MALAWI REVENUE AUTHORITY OFFICIAL DATE STAMP
DOMESTIC TAXES DIVISION
Msonkho House, Private Bag 247, Blantyre Website: www.mra.mw
INFORMATION UPDATE FOR DOMESTIC TAXES (INDIVIDUAL)
Please Note For Official Use only
All information must be completed fully.
All Mandatory fields (marked with a *) should be filled Date of Receipt: Date Captured:
Leave blank where the required information is not relevant (to be
completed when it becomes relevant).
The completed form should be hand delivered/emailed to the MRA
Taxpayer Service Section nearest to you. Date Verified: Captured by:
Section 82(2) of the taxation act mandates any person to furnish
information to the commissioner General in a prescribed formant
Verified By:
Personal Details
Please fill in all required details in the provided space
Title* (tick where appropriate) ☐Mr. ☐Mrs. ☐Miss ☐MS ☐Dr. ☐Prof
☐Any (specify)__________________________________________________________
Last Name* First Name*
Middle Name Previous Name
Maiden Name Spouse Name
Occupation Employer
Gender* (tick where appropriate) ☐M ☐F
Marital Status*: ☐Married ☐Single ☐Divorced ☐Widow ☐Widower ☐Separated
Date of birth* Country of residence
Place of birth* Nationality*
Email: kyc@mra.mw Tel: +265 1 822 588 1
Address Details
Physical Address* Postal Address*
Region* Region*
City/Town* City/Town*
District* District*
Building Building
Name Name
House House
Number Number
Street Street
Name Name
Municipality Municipality
Traditional
P.O Box
Authority
Village P/Bag
Effective -- -- Effective -- --
Date* Date*
Contact Methods
Office telephone number Mobile number
Email address
Identification
Identification type*(Malawian citizens MUST provide national ID)
☐ National ID ☐Passport
National ID
Email: kyc@mra.mw Tel: +265 1 822 588 2
Traffic Registration Number
Passport ID (Non-Citizens only)
e-Permit Type e-Permit Number
Issue Date* -- -- Expiry date* -- --
Country of Issue*
ID verification number (Official use only)
Tax
Types
Please tick the type of tax and provide effective date of registration.
Tax type : ☐Income Tax Effective date: -- --
☐ TOT Effective date: -- --
☐VAT Effective date: -- --
☐PAYE Effective date: -- --
☐WHT Effective date: -- --
☐FBT Effective date: -- --
☐Tevet levy Effective date: -- --
Email: kyc@mra.mw Tel: +265 1 822 588 3
☐Mineral Royalty Effective date: -- --
☐D / Excise tax Effective date: -- --
Business Details
Please indicate business name or trading names or both*
Business name* Trading name(s)*
Tax Office*
Business
TPIN*
Certificate No.*
Reg. Date* -- -- Accounting date* -- --
Commencement
Source of capital
Date
Total capital
Phone*
invested
City/Town* District*
P.O Box P/Bag
Email Address Effective Date -- --
Email: kyc@mra.mw Tel: +265 1 822 588 4
Business Sector Details
Primary sector * Nature of business * Description* ISIC code (official use only)
Other Businesses (Associated/Partnerships etc.)
Business name Registration number Registration date TPIN
Taxpayer Representative
Do you have a Taxpayer Representative? (Yes/No):_________________
If yes, please fill the details below,
Name Representative
TPIN
Contact City/Town*
Number
District* Email
P.O Box P/Bag
Effective Date -- --
Landlord Details (If in rented property)
Do you have a landlord? (Yes/No): ________________
Email: kyc@mra.mw Tel: +265 1 822 588 5
If yes, please fill all the details below*
Landlord name Landlord
TPIN
Contact Number Landlord
City/Town*
Landlord Landlord
District* P.O Box
Effective -- --
Landlord P/Bag
Date
Bank Details*
Do you have any bank accounts? (Yes/No): _______________
If yes, please provide details below.
Bank name Account number Branch Bank Sort Account name Account type
Code
Mobile Money Accounts
Are you registered with any mobile money services (Airtel money/Mpamba)? (Yes/No): _________________
If yes, please provide details below.
Mobile service Name Customer name Phone number
Occupational Details
Occupation Status
☐Employed ☐Student ☐Unemployed
Main Category if employed
Email: kyc@mra.mw Tel: +265 1 822 588 6
☐Administrative and managerial workers
☐Agriculture, Animal Husbandry, Forestry Workers, Fishermen and Hunters
☐Production and related workers, transport and equipment operators and land use
☐Professional, technical and related workers
☐Service workers
☐Workers not classified by occupation
Precise category:
Employment
Details
Employer’s name* Employer TPIN Employment start date*
Branches
Branch name Branch Address Opening Date Cessation Date Description
Branch Sector
Details
Email: kyc@mra.mw Tel: +265 1 822 588 7
Declaration
Description (For official use only) ISIC Code (For official use only)
I ____________________________________________________ (full names) hereby declare that the particulars given
herein are true and complete and hereby submit.
Date* -- --
Signature*
Email: kyc@mra.mw Tel: +265 1 822 588 8
