Application for Registration

(To be filled out by BIR) DLN: _________________

Republic of the Philippines

Department of Finance

Bureau of Internal Revenue

BIR Form No.

1902

January 2018 (ENCS)

For Individuals Earning Purely Compensation Income

(Local and Alien Employee)

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)

(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

26 Spouse Employer’s Name (Last Name, First Name, Middle Name, If Individual) (Registered Name, If Non Individual)

27 Spouse Employer’s TIN

BIR Form No. 1902-page 2

Part III - For Employee with Two or More Employers (Multiple Employments) Within the Calendar Year

28 Type of Multiple Employments

Successive Employments (With previous employer/s within the calendar year)

Concurrent Employments (With two or more employers at the same time within the calendar year)

(If successive, enter previous employer/s; if concurrent, enter secondary employer/s )

Previous and/or Concurrent Employments During the Calendar Year

29A Name of Employer

29B TIN of Employer

30A Name of Employer

30B TIN of Employer

31A Name of Employer

31B TIN of Employer

32 Declaration

I declare under the penalties of perjury that this application, and all its attachments, have been made in good faith, verified by me and to the best of my

knowledge and belief, is true and correct, pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority

thereof. Further, I give my consent to the processing of my information as contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful

purposes.

________________________________________

Taxpayer(Employee)/Authorized Representative

(Signature over Printed Name)

Part IV – Primary/Current Employer Information

33 Type of Registering Office

Head Office Branch Office

34 TIN

35 RDO Code

36 Employer’s Name (Last Name, First Name, Middle Name, If Individual) (Registered Name, If Non Individual)

37 Employer’s 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

38 Contact Details

Landline Number

Fax Number

Mobile Number

39 Relationship Start Date/Date Employee was Hired

40 Municipality Code (To be filled out by BIR)

(MM/DD/YYYY)

41 Declaration

I declare under the penalties of perjury that this application and all its attachments, have been made in good faith, verified by me

and to the best of my knowledge and belief, is true and correct, pursuant to the provisions of the National Internal Revenue Code, as

amended, and the regulations issued under authority thereof. Further, I give my consent to the processing of my information as

contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes.

_______________________________________ __________________________

EMPLOYER/AUTHORIZED REPRESENTATIVE Title/Position of Signatory

(Signature over Printed Name)

Stamp of BIR Receiving Office

and Date of Receipt

*Note: The BIR Data Privacy Policy is in the BIR website (www.bir.gov.ph)

Documentary Requirements:

For Local Employee:

For Alien Employee:

1. Any identification issued by an authorized government body (e.g. Birth

Certificate, Passport, Driver’s License, etc.) that shows the name,

address and birthdate of the applicant.

2. Marriage Contract, if applicable.

1. Passport

2. Working Permit or photocopy of duly received Application for Alien

Employment (AEP) by the Department of Labor and Employment

(DOLE)

POSSESSION OF MORE THAN ONE TAXPAYER IDENTIFICATION NUMBER (TIN) IS CRIMINALLY PUNISHABLE PURSUANT TO THE

PROVISIONS OF THE NATIONAL INTERNAL REVENUE CODE OF 1997, AS AMENDED.