,9,14],[106,5,106,6],[117,2,117,3],[117,4,117,6],[117,7,117,11],[117,12,117,14],[25,3,25,4],[25,10,25,14],[32,9,32,13],[18,12,18,14],[20,4,20,6],[20,11,20,14],[23,5,23,6],[30,5,30,6],[26,1,27,4],[27,5,27,7],[123,2,123,3],[123,4,123,6],[123,7,123,11],[123,12,123,14],[96,2,96,3],[96,5,96,6],[25,5,26,5],[21,0,21,14],[22,1,23,2],[22,0,23,0],[22,7,22,14],[26,10,27,14],[23,7,23,14],[33,9,33,13],[32,1,33,2],[32,0,33,0],[28,1,30,2],[28,0,30,0]]}
[]
[{"$nulls":13},"version 7.0"]
[{"$nulls":13},"GRA REG 1"]
[]
[]
[]
[null,"GAMBIA REVENUE AUTHORITY"]
[null,"APPLICATION FOR TAXPAYER IDENTIFICATION NUMBER"]
[null,"(Complete this form in BLOCK letters - see reverse for instructions)"]
[null,"The completed form should be mailed or delivered to any Gambia Revenue Authority Office"]
[{"$nulls":5},1,"TAX OFFICE:"]
[2,"CATEGORY OF APPLICANT (Please tick appropriate box)"]
[null,null,"COMPANY (RESIDENT)",null,null,"COMPANY (NON-RESIDENT)",null,null,"PARTNERSHIP (RESIDENT)"]
[null,null,"INDIVIDUAL (RESIDENT)",null,null,"INDIVIDUAL( NON-RESIDENT)",null,null,"PARTNERSHIP (NON-RESIDENT)"]
[null,null,"TRUSTS",null,null,"GOV. MINISTRY, LOCAL AUTHORITY OR OTHER GOV. INSTITUTION"]
[null,null,"CLUB,ASSOCIATION, ETC",null,null,"INDIVIDUAL/ORGANISATION ENTITLED TO DIPLOMATIC PRIVILEGES "]
[]
[null,"PART A - PERSONAL DETAILS"]
[3,"SURNAME",null,null,null,"FIRST NAME",null,null,"MIDDLE NAME(S)"]
[]
[4,"MOTHER'S FIRST NAME",{"$nulls":5},"LAST NAME:"]
[]
[5,"CITIZENSHIP",null,"GAMBIAN",null,"6. COUNTRY OF RESIDENCE"]
[null,null,null,"NON-GAMBIAN",null,"7. PASSPORT NUMBER"]
[null,"(for individual citizens and residents)",null,null,null,"(for non-citizens and non-residents, attach photocopy of passport)"]
[8,"ID CARD NUMBER",null,null,null,"9. GENDER","MALE",null,null,10,"                       DATE OF BIRTH"]
[null,"(ATTACH COPY OF BIRTH CERT. & ID)",{"$nulls":4},"FEMALE",null,null,null,"…........../…............./….. ….. ….. …."]
[]
[11,"MARITAL STATUS:",null,"MARRIED",null,null,"SINGLE",null,null,null,"D     D       M    M      Y    Y      Y     Y"]
[null,null,null,"WIDOWED",null,null,"DIVORCED"]
[null,null,null,"SEPERATED",null,"OTHER"]
[]
[12,"EMPLOYMENT STATUS:",null,"SELF-EMPLOYED",null,null,"EMPLOYEE",null,null,"NOT EMPLOYED"]
[null,null,null,"EMPLOYER",null,null,"NON-EMPLOYER",null,null,"OTHER"]
[]
[null,"PART B: BUSINESS DETAILS"]
[13,"BUSINESS NAME"]
[14,"TRADING NAME"]
[15,"BUSINESS REGISTRATION NO :",{"$nulls":4},"BUSINESS REGISTRATION DATE:"]
[16,"PREVIOUS YEAR TURNOVER (GMD)",{"$nulls":4},"17.IMPORTER ID NO."]
[18,"CERTIFICATE OF INCORPORATION NO.",{"$nulls":5},"19. BUSINESS START DATE:"]
[20,"ACCOUNTING PERIOD: START DATE ….. ….. …………...…....END DATE ….. ………………………..………. "]
[21,"NATURE OF BUSINESS"]
[22,"DETAILS OF TAX AGENT (If any)"]
[null,"AGENT NAME",{"$nulls":9},"TIN"]
[null,"AGENT ADDRESS",{"$nulls":9},"TEL. NO."]
[23,"ARE YOU EXEMPTED FROM INCOME TAX?    YES [  ]          NO [  ]"]
[null,"If Yes, indicate granting Authority………………………………………………"]
[]
["PART C - GENERAL DETAILS"]
[24,"PHYSICAL ADDRESS",{"$nulls":5},25,"POSTAL ADDRESS"]
[null,"BUILDING NAME( IF ANY)",{"$nulls":5},"P.O. BOX"]
[null,"LAND REGISTER NO.",{"$nulls":5},"TOWN"]
[null,"STREET",{"$nulls":5},"PROVINCE"]
[null,"AREA"]
[null,"TOWN/PROVINCE"]
[26,"CONTACT INFORMATION (Non Business Applicants should provide BOTH their personal and Employer Contacts)"]
[null,"INDIVIDUAL CONTACT INFORMATION"]
[null,"TELEPHONE 1:",null,null,"TELEPHONE 2:",{"$nulls":4},"MOBILE:"]
[null,"FAX:",null,null,"EMAIL:"]
[null,"BUSINESS/EMPLOYER CONTACT INFORMATION"]
[null,"TELEPHONE 1:",null,null,"TELEPHONE 2:",{"$nulls":4},"MOBILE:"]
[null,"FAX:",null,null,"EMAIL:"]
[null,"EMPLOYER CONTACT INFORMATION (To be completed by employees only)"]
[null,"EMPLOYER NAME AND ADDRESS:"]
[{"$nulls":7},"EMPLOYER TIN"]
["PLEASE CONTACT THE NEAREST GAMBIA REVENUE AUTHORITY OFFICE IF YOU NEED ANY ASSISSTANCE IN COMPLETING THIS FORM"]
[]
[27,"INCOME TAX FILE NO (if known)",{"$nulls":4},"PAYE FILE NO. (if known)"]
[28,"HAVE YOU EVER HAD A TAX FILE IN AN INCOME TAX BRANCH OTHER THAN THE ONE THAT HANDLES YOUR TAX "]
[null,"FILE NOW?      YES  [    ]  NO  [    ]. If Yes, provide the following information: "]
[]
[null,"PREVIOUS NAME(S) IF ANY………………………………………………………………………………………………"]
[null,"PREVIOUS INCOME TAX FILE NUMBER(S) IF ANY…………………………………………………………..………"]
[null,"PREVIOUS PAYE FILE NUMBER(S) IF ANY……………………………………………………………………………."]
[]
[29,"DO YOU NOW EMPLOY OR INTEND IN THE NEXT 12 MONTHS TO EMPLOY OTHERS, ANY OF WHOM WILL EARN"]
[null,"MORE THAN GMD 625 OR MORE PER MONTH?  YES [    ],  NO [    ]"]
[]
[30,"DO YOU NOW EMPLOY OR INTEND IN THE NEXT 12 MONTHS TO EMPLOY ANY NON-GAMBIANS? YES [    ],  NO [    ]"]
[]
["PART D - DECLARATION (To be completed by the person filling the form)"]
[31,"I                                                                                                      (FULL NAME IN BLOCK LETTERS) DECLARE THAT THE "]
[null,"INFORMATION GIVEN IN THIS APPLICATION IS TRUE AND COMPLETE. I UNDERSTAND THAT IF ANY INFORMATION "]
[null,"GIVEN ABOVE IS MISLEADING OR INCORRECT I COULD BE SUBJECT TO ANY AND ALL PENALTIES OR FINES "]
[null,"THAT THE LAW MAY ALLOW TO BE IMPOSED."]
[]
[32,"SIGNATURE…………………………………………………….                                                                                ",{"$nulls":5},"DATE………………………………….                                                                   "]
[33,"CAPACITY OF SIGNATORY………………………………………………………………..                                                                                     "]
[]
["PART E - FOR OFFICIAL USE"]
[34,"TO BE COMPLETED BY  RECEIVING OFFICER"]
[null,"ATTACHMENTS (Tick copies of what has been attatched)"]
[null,null,"NATIONAL/ALIEN ID CARD",null,null,"BUSINESS REGISTRATION CERTIFICATE",{"$nulls":5},"DATE"]
[null,null,"PASSPORT",null,null,"CERTIFICATE OF INCORPORATION",{"$nulls":5},"STAMP"]
[null,null,"BIRTH CERTIFICATE",null,null,"TAX EXEMPTION CERTIFICATE"]
[null,null,"MEMORANDUM & ART. ASSOCIATION",null,null,"CONSTITUION OF ASSOCIATION"]
[null,null,"PARTNERSHIP DEED",null,null,"OTHER"]
[null,"SIGNATURE",null,null,null,"NAME"]
[]
[35,"TO BE COMPLETED BY DATA ENTRY CLERK"]
[null,"DATE INPUT ON COMPUTER:"]
[null,"SIGNATURE:",null,null,null,"NAME"]
[]
[36,"TO BE COMPLETED BY REGISTRATION OFFICER"]
[null,"I HAVE CROSS CHECKED THE FORM AGAINST THE KEYED IN DATA."]
[null,"REGISTRATION:",null,"APPROVED",null,"NOT APPROVED"]
[null,"APPROVED BY ",{"$nulls":9},"DATE"]
[null,"SIGNATURE:",{"$nulls":9},"STAMP"]
[null,"FULL NAME:"]
[]
[null,null,null,"CONFIRMATION OF REGISTRATION"]
[null,null,"TIN"]
[]
[]
["PART F: OTHER PERSONS ASSOCIATED WITH THE APPLICANT"]
[37,"LIST BELOW ANY SPOUSES ASSOCIATED WITH THIS APPLICANT"]
[null,"NO.","NAME",null,"ADDRESS",null,null,"TIN",{"$nulls":4},"RELATIONSHIP"]
[]
[]
[]
[]
["38. LIST BELOW ANY OTHER BUSINESSES ASSOCIATED WITH THIS APPLICANT"]
[null,"NO.","NAME",null,"ADDRESS",null,null,"TIN",{"$nulls":4},"RELATIONSHIP"]

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[]
[]
[]
[]
[null,null,null,"GAMBIA REVENUE AUTHORITY"]
[]
["REPUBLIC OF GAMBIA"]
[]
["SUPPLEMENTARY FORM"]
["(FOR COMPLETION BY COMPANIES,PARTNERSHIPS,CLUBS,ASSOCIATIONS,ETC)"]
[]
["PART G: OTHER PERSONS ASSOCIATED WITH THE APPLICANT"]
[]
["39. LIST BELOW ANY OTHER BUSINESSES ASSOCIATED WITH THIS APPLICANT"]
["NO","NAME",null,null,"ADDRESS","TIN","RELATIONSHIP"]
{"$rows_empty":8}
["40. LIST THE MAJOR SHAREHOLDERS"]
["NO.","NAME",null,null,"TIN","NO. OF SHARES HELD","% OF TOTAL SHARES HELD"]
{"$rows_empty":7}
["41. LIST OF DIRECTORS"]
["NO","NAME",null,null,null,"TIN"]
{"$rows_empty":8}
["42. LIST OF PARTNERS & SHARE OF CAPITAL"]
["NO","NAME",null,null,"TIN","SHARE OF CAPITAL","SHARE OF PROFIT"]
[]
[]
[]
[]
[]
[]
["43. LIST OF PRINCIPAL OFFICERS OF CLUBS, ASSOCIATIONS, ETC."]
["NO","NAME",null,null,null,"TIN","DESIGNATION"]