THE REVENUE ADMINISTRATION ACT FORM 1

APPLICATION FOR TAXPAYER REGISTRATION (INDIVIDUALS)

Please TYPE or PRINT. Use blue or black ink only. Complete ALL relevant boxes.

Section A - GENERAL INFORMATION Confirmation: 1818619968

Is this the first application for a Tax Registration Number for this applicant? X Yes No

1. Applicant's Name 2. Name at Birth Taxpayer Registration

Number (TRN) Assigned
Last: SUCKOO Last: SUCKOO
First: SUENIQUE First: SUENIQUE
Middle: SUCKAYE Middle: SUCKAYE
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3. Reason for Name Change 4. Sex 5. Marital Status 6. Date of Birth
Adoption Marriage Male X Single Divorced
1-Feb-2004
Deed Poll Other X Female Married Widowed
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7. Country of Birth 8. Parish of Birth 9. Place of Birth
X Jamaica Other WESTMORELAND SAVANNA LA MAR

10. Nationality 11(a) Telephone Number(s)

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X Jamaica Other Home: Work:
Cell:

11(b) Fax Number(s) 11(c) E-mail Address 12. Please indicate your preferred method of contact:
[email protected] Phone Mail/Post
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SMS X Email

13(a) Home Address 13(b) Mailing Address

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LOT 406 CATHERINE HALL
MONTEGO BAY 2 P.O., P.O. BOX #2
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ST. JAMES, JAMAICA

14. Mother's Name 15. Spouse's Name 16. Occupation

Maiden: HAYE Last: STUDENT
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First: CORDELIA First:
17. NIS Number
Middle: NATALEE Middle:

NOTE: You must present a valid identification (ID) along with this form. If an ID other than a Passport or non-Jamaican Driver's Licence is being
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presented, an original Registrar General's Department (RGD) certified copy of your Birth Certificate or a copy certified by the appropriate issuing
authority (applicant's born outside of Jamaica) is required. (Note: a Baptismal Certificate and a Certificate of Birth Registration, that is, "pink form,"
will not be accepted). Birth Certificates MUST be presented if using your Elector Registration ID (National ID Card) as identification.

18. Please indicate type of identification/document being provided and complete details.

Issue Date Expiry Date

Type of Identification ID/Document Number Country of Issue Code
(year/month/day) (year/month/day)

Driver's License

X Passport A7376092 3-Apr-2023 2-Apr-2033 JAMAICA

Elector Reg. ID

Birth Certificate

Other ID

Form 1 (Revised 2015/12) PLEASE SEE OVERLEAF FOR CONTINUATION OF FORM Tax Administration Jamaica
19. Do you carry on a Trade, Business, Yes (Complete an Additional Information (Individual) Branches and/or Business Activities;
Vocation or Profession in Jamaica? Form 1A)
X No

20. Employer's Name and Address 21. State the Tax Office where you wish to collect your TRN Card.

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Section B - REPRESENTATIVE'S DETAILS (IF APPLICABLE)

This section is to be completed if the application is for a minor (applicant under 18 years old), incapacitated adult (adult unable to sign or make a
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mark) or being made on behalf of the applicant with the support of a Power of Attorney or Court Oder.
Document supporting the authority of the representative to sign on behalf of the applicant must be presented with the application.
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Type of Representative (Mother, Father, Attorney, etc.) Representative's TRN Representative's Name

Section C - DECLARATION
WARNING: Any false statement made herein will render you liable to prosecution.
NOTE: Representative is only required to sign if Section B above is applicable.
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I declare that the information given in this Form is to the best of my knowledge and belief true and correct.

Applicant's Name Applicant's Signature Representative's Name Representative's Signature Date

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NOTE: Applicants using a Birth Certificate and a certified photograph for ID must submit their applications in person.
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1) A certified photograph for an adult must be accompanied by the Declaration Form for Certifying Official (available at Tax Offices).
2) Where the documents are NOT being presented in person, the applicant's signature on the Form must match that on the supporting identification.
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For more detailed/specific requirements including those for minors, incapacitated adults, overseas applicants and self-employed individuals, refer to
Tax Administration (TAJ) website: www.jamaicatax.gov.jm, TAJ Customer Care Centre, toll free number: 1-888-TAX-HELP (829-4357) or TRN
Requirement Sheets available at any Tax Office.
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INSTRUCTIONS: Submit completed Form along with appropriate ID and original documents to the nearest Tax Office. If applicant is
sending application from outside Jamaica, a Notarized copy of identification and supporting documents (if applicable) are required.

Identification Presented Documents Presented Documents Presented Receiving

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Office:
Passport NIS Reference Card New
Date:
Driver's License Business Name Registration Cert Updated
Agency
Elector Reg. ID Code:

Birth Certificate Official

Stamp:
Other

Remarks

Processing Officer's Name Processing Officer's Senior Officer's Name Senior Officer's Signature