Individual/Estate TIN
Guyana Revenue Authority
Taxpayer Registration Form-Individual
G0015 v1 Fill all relevant values Amendment
Section A: Personal Information
Title: Mr. Mrs. Ms. Miss
*Name: SUNARDI
First Name Middle Name Maiden Name
SUNARDI
Last Name Alias(es)/Call Name
*Date of Birth: 19781018
Sex: Male Female
Marital Status: Single Married Common Law Divorced Widowed Status Date:
*Country of Birth: Guyana Other (Specify) INDONESIA Date
Naturalised:
*Nationality: Guyanese Other (Specify) INDONESIAN
*Residence: Resident Non Resident (Specify Country) INDONESIA
*Contact Information: Please provide at least one (1) phone number, your home address and email
For phone numbers, do not use characters such as dashes, hyphens or spaces.
Home Phone: Home Bengkong Indah II Blok D RT03/RW01
Address: Line 1 P.O. Box
Office Phone: Sadai, Bengkong, Batam, INDONESIA
Line 2 Country
Cell Phone: +6282173644944 Mailing
Address: Line 1 P.O. Box
(if different
E-mail: ardisunardi@gmail.com from above)
Line 2 Country
*Identification Information: Please provide at least one (1) of the following three (3) identifications
National ID #: 2171091810 Country of INDONESIA Date of 20200603
Issue: Issue:
Passport #: Country of Expiry 20260709
C7852132 INDONESIA
Issue: Date:
Drivers Country of Expiry
Licence #: Issue: Date:
NIS #:
Bank Account Details
Financial Institution: BANK CENTRAL ASIA Routing/Transit #:
Account Holder Name: SUNARDI Account #: 8335154645
Relatives
Mother -TIN: Spouse - TIN:
First Name First Name
Last Name Last Name
Date of Birth: Date of Birth:
Maiden Name Maiden Name
*Miscellaneous
Are you currently employed/working with someone? Yes No If you have multiple income sources, which is
higher? Self employed Pension
Occupation/Profession: Cook
Salary and Wages Investments
Do you currently work for the state? Yes No
Who is your Tax Agent/Auditing firm/Accountant?:
Please fill out the relevant information where applicable, and be guided accordingly
If you conduct a Trade or Business If someone has died and you need an Estate TIN
- state the number of businesses - Complete Section C
in the box provided
- Complete Section B
Section B: To be completed by the persons conducting a Trade or Business
*General Details
Date accounting year begins: Date first employee
commenced employment:
Gross sales for the last/next year: Estimated number of
employees:
Are you registered with the Small Business Bureau? Yes No If yes, state Certificate #:
Do you manufacture the following goods for consumption in Guyana?
Alcoholic Beverages: Yes No Petroleum Products: Yes No
Tobacco Products: Yes No Motor Vehicles: Yes No
*Value Added Tax Details
Does your taxable supplies (sales/turnover) equal or exceed GY$15M within a period of 12 or fewer months? Yes No
Do you expect the total value of your taxable supplies (sales/turnover) to equal or exceed GY $15M? Yes No
Are you an Auctioneer? Yes No
Are you a promoter of public entertainment, or a licenced owner or proprietor of places of public
Yes No
entertainment?
You are not required to apply for VAT but can still apply for voluntary registration. Do you wish to
Yes No
voluntarily apply for VAT?
When will you start charging VAT:
*Business Trade Details: If you have more than one business, please use a supplementary sheet for each No. of Continuation Sheets
Business/Trading Name: Trading as Self
a) Contact Please provide at least one (1) phone number, the business address and email
For phone number, do not use characters such as dashes, hyphens or spaces.
Phone: Ext.: E-mail:
Business Address: Mailing Address:
(if different from above)
Line 1 Line 1
Line 2 Line 2
P.O. Box P.O. Box
Country Country
b) Business Identification Details
Registration #: Date of Registration:
Date Trading commenced:
Nature of Business:
Section C: To be completed for Estate TIN
*Executor's/LPR's TIN (if known): 1 *Date of Death:
*Death Certificate #: *Date of Issue:
*Section D: Declaration - Must be completed
If you filled out this Registration: If you filled out this Registration on someone else's behalf:
I hereby certify that the information given in the registration and I hereby certify that this registration was prepared by me on the
in any documentation attached is true, correct and complete in basis of information of which I have knowledge.
every respect, and fully discloses my income from all sources
under this Act. Signature:
Signature: Address:
Date: 20250520 Date:
Choose capacity in which Registration is made:
As an Attorney, Agent, Factor, Manager, etc. of any person
As a Trustee, Executor, Administrator, etc. of an Estate
Requirements For Submission (as applicable)
Requirements for All Individuals: Requirements for Estate TIN:
Photograph: frame size must be at least 35 mm X 45 mm Court Order
(1 3/8" X 1 3/4")
Proof of Address Death Certificate
Form of Identification (at least 1)
National ID
Requirements for Individuals conducting a Trade/Business:
Passport
Balance Sheet (projection to end of current year)
Driver's Licence
Income Statement (projection to end of current year)
Affidavit of Identity
Small Business Bureau certificate
Deed Poll (in cases of name changes)
If Trade/Business is registered with Commercial Registry:
Marriage Certificate (if Marital Status is Married)
Business Registration Certificate
Requirements for Working, Non-Resident Individuals:
Work Permit
