ITPRF-01 Attach 2 copies of

Application Form for Income Tax Practitioner (ITP) Registration-2017 Passport size
photo of the
Use Uppercase Letters (Unless Instructed Otherwise). Write one letter in each box. Keep an empty box Applicant here
between two words

1. Name of the Applicant:

2. Ave`bKvixi bvg (evsjvq):

3. Father's/Husbands Name (As per National ID):

4. Mother's Name:

5. Present Address (Mailing Address):

District: Post code

6. Permanent Address:

District: Post code:

7. Educational Qualifications (Fill in appropriate columns only):

Sl. Name of Exam Board/Universit Year of Roll No GPA/Class/

y Passing Division
1. SSC or Equivalent
2. HSC or Equivalent
3. Graduation
4. Masters
5. Law
 6. Degree/Diploma in Taxation
7. Degree/Diploma in Banking
with Higher Auditing
8. Others (If any)

8. Date of Birth: 9. Nationality:

10. National ID Card No. 11. Mobile No:

12. E-mail Address:

13. Treasury Challan Information:

Challan No: Date:

Treasury Bank: Branch:

I am applying for registration as Income Tax Practitioner (ITP) under section 174 and rule-37 of the
Income Tax ordinance,1984.

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

Signature of the Applicant

Date:

Full Name :

Please do not write anything below this line

(For official use only)

A. Sl. No:

Roll No:

Written: Vive-Voce: Total:

Admit card for the written and viva-voce examinations applicable for the eligible candidates will be forwarded to the
mailing address in column-5 of this application form.