I.T.P.R.F-01

Application Form for Income Tax Practitioner (ITP) Registration

Use capital letters. Write one letter in each box. Keep an empty box in between

two words. Avoid abbreviation as much as possible.

1. NAME of the Applicant:

3. Father's/Husband Name:

4. Mother's Name:

5. Present Address:

District: Post code

6. Permanent Address:

District: Post code

7. Educational Qualifications:

Sl.

No.

Name of Exam Board/University Year of

Passing

Roll No. GPA/Class/

Division

1. SSC or Equivalent

2. HSC or Equivalent

3. B.COM/BBA/

4. L.L.B

5. Degree/Diploma in Banking

with higher auditing

8. Date of birth: 9. Nationality:

9. National ID: 11. Mobil No:

12. E-mail:

I am applying for the registration of Income Tax Practitioner under section 174(2) (f) and rule 37 of

Income Tax ordinance 1984.

I solemnly declare that to the best of my knowledge and belief the information given above is correct and

complete.

Signature of the Applicant

For official use only

R.SL

Roll

Written Viva Total

Full Name:

Passport size

photo 2 copies

of the

Applicant