Application For Registration: Last Name First Name Middle Name Suffix

(To be filled out by BIR) DLN:
BIR Form No.

Republic of the Philippines
Application for
1902
Department of Finance
Bureau of Internal Revenue
Registration January 2018 (ENCS)
For Individuals Earning Purely Compensation Income
(Local and Alien Employee)
- - - 0 0 0 0 0
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
3 BIR Registration Date
1 PhilSys Number (PSN) 2 Taxpayer Type
(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)
- - - 0 0 0 0 0 (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 INCOME TAX, 19 Form Type ,BIR Form No. 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
- - - 00 0 0 0
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

30B TIN 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
34 TIN - - - 35 RDO Code
Head Office Branch Office
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

(MM/DD/YYYY) 40 Municipality Code (To be filled out by BIR)
41 Declaration
Stamp of BIR Receiving Office
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 and Date of Receipt
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)
*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 1. Passport
Certificate, Passport, Driver’s License, etc.) that shows the name, address 2. Working Permit or photocopy of duly received Application for Alien
and birthdate of the applicant. Employment (AEP) by the Department of Labor and Employment
2. Marriage Contract, if applicable. (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.

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(To be filled out by BIR) DLN:

BIR Form No.

Middle Name Suffix

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

Lot/Block/Phase/House No. Street Name

Province ZIP Code

Issuer Place/Country of Issue

Email Address (required)

Part II - Spouse Information (if applicable)

Middle Name Suffix

29B TIN of Employer

30B TIN of Employer

31B TIN of Employer

Lot/Block/Phase/House No. Street Name

Province ZIP Code

39 Relationship Start Date/Date Employee was Hired

EMPLOYER/AUTHORIZED REPRESENTATIVE Title/Position of Signatory

For Local Employee: For Alien Employee:

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